Harvard epidemiologist: COVID-19 'scolding and shaming are toxic to public health'

Coronavirus in Germany
(Image credit: Ina Fassbender/AFP/Getty Images)

Americans are effectively on their own when weighing the risks and benefits of just about every activity during the COVID-19 pandemic.

"Individuals have responsibility in an infectious disease outbreak, and more than usual in the sense that our choices affect other people," Harvard epidemiologist Julia Marcus told Vox's Ezra Klein in a podcast released Thursday. "But there's been a total abdication of responsibility at the top to create an environment in which individuals aren't burdened with that much risk and have to make those decisions entirely on their own."

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I generally try to stay away from absolutist responses, but my instinct is to flat-out say no: Scolding and shaming are toxic to public health. Almost full stop, with very few exceptions. I think it's a natural instinct. .... But from a public health perspective, trying to shame somebody into changing their behavior just doesn't work. It doesn't deter the behavior generally. For some individuals, it might, but on a general population level, what it will do is actually just deter disclosure of the behavior. ... It's essentially saying you're a bad person for doing this. [Julia Marcus to Vox]

Marcus said it would be "far more productive," at least from a public health standpoint, to consider "how we can help people meet their needs," using college students as an example. Klein suggested it would be helpful to have a five to seven general guidelines, like being "permissive with outside activities," keeping your social interactions within "a stable set of people," and wearing a mask when you leave your social pod.

Marcus agreed. "We are not going to stop interacting as human beings," she said. "So let's find ways to keep our contacts at a minimum and keep them outdoors. If we work with that framework, I think there's a lot we can do." You can listen to the entire interview or read excerpts at Vox.

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Peter Weber, The Week US

Peter has worked as a news and culture writer and editor at The Week since the site's launch in 2008. He covers politics, world affairs, religion and cultural currents. His journalism career began as a copy editor at a financial newswire and has included editorial positions at The New York Times Magazine, Facts on File, and Oregon State University.