Dogma — prescribed doctrine proclaimed as unquestionably true by a particular group — a settled or established opinion, belief, or principle.
In 2021, research concluded that medical orthodoxy, such as ‘droplet dogmatism’, blocked the acceptance that the SARS-CoV-2 virus was mainly transmitted through the air, in spite of knowledge from fields outside infectious disease.
Three fields—political, state (policy and regulatory), and scientific—were particularly relevant to our analysis. Political and policy actors at international, national, and regional level aligned—predominantly though not invariably—with medical scientific orthodoxy which promoted the droplet theory of transmission and considered aerosol transmission unproven or of doubtful relevance. This dominant scientific sub-field centred around the clinical discipline of infectious disease control, in which leading actors were hospital clinicians aligned with the evidence-based medicine movement. Aerosol scientists—typically, chemists, and engineers—representing the heterodoxy were systematically excluded from key decision-making networks and committees. Dominant discourses defined these scientists’ ideas and methodologies as weak, their empirical findings as untrustworthy or insignificant, and their contributions to debate as unhelpful.
Conclusion:
The hegemonic grip of medical infection control discourse remains strong. Exit from the pandemic depends on science and policy finding a way to renegotiate what Bourdieu called the ‘rules of the scientific game’—what counts as evidence, quality, and rigour. —Orthodoxy, illusio, and playing the scientific game