Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis

Detalhes bibliográficos
Autor(a) principal: Kelly, Ann H.
Data de Publicação: 2020
Outros Autores: Lezaun, Javier, Löwy, Ilana, Matta, Gustavo Corrêa, Nogueira, Carolina de Oliveira, Rabello, Elaine Teixeira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/41608
Resumo: King's College London. Department of Global Health and Social Medicine. United Kingdom.
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spelling Kelly, Ann H.Lezaun, JavierLöwy, IlanaMatta, Gustavo CorrêaNogueira, Carolina de OliveiraRabello, Elaine Teixeira2020-06-10T19:39:18Z2020-06-10T19:39:18Z2020KELLY, Ann H. et al. Uncertainty in times of medical emergency: Knowledge gaps and structural ignorance during the Brazilian Zika crisis. Social Science & Medicine, p. 1-50, 2020.0277-9536https://www.arca.fiocruz.br/handle/icict/4160810.1016/j.socscimed.2020.112787engElsevierBrasilZika VirusBrazilZikaUncertaintyPublic Health EmergencyEmergency ResearchUncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleKing's College London. Department of Global Health and Social Medicine. United Kingdom.University of Oxford. Institute for Science, Innovation and Society, School of Anthropology and Museum Ethnography. United Kingdom.Institut National de la Santé et de la Recherche Médicale. Paris, France.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil / Public Administration and Policy Group. Netherlands/ Wageningen University & Research. Netherlands.Uncertainty was a defining feature of the Brazilian Zika crisis of 2015–2016. The cluster of cases of neonatal microcephaly detected in the country's northeast in the second half of 2015, and the possibility that a new virus transmitted by Aedes mosquitoes was responsible for this new syndrome, created a deep sense of shock and confusion in Brazil and around the world. When in February 2016 the WHO declared a Public Health Emergency of International Concern (PHEIC), it noted that it did so on the basis of what was not known about the virus and its pathogenic potential. To better understand the role that non-knowledge played in the unfolding of the Brazilian Zika crisis we differentiate between three different kinds of uncertainty: global health uncertainty, public health uncertainty, and clinical uncertainty. While these three forms of uncertainty were difficult to disentangle in the early weeks of the crisis, very soon each one began to trace a distinct trajectory. Global health uncertainty centered on the question of the causative link between Zika virus infection and congenital malformations, and was declared resolved by the time the PHEIC was lifted in November 2016. Public health and clinical uncertainty, in contrast, persisted over a longer period of time and did, in some important ways, become entrenched. This taxonomy of uncertainties allows us to explore the systematic nonproduction of knowledge in times of medical emergency, and suggests structural limitations in the framework of “emergency research” that global health institutions have developed to deal with unexpected threats.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/41608/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALUncertaintyTimesMedicalEmergency.pdfUncertaintyTimesMedicalEmergency.pdfapplication/pdf595690https://www.arca.fiocruz.br/bitstream/icict/41608/2/UncertaintyTimesMedicalEmergency.pdfa118159d3b67974cc986f50d556deafeMD52TEXTUncertaintyTimesMedicalEmergency.pdf.txtUncertaintyTimesMedicalEmergency.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
title Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
spellingShingle Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
Kelly, Ann H.
Brasil
Zika Virus
Brazil
Zika
Uncertainty
Public Health Emergency
Emergency Research
title_short Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
title_full Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
title_fullStr Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
title_full_unstemmed Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
title_sort Uncertainty in times of medical emergency: knowledge gaps and structural ignorance during the Brazilian Zika crisis
author Kelly, Ann H.
author_facet Kelly, Ann H.
Lezaun, Javier
Löwy, Ilana
Matta, Gustavo Corrêa
Nogueira, Carolina de Oliveira
Rabello, Elaine Teixeira
author_role author
author2 Lezaun, Javier
Löwy, Ilana
Matta, Gustavo Corrêa
Nogueira, Carolina de Oliveira
Rabello, Elaine Teixeira
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Kelly, Ann H.
Lezaun, Javier
Löwy, Ilana
Matta, Gustavo Corrêa
Nogueira, Carolina de Oliveira
Rabello, Elaine Teixeira
dc.subject.other.pt_BR.fl_str_mv Brasil
Zika Virus
topic Brasil
Zika Virus
Brazil
Zika
Uncertainty
Public Health Emergency
Emergency Research
dc.subject.en.pt_BR.fl_str_mv Brazil
Zika
Uncertainty
Public Health Emergency
Emergency Research
description King's College London. Department of Global Health and Social Medicine. United Kingdom.
publishDate 2020
dc.date.accessioned.fl_str_mv 2020-06-10T19:39:18Z
dc.date.available.fl_str_mv 2020-06-10T19:39:18Z
dc.date.issued.fl_str_mv 2020
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv KELLY, Ann H. et al. Uncertainty in times of medical emergency: Knowledge gaps and structural ignorance during the Brazilian Zika crisis. Social Science & Medicine, p. 1-50, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/41608
dc.identifier.issn.none.fl_str_mv 0277-9536
dc.identifier.doi.none.fl_str_mv 10.1016/j.socscimed.2020.112787
identifier_str_mv KELLY, Ann H. et al. Uncertainty in times of medical emergency: Knowledge gaps and structural ignorance during the Brazilian Zika crisis. Social Science & Medicine, p. 1-50, 2020.
0277-9536
10.1016/j.socscimed.2020.112787
url https://www.arca.fiocruz.br/handle/icict/41608
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/41608/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/41608/2/UncertaintyTimesMedicalEmergency.pdf
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