Old Lessons of Risk Assessment and Management from the COVID-19 Pandemics and Individual Infections Dynamics

R. Duffey, E. Zio
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Abstract

“Certainty creates strength…Uncertainty creates weakness” (John M Barry “The Great Influenza”, 2005, Penguin Books, p261.). “The theory is this, that it would be appropriate to believe in a proposition until there is a founded reason to suppose its truth. If this view were to become commonly agreed upon, our social lives and our political system would turn out completely changed.” (Bertrand Russell, Sceptical Essays, 1928). “The best way to prevent becoming infected is to avoid being exposed to the virus” (Source: www.astho.org/COVID-19/Q-and-A/). The recent and ongoing COVID-19 pandemic is confirming that our society is vulnerable to global risk and that science and politics are challenged by the associated high uncertainties. This makes a number of old, foundational questions on risk and its management re-emerge. In this paper, specifically for the risk posed by the current pandemic and the infection spreading phenomena driving it, we observe from data and show from theory that there are four characteristic and very human-determined timescales for infection-spread rates. Then, we conclude on the need of putting the humans in the middle/focus of risk, as they are the ones that ultimately take decisions (almost rationally) and live their outcomes. So, we argue the obvious: that is, that for managing risk, it is necessary to realize and accept rationally that risk is not absolute- it is relative and in the uncertainty of the occurrence of different events, some just have more chance of occurring than others (i.e. high versus low chance). To evaluate and compare risks, as a society we should weigh, rank and decide the intertwined balances and resulting inequalities.
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从COVID-19大流行和个体感染动态看风险评估和管理的旧教训
“确定性创造力量……不确定性创造弱点”(约翰·M·巴里《大流感》,2005年,企鹅出版社,第261页)。"理论是这样的,相信一个命题是合适的直到有一个成立的理由来假设它的真实性。如果这一观点得到普遍认同,我们的社会生活和政治制度将会完全改变。(伯特兰·罗素,《怀疑论》,1928)。“预防感染的最佳方法是避免接触病毒”(来源:www.astho.org/COVID-19/Q-and-A/)。最近和正在进行的COVID-19大流行证实,我们的社会容易受到全球风险的影响,科学和政治受到相关高度不确定性的挑战。这使得一些关于风险及其管理的古老的基础问题重新出现。在本文中,特别是对于当前大流行所带来的风险和驱动它的感染传播现象,我们从数据和理论中观察到,感染-传播率有四个特征和非常人为决定的时间尺度。然后,我们得出结论,需要将人类置于风险的中间/焦点,因为他们是最终做出决定(几乎是理性的)并实现其结果的人。因此,我们认为这是显而易见的:即对于风险管理,有必要理性地认识和接受风险不是绝对的-它是相对的,在不同事件发生的不确定性中,有些事件发生的机会比其他事件大(即高概率比低概率)。为了评估和比较风险,作为一个社会,我们应该权衡、排序和决定相互交织的平衡和由此产生的不平等。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
24
审稿时长
12 weeks
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