Swine Flu for Grownups - Risk Communication

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No one knows how the swine flu (H1N1) pandemic will evolve. Will it keep spreading, or will it fizzle? Will it retreat during the northern hemisphere's summer and return in the fall? Will it stay mild or turn more severe? Flu experts just don't know.

What is certain is that health officials risk mishandling how they explain this new and potentially alarming threat to the public. Although they know a lot about virology and public health, they often know next to nothing about how to talk (and listen!) to people about risks.

So here's a primer on the swine flu pandemic risk communication, framed in terms of what health officials shouldn't do when they're telling you about this new disease.

1. Don't feign confidence. Nobody likes uncertainty; we all wish the experts knew exactly what will happen. But we cope better with candidly acknowledged uncertainty than with false confidence. When health officials tell us confidently that X is going to happen, and then Y happens instead, we lose trust in their leadership. Smart officials are planning for various swine flu pandemic scenarios, and expecting surprises that will force them to change their plans. They should tell us so.

2. Don't over-reassure. So far, this pandemic is mild. But even a mild influenza virus kills a lot of people, especially those with other medical problems. And experts worry that the novel H1N1 virus could mutate into a more severe strain. Yet officials endlessly insist that there is, as a Scottish health official put it, "absolutely no need for the public to be concerned." This is false and it could backfire. Even before a situation deteriorates (if it does), people sense when they are being "calmed" rather than informed. Not trusting that officials will be candid about alarming information, we rely more on rumors. Not trusting official over-reassurances, we become even more alarmed.

(Continue . . . )

http://afludiary.blogspot.com/2009/07/peter-sandman-swine-flu-for-grownups.html

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