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Helen MacDonald

👤 Person
1132 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

And in an editorial in the BMJ earlier this month, Devi Sridhar and Maimuna Majumder advocate for the use of other perspectives aside from modelling.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

So does the inclusion of those seven modellers skew things too much?

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

They suggested more attention to case study analysis from other countries.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

information from frontline health staff and patient groups and policy documents and historical analyses of previous outbreaks.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

So in Germany, for example, their authorities considered model predictions, but they also used South Korea's strategy of testing, tracing and isolation.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

And on that group, you can see there was little representation from jobbing healthcare professionals, including allied healthcare workers or any input from primary care.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

So I thought that was quite interesting.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

Yes, over in the US, away from the UK, Vinay Prasad, who's usually known for talking about oncology topics, had come to the defence of scientists using the example of John Ioannidis, who we interviewed a few weeks back for the show.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

And I call Vinay to hear more about his concerns of how discussion around evidence and science was playing out on social media.

Talk Evidence
Talk Evidence covid-19 update - lack of testing transparency, how to give good debate

And goodbye from me.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Hi, Duncan.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

I have.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

We've talked a bit about the problems of guidelines in a crisis on this show before.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And medical ethicists seem to me to be playing a more prominent role because I could see them being mentioned.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And I've not noticed that before.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And why is that?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

I think there's often reasonable quality evidence, which is quite key to informing guidance.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And in COVID, this doesn't readily exist anymore.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And secondly, a lot of these public health recommendations which are being made around isolation and also clinical guidance on approaches to triage and escalation of care involve value judgments.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

So I was really intrigued to speak to ethicist Julian Sheather.