“Facts, Not Fear”

Trust in many government organizations is low, creating a challenging environment for communication during outbreaks of emerging infectious diseases, like Ebola. In a thematic analysis of 1,010 tweets and four Twitter chats during the 2014-2015 Ebola outbreak, we found that the Centers for Disease Control and Prevention emphasized organizational competence, extant protocol, and facts about transmission to manage public fear. We argue that an emphasis on certainty in a rapidly changing situation leaves organizations vulnerable to charges of unpreparedness or obfuscation. Our results also speak to the contested definition of engagement online, particularly during health crises.

[1]  Timothy L. Sellnow,et al.  Crisis and Emergency Risk Communication in Health Contexts: Applying the CDC Model to Pandemic Influenza , 2008 .

[2]  B. Glaser.  The Constant Comparative Method of Qualitative Analysis , 1965 .

[3]  S. Utz,et al.  Is the medium the message? Perceptions of and reactions to crisis communication on twitter, blogs and traditional media , 2011 .

[4]  Barbara J Reynolds,et al.  Crisis and Emergency Risk Communication as an Integrative Model , 2005, Journal of health communication.

[5]  B. Houston.  Crisis and emergency risk communication (CERC) , 2011 .

[6]  Ortwin Renn,et al.  Risk Communication: Insights and Requirements for Designing Successful Communication Programs on Health and Environmental Hazards , 2008, Handbook of Risk and Crisis Communication.

[7]  Sandra Crouse Quinn,et al.  Effective Communication During an Influenza Pandemic: The Value of Using a Crisis and Emergency Risk Communication Framework , 2008, Health promotion practice.

[8]  Patric R. Spence,et al.  Social media and crisis management: CERC, search strategies, and Twitter content , 2016, Comput. Hum. Behav..

[9]  H. Joffe.  Public apprehension of emerging infectious diseases: are changes afoot? , 2011, Public understanding of science.

[10]  Richard D. Waters,et al.  Squawking, tweeting, cooing, and hooting: analyzing the communication patterns of government agencies on Twitter , 2011 .

[11]  Brian G. Southwell,et al.  Zika Virus–Related News Coverage and Online Behavior, United States, Guatemala, and Brazil , 2016, Emerging infectious diseases.

[12]  Rolf Lidskog,et al.  Risk, communication and trust: Towards an emotional understanding of trust , 2014, Public understanding of science.

[13]  R D Carraway.  Hope for Haiti. , 1982, The Journal of the Florida Medical Association.

[14]  Timothy L. Sellnow,et al.  Effective Risk Communication: A Message-Centered Approach , 2008 .

[15]  M. Vanderford,et al.  Emergency Communication Challenges in Response to Hurricane Katrina: Lessons from the Centers for Disease Control and Prevention , 2007 .

[16]  G. Eysenbach,et al.  Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1 Outbreak , 2010, PloS one.

[17]  Frances Drake,et al.  Mobile phone masts: protesting the scientific evidence , 2006 .

[18]  James E. Grunig,et al.  Excellence Theory in Public Relations: Past, Present, and Future , 2008 .

[19]  Emilio Mordini,et al.  Risk Communication Recommendations and Implementation During Emerging Infectious Diseases: A Case Study of the 2009 H1N1 Influenza Pandemic , 2014, Disaster Medicine and Public Health Preparedness.

[20]  Jeong-Nam Kim,et al.  Problem Solving and Communicative Action: A Situational Theory of Problem Solving , 2011 .

[21]  Susanna Hornig.  Reading risk: public response to print media accounts of technological risk , 1993 .

[22]  Jon D. Miller.  Public Understanding of, and Attitudes toward, Scientific Research: What We Know and What We Need to Know , 2004 .

[23]  Barbara Poblete,et al.  Twitter under crisis: can we trust what we RT? , 2010, SOMA '10.

[24]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[25]  V. Lestou,et al.  Communicating with the public during health crises: experts' experiences and opinions , 2009 .

[26]  David M. Dozier,et al.  Manager's Guide to Excellence in Public Relations and Communication Management , 1995 .

[27]  Catherine E. Goodall,et al.  Threat and Efficacy Uncertainty in News Coverage About Bed Bugs as Unique Predictors of Information Seeking and Avoidance: An Extension of the EPPM , 2013, Health communication.

[28]  Julie Bradshaw,et al.  Community Relationship Building: Local Leadership in the Risk Communication Infrastructure , 2002 .

[29]  Bill Gates,et al.  The next epidemic--lessons from Ebola. , 2015, The New England journal of medicine.

[30]  Richard D. Waters,et al.  Tweet, tweet, tweet: A content analysis of nonprofit organizations Twitter updates , 2011 .

[31]  S. Utz,et al.  Crisis communication online: How medium, crisis type and emotions affected public reactions in the Fukushima Daiichi nuclear disaster , 2013 .

[32]  L. Gerwin.  The Challenge of Providing the Public with Actionable Information during a Pandemic , 2012, The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics.

[33]  Sidharth Muralidharan,et al.  Hope for Haiti: An analysis of Facebook and Twitter usage during the earthquake relief efforts , 2011 .

[34]  R. Fox.  Medical Uncertainty Revisited , 2000 .

[35]  Alexander J. Rothman,et al.  Treating people with information: an analysis and review of approaches to communicating health risk information. , 1999, Journal of the National Cancer Institute. Monographs.

[36]  H. Joffe,et al.  Representations of far-flung illnesses: the case of Ebola in Britain. , 2002, Social science & medicine.

[37]  Stephen Coleman,et al.  Public engagement in local government: the voice and influence of citizens in online communicative spaces , 2015 .

[38]  Rachel Palmén,et al.  The framing of risk and implications for policy and governance: the case of EMF , 2011 .

[39]  D. Brashers.  Communication and Uncertainty Management. , 2001 .

[40]  A. Strauss,et al.  Basics of Qualitative Research , 1992 .

[41]  Mitchell Ness,et al.  The views of scientific experts on how the public conceptualize uncertainty , 2003 .

[42]  B. Holmes,et al.  Communicating about emerging infectious disease: The importance of research , 2008 .

[43]  Peter M. Sandman,et al.  Risk Communication , 1988 .

[44]  G. Bendelow,et al.  Gender, Health and Healing : The Public/Private Divide , 2002 .

[45]  Perri,et al.  Lessons from the pandemic: the need for new tools for risk and outbreak communication , 2011, Emerging health threats journal.