COVID-19 and the Present and Future of Black Communities: The Role of Black Physicians, Engineers, and Scientists Proceedings of a Workshop (2021) / Chapter Skim
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4 Exploring Views from the National Academies on COVID-19, Including Treatment and Policy Implications
4 Exploring Views from the National Academies on COVID-19, Including Treatment and Policy Implications
Pages 33-44
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From page 33... ...
. • The Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats established processes to provide rapid responses to research requests from policy makers, espe cially in the first weeks of the crisis (Dr.
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; Harvey Fineberg, M.D., chair of the Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats; and Cora Marrett, Ph.D., an advisory committee member for the Division of Behavioral and Social Sciences and Education. The objectives of the session were to understand the landscape of COVID-related work at the Academies and to explore synergies between the Roundtable and other National Academies initiatives.
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NAS Commitment to Diversity, Equity, and Inclusion Dr. McNutt issued a public statement after the murder of George Floyd to state that "just as it would have been insufficient for me as president of the National Academy of Sciences to have simply offered words of support to the victims of COVID-19 and carried on our business as usual, so too for this crisis in equality of opportunity, we have to act, not just offer thoughts and prayers."1 She said she is acting to include diversity, equity, and inclusion in how NAS conducts its business and, most importantly, in how it serves the nation.
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From page 36... ...
It requires a different type of science, rather than "science as usual." To provide the broad array of answers needed, a scientific framework needs to encompass three different time frames and scopes: • Actionable science provides timely, immediate guidance delivered to decision makers, understood by nonscientists and provided in the context of the decision at hand. It must be based on the highest standards that timeliness allows, meaningful, and rooted in societal values.
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Dr. McNutt affirmed her belief that employing actionable, strategic, and irreplaceable science can help society recover from the crisis and also address long-standing, structural racial and economic inequalities that are exacerbating it.
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In the space of a few days, the Committee assembled the available literature, conferred with leading scientists about the status of their work, and produced a document that could be reviewed through an acute review process under the National Academies' Report Review Committee leadership. The result was delivery of a usable, actionable, relevant, scientifically sound, and timely document delivered into the hands of the government sponsors.
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Sullivan reflected that the HIV challenge produced a strong advocacy group that did not trust the government. Over time, the advocates became involved with HHS, and especially the National Institutes of Health, and developed a consensus to use resources that resulted in HIV being held in check from a fatal disease to a chronic condition.
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Partnerships across fields and entities can produce resilient communities. Related to the first concern about data availability and quality, she said the Social Experts Action Network (SEAN)
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McNutt's call to look for change through bold vision. For example, the Gulf Research Program -- supported by the settlement that followed the Deepwater Horizon oil spill -- has noted the historical inequities, deep pockets of poverty, and poor educational and health outcomes that have plagued the region.
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There is also a disparity of investment in public health capacity in different communities, counties, and states across the nation, and to accomplish this challenge as a scientific and health matter, apart from politics, requires legislative and executive leadership. He questioned whether Congress and the administration could come together in a national service enterprise, setting aside political differences, to accomplish a health-focused, scientifically sound response to stand apart from political interests.
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McNutt had noted. However, this year's Nobel Prize in Economics recognized the fundamental contribution of recipients Abhijit Banerjee, Esther Duflo, and Michael Kremer in conducting randomized controlled experiments for economic impact, mostly in developing countries, in which the units of analysis were whole communities.
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Dr. Sullivan replied that there is no single outcome, but multiple actions are needed, given the systemic problems affecting society.
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