{"id":4657,"date":"2021-03-10T20:15:45","date_gmt":"2021-03-10T19:15:45","guid":{"rendered":"https:\/\/blog.ki.se\/rektor\/?p=4657"},"modified":"2021-03-11T11:51:30","modified_gmt":"2021-03-11T10:51:30","slug":"ett-ar-in-i-pandemin-larosatenas-roll","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/rektor\/2021\/03\/10\/ett-ar-in-i-pandemin-larosatenas-roll\/","title":{"rendered":"Ett \u00e5r in i pandemin: L\u00e4ros\u00e4tenas roll"},"content":{"rendered":"\n

English version below<\/em><\/strong><\/p>\n\n\n\n

Den 11 mars 2020 kom det formella beskedet fr\u00e5n WHO: V\u00e4rlden befinner sig i en pandemi.\u00a0Drygt tv\u00e5 minuter in p\u00e5 en presskonferens<\/a>\u00a0sa en p\u00e5tagligt allvarlig Dr. Tedros Adhanom Ghebreyesus, generaldirekt\u00f6r f\u00f6r V\u00e4rldsh\u00e4lsoorganisationen:<\/p>\n\n\n\n

WHO has been assessing this outbreak around the clock and we are deeply concerned both by the alarming levels of spread and severity, and by the alarming levels of inaction. We have therefore made the assessment that COVID-19 can be characterized as a pandemic.\u201d<\/p><\/blockquote>\n\n\n\n

Historia skrevs d\u00e4r och d\u00e5. Vid den tidpunkten hade omkring 118 000 smittfall bekr\u00e4ftats v\u00e4rlden \u00f6ver. Totalt hade 4 291 personer avlidit. I dag, ett \u00e5r senare, ter sig de siffrorna som marginella. Antalet konstaterade d\u00f6dsfall \u00f6verstiger 2,6 miljoner och den siffran kommer att v\u00e4xa ytterligare. Smittspridningen forts\u00e4tter och i stort sett alla l\u00e4nder \u00e4r drabbade. I Sverige pratar vi nu om att den tredje v\u00e5gen \u00e4r h\u00e4r.<\/p>\n\n\n\n

Ett \u00e5r tidigare<\/h4>\n\n\n\n

Det infinner sig ocks\u00e5 en l\u00e4tt m\u00e4rklig k\u00e4nsla n\u00e4r jag t\u00e4nker tillbaka p\u00e5 att det bara var ett \u00e5r tidigare, i april 2019, som Tedros Adhanom Ghebreyesus g\u00e4stade KI och h\u00f6ll en f\u00f6rel\u00e4sning i en fullsatt h\u00f6rsal i Biomedicum<\/a>. D\u00e5 var det prevention och Agenda 2030 som var p\u00e5 agendan, inte risken f\u00f6r en pandemi.<\/p>\n\n\n\n

Det \u00e4r allts\u00e5 ett \u00e5r sedan pandemin formellt inleddes och \u00e4nnu finns inga tydliga indikationer p\u00e5 n\u00e4r WHO kan deklarera att den \u00e4r \u00f6ver. Vi ser ocks\u00e5 att nya, muterade, varianter av viruset f\u00e5r spridning och f\u00e4ste i olika delar av v\u00e4rlden. Denna globala h\u00e4lsokris forts\u00e4tter att h\u00e5lla oss i sitt grepp.<\/p>\n\n\n\n

P\u00e5 den ljusa sidan finns f\u00f6rst\u00e5s att vaccinationerna kommit ig\u00e5ng: Det \u00e4r dock viktigt att inse att det fortfarande \u00e4r en liten andel av jordens befolkning som kommer att f\u00e5 tillg\u00e5ng till vaccin under det n\u00e4rmaste \u00e5ret. S\u00e5 l\u00e4nge viruset finns i omlopp kommer det att f\u00f6r\u00e4ndras och spridas, vilket riskerar att leda till att vaccinens effekt p\u00e5verkas. Det g\u00e4ller allts\u00e5 att snabbt f\u00e5 till st\u00e5nd en global f\u00f6rdelning av de vaccin som finns tillg\u00e4ngliga, f\u00f6r att bromsa och till slut f\u00e5 stopp p\u00e5 den h\u00e4r pandemin. Och det g\u00e4ller ocks\u00e5 att sekvensera positiva prover s\u00e5 att vi kan ha koll p\u00e5 spridningen av nya varianter<\/a>.<\/p>\n\n\n\n

Har kompetensen anv\u00e4nts optimalt?<\/h4>\n\n\n\n

Fr\u00e5gan jag st\u00e4ller i det h\u00e4r inl\u00e4gget \u00e4r om l\u00e4ros\u00e4tenas kompetens har anv\u00e4nts optimalt under den pandemin som vi nu har levt med i ett \u00e5r? Universitet och h\u00f6gskolor har olika former av resurser som kan utnyttjas under en kris. Det handlar om vana och kompetens att snabbt f\u00e5 fram uppdaterad kunskap, djup expertis inom i stort sett alla sakomr\u00e5den, pedagogisk kunskap, f\u00f6rm\u00e5ga att snabbt s\u00e4tta ihop kurser p\u00e5 olika niv\u00e5er, personal, lokaler, teknisk utrustning och mycket annat.<\/p>\n\n\n\n

Det \u00e4r djupt m\u00e4nskligt i en kris att vi alla \u00f6nskar att hj\u00e4lpa till med den expertis och de resurser vi har (och med de uppfattningar eller \u00e5sikter som finns) f\u00f6r hur krisen b\u00e4st kan bem\u00f6tas. Det h\u00e4r g\u00e4ller inte minst v\u00e5ra forskare som har olika ing\u00e5ngar och perspektiv, beroende av expertisomr\u00e5de och erfarenhet. Om det inte finns en \u00f6ppen och tolerant debattarena och en fungerande dialog mellan olika myndigheter, expertorgan och andra relevanta akt\u00f6rer, s\u00e5 kan det snabbt leda till suboptimala l\u00f6sningar och ett h\u00e5rt tonl\u00e4ge i samh\u00e4llsdebatten.   <\/p>\n\n\n\n

Mer komplicerat<\/h4>\n\n\n\n

Jag s\u00e4ger inte att bristen p\u00e5 en \u00f6ppen och tolerant debattarena  \u00e4r hela f\u00f6rklaringen till att det har skett helt oacceptabla personliga angrepp och p\u00e5hopp mot forskare och experter \u2013 detta \u00e4r nog mycket mer komplicerat. Vad jag s\u00e4ger \u00e4r att det \u00e4r mindre risk f\u00f6r avsteg fr\u00e5n en anst\u00e4ndig debattkultur om vi har en god dialog och om alla \u00e5sikter m\u00f6ts med respekt \u2013 \u00e4ven s\u00e5dana som kan s\u00e4gas g\u00e5 emot allm\u00e4nna uppfattningar och vad som bed\u00f6ms som politisk korrekt. H\u00e4r finns en f\u00f6rb\u00e4ttringspotential inf\u00f6r n\u00e4sta kris.<\/p>\n\n\n\n

Vi m\u00e5ste \u00e4ven st\u00e4lla fr\u00e5gan om v\u00e5r befintliga f\u00f6rvaltningsmodell s\u00e4kerst\u00e4ller att den samlade kompetens vid v\u00e5ra l\u00e4ros\u00e4ten kan anv\u00e4ndas till fullo under en kris.<\/p>\n\n\n\n

Det h\u00e4r \u00e4r ett nytt virus, vilket inneb\u00e4r att samh\u00e4llet hade \u2013 och fortfarande har \u2013 stora kunskapsluckor. Det \u00e4r just h\u00e4r k\u00e4rnan ligger: Behovet av att snabbt kunna ta fram ny kunskap om virusets egenskaper, om behandlingar, om l\u00e4kemedel, om vaccin, men ocks\u00e5 om effekterna av restriktioner och nedst\u00e4ngning av samh\u00e4llet som p\u00e5 global niv\u00e5 drabbar h\u00e5rt och olika<\/a>. Det finns ocks\u00e5 en rad andra omr\u00e5den d\u00e4r vi beh\u00f6ver st\u00e4rka v\u00e5r kunskapsbas och beredskap f\u00f6r att vara b\u00e4ttre f\u00f6rberedda vid n\u00e4sta kris.<\/p>\n\n\n\n

Det \u00e4r forskning och kunskapsutveckling som m\u00e5ste ge svaren. Det \u00e4r d\u00e4rf\u00f6r just l\u00e4ros\u00e4tena har en s\u00e5 viktig roll.<\/p>\n\n\n\n

St\u00e4rka forskningen<\/h4>\n\n\n\n

Slutsatsen efter ett \u00e5r med covid-19 \u00e4r att vi m\u00e5ste st\u00e4rka forskningen<\/a>, men ocks\u00e5 se till att forskning och expertis efterfr\u00e5gas, f\u00e5r utrymme och anv\u00e4nds p\u00e5 ett b\u00e4ttre s\u00e4tt och med respekt f\u00f6r att det kommer att vara m\u00e5nga olika \u00e5sikter n\u00e4r det handlar om ett nytt och ok\u00e4nd virus. Beredskap \u00e4r n\u00e4rmast synonymt med utveckling av kunskap, tillg\u00e5ng till kunskap och implementering av kunskap.<\/p>\n\n\n\n

P\u00e5 KI har vi etablerat en interdisciplin\u00e4r resursgrupp<\/a> f\u00f6r att identifiera kunskapsluckorna som m\u00e5ste fyllas. Regeringens forskningsproposition \u00e4r tydlig med ambitionen att st\u00e4rka livsvetenskap och pandemiberedskap. Det vore ocks\u00e5 bra om den coronakommission som \u00e4r ig\u00e5ng tar upp fr\u00e5gan om hur l\u00e4ros\u00e4tenas kompetens kan utnyttjas \u00e4nnu b\u00e4ttre vid n\u00e4sta kris. <\/p>\n\n\n\n

Min vision \u00e4r nu att vi kan bygga en universell beredskap f\u00f6r h\u00e4lsa<\/a> s\u00e5 att vi kan vara b\u00e4ttre f\u00f6rberedda inf\u00f6r n\u00e4sta kris. Det betyder ocks\u00e5 att vi m\u00e5ste bli b\u00e4ttre p\u00e5 att anv\u00e4nda den kompetens som finns p\u00e5 v\u00e5ra l\u00e4ros\u00e4ten.<\/p>\n\n\n\n

\n\n\n\n

The pandemic one year on: The role of universities<\/strong><\/h2>\n\n\n\n

On 11 March 2020 the WHO made the formal announcement that the world was facing a pandemic. Just over two minutes into a press conference<\/a> a manifestly grave Dr Tedros Adhanom Ghebreyesus, director-general of the WHO, said:<\/p>\n\n\n\n

The WHO has been assessing this outbreak around the clock and we are deeply concerned both by the alarming levels of spread and severity, and by the alarming levels of inaction. We have therefore made the assessment that COVID-19 can be characterized as a pandemic.\u201d<\/p><\/blockquote>\n\n\n\n

History was written there and then. By that time, there were some 118,000 confirmed cases around the world, and a total of 4,291 people had died. Today, one year later, these figures appear marginal. The number of confirmed deaths is now over 2.6 million and rising. Transmission continues and virtually every single country is affected. In Sweden, there\u2019s now talk that a third wave is in the offing.<\/p>\n\n\n\n

One year previously<\/strong><\/strong><\/p>\n\n\n\n

It gives me a strange feeling when my thoughts go back to  April 2019, when Dr Tedros visited KI and addressed a packed Biomedicum auditorium<\/a>. On the agenda back then was prevention and Agenda 2030, not the risk of a pandemic.<\/p>\n\n\n\n

One year on there is still no clear indication of when the WHO can declare the pandemic over. Now we see new variants of the virus spreading and establishing themselves in different parts of the world. This global health crisis continues to hold us in its grip.<\/p>\n\n\n\n

The bright side is that people are starting to get vaccinated. However, it\u2019s important to understand that it\u2019s still only a small proportion of the global population who will have access to a vaccine this year. As long as the virus is in circulation, it will mutate and spread, which risks undermining the efficacy of the vaccines. So it\u2019s vital that the vaccines available are swiftly distributed around the world to curb and eventually end this pandemic. And we also need to sequence positive tests so that we can keep tabs on the spread of new variants<\/a>.<\/p>\n\n\n\n

Has optimal use been made of the competence and resources in our universities? <\/strong>The question I ask in this blog is if optimal use has been made of academic competence during the pandemic that we\u2019ve now been living with for a year? Higher education institutions have a range of different resources that can be utilised during a crisis: experience, competence and deep expertise in virtually all fields, pedagogical knowhow, the ability to quickly put together courses at different levels, staff, premises, equipment and much more besides.<\/p>\n\n\n\n

A crisis instils in all of us an urge to contribute with our expertise and resources (and ideas and opinions) to help respond in the best possible way.  This is profoundly human and applies not least to our researchers, who proffer different approaches and perspectives depending on their field of expertise and experience. The absence of an open and tolerant arena of debate and effective dialogue between public authorities, expert bodies and other relevant players risks quickly producing suboptimal solutions and a fractious public debate.   <\/p>\n\n\n\n

More complicated<\/strong><\/strong><\/p>\n\n\n\n

I\u2019m not saying that the lack of an open and tolerant arena of debate is the only reason for what we have seen in recent months:  abhorrent personal attacks on scientists and experts. Things are much more complicated than that. What I\u2019m saying is that the culture of debate is less at risk of devolving into boorishness if we have a good dialogue and if all opinions are treated with respect \u2013 even those that can be said to go against received wisdom and what is deemed to be politically correct. There is room for improvement before the next crisis hits. .<\/p>\n\n\n\n

We must also ask if our existing governance structure is capable of ensuring that the collective competence of our higher education institutions can be fully exploited during a crisis.<\/p>\n\n\n\n

This is a new virus, which means that society has had to struggle with \u2013 and still struggles with  – profound knowledge gaps.  This is the crux of the matter when an unknown pathogen strikes: the need to promptly produce new knowledge about the pathogen\u2019s  properties, about treatments, about drugs and about vaccines, but also about the effects of restrictions and lockdowns, which on the global level are hitting people hard and disproportionately. <\/a>. There is also a number of other areas where we need to strengthen our knowledge-base and preparedness for the next crisis.<\/p>\n\n\n\n

The answers must come from research and innovation. Which is why our universities are so important.<\/p>\n\n\n\n

Strengthen research<\/strong><\/strong><\/p>\n\n\n\n

My conclusion after one year of COVID-19 is that we must strengthen research<\/a> but also  make sure that research and expertise are duly taken into account, with tolerance and respect for  opinions that will necessarily differ \u2013 and differ radically – when we are exposed to a new and unknown pathogen. Preparedness is all about the development of, access to and implementation of new knowledge.<\/p>\n\n\n\n

At KI we have set up an interdisciplinary resource <\/a>group that is tasked to identify  voids in our knowledge that need to be filled before the next crisis hits. The government\u2019s research bill is clear in its aims to strengthen life science and pandemic preparedness. It would also be good if the Swedish Corona Commission sees fit to address the issue of how better use can be made of academic competence in the event of another crisis.<\/p>\n\n\n\n

My vision is that we should build universal preparedness for health<\/a> for the next crisis; this also means that we must be better at utilising the knowledge and skills that lie within our universities.<\/p>\n","protected":false},"excerpt":{"rendered":"

English version below Den 11 mars 2020 kom det formella beskedet fr\u00e5n WHO: V\u00e4rlden befinner sig i en pandemi.\u00a0Drygt tv\u00e5 minuter in p\u00e5 en presskonferens\u00a0sa en p\u00e5tagligt allvarlig Dr. Tedros […]<\/p>\n","protected":false},"author":100,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32,466,162],"tags":[329,458,518,310,229,575],"class_list":["post-4657","post","type-post","status-publish","format-standard","hentry","category-organisation","category-samhalle","category-samverkan","tag-organisation","tag-pandemi","tag-samhalle","tag-samverkan","tag-strategi-2030","tag-tredje-uppgiften"],"acf":[],"yoast_head":"\nEtt \u00e5r in i pandemin: L\u00e4ros\u00e4tenas roll - Ole Petter Ottersen, president Karolinska Institutet 2017-2023<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.ki.se\/rektor\/2021\/03\/10\/ett-ar-in-i-pandemin-larosatenas-roll\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ett \u00e5r in i pandemin: L\u00e4ros\u00e4tenas roll - 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