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An Open Letter to Baroness Hallett, Chair of the UK COVID Inquiry Addressing Lack of Evidence-Based Approach

Together In Truth by Together In Truth
March 15, 2024
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An Open Letter to Baroness Hallett, Chair of the UK COVID Inquiry Addressing Lack of Evidence-Based Approach
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The Covid-19 pandemic has had a profound impact on societies around the world, and many countries have initiated inquiries to evaluate their response to the crisis. In the United Kingdom, the Covid Inquiry was established with the mission to assess the mistakes made during the pandemic, determine the appropriateness of Covid measures, and prepare the country for future pandemics. However, a group of UK public health scholars and academics have their raised concerns about the Inquiry's biases, assumptions, impartiality, and lack of evidence-based approach in an open letter to Baroness Hallett, Chair of the UK COVID Inquiry .

One major concern raised by the group is the perceived bias of the Inquiry. They argue that the Inquiry originated from legal petitions brought by bereaved family groups, which has limited the opportunity for petitions from those who have suffered from the negative effects of pandemic policy decisions. This lack of neutrality has led to biased reasoning and predetermined conclusions, such as advocating for faster lockdowns in the future.

Another issue highlighted is the Inquiry's acceptance of key assumptions without critically examining them in light of the evidence. The consensus position prior to the pandemic was that non-pharmaceutical interventions, including lockdowns, had weak evidence of effectiveness and could cause substantial harm to society if used for prolonged periods. However, the Inquiry assumes that these measures are effective and appropriate, downplaying the harms caused by two years of emergency infection control mandates.

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Impartiality in the selection and questioning of expert witnesses is also a concern raised by the group. The Inquiry has given preferential treatment to scientific advisers on the Scientific Advisory Group for Emergencies (SAGE), who have a vested interest in maintaining the justification for their policy recommendations. Very few scientists with alternative viewpoints have been asked to testify, and the Inquiry has been confrontational rather than inquisitorial in its questioning of these views. Additionally, the Inquiry has failed to seriously question hypotheses and assumptions presented to the government or examine the social and economic costs of lockdown measures. The group also notes that the Inquiry has focused on UK exceptionalism, failing to recognize the experiences and approaches of other countries.

The format of the Inquiry itself is seen as impeding the investigation into key scientific and policy questions. Adopting a legal format, the Inquiry prioritizes determining who did or said what, rather than asking fundamental scientific questions. This format prevents a systematic evaluation of the evidence by biomedical and social scientists on the harms of restrictions, the impact on Covid-19 from policies such as mandatory non-pharmaceutical interventions, and the state of evidence for best practices. The group argues that investigating the interplay between harms, benefits, and best practices is crucial for preparing for future pandemics, but the current format of the Inquiry is ill-suited for this purpose.

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Finally, concerns are raised about the potential impact of the Inquiry on public trust in government accountability and oversight. The size and cost of the Inquiry, estimated to be between £300-500 million, make it the largest public Inquiry ever undertaken. If the shortcomings identified by the group are not addressed, it could compromise the credibility of future public inquiries and erode public trust in the impartiality and independence of government accountability.

Despite these concerns, the group emphasizes their belief in the importance of the Inquiry's mission and their desire to see it succeed. They argue that urgent action is needed to address the identified shortcomings. The Inquiry should invite a broader range of scientific experts with more critical viewpoints and review evidence on diverse topics to ensure a comprehensive understanding of the science and the economic and social costs of Covid policies. By addressing these concerns, the Inquiry can fulfill its mission and contribute to evidence-based pandemic response in the future.

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In conclusion, the Covid Inquiry in the UK is facing criticism for apparent biases, assumptions, lack of impartiality, and an ineffective format. Concerns have been raised about the limited scope for petitions from those impacted by pandemic policy decisions, the acceptance of key assumptions without critical examination, and the preferential treatment of certain expert witnesses. The Inquiry's legal format is seen as impeding a systematic evaluation of evidence and the investigation of key scientific and policy questions. The potential impact on public trust in government accountability and oversight is also a significant concern. Urgent action is needed to address these shortcomings and ensure the Inquiry's success in evaluating the pandemic response and preparing for future crises.

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