Skip to main content Accessibility help
×
Hostname: page-component-5b777bbd6c-cp4x8 Total loading time: 0 Render date: 2025-06-18T20:33:19.277Z Has data issue: false hasContentIssue false

Chapter 1 - Why You Need to Care about Emergency Risk Communication

Published online by Cambridge University Press:  05 June 2025

Kathleen G. V. Melville
Affiliation:
Tulane University School of Medicine, Louisiana
Get access

Summary

The COVID-19 pandemic impacted individuals worldwide, regardless of their geographic location, religious or political beliefs, occupation, or social standing. People’s experiences were directly impacted by lockdown measures, physical distancing, masks, vaccine recommendations, or illness of self or friend or family member, as well as by how their local and national elected officials and public health leaders managed and communicated about the pandemic. As people went into lockdown, they went online and found a proliferation of information both true and false about the pandemic. The constant deluge of online information, the new and evolving outbreak, and the worldwide impact created a complex health emergency.  The COVID-19 pandemic brought emergency risk communication to the forefront of every health agency in the United States, from city to county to state to federal levels of government. This chapter provides an overview of public health preparedness; explains how Crisis and Emergency Risk Communication (CERC) is different from day-to-day public health communication; summarizes the CERC framework and phase-based messaging; and outlines how risk perception impacts the way people process information about health threats. A student case study analyzes a Legionnaires’ disease outbreak using the CERC framework. Reflection questions are included at the end of the chapter.

Type
Chapter
Information
Risk Communication in Public Health Emergencies
Practical Guidance Rooted in Theory
, pp. 1 - 24
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Parker, CF, Stern, EK. The Trump Administration and the COVID-19 Crisis: Exploring the Warning-Response Problems and Missed Opportunities of a Public Health Emergency. Public Adm 2022;10.1111/padm.12843.CrossRefGoogle Scholar
Abutaleb, Y, Paletta, D. Nightmare Scenario: Inside the Trump Administration’s Response to the Pandemic That Changed History. New York, HarperCollins Publisher, 2021.Google Scholar
Slavitt, A. Preventable. New York, St. Martin’s Publishing Group, 2021.Google Scholar
CDC. Crisis and Emergency Risk Communication October 2002. Atlanta, GA, CDC, 2002.Google Scholar
Tulenko, K, Vervoort, D. Cracks in the System: The Effects of the Coronavirus Pandemic on Public Health Systems. Am Rev Public Adm 2020;50(6–7):455–66.CrossRefGoogle Scholar
de Beaumont. Findings 2024. 2021. https://debeaumont.org/phwins/2021-findings/ (Accessed May 1, 2024).Google Scholar
Seeger, M, Sellnow, T, Ulmer, R. Communication and Organizational Crisis. London, Bloomsbury Academic, 2003.Google Scholar
Ulmer, R, Sellnow, T, Seeger, M. Effective Crisis Communication: Moving from Crisis to Opportunity. New York, Sage Publications, 2010.Google Scholar
CDC. Crisis and Emergency Risk Communication October 2018. Atlanta, GA, CDC, 2018.Google Scholar
Nelson, C, Lurie, N, Wasserman, J, Zakowski, S. Conceptualizing and Defining Public Health Emergency Preparedness. Am J Pub Health 2007;97:s9s11.CrossRefGoogle ScholarPubMed
Haffajee, R, Paremt, WE, Mello, MM. What Is a Public Health “Emergency”? New Eng J Med 2014;371(11):986–88.CrossRefGoogle ScholarPubMed
National Cancer Institute. Making Health Communication Programs Work. Health and Human Services. n.d. www.cancer.gov/publications/health-communication (Accessed March 13, 2024).Google Scholar
CDC. Healthy People 2023. 2020. www.cdc.gov/nchs/healthy_people/hp2030/hp2030.htm (Accessed May 1, 2024).Google Scholar
Parrott, R. Emphasizing “Communication” in Health Communication. J Commun 2006;54(4):751–87.Google Scholar
HHS. Move Your Way Community Resources. Washington, DC: US Department of Health and Human Resources, 2023.Google Scholar
Suran, M, Bucher, K. False Health Claims Abound, but Physicians Are Still the Most Trusted Source for Health Information. JAMA 2024;331(19):1612–13.CrossRefGoogle ScholarPubMed
Seeger, M, Reynolds, B, Day, AM. Crisis and Emergency Risk Communication: Past, Present, and Future. In: Finn, F, Winni, J, editors. Crisis Communication. Berlin, De Gruyter Mouton, 2020; 401–18.Google Scholar
Nilsen, TR. Ethics of Speech Communication (1st edition). New York, Bobbs-Merrill, 1966.Google Scholar
NRC. Improving Risk Communication. Washington, DC: National Academies Press, 1989.Google Scholar
Templeton, A. 6 Things You Should Know About the Triangle Lake Pesticide Investigation. OPB. 2012. www.opb.org/news/article/6-things-you-should-know-about-the-triangle-lake-p/ (Accessed May 1, 2024).Google Scholar
Oregon Health Authority. Highway 36 Exposure Investigation. 2014. www.oregon.gov/oha/ph/healthyenvironments/trackingassessment/environmentalhealthassessment/hwy36/pages/index.aspx (Accessed May 1, 2024).Google Scholar
Learn, S. Triangle Lake residents press for moratorium on aerial spraying in private forests near schools, homes. The Oregonian. 2013. www.oregonlive.com/environment/2013/05/residents_near_triangle_lake_p.html (Accessed May 1, 2024).Google Scholar
Mortensen, C. Concerns Arise Over Pesticide Spray Near School. Eugene Weekly. 2015. https://eugeneweekly.com/2015/09/17/concerns-arise-over-pesticide-spray-near-school/ (Accessed May 1, 2024).Google Scholar
Oregon Health Authority. Exposure Investigation Portland, Oregon. 2014. www.oregon.gov/oha/ph/healthyenvironments/trackingassessment/environmentalhealthassessment/hwy36/pages/index.aspx (Accessesd May 1, 2024).Google Scholar
Barrett, MS. Spokespersons and Message Control: How the CDC Lost Credibility during the Anthrax Crisis. Qual Res Rep Commun 2005;6(1):5968.Google Scholar
CDC. Crisis and Emergency Risk Communication October 2014. Atlanta, GA, CDC, 2014.Google Scholar
Vanderford, ML, Nastoff, T, Telfer, JL, Bonzo, SE. Emergency Communication Challenges in Response to Hurricane Katrina: Lessons from the Centers for Disease Control and Prevention. J Appl Commun Res 2007;35(1):925.CrossRefGoogle Scholar
Slovic, P. Perception of Risk. Science 1987;236(4799):280–85.CrossRefGoogle ScholarPubMed
Slovic, P. The Feeling of Risk: New Perspectives on Risk Perception. London, Earthscan; 2010.Google Scholar
Ropeik, D. The Perception Gap: Recognizing and Managing the Risks That Arise When We Get Risk Wrong. Food Chem Toxicol 2012;50(5):1222–25.CrossRefGoogle ScholarPubMed
Malecki, KMC, Keating, JA, Safdar, N. Crisis Communication and Public Perception of COVID-19 Risk in the Era of Social Media. Clin Infect Dis 2021;72(4):697702.CrossRefGoogle ScholarPubMed
Glik, DC. Risk Communication for Public Health Emergencies. Annu Rev Public Health 2007;28:3354.CrossRefGoogle ScholarPubMed
Sandman, PM. Responding to Community Outrage: Strategies for Effective Risk Communication. 2012. www.psandman.com/media/RespondingtoCommunityOutrage.pdf (Accessed May 1, 2024).CrossRefGoogle Scholar
FEMA. National Incident Management System Basic Guidance for Public Information Officers. Washington, DC, US Federal Emergency Management Agency (FEMA), 2020.Google Scholar
CDC. About Legionnaires Disease and Pontiac Fever. 2019. www.cdc.gov/legionella/about/index.html (Accessed April 14, 2022).Google Scholar
CDC. Legionnaires Disease Outbreaks | Legionella. www.cdc.gov/legionella/outbreaks.html (Accessed March 18, 2022).Google Scholar
OSHA. Legionellosis (Legionnaires’ Disease and Pontiac Fever) – Overview. www.osha.gov/legionnaires-disease (Accessed April 14, 2022).Google Scholar
Breedlove, A. Legionnaires’ Disease at Mt. Carmel Grove City Hospital (6/24/19). Franklin County Public Health. 2019. https://myfcph.org/legionella/ (Accessed March 26, 2022).Google Scholar
10tv Web Staff. 16 confirmed cases of legionnaires’ related to outbreak at Mount Carmel Grove City. 10tv.com. 2019. www.10tv.com/article/news/local/16-confirmed-cases-legionnaires-related-outbreak-mount-carmel-grove-city-2019-jun/530-daf06ea2-cfeb-4012-912b-b908f49fe318 (Accessed March 13, 2022).Google Scholar
Haeberle, B. Mount Carmel Grove City failed to disinfect water lines that attributed to Legionnaires’ outbreak. 10tv.com. 2019. www.10tv.com/article/news/investigations/10-investigates/mount-carmel-grove-city-failed-disinfect-water-lines-attributed-legionnaires-outbreak-2019/530-d90b53c7-f9bc-4a63-8312-c2030a755cfa (Accessed March 13, 2022).Google Scholar
Ohio Dept. of Health Director Dr. Amy Acton. The Columbus Dispatch. 2019. www.youtube.com/watch?v=Wrbb-wmYJHE (Accessed April 22, 2024).Google Scholar
Henry, M. Patient dies in outbreak at hospital. The Columbus Dispatch. 2019. www.dispatch.com/story/lifestyle/health-fitness/2019/06/03/patient-dies-in-outbreak-at/4940613007/ (Accessed March 13, 2022).Google Scholar
Statement from Director of Health on Lifting Water Restrictions on Floors at Mount Carmel Grove City. Ohio Department of Health. 2019. https://odh.ohio.gov/media-center/odh-news-%20releases/statement-director-health-lifting-water-restrictions-mount-carmel-grove-city (Accessed March 13, 2022).Google Scholar
Centers for Disease Control and Prevention. CERC Manual | Crisis & Emergency Risk Communication (CERC). 2020. https://emergency.cdc.gov/cerc/manual/index.asp (Accessed March 13, 2022).Google Scholar
Media Statement on behalf of Ed Lamb, president & CEO, Mount Carmel Health System. Mount Carmel Health. 2019. www.mountcarmelhealth.com/assets/hidden/documents/mchs-media-statement-june-5.pdf. (Accessed March 13, 2022).Google Scholar
Rouan, R. Grove City hospital has disease outbreak. The Columbus Dispatch. n.d. www.dispatch.com/story/lifestyle/health-fitness/2019/06/01/grove-city-hospital-has-disease/5006727007/ (Accessed March 13, 2022).Google Scholar
Legionnaires’ Disease at Mt. Carmel Grove City Hospital. Franklin County Public Health. 2019. https://myfcph.org/legionella/#:~:text=Franklin%20County%20Public%20Health%20is,was%20the%20potable%20water%20system (Accessed November 4, 2024).Google Scholar
Director of Health Issues Adjudication Order to Protect Public Health. Ohio Department of Health. 2019. https://odh.ohio.gov/media-center/odh-news-releases/director-health-issues-adjudication-order-to-protect-public-health (Accessed March 13, 2022).Google Scholar
del Valle, JC. Jury deliberates again today in murder case of doctor accused of overprescribing fentanyl to the dying. CNN. 2022 www.cnn.com/2022/04/12/us/william-husel-ohio-doctor-closing-arguments-mistrial-motion/index.html (Accessed April 15, 2022).Google Scholar
Zachariah, H. Hospital probing how disease originated. The Columbus Dispatch. 2019. www.dispatch.com/story/lifestyle/health-fitness/2019/06/01/hospital-probing-how-disease-originated/4999996007/ (Accessed March 18, 2022).Google Scholar
Media Statement from Dr. Richard Streck, Chief Clinical Operations Officer, Mount Carmel Health System. Mount Carmel Health. 2019. www.mountcarmelhealth.com/assets/documents/mchs_media-statement_june-2.pdf (Accessed April 1, 2022).Google Scholar
Statement from Director of Health on Patient’s Death at Mount Carmel Grove City. Ohio Department of Health. 2019. https://odh.ohio.gov/media-center/odh-news-releases/statement-director-%20of-health-patients-death-mount-carmel-grove-city (Accessed March 18, 2022).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×