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      Preparing for effective communications during disasters: lessons from a World Health Organization quality improvement project

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          Abstract

          Background

          One hundred ninety-four member nations turn to the World Health Organization (WHO) for guidance and assistance during disasters. Purposes of disaster communication include preventing panic, promoting appropriate health behaviors, coordinating response among stakeholders, advocating for affected populations, and mobilizing resources.

          Methods

          A quality improvement project was undertaken to gather expert consensus on best practices that could be used to improve WHO protocols for disaster communication. Open-ended surveys of 26 WHO Communications Officers with disaster response experience were conducted. Responses were categorized to determine the common themes of disaster response communication and areas for practice improvement.

          Results

          Disasters where the participants had experience included 29 outbreaks of 13 different diseases in 16 countries, 18 natural disasters of 6 different types in 15 countries, 2 technical disasters in 2 countries, and ten conflicts in 10 countries.

          Conclusion

          Recommendations to build communications capacity prior to a disaster include pre-writing public service announcements in multiple languages on questions that frequently arise during disasters; maintaining a database of statistics for different regions and types of disaster; maintaining lists of the locally trusted sources of information for frequently affected countries and regions; maintaining email listservs of employees, international media outlet contacts, and government and non-governmental organization contacts that can be used to rapidly disseminate information; developing a global network with 24-h cross-coverage by participants from each time zone; and creating a central electronic sharepoint where all of these materials can be accessed by communications officers around the globe.

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          Most cited references13

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          Best practices in public health risk and crisis communication.

          V Covello (2002)
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            Theory-based approaches to understanding public emergency preparedness: implications for effective health and risk communication.

            Recent natural and human-caused disasters have awakened public health officials to the importance of emergency preparedness. Guided by health behavior and media effects theories, the analysis of a statewide survey in Georgia reveals that self-efficacy, subjective norm, and emergency news exposure are positively associated with the respondents' possession of emergency items and their stages of emergency preparedness. Practical implications suggest less focus on demographics as the sole predictor of emergency preparedness and more comprehensive measures of preparedness, including both a person's cognitive stage of preparedness and checklists of emergency items on hand. We highlight the utility of theory-based approaches for understanding and predicting public emergency preparedness as a way to enable more effective health and risk communication.
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              Communication inequalities during Public Health disasters: Katrina's wake.

              We evaluate effects of low socioeconomic position (SEP) and social networks among Black Hurricane Katrina victims on access to and processing of evacuation orders, and abilities to evacuate before the storm hit. We also explore whether SEP, moderating conditions, and communication outcomes affected risk perceptions of the storm's severity and compliance with evacuation orders. We conducted stepwise logistic regression analyses using survey data collected in September 2005 among Black respondents in shelters throughout Houston, TX. Having few social networks, being unemployed, and being of younger age were significantly associated with having heard evacuation orders and whether victims' perceived having heard clear orders. This study provides implications for targeted public health emergency campaigns and future research to understand the effects of sociodemographic influences on communication inequalities and public health preparedness.
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                Author and article information

                Contributors
                Journal
                Int J Emerg Med
                Int J Emerg Med
                International Journal of Emergency Medicine
                Springer
                1865-1380
                2014
                19 March 2014
                : 7
                : 15
                Affiliations
                [1 ]Section of Emergency Medicine, Baylor College of Medicine, Ben Taub General Hospital Emergency Center, Houston TX, USA
                Article
                1865-1380-7-15
                10.1186/1865-1380-7-15
                4000058
                24646607
                5fa88c93-bc80-46ec-829d-9ea55e1d268c
                Copyright © 2014 Medford-Davis and Kapur; licensee Springer.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

                History
                : 12 December 2013
                : 10 February 2014
                Categories
                Original Research

                Emergency medicine & Trauma
                disaster communication,disaster medicine,disaster planning,health communication,health messaging

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