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      Communicating With the Public About Emerging Health Threats: Lessons From the Pre-Event Message Development Project

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          Abstract

          Objectives. We sought to better understand the challenges of communicating with the public about emerging health threats, particularly threats involving toxic chemicals, biological agents, and radioactive materials.

          Methods. At the request of the Centers for Disease Control and Prevention, we formed an interdisciplinary consortium of investigative teams from 4 schools of public health. Over 2 years, the investigative teams conducted 79 focus group interviews with 884 participants and individual cognitive response interviews with 129 respondents, for a total sample of 1013 individuals. The investigative teams systematically compared their results with other published research in public health, risk communication, and emergency preparedness.

          Results. We found limited public understanding of emerging biological, chemical, and radioactive materials threats and of the differences between them; demand for concrete, accurate, and consistent information about actions needed for protection of self and family; active information seeking from media, local authorities, and selected national sources; and areas in which current emergency messaging can be improved.

          Conclusions. The public will respond to a threat situation by seeking protective information and taking self-protective action, underlining the critical role of effective communication in public health emergencies.

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          Most cited references43

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          The Discovery of Grounded Theory; Strategies for Qualitative Research

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            The public's response to severe acute respiratory syndrome in Toronto and the United States.

            Using data from 13 surveys of the public, this article compares the public's response to severe acute respiratory syndrome (SARS) in Ontario (specifically, Toronto), the other Canadian provinces, and the United States, which had substantial differences in the number of SARS cases. Findings suggest that, even at a relatively low level of spread among the population, the SARS outbreak had a significant psychological and economic impact. They also suggest that the success of efforts to educate the public about the risk of SARS and appropriate precautions was mixed. Some of the community-wide problems with SARS might have been avoided with better communication by public health officials and clinicians.
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              Credibility and trust in risk communication

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                Author and article information

                Journal
                American Journal of Public Health
                Am J Public Health
                American Public Health Association
                0090-0036
                1541-0048
                December 2008
                December 2008
                : 98
                : 12
                : 2214-2222
                Affiliations
                [1 ]Ricardo J. Wray and Keri Jupka are with the Health Communication Research Laboratory, School of Public Health, Saint Louis University, St. Louis, MO. Steven M. Becker and Sarah Middleton are with the Department of Environmental Health Sciences, School of Public Health, University of Alabama, Birmingham. Neil Henderson and Carson Henderson are with the Department of Health Promotion Sciences, Health Sciences Center, University of Oklahoma, Oklahoma City. Deborah Glik and Allison Drury were with the Health...
                Article
                10.2105/AJPH.2006.107102
                2636543
                18382011
                a2a6e2b0-76c1-4b53-8d2a-f4f94fff2a6e
                © 2008
                History

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