This paper examines the trust relations involved in Israel's COVID-19 vaccination campaign, focusing on vaccine hesitancy and the concept of 'trust'. The first section offers a conceptual analysis of 'trust'. Instead of analyzing trust in the vaccination campaign as a whole, a few objects of trust are identified and examined. In section two, the Israeli vaccination campaign is presented, and the focus is placed on vaccine hesitancy. In section three, different trust relations are examined: public trust in the Israeli government and health institutions, interpersonal trust in healthcare professionals and experts, trust in the pharmaceutical companies that make the COVID-19 vaccine, the US FDA, and trust in the new vaccine and the new technology. Through this complexity of trust relations, I argue that it is impossible to completely separate the trust that the vaccine is safe and effective from social aspects of mistrust. Additionally, practices of silencing and censoring the concerns of vaccine hesitaters - both experts and among the public, are pointed out. I contend that these cases further minimize vaccine hesitaters' trust in vaccine-related entities. In contrast, in section four, I suggest the 'trust-based approach': since vaccine hesitancy is not solely the result of knowledge deficiency but also a lack of trust relations, any campaign that addresses vaccine hesitancy should also focus on trust. The advantages of this approach are spelled out. For governments, a discussion based on trust is, ultimately, the best democratic way to encourage hesitaters to take the plunge and get vaccinated.
Until the recent spread of public-private partnerships, pharmaceutical firms had avoided research and development into neglected tropical diseases (NTDs). Because these are diseases that affect the poorest populations in developing regions, research and development initiatives have for the most part depended on the resources and expertise drawn from academia, international organizations, and intermittent state interventions in disease-endemic countries. Over the last few decades, however, public-private product development partnerships (PDPs) have been introducing new collaborative agreements in which the existing resources and expertise combine with the those traditionally withheld by the pharmaceutical industry and global health NGOs. This paper explores recent transformations in the representation of NTDs by examining the shifting logic and spaces of knowledge production which the advent of PDPs has enabled. An analysis of two case studies focused on Chagas disease-related initiatives addresses recurring preoccupations in Science, Technology and Society studies as well as in critical analyses of PDPs: that is, the back-and-forth movement of the disease from being an object of scientific inquiry to a public health concern, and the legitimacy risks and material asymmetries entailed in global health PDPs. Both cases show that it is major global health stakeholders and experts in non-endemic countries, rather than transnational pharmaceutical firms, that exert the greatest influence upon these changing representations: PDPs attempt to expand the preexisting biomedical focus on NTDs by means of incorporating "real world" drug development preoccupations (which I term epistemic shifts), but they also combine their stated global humanitarian aim with security concerns about the diseases spreading to non-endemic, industrialized countries (which I term geographical shifts).
In this article, we examine the ways in which the notion of interdisciplinarity was understood, implemented and experienced by researchers at a government-funded Chilean climate research centre. Our multi-site ethnography, consisting of interviews, participant observations, and document analysis, was motivated by three key aims. First, to generate an inductive, multi-faceted picture of the lived meaning of "interdisciplina" at the Centre; second, to explore whether and to what extent the "peripheral" features of the research context would exacerbate the challenges associated with practicing interdisciplinarity, and third, to see whether frictions between disciplines at the Centre could be considered productive "dissonances" in Stark's sense of the term. We found that despite the centre efforts to produce a common framework to regulate interdisciplinary research, its researchers nevertheless understood, enacted and experienced it in diverse ways. More specifically, we found that researcher´s conceptions of interdisciplinarity were coloured by their lived experiences of attempting to practice it, and in particular by the benefits and costs they associated with doing so. This in turn was linked to several variables, including the specific balance between disciplines, the absence or presence of shared, clearly-defined goals, the affirmation of a common research ethic or motivational commitment, and the structural-material conditions of the research in question. We also found that the research conditions characteristic of the Global South do tend to exacerbate the well-documented challenges associated with interdisciplinarity, yet that the adversities associated with precarious conditions were often met by increased resilience and bonding among researchers, who use creative and collaborative strategies to adapt to adversity.
By analyzing the discussion on a health forum, we examine how wearing sanitary masks during the Covid-19 pandemic changed people's lives and what adjustments were required. During our review, we encountered theories referred to by participants as "conspiracy theories" that led to heated exchanges on the forum. Surprisingly, these interactions promoted, rather than prevented, collective exploration and resulted in a rich discussion of the issues related to wearing masks. Using a combination of quantitative and qualitative methods, we first analyze the dynamics of the discussion, its progression, and the conditions under which it was maintained over time, even given the radical expression of irreconcilable positions. Second, we examine the results of the discussion in terms of describing the problems triggered by the mask and the different authorities on which these descriptions were based. We conclude that the boundaries between science and non-science were occasionally blurred because of the wavering of scientific authorities and the uncertainty of the questions related to the pandemic, rather than because of a generalized distrust of science. We recognize that paradoxically, "conspiracist" theories contribute to the production of knowledge and that the adherence to these theories may stem more from the personal experiences of the individuals who profess them, rather than from the contaminating power of conspiracy theories.