{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T03:57:49Z","timestamp":1793591869466,"version":"4.5.0"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"unspecified","delay-in-days":140,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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 \u2018following the science\u2019 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\u2019s 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.<\/jats:p>","DOI":"10.1017\/s095026882610137x","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:31:27Z","timestamp":1779334287000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Rebuilding trust in public health: Beyond polarization"],"prefix":"10.1017","volume":"154","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6590-9520","authenticated-orcid":false,"given":"Jussi","family":"Sane","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03tf0c761","id-type":"ROR","asserted-by":"publisher"}],"name":"Finnish Institute for Health and Welfare"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"S095026882610137X_r1","unstructured":"[1] Organisation for Economic Co-operation and Development (OECD) (2025) Cuts in Official Development Assistance: Full Report. [Internet]. https:\/\/www.oecd.org\/en\/publications\/2025\/06\/cuts-in-official-development-assistance_e161f0c5\/full-report.html."},{"key":"S095026882610137X_r9","unstructured":"[9] Health Systems Global (HSG) (2024) Trust, Science, and Public Health: Pathways to Restoring Confidence in Health Systems. [Internet]. [cited 03 Nov 2025]. https:\/\/healthsystemsglobal.org\/news\/trust-science-and-public-health-pathways-to-restoring-confidence-in-health-systems\/."},{"key":"S095026882610137X_r4","unstructured":"[4] EU, WHO Counter Trump\u2019s Warnings on Autism and Pregnancy(2025) Reuters [Internet]. https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/eu-medicines-regulator-paracetamol-safe-be-used-during-pregnancy-2025-09-23\/."},{"key":"S095026882610137X_r5","unstructured":"[5] The Effects of Public Health and Social Measures (PHSM) (2024) Implemented during the COVID-19 Pandemic: An Overview of Systematic Reviews. PubMed [Internet]. (03 Nov 2025). https:\/\/pubmed.ncbi.nlm.nih.gov\/40476261\/."},{"key":"S095026882610137X_r3","unstructured":"[3] US Measles Cases at Highest Level Since Disease was Declared Eliminated (2025) Reuters [Internet]. https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/us-measles-cases-reach-highest-level-six-years-1288-cdc-says-2025-07-09\/."},{"key":"S095026882610137X_r7","unstructured":"[7] European Centre for Disease Prevention and Control (ECDC) (2024) Questions and Answers on COVID-19: Vaccines. [Internet]. [cited 03 Nov 2025]. https:\/\/www.ecdc.europa.eu\/en\/covid-19\/questions-answers\/questions-and-answers-vaccines."},{"key":"S095026882610137X_r10","unstructured":"[10] World Health Organization (2024) After Action Review. [Internet]. https:\/\/www.who.int\/emergencies\/operations\/emergency-response-reviews\/after-action-review."},{"key":"S095026882610137X_r8","unstructured":"[8] US Pediatricians\u2019 New COVID-19 Shot Recommendations Differ from CDC Advice (2025) Associated Press [Internet]. https:\/\/www.ap.org\/news-highlights\/spotlights\/2025\/us-pediatricians-new-covid-19-shot-recommendations-differ-from-cdc-advice\/."},{"key":"S095026882610137X_r2","unstructured":"[2] U.S. Department of State (2025) America First Global Health Strategy. U.S. Government. Released (18 September 2025). https:\/\/www.state.gov\/releases\/office-of-the-spokesperson\/2025\/09\/america-first-global-health-strategy."},{"key":"S095026882610137X_r6","unstructured":"[6] World Health Organization (2024) Setting Global Research Priorities for Public Health and Social Measures during Health Emergencies. https:\/\/www.who.int\/publications\/i\/item\/9789240111561."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S095026882610137X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T07:08:12Z","timestamp":1784272092000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S095026882610137X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":10,"alternative-id":["S095026882610137X"],"URL":"https:\/\/doi.org\/10.1017\/s095026882610137x","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e71"}}