Posted in #covid-19 Risk communication

Is Covid 19 different from the influenza flu?

Even after a year, some are grappling with the same old question: Is Covid 19 different from the seasonal flu?

How do we communicate the risk convincingly to this target audience? Obviously, we need to compare number of deaths due to Covid 19 with the number of deaths due to the seasonal flu. The Centre for Risk and Evidence Communication in the University of Cambridge has done exactly that.

Look at the following graph;

It compares the number of COVID 19 deaths with the deaths from influenza flu and several other common causes. As we can clearly see that the number of Covid deaths sharply increases with age when compared to the deaths from influenza flu. It convincingly debunks the claim that Covid 19 is not different from influenza.

Source: Winton Centre for Risk and Evidence Communication, University of Cambridge

physical distancing
Posted in Risk communication

Physical distancing is not social distancing

Image source:https://pbs.twimg.com/media/EWCfY8-UwAAdsv_?format=jpg&name=small

What we need exactly is to stop spreading the COVID 19 virus; that is it. We do it by staying away from each other physically and adhering to washing hands each time when we touch anything or any surface outside the home and avoid touching face each time after touching anything or any surface outside the home.

Certainly, not social distancing; in fact, we should combat social isolation. I am not the only one talking about it. Although a bit late, WHO emphasized its position about it at one of their media conferences, held on March 20, 2020; this is what, the WHO epidemiologist Maria Van Kerhove said;

We’re changing to say physical distance and that’s on purpose because we want people to still remain connected.

WHO epidemiologist Maria Van Kerhove

More than a month later, we can see the most countries are still using the term, “social distancing” instead of “physical distancing”.

“No health without mental health”: This became a major theme popularized by the UN and of course, the WHO sometime back. Although we talk about it, we hardly observe its due prominence in mass media and at any other agency communique mandated for mental health promotion, particularly with increased reporting of domestic violence as collateral damage of this pandemic.

Interestingly I found two posters developed by a small, still very young country highlighting the importance of social connection while maintaining physical distancing. The country is Timor-Leste.

Here it is:

Image source: https://twitter.com/whotimorleste/status/1245244482007625731
Image source:https://pbs.twimg.com/media/EWCfY8-UwAAdsv_?format=jpg&name=small

Why is this paradigm shift necessary?

Rebecca Gale outlined several valid reasons in her post in Washington Post based on an interview with Daniel Aldrich, a professor of political science and public policy at Northeastern University in Boston, Massachusetts. The key points he pointed out are as follows;

  • Those with stronger social ties are more capable to weather the storm.
  • The communities who rebuild and adapt their lives to the “new normal” are the ones who are with strong social networks.
  • The people and communities who had difficulties to come back to their new normal lives were the ones with weak social ties and lack mutual trust and cohesion.
Posted in Risk communication

Words matter in COVID 19 communication

Words matter in Communicating COVID 19 pandemic. It is not easy. Unknowingly, we contribute to social stigma with our words and phrases. UN agencies have been addressing this problem during the past two decades with regard to previous outbreaks and pandemics through their country counterparts.

Still, the problem exists and is widespread.

Find out the words and phrases that we need to use and avoid while communicating COVID 19.

Words matter in COVID 19 communication; it matters a lot.

Raise awareness among your circles, particularly opinion leaders, decision-makers, program managers, social media, and other influencers including media reporters, and their editors.

Talk about Do not talk about
COVID -19Wuhan virus/ Chinese virus
People who have COVID -19COVID – 19 cases
People who are being treated for COVID -19
People who died after contracting COVID -19COVID – 19 victims
People “acquiring” or “contracting” COVID-19People “transmitting COVID-19” / People “infecting” others/ “spreading the virus to others”
Talk positively, effectiveness of the measures taken Do not use hyperbolic language designed to raise fear like, “plague”, “apocalypse”.
Do not emphasize or dwell on negatives, messages of threat
Risk communication guide table: https://messageframing.com/
prepared based on information available in the WHO/UNICEF guide document: https://www.unicef.org/media/65931/file/Social%20stigma%20associated%20with%20the%20coronavirus%20disease%202019%20(COVID-19).pdf

Posted in Risk communication

WHO short guide on how to communicate COVID 19

This is not a new one. It was released on Feb. 24, 2020. And, it is the responsibility of the WHO people to communicate and train relevant country representatives.

The key points in this very short document are as follows;

1. Do talk about “people who have COVID 19”
(Do not talk about “COVID 19 cases” or “COVID 19 victims”)

2. Do talk about “people who may have or (presumptive) COVID 19
(Do not talk about “COVID 19 suspects” or “suspected cases”)

3. Do talk about people acquiring or contracting COVID 19
(Do not talk about “transmitting COVID-19” “infecting others” or “spreading the virus” as it implies intentional transmission and assigns blame.

Using criminalizing or dehumanizing terminology creates the impression that those with the disease have somehow done something wrong or are less human than the rest of us, feeding stigma, undermining empathy, and potentially fuelling wider reluctance to seek treatment or attend screening, testing and quarantine.

4. Do not use hyperbolic language such as “plague” and “apocalypse”; do not scare people using words, “killer virus”, “very dangerous” etc.

5. Do not use messages of threat

6. Engage social influencers such as religious leaders; train them.

7. Implement “hero” campaigns for front line workers to save them being stigmatized.

8. Do not use words such as spreaders (super) or do not try to identify the “patient zero”.

You can read the document through this link.

Posted in Risk communication

How to frame messages in an epidemic – I

Tell the truth; be transparent

source: the US CDC CERC (CRISIS + EMERGENCY RISK COMMUNICATION WALLET CARD: https://emergency.cdc.gov/cerc/resources/pdf/cerc_wallet-card_english.pdf

The world is now grappling with another global epidemic: the coronavirus, COVID-19.

The risk communication is very critical during epidemics. Its importance is apparent now more than ever.

Providing factually correct messages is necessary but not adequate; the messages need to be framed in ways relevant to the intended audience and persuasive enough to change into the recommended behaviors.

Based on recent past experience with the SARS and Ebola virus types, the World Health Organization (WHO), US CDC, European Union, and almost all countries have developed comprehensive evidence-based guidelines, manuals, training modules, etc.

This post summarizes the relevant sections of these documents while citing those references where relevant.

Steps in frame messages in an epidemic

The US CDC recommends to include the following components when formulating messages with regard to the epidemic irrespective of its mode of delivery, either orally, in writing, or in any other media.

Begin with empathy

  • Acknowledge the target audience’s concerns by saying/writing.
  • Either write or say something similar to this: “we are aware that you are anxious and worried and we care and working to understand their perspective more”.
  • In fact, we need to include contact methods to demonstrate to them that we really care and should promote asking questions.

Identify and explain the threat

  • Mention “what is causing the threat, who is at risk, and what causes someone to be at risk”;
  • “What to do to prevent the harm and to get help if needed”;
  • “Acknowledge uncertainties”;
  • “Do not over-reassure or over-promise”

Explain what is currently known and unknown

  • Provide exact details and timelines
  • Admit what is unknown at the moment saying, “we do not have sufficient information yet and we will inform you as soon as we obtain those details without holding back.
  • Explain what is being done to minimize harm

Explain what actions are being taken and why as well as the actions that are not being taken and why

  • Explain the agencies involved, their roles and responsibilities
  • Share dilemmas, be open with making decisions on imperfect and incomplete information
  • Explain possible undesired consequences, if anticipated
  • Let the media know the assumptions and the possibility of changing recommendations in the future based on new information

Crisis + Emergency Risk Communication (CERC) Wallet Card

The US CDC CERC had produced an extremely useful wallet card that, I believe every professional responsible should carry. Anyone can access to it through this link:https://emergency.cdc.gov/cerc/resources/pdf/cerc_wallet-card_english.pdf