Evidence map›Paper›PMID 42162558›Full record

ArticleEpidemiology and infection2026

Rebuilding trust in public health: Beyond polarization.

Jussi Sane

Abstract read
In one paragraph

Article in Epidemiology and infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Jussi SaneResearch, Development and Innovation Management, https://ror.org/03tf0c761Finnish Institute for Health and Welfare, Finland.ORCID https://orcid.org/0000-0001-6590-9520

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global health landscape has entered a period of profound change. Official development assistance for health has sharply declined, while new U.S. policies threaten long-standing public health norms and undermine evidence-based guidance. Vaccine hesitancy, political interference in medical recommendations, and climate policy reversals illustrate a troubling erosion of scientific authority. These developments coincide with growing polarization, revealing that 'following the science' is neither straightforward nor free from uncertainty. The COVID-19 pandemic exposed how public health decisions were often made under evolving evidence, with limited transparency about risks, trade-offs, and unintended consequences. Subsequent international initiatives, such as the WHO's global agenda on Public Health and Social Measures, now seek to build a more balanced evidence base. Rebuilding public trust demands openness about uncertainty, acknowledgement of past missteps, and transparent communication of policy rationales. Structured after-action reviews and community engagement are essential to demonstrate accountability and learning. Ultimately, restoring confidence in science and public health will require humility, consistency, and cross-partisan collaboration to show that science is adaptive, responsive, and committed to improvement.

Indexed as

PandemicsPublic HealthTrustCOVID-19Global HealthHealth PolicyHumansSARS-CoV-2after action reviewCOVID-19pandemicpublic healthTrust

Identifiers

PMID42162558
PMCPMC13231225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.