Introduction: Why Surveillance Matters

Francis, John G.; Francis, Leslie P.

In the winter and early spring of 2020, COVID-19 stunned the world. Across the globe, public health was slow to respond. Failures of surveillance—of gathering, understanding, and sharing information—drew part of the blame. These lapses were real and could have been anticipated. This volume addresses the ethical, political, and legal issues underlying difficulties in maintaining adequate surveillance for public health. It argues that public trust is essential to sustain surveillance. For trust to be warranted, publics must be assured that information will be used to promote health equitably. Transparency and oversight are needed to protect individuals against harm and groups against discrimination and stigma. Bringing together expertise from bioethics, law, political science, and public policy, the authors of this volume develop a comprehensive approach to sustaining surveillance in today’s changing, diverse, and unjust world.