Coronavirus fight is between species, not countries – we need science and solidarity to beat it
- This current outbreak will burn itself out eventually, but it isn’t the first and won’t be the last that our world has to face
- Solidarity, global collaboration and equal stature for scientists are the tools we need to triumph over contagion, says Dr Swee Kheng Khor
As a frontline doctor in a Malaysian public hospital during the 2009 H1N1 “swine flu” outbreak, I witnessed first-hand how trust and public confidence are as important as isolation rooms and antiviral medicines.
Fear is normal during times of danger – it’s what has kept us alive through millions of years of evolution. During outbreaks, we fear because we don’t know enough, what we know keeps changing, scientists and governments can’t seem to agree on the facts, and we fear death from unnatural or unpredictable causes. Cognitive dissonance only makes it worse – we ask ourselves why, if there’s nothing to worry about, millions of people are under quarantine, for example. Psychologically, we fear things we can’t see or control. Sociopolitically, we imagined that borders will protect us from “foreign threats”, so we panic when viruses penetrate these borders so effortlessly.
Social media
Social media has given everyone a platform, but not everyone knows how to use it responsibly. The velocity, volume and variety of information can be terrifying. For the average citizen, given their limited bandwidth and time, it’s easier to trust friends and family than distant, faceless experts, and quicker to just hit forward without verifying.
Big tech companies claim to merely offer “neutral platforms” as an excuse to avoid responsibility for user-generated content. But are they really neutral if they are home to a morass of fake news, hate speech, political misinformation and extremist rhetoric?
Declining trust
Trust in institutions, politicians and governments is declining, mostly thanks to political polarisation and a general deterioration in people’s quality of life, public services and institutional performance. Health authorities and public health care services have been caught on the back foot. Much of this isn’t their fault, as science alone has never been the sole criterion for health care decisions: politics, economics and the social contract all played important roles.
Are we overreacting to coronavirus threat and merely creating bigger risks?
Political leaders must work with health care professionals to make decisions during an outbreak – yet during this crisis some political leaders are seemingly making decisions largely on political grounds without giving science an equal say.
This outbreak will burn itself out, leaving us to prepare for the next one, which will require both adequate investment in response capabilities to strengthen our health systems and system-wide upgrades. Universal health coverage, enhanced primary care and competent professionals will not only mitigate outbreaks but also help manage ageing populations with non-communicable diseases.
Increasing nationalism
Globalisation has undoubtedly polarised societies around the world, with nationalist instincts manifesting in discrimination or xenophobia against certain ethnicities during this outbreak. Travel bans, a convenient fig leaf for latent racism, are increasingly being deployed despite little evidence that they work against viruses that have no passports.
This will not be the last time the world reels from an outbreak of infectious disease. Health leaders must recognise the shifting technological, sociopolitical and geopolitical landscapes in which we now operate to formulate solutions. Science alone can’t save us, but a combination of science, compassion, public trust, good governance and solidarity can.
Dr Swee Kheng Khor specialises in health systems, health policies and global health, and is currently based at the University of Oxford.