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A conceptual framework for reopening our society during the Covid-19 pandemic

Decisions about how to go about the necessary task of re-opening our society in the midst of the Covid-19 (CV19) have been paralyzed by our extremes. But we can neither afford to insist on a zero-risk response, nor can we pretend that the risk does not exist. What is needed are tools to rationally t...

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Autores principales: Gill, Christopher J., Galea, Sandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885286/
https://www.ncbi.nlm.nih.gov/pubmed/33732440
http://dx.doi.org/10.12688/f1000research.24352.1
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author Gill, Christopher J.
Galea, Sandro
author_facet Gill, Christopher J.
Galea, Sandro
author_sort Gill, Christopher J.
collection PubMed
description Decisions about how to go about the necessary task of re-opening our society in the midst of the Covid-19 (CV19) have been paralyzed by our extremes. But we can neither afford to insist on a zero-risk response, nor can we pretend that the risk does not exist. What is needed are tools to rationally triage the risk. To this end, we propose a novel ‘risk index’, which is the intersection of two components of risk: 1) the risk of an individual becoming infected due to action ‘X’; and 2) the likely probability of death (or serious harm) if that individual develops CV19. The risk index allows risk to be compared across different scenarios, and may reveal that seemingly very different situations constitute similar degrees of risk. With risk measured in this way, one can then contrast different levels of risk against the social benefits of absorbing that risk, allowing actions to be sorted into those that are tolerable, debatable, or acceptable. While these concepts are presented in abstract based on approximate estimates of risk and influenced by our judgements about social desirability, the concept itself can be refined as more accurate approximations of risk and broadly accepted values of social desirability are derived empirically. In short, this is a tool intended to provide a useful empirical framework for rationale decision making about CV19.
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spelling pubmed-78852862021-03-16 A conceptual framework for reopening our society during the Covid-19 pandemic Gill, Christopher J. Galea, Sandro F1000Res Opinion Article Decisions about how to go about the necessary task of re-opening our society in the midst of the Covid-19 (CV19) have been paralyzed by our extremes. But we can neither afford to insist on a zero-risk response, nor can we pretend that the risk does not exist. What is needed are tools to rationally triage the risk. To this end, we propose a novel ‘risk index’, which is the intersection of two components of risk: 1) the risk of an individual becoming infected due to action ‘X’; and 2) the likely probability of death (or serious harm) if that individual develops CV19. The risk index allows risk to be compared across different scenarios, and may reveal that seemingly very different situations constitute similar degrees of risk. With risk measured in this way, one can then contrast different levels of risk against the social benefits of absorbing that risk, allowing actions to be sorted into those that are tolerable, debatable, or acceptable. While these concepts are presented in abstract based on approximate estimates of risk and influenced by our judgements about social desirability, the concept itself can be refined as more accurate approximations of risk and broadly accepted values of social desirability are derived empirically. In short, this is a tool intended to provide a useful empirical framework for rationale decision making about CV19. F1000 Research Limited 2020-06-08 /pmc/articles/PMC7885286/ /pubmed/33732440 http://dx.doi.org/10.12688/f1000research.24352.1 Text en Copyright: © 2020 Gill CJ and Galea S http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Opinion Article
Gill, Christopher J.
Galea, Sandro
A conceptual framework for reopening our society during the Covid-19 pandemic
title A conceptual framework for reopening our society during the Covid-19 pandemic
title_full A conceptual framework for reopening our society during the Covid-19 pandemic
title_fullStr A conceptual framework for reopening our society during the Covid-19 pandemic
title_full_unstemmed A conceptual framework for reopening our society during the Covid-19 pandemic
title_short A conceptual framework for reopening our society during the Covid-19 pandemic
title_sort conceptual framework for reopening our society during the covid-19 pandemic
topic Opinion Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885286/
https://www.ncbi.nlm.nih.gov/pubmed/33732440
http://dx.doi.org/10.12688/f1000research.24352.1
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