In the 1980s, the Peru Phone Number List Blood affair came to light in France. Thousands of recipient patients are infected with HIV and the management of this crisis by health authorities and politicians is called into question: poor communication, lack of organization, lack of testing procedures; In other words, there would have had to be done a lot of things that were not done: systematically testing donors, limiting blood donations, warning HIV positive donors, etc. Rightly so, this event marked the conscience and the term of “precautionary principle” emerged from the scientific jargon: in the absence of in-depth knowledge on the risks of a change (induced by an invention, a proposal, a situation new or other)

we must anticipate, prevent or even deprive ourselves. A few years later, the Rio summit in 1992 also confirmed this posture in real disposition with regard to health and the environment. This precautionary principle is therefore anchored in us and strongly conditions our way of welcoming innovation in the field of health. Take a look at the reception given to electronic cigarettes and more recently to chloroquine. The precautionary principle protects us The precautionary principle is extremely easy to criticize: it prevents us and we are unable to see the benefits … Yet how many lives has it saved? It is in essence opposed to the

The Precautionary Principle Protects Us

innovation process because it is procedural and is part of the long term … And yet, how many motorists, plane passengers, neighbors of nuclear power plants, patients risk analyzes did they save money? Because the precautionary principle does not only apply to health. It pervades all of our activities. The industrial posture To be “sustainable” in a world where the principle of competition is law (literally), all activity aims to industrialize, that is to say it must be controlled and optimized. This industrialization process is infinitely long by definition and it can only be done in a universe where the variables of the supply / demand equation are

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stable. In the health sector, for example, demand is made up of patients and supply by the capacity to treat. Solving this equation in a situation of stability consists in being part of an “industrial posture”: we apply the precautionary principle, we standardize, we control, we optimize. In the current crisis, however, the equation becomes unstable, insolvent all of a sudden : demand is painfully forecast and supply is saturated – the industrial posture is no longer enough and yet we all share it more or less: In my opinion, this is one of the origins of the debate around chloroquine (how can we generalize the application of a treatment which,

The Rejection Of Providential Solutions

of course, the experts intuit that it is very efficient but whose effectiveness does not been industrially controlled?). Generally speaking, this is most certainly what makes the innovation process so complex (difficulty in extricating ourselves from this industrial posture which pushes us to anticipate and control even before testing ). The rejection of providential solutions: example of the electronic cigarette In that it derives its powerful effectiveness in solving problems by the deployment of standardized, proven and secure processes, the industrial posture does not accept the possibility of providential solutions – I return to my example of the electronic cigarette: tobacco kills around 70,000 people per year in France, making it a real

public health problem. To deal with it, the industrial problem-solving machine has been launched: vast communication campaigns, progressive tax plan, etc. 20 years after the start of the battle, the strategy is working and the number of smokers begins to decline. At the same time, an innovation stands out and promises to deal with the problem almost immediately: the electronic cigarette. If we control the risks associated with a communication plan or an increase in taxes, we necessarily know much less about those specific to the repeated ingestion of a new substance, therefore: industrial posture, precautionary principle: you have to test, measure the risk, validate, etc. – 20 years of procedure. Until these test procedures come

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