Journal Article

Critical Public Health;

Rethinking Disease Preparedness: Incertitude and the Politics of Knowledge

Published on 24 February 2021

This paper argues for a rethinking of disease preparedness that puts incertitude and the politics of knowledge at the centre.

Through examining the experiences of Ebola, Nipah, cholera and COVID-19 across multiple settings, the limitations of current approaches are highlighted. Conventional approaches assume a controllable, predictable future, which is responded to by a range of standard interventions. Such emergency preparedness planning approaches assume risk – where future outcomes can be predicted – and fail to address uncertainty, ambiguity and ignorance – where outcomes for their probabilities are unknown. Through examining the experiences of outbreak planning and response across the four cases, the paper argues for an approach that highlights the politics of knowledge, the constructions of time and space, the requirements for institutions and administrations and the challenges of ethics and justice. Embracing incertitude in disease preparedness responses therefore means making contextual social, political and cultural dimensions central.

Cite this publication

Leach, M.; MacGregor, H.; Ripoll, S.; Scoones, I. and Wilkinson, A. (2021) Rethinking Disease Preparedness: Incertitude and the Politics of Knowledge, Critical Public Health, doi: 10.4135/9781446221983.n3

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Hayley MacGregor

Research Fellow

Santiago Ripoll

Research Fellow

Ian Scoones

Professorial Fellow

Annie Wilkinson

Health and Nutrition Cluster Lead

Publication details

published by
Taylor and Francis


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