The letter to me reads as 100% political because it is suggesting that you can get rid of the protests by addressing their concerns. That option is available to you. Their motivation for writing the letter is largely to say "hey, you can stop the protests by addressing their concerns" and to point out that addressing their concerns in this case also advances what they consider to be a public health interest.
It is possible we had different interpretations of what they wrote, but this felt more like "1000 doctors make a poltiical statement about the protests" rather than "1000 doctors say in their scientific opinions that protests are justified."
Why are you putting your own characterization in quotation marks as if you're quoting someone else? Or did I miss something and this is a quote from the the health professionals in question?
Not to mention, I have family in the field, I grew up with probably a dozen public health experts attending Thanksgiving dinner, and did my first internship at a public health company. At no point in hearing decades of shop talk did I ever hear police brutality being mentioned as a public health issue. Words have meaning dammit.
A difficulty with this view, at least potentially, is that it seems to allow everything in the world (certainly almost every area of public policy) to be in scope for public health, because almost everything in the world has potential to affect morbidity and mortality. At one level this broad view seems obviously correct, but at another level it seems obviously crazy (or at least likely to bring the public health profession into conflict with everyone over weighing in on every kind of decision that anyone ever makes).
In the past there was a fight between some CDC researchers and Congress over something about handgun policy because the researchers were studying something about guns and violence that made some gun rights activists nervous that there would be an argument presented under the banner of public health to limit access to guns. I believe the conclusion was that they told CDC to stop studying this, which, again, seems to me to be susceptible of some mix of "there might be a lot of legitimate reasons to have this information" and "does the public health profession get to weigh in with claimed expertise on every issue?".
I think it's a legitimately thorny conceptual problem because if you think of health as something like "flourishing" or "people having success in living the way they want" or "eudaemonia" or something, almost every public policy question can be conceived of as a "health" question. (Or even, maybe, "minimizing all-cause mortality"?) But if someone says that the policy answer to each question is therefore obvious because a particular profession thinks it knows what would maximize things it thinks it knows how to measure, I imagine a lot of the public is going to say that this doesn't match up with its notion of what health is.
Edit: after writing this, I had this weird imagine of public health as like a superintelligent AI that's super-focused on one goal and doesn't understand, or doesn't care very much, that people might have other goals too. We think there's obviously something that's going to remain outside of the scope of the AI's interest, but since the AI is smarter than we are, it discovers a way that that thing is actually relevant to its interests according to its utility function, after all! (I realize people have also had this kind of concern about other institutions that are happy to define their scope of action more broadly over time, such as profit-maximizing corporations, or militaries. The corporation says "we need to figure out what actions will maximize profit" or the military says "we need to figure out what actions will maximize our capacity to win wars" and perhaps the scope and ambition of their actions are soon larger than anyone would have expected.) I feel like this analogy is actually weirdly apposite, at least for some audiences. :-)
Probably a more sensible approach is to say the medical field concerns itself with the operation of the human body, and how to correct malfunctioning operations.
However, public health continues to actively distinguish itself from medicine (they're different degrees and different departments in universities, for example, and you can get both an MD and a DPH), so I don't think your proposed definition for medicine will satisfy public health experts as a definition of their field. Although county health departments are often led by someone who has both a medical and public health degree, many of the people working in them will have public health training but not medical training.
Even looking at classic public health activities like sanitation/environmental health and epidemiology, sanitation and epidemiology aren't really about the functioning of the human body! They're more about conditions under which the human body is more likely to experience some particular kinds of morbidity...
Even your definition of medicine might be unsatisfactory to some people in the medical field, for example because they think mental health is medicine, or because (to pick an amusing example from my health insurer's claim form) pregnancy is not a disorder or malfunction of the body, but it requires a lot of medical expertise to manage its outcomes well. Other examples could be pain management and anaesthesia (pain, for example during surgery, is not necessarily a malfunction of the body—typically you would like the body to make you aware when it's being cut!) and elective surgeries.
Take your gun example: people should know that if they support the status quo gun laws how many people will die, or what the impact of a new lw is. That doesn’t mean the CDC regulates guns, but it does mean they should have a voice in the conversation.
For example, smoking, sunblock usage, sugary drinks, STDs, binge drinking and falls by elderly people are widely seen as public health issues.
Safety nets on trampolines, malnutrition, illegal drugs, suicide, bad diets and road traffic accidents are sometimes seen as public health issues.
Skiing, rugby, workplace fall prevention, migrants using unseaworthy boats and violence between drug dealers are almost never seen as public health issues.
If there's a clear dividing line, I can't see what it is :)
By the way, I have no public health expertise myself; just recounting as a lay person what I’ve heard public health experts talk about as a proxy for the metes and bounds of the field.
Another excerpt from the article state:
> "We created the letter in response to emerging narratives that seemed to malign demonstrations as risky for the public health because of Covid-19," according to the letter writers, many of whom are part of the University of Washington's Division of Allergy and Infectious Diseases. "Instead, we wanted to present a narrative that prioritizes opposition to racism as vital to the public health, including the epidemic response. We believe that the way forward is not to suppress protests in the name of public health but to respond to protesters demands in the name of public health, thereby addressing multiple public health crises."
They are not thinking about it in terms of supporting/opposing the protests. Rather the protests are a fact and you need to deal with them somehow. You can do that by either suppressing them or addressing their concerns. They do not want their concerns of COVID-19 to justify suppressing the protests, especially if addressing the protestor's concerns is a viable option.
> They are saying that the protest is too important to take health considerations into account, but they are reluctant to speak plainly and tell people there's risk but they should be adult and choose to manage the risks themselves and maybe neglect small risk in order to achieve bigger thing.
This seems almost exactly the sentiment they are addressing in the letter. COVID-19 is a public health concern, so is racial disparities that result in racial disparities in medical outcomes. Their concerns over COVID-19 transmission should not be taken as justification for suppressing the protests.
From the article,
> "Staying at home, social distancing, and public masking are effective at minimizing the spread of COVID-19. To the extent possible, we support the application of these public health best practices during demonstrations that call attention to the pervasive lethal force of white supremacy," the letter says.
They are still giving the same advice they've been giving. The letter also states protest-specific COVID-19 harm mitigation strategies for protestors & police.
> Just in this case, our betters had decided the COVID risk is less important than protesting - so it's OK for us. But only in cases which are approved by our betters.
A more charitable interpretation is that some medical professionals do not believe that the risk of COVID-19 spread is a compelling reason for suppressing protests against racial inequality, especially when the risk of COVID-19 spread can be addressed by responding to the protestors concerns & therefore advancing public health by both mitigating the spread of COVID-19 and addressing the role racism plays in medical outcomes.