Communicating with the public during health crises: experts' experiences and opinions

Governments and health agencies worldwide are planning for a potential influenza pandemic. Their plans acknowledge the importance of public communication during an outbreak and include related guidelines and strategies. Emerging infectious disease (EID) communication is a new addition to the literature, drawing on health promotion communication, crisis communication and environmental/technological risk communication. This paper adds to the literature, exploring the notion of ‘effective communication during health crises' by reporting on interviews with 22 public health officials, scientists and communications professionals responsible for communicating with the public. When analyzed in the context of the risk communication literature, the interviews reveal several considerations for health risk communicators. First, given the important role that mass media will play in an EID outbreak, there is an urgent need for public health to build partnerships with journalists based on an understanding of the two parties' unique societal roles. Second, seemingly practical communications considerations – such as how certain to be about information before sharing it and whether to engage in two‐way communication with the public – have ethical dimensions that deserve attention. Third, there are unique challenges associated with communicating uncertainty, which would benefit from an exploration of the role of trust in health crisis communication.     

Perspective on ‘Four Questions for Risk Communication’

In his essay, ‘Four Questions for Risk Communication,’ Roger Kasperson challenges the risk communication community to take better stock of the lessons it’s learned over the past several decades. Implicated are the failure of many to reap the rewards or benefits of our field’s discoveries and the attendant responsibility we collectively bear in not communicating them well enough. Less a scolding than a call to action, Kasperson thoughtfully reflects on his four questions before offering some summary principles. In so doing, he has initiated a conversation that offers some key points of reflection on where our community stands today and where we might be going. Neither exhaustive in its scope nor patronizing in his directives, his essay is an invitation – a nudge – to begin a dialog on these issues and become more mindful of our own successes and failures in risk communication.     

Risk communication and social media during food safety crises: a study of stakeholders’ opinions in Ireland

Social media is a particular communication platform which has witnessed an exponential growth in use and influence in recent years, democratising the communication process, and offering risk communicators a way of putting into practice those principles which are advocated to be at the core of risk management and communication. However, little is known about stakeholders’ willingness to embrace this new form of communication in a food crisis. The current study presented an exploratory investigation of the opinions of Irish stakeholders on the position of risk communication in a crisis, with a particular focus on understanding what application social media may have. In-depth one-to-one interviews were carried out with key stakeholders holding frontline positions in managing and communicating about risk in the food sector in Ireland. The stakeholders identified risk communication as a central activity in a food safety crisis, driven by an obligation to protect both consumer health and the reputation of the Irish food sector. Stakeholders relied primarily on risk communication to disseminate information in a crisis so to educate and inform the public on a risk and to prevent confusion and alarmism; most did not explicitly value two-way risk communication in a crisis. The ability to effectively manage future crises may depend on stakeholders’ willingness to adapt to the changing communication landscape, namely – their willingness to adopt social media and use it effectively. The findings indicate that the stakeholders interviewed are appreciative of the need to engage with social media in times of a food safety crisis. However, most valued social media as a one-way channel to help spread a message and there was little reference to the interactive nature of this medium. Implications for integrating social media into crisis risk communication strategies are discussed.     

Won’t we scare them? The impact of communicating uncontrollable risks on the public’s perception

Authorities often refrain from communicating risks out of fear to arouse negative feelings amongst the public and to create negative reactions in terms of the public’s behavior. This study examines the impact of communicating risks on the public’s feelings and behavioral intentions regarding an uncontrollable risk related to fresh produce. In addition, the impact of risk communication is compared between a situation in which the risk either does or does not develop into a crisis, by means of a 2 (risk communication vs. no risk communication)?×?2 (crisis communication vs. no crisis communication) between-subjects factorial design. The results show that communicating risks has a positive impact on the behavioral intention to keep on eating fresh produce compared to when no risk communication was provided, as it reduces negative feelings amongst the public. In addition, the findings illustrate that when a risk develops into an actual crisis, prior risk communication can result in greater trust in the government and reduce perceived government responsibility for the crisis when the crisis hits. Based on these findings, it can be suggested that risk communication is an effective tool for authorities in preparing the public for potential crises. The findings indicate that communicating risks does not raise negative reactions amongst the public, on the contrary, and that it results in more positive perceptions of the authorities.     

Public reception of scientific uncertainty in the endocrine disrupter controversy: the case of male fertility

Scientific controversies are associated with significant uncertainty. Despite this uncertainty, available knowledge must be communicated to the public, who are potentially at risk. There are contradictions in the existing literature about the value of communicating uncertainty associated with science. Some scientists and decision-makers believe that communicating uncertainty to the public will produce panic and confusion, and will discredit science. Others believe that uncertainty must be communicated to increase trust in science. We tested reactions to communication about uncertainty related to the controversial link between exposure to endocrine disrupters and a decline in human male fertility. Our empirical setup used focus groups and qualitative analysis of participants’ perceived uncertainty and their emotions. The results show that laypeople raise more and different uncertainties than those communicated by researchers. Moreover, laypeople did not react to uncertainty ‘globally;’ they had different reactions to the different sources of uncertainty. Uncertainty did not elicit panic in this case study. Rather, uncertainty was reassuring, except when it was associated with an inability to precisely identify and, therefore, control the cause of male reproductive disorders. We discuss the emotions expressed and their relationships with communication about scientific uncertainty (powerlessness, guilt, outrage, etc.). We also note that feelings of confusion increase after uncertainty has been communicated.     

Liquidity risk and stock performance during the financial crisis

We investigate whether and how ex-ante liquidity risk affects realized stock returns during the global financial crisis of 2008–2009 in international equity markets. We find that stocks with higher pre-crisis return exposure to global market liquidity shocks experience larger price reductions during the crisis period. Our findings provide further insight into the comprehensive picture of the effect of liquidity risk on asset prices, especially in an international context and under different market conditions.     

Talking aggressively about GMOs? Examining the effect of aggressive risk communication with communicator’s facial expression and gender

Abstract

Two experiments (N = 229 and N = 268) assessed the effect of aggressive risk communication about GMOs by a scientist on respondents’ perceptions of message quality and writer (the scientist communicator) likability. We also considered two factors from the communicator that may influence how individuals process aggressive messages – facial expression (study 1) and the gender (study 2). Both studies showed that aggressive communication has a negative effect on both perceived message quality and writer likability, which is explained by the level of negative expectancy violation individuals perceived. Moreover, study 1 showed that smiling appeared to be a negative influence on the outcomes and study 2 showed that gender did not influence how people perceive aggressive messages. The findings provided both scholarly and practical implications for science and risk communication.     

Exchange rate exposure and the use of foreign currency derivatives in the Australian resources sector

In this paper, we provide a re-examination of the exchange rate exposure and foreign currency derivative use by Australian resources firms in the 2006–2009 period which is characterized by increased volatility caused by the global financial crisis. In particular, we consider the interaction of a resources firm's exchange rate risk exposures, foreign currency derivative use and the global financial crisis simultaneously. Conforming to expectations, our results indicate that more companies are significantly exposed to exchange rate risk since the onset of the financial crisis. However, there is a lack of evidence that the use of foreign currency derivative is more effective in alleviating exchange rate exposures during the crisis as opposed to the pre-crisis period.     

Effective risk communication and CCS: the road to success in Europe

Over the past ten years or so, there have been multiple attempts to site and build carbon capture and storage (CCS) facilities in Europe, North America and elsewhere. To date, most of those attempts have not been successful. In Europe, for example, there are currently no commercial CCS facilities in operation. There are a number of reasons for this, ranging from lack of political will, the collapsing price of CO₂, lack of commercial drivers to capture and store CO₂, and public opposition to the proposed facilities. There have been several case studies examining the communication challenges associated with the siting of CCS facilities. Up till now, most of this research has been carried out by climate change or carbon policy experts as well as social researchers rather than scientists representing the wider risk communication community, aside from some notable exceptions. This study does the opposite by examining CCS from a broader risk communication perspective. It provides a brief overview of risk communication theory in order to situate some of the findings of the CCS communication research, and then, it makes some recommendations on how the siting of CCS facilities could be improved including the importance of trust, proactive communication and early stakeholder involvement. In conclusion, this study notes that if the science associated with the technology is communicated in the correct manner and if the key risk communication recommendations are adhered to, then the siting of future CCS facilities should be successful.     

Endogenous crisis dating and contagion using smooth transition structural GARCH

Detecting contagion during financial crises requires the demarcation of crisis periods. We develop a method for endogenously dating both the start and finish of crises, along with measuring contagion effects. Identification is achieved by coupling smooth transition functions with structural GARCH. In an application to US equity, bond and REIT returns for 2001–2010, we identify four phases; a pre-crisis period to July 2007, two phases of crisis up to and following October 2008, and a post-crisis phase from mid-May 2009. We detect significant contagion during the crisis and find evidence that the post-crisis period has not returned to pre-crisis relations.     

How resilient and countercyclical were emerging economies during the global financial crisis?

By studying the cross-country incidence of the 2008–2009 global financial crisis, we document a structural break in the way emerging economies responded to the global shock. Contrary to popular perceptions, emerging economies suffered growth collapses (relative to the pre-crisis levels) comparable to those experienced by developed economies, even when they continued growing. Afterwards, most economies returned to their pre-crisis growth rates. Although emerging economies were not able to avoid the collapse originated in the U.S. and then transmitted across countries, they were more resilient during the global crisis than during past crises. Namely, they resumed their higher growth rates earlier and converged more quickly to their pre-crisis growth trend. Moreover, breaking with the past, emerging economies did not fall more than developed economies during the global crisis and were able to conduct countercyclical policies, thus becoming more similar to developed economies.     

Are Risk Management Disclosures Informative or Tautological? Evidence from the U.S. Banking Sector

Banks experienced increasing risk levels during the latest financial crisis. Investors’ confidence was shaken by the effectiveness of bank risk management practices, which has opened new challenges for bank management in approaching its risk. Understanding and communicating adopted risk management mechanisms is likely to provide insights and enable diagnosis on firm risk exposure. Conveying data that reduces information asymmetry might be reflected on stock performance. Investigating the impact of risk management disclosures content on stock price change and return volatility, using a sample of U.S. national commercial banks during 2009–2010, shows that informative risk management disclosures seems to be valued by investors. This is reflected on current‐year stock prices and reduces the subsequent‐year return variances.     

Risk shifting in the US banking system: An empirical analysis

This paper contributes to the empirical literature on risk shifting. It proposes a method to find out whether risk shifting is present in the banking industry and, if so, what type. The type of risk shifting depends on the group of debt holders to whom risk is shifted. We apply this method to the US banking sector in 1998–2011. To study the relationship between risk shifting and the 2008 crisis, the sample is also split into pre-crisis, crisis, and post-crisis periods. Our results suggest that the same type of risk shifting is present in the entire sample and in the pre-crisis and crisis subsamples. We find no evidence of risk shifting after the crisis. Furthermore, holding capital buffers seems to disincentivize risk shifting. This finding appears to provide support for the conservative buffer included in Basel III.     

Evaluation of risk communication for rural water supply management: a case study of a coastal area of Bangladesh

Consumption of safe drinking water is an important public health issue. In this study, we considered the risk communication topic of human health concerns related to unsafe water consumption in rural coastal areas of Bangladesh, where potable water is scarce. Our objective was to investigate the level of knowledge that rural residents had concerning safe water consumption and to evaluate the effects of risk communication on knowledge and behavior changes. We considered four rural villages of southwest coastal areas of Bangladesh as sample. This study was based on the results of a questionnaire survey administered before and after risk communication. The pre- and post-survey were conducted during August 2009 and March 2010, respectively. Data were collected from 120 women aged 18–60 years. Two format presentations, with and without water quality information, were used to convey the risk messages. In the present study, indicator bacterial (Escherichia coli) contamination levels in drinking water sources were considered as water quality information since absence of E. coli is the safety margin for the detection of disease-causing organisms. Analysis of the survey data revealed that risk communication can be vital to changes in water consumption knowledge and behavior. Overall general knowledge scores were almost same in the pre-survey for without- (mean score 3.16) and with-information (mean score 3.10) villages. However, after risk communication, there were detectable increases in the mean scores (mean scores, 3.54 and 3.64, respectively, on a 4 point scale) for both groups. Furthermore, risk communication with water quality information appears to be a more effective method of risk communication. Dissemination of risk messages was also higher in with-information villages. Seventy four percent of the participants from with-information villages reported that they had discussed the risk messages with family members and neighbors, compared to 59% of those from without-information villages. The results of this study revealed that age, education, and distance of water sources influence changes in consumption and maintenance behavior. These findings suggest that, in addition to installation of water supply facilities, there is a need to address the low levels of knowledge about safe water consumption in rural coastal communities of Bangladesh. Location specific water quality information may be more useful to convey health risk messages concerning unsafe drinking water consumption.     

Media risk communication – what was said by whom and how was it interpreted

The purpose of this paper is to provide some insight into the level and type of media coverage that food risks received and consider the translation of press releases into media articles. Past scientific messages dealing with two food risks (Salmonella and Genetically Modified (GM) potatoes) were collected from various Irish media sources over a defined period. In addition, press releases and helpline data were collected. All data pieces were subsequently coded. Based on the audit it is clear that island of Ireland journalists are generally balanced with regard to their reporting on Salmonella. In most cases where press releases could be linked to the newspaper articles, the press release was represented fairly accurately. This brings into clear focus the need by those issuing press releases to be very clear on the meaning of their message. Journalists are using the press releases as the basis for articles therefore vague terms and overemphasis on a particular finding can result in what may appear as a sensational article. In the case of GMs more sensational hooks were used to draw attention to the articles. Thus communicators need to be aware of the characteristics of the risk they are communicating about when designing and delivering a risk message.     

Capital regulation,deposit insurance and bank risk: International evidence from normal and crisis periods

In this paper, we examine the impact of capital regulation on bank risk and the moderating role of deposit insurance on the relationship between capital regulation and bank risk during both normal and crisis periods. Using an international sample of banks from 111 countries, our results show that stringent capital regulation reduces bank default risk, in general, during normal growth period, and this effect is not conditioned by the existence of explicit deposit insurance. Further, stringent capital regulation in place during the pre-crisis period reduces bank default risk during the crisis period, and this effect is stronger for countries with explicit deposit insurance during the pre-crisis period. These results have important policy implications to design the optimal bank regulations.     

Risk communication policy design: Cyprus compared to France and the Netherlands

This study aims at analyzing differences between risk communication policies in Cyprus, compared to the Netherlands, and France. It analyzes risk communication policies indirectly through a qualitative analysis of the information provided by official websites, which are considered to be proxies of these policies. The websites review will focus on the type of the information disclosed online, and the similarities and differences between the websites, regarding the information provided, the way it is communicated, the backing on credible sources, and the supplying of more information if desired, but also simply through the presenting of the WebPages. The results indicate that the Netherlands and France have created risk dedicated websites besides the ministries’ websites with information on risks, prevention and the authorities’ actions. There is a gap between strategies. The Dutch strategy is to give more responsibilities to the public, by encouraging individuals to be resilient and responsible for their own safety at a certain level by promoting preventive behaviors. The French strategy is to provide risk-dedicated information to the public, also on prevention and government actions. Opposed to this, the Cypriot authorities simply avoid this strategic question by confining the risk communication to the crisis phase, without entrusting people with a role in risk management, and by strictly one-directional communication, with government delivering and the public digesting (or not). Suggestions for risk communication policy development are discussed.     

The control dynamics of outsourcing involving an early-stage firm

Firms in the early stage of their organisational lifecycle experience challenges that shape the adoption of management controls. They are also recognised for their use of outsourcing. However, the accounting research has provided limited insight on how these control challenges and inter-organisational control concerns interact to influence the adoption of specific controls within an outsourcing relationship involving an early-stage firm. Exploration of this gap provides a key motivation for this paper. Contrary to existing management control and organisational science literature, we find a strong preference for new or enhanced action controls. Conversely, we find low levels of interest in result controls by managers within the buyer but not the supplier firm. These preferences influence inter-organisational control adoption within the frame of an incomplete outsourcing contract that emphasises flexibility in terms of relationship exit. Within the limits of a case study methodology, we argue that adoption of inter-organisational controls is shaped by tensions between the control challenges of early-stage firms, the control preferences of managers within these firms and inter-organisational control concerns. These findings have theoretical implications, expanding the Davila et al. [2009. Reasons for management control systems adoption: insights from product development systems choice by early-stage entrepreneurial companies. Accounting, Organizations and Society, 34 (3–4), 322–347] framework and the Merchant [1985. Control in Business Organizations. Boston, MA: Pitman] control typology into an ESF inter-organisational control context.     

The effect of communication design and recipients’ numeracy on responses to UXO risk

Risk communications aim to affect recipients’ understanding of specific risks, their trust and liking of the materials, affective responses, and associated behaviors. We developed communications about the number of construction workers expected to get hurt if building were permitted at the former Fort Ord weapons training site in California, despite its contamination with unexploded ordnance (UXO). We created eight versions, which presented text only or bar graph with text, the numerator of the risk (the number of workers expected to be hurt) with or without emphasis on the denominator (the total number of workers), and uncertainty information (the probability that different numbers of workers would be hurt) or not. Recipients varied in numeracy. We examined the effect of these communication features on recipients’ (1) understanding, (2) trust and liking of the materials, (3) affective responses, and (4) support for construction and for construction workers if construction were to be implemented. Low-numerate individuals showed less understanding across all versions of the communication, yet preferred graph-with-text displays relatively more than text-only displays as compared to high-numerate individuals. Emphasizing the denominator increased understanding of text-only displays but decreased support for construction and construction workers for all communication versions. Moreover, recipients were more supportive of construction and construction workers after receiving text-only displays without uncertainty information or graph-with-text displays with uncertainty information, seemingly due to communications with those features being trusted and liked more. We discuss the implications for communicating risks in general and for communicating UXO-related risks to the community surrounding Fort Ord.     

Price discovery of credit spreads in tranquil and crisis periods

In this paper we investigate the price discovery process in single-name credit spreads obtained from bond, credit default swap (CDS), equity and equity option prices. We analyse short term price discovery by modelling daily changes in credit spreads in the four markets with a vector autoregressive model (VAR). We also look at price discovery in the long run with a vector error correction model (VECM). We find that in the short term the option market clearly leads the other markets in the sub-prime crisis (2007–2009). During the less severe sovereign debt crisis (2009–2012) and the pre-crisis period, options are still important but CDSs become more prominent. In the long run, deviations from the equilibrium relationship with the option market still lead to adjustments in the credit spreads observed or implied from other markets. However, options no longer dominate price discovery in any of the periods considered. Our findings have implications for traders, credit risk managers and financial regulators.