Knowledge as resistance: advancing global health in challenging times

IF 4.6 1区 医学 Q2 IMMUNOLOGY
Marlène Bras, the Editors of the Journal of the International AIDS Society
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引用次数: 0

Abstract

These are extraordinary times, with daily assaults on public health principles. The sudden de-funding of life-saving programmes like PEPFAR poses existential threats to achieving the goals of effective control of the HIV epidemic, which had been predicated on increasing testing, engagement in care, and uptake of evidence-based treatment and prevention. The censorship of terms related to sex, gender, diversity, equity, and inclusion in public health reports and scientific publications is chilling and negates decades of thoughtful scholarship that has demonstrated the relevance of these issues in the lived experiences and health outcomes of people affected by HIV.

The leadership of IAS – the International AIDS Society – has expressed deep concern over the rhetoric surrounding funding cuts, which has misrepresented the use of international development support and needlessly further stigmatized vulnerable populations. As editors of the Journal of the International AIDS Society, we affirm that the journal will not change our mission nor our standards for evidence-driven and person-centred reporting. We recognize that programmes funded with public money should be subject to government review. However, the acute pause in US funding for global health, along with statements and policy shifts targeting key populations, represent unprecedented attacks on initiatives that have saved millions of lives and prevented millions of new HIV acquisitions.

JIAS will continue to welcome research that is of interest to our diverse readership, can inform the development of effective strategies to decrease HIV transmission, and improve the health and wellbeing of people living with HIV across the globe. Our core principles continue to include an understanding that sex and gender are distinct, and that rigorous science respects the diversity of human experience.

As researchers, clinicians and public health practitioners, we must respond to the challenges posed by recent policy measures while also documenting their intended and unintended consequences. JIAS welcomes submissions that present empirical data, model potential outcomes of resource constraints and policy shifts or highlight best practices and innovative solutions that address current challenges.

We have received requests from authors of manuscripts under peer review to have their names removed or manuscripts withdrawn from further consideration in order to comply with the US administration's recent executive orders. Although we are very concerned about this, we will respect author requests in agreement with our policy on authorship changes.

This is a difficult time, but the global struggle to address the HIV epidemic has faced and overcome existential challenges before. We feel that the best way to counter misinformation is to continue to generate and disseminate new knowledge that provides a compelling, evidence-based narrative. While an instinctive response to such an unprecedented threat to hard-earned progress may be to retreat, we believe that the opposite approach is needed in order to support people and global health equity. It is essential to continue research that strengthens the case for effective strategies to address HIV and related epidemics.

In the face of uncertainty and adversity, our collective commitment to rigorous science, inclusivity and truth must remain unwavering.

The authors declare no competing interests.

The Editors-in-Chief and the Executive Editor have collectively contributed to the writing and revision of the manuscript. All have approved the final manuscript.

知识即抵抗力:在充满挑战的时代促进全球卫生
现在是非常时期,公共卫生原则每天都受到攻击。像总统防治艾滋病紧急救援计划这样的拯救生命的项目突然停止提供资金,对实现有效控制艾滋病毒流行的目标构成了生死攸关的威胁,而这一目标是建立在增加检测、参与护理以及采用循证治疗和预防的基础上的。在公共卫生报告和科学出版物中审查与性、性别、多样性、公平和包容相关的术语令人不寒而栗,并否定了几十年来证明这些问题与艾滋病毒感染者的生活经历和健康结果相关的深思熟虑的学术研究。国际艾滋病协会(IAS)的领导层对有关削减资金的言论表示深切关注,这种言论歪曲了国际发展支持的使用,并不必要地进一步侮辱了弱势群体。作为《国际艾滋病学会杂志》的编辑,我们申明,该杂志不会改变我们的使命,也不会改变我们以证据为导向和以人为本的报道标准。我们认识到,由公共资金资助的方案应接受政府的审查。然而,美国对全球卫生的资助急剧暂停,以及针对关键人群的声明和政策转变,代表着对挽救了数百万人生命并防止数百万人感染艾滋病毒的举措的前所未有的攻击。JIAS将继续欢迎我们不同读者感兴趣的研究,可以为制定有效的战略提供信息,以减少艾滋病毒传播,并改善全球艾滋病毒感染者的健康和福祉。我们的核心原则仍然包括理解性和性别是不同的,严谨的科学尊重人类经验的多样性。作为研究人员、临床医生和公共卫生从业人员,我们必须应对近期政策措施带来的挑战,同时记录其预期和意外后果。JIAS欢迎提交经验数据,模拟资源限制和政策转变的潜在结果,或强调应对当前挑战的最佳做法和创新解决方案。为了遵守美国政府最近的行政命令,我们收到了正在接受同行评议的手稿作者的请求,要求删除他们的名字或撤回进一步审议的手稿。虽然我们对此非常关注,但我们会尊重作者的要求,并遵守我们的作者身份变更政策。这是一个艰难的时刻,但全球防治艾滋病毒流行的斗争以前曾面临并克服了生存的挑战。我们认为,应对错误信息的最佳方式是继续产生和传播新知识,提供令人信服的、基于证据的叙述。面对这种对来之不易的进展的前所未有的威胁,我们的本能反应可能是退缩,但我们认为,为了支持人民和全球卫生公平,需要采取相反的做法。必须继续进行研究,加强制定有效战略以处理艾滋病毒和有关流行病的理由。面对不确定性和逆境,我们对严谨科学、包容性和真理的集体承诺必须坚定不移。作者声明没有利益冲突。总编辑和执行编辑共同为稿件的撰写和修订做出了贡献。所有人都通过了最终稿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of the International AIDS Society
Journal of the International AIDS Society IMMUNOLOGY-INFECTIOUS DISEASES
CiteScore
8.60
自引率
10.00%
发文量
186
审稿时长
>12 weeks
期刊介绍: The Journal of the International AIDS Society (JIAS) is a peer-reviewed and Open Access journal for the generation and dissemination of evidence from a wide range of disciplines: basic and biomedical sciences; behavioural sciences; epidemiology; clinical sciences; health economics and health policy; operations research and implementation sciences; and social sciences and humanities. Submission of HIV research carried out in low- and middle-income countries is strongly encouraged.
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