The paradox of prevention: By avoiding the worst, we remain vulnerable to future waves of disease GlobeDebate
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I have been concerned about how this encouraging turn of events has been interpreted by some to mean that this wave is ending in spite of, rather than because of, the patient, selfless actions of many Canadians, who have experienced hardship, isolation and deprivation in order to distance themselves from workplaces, friends and family.
And now we face what I will refer to as the “paradox of prevention”: By preventing widespread infection in the country we have maintained susceptibility in the population, which leaves us vulnerable to future epidemic waves. Most people who recover have immunity at least temporarily, so this assumes that people are readily infectable if they haven’t been infected yet. This is the defining paradox of public health: Our fundamental deliverable is the non-occurrence of events.
We can look around the world for successful responses to this pandemic and emulate best practices, but we can also emulate best practices in our own country. Colleagues in Newfoundland and Labrador controlled COVID-19 rapidly; they tell us to “hunt the virus” and be pro-active. Colleagues in British Columbia teach us how important clear strategy and communication are in this fight. Alberta can show us how to scale up testing.
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