Showing posts with label Lanard. Show all posts
Showing posts with label Lanard. Show all posts

Peter Sandman: Outrage On Both Sides

 

 


# 6335

 

 

Dr. Peter Sandman is a world renown expert on crisis communications, and along with his wife and colleague Dr. Jody Lanard, provide consulting services to individuals, organizations, and companies – often during their worst public relations nightmares.


Together they also produce a wealth of invaluable risk management advice on their website, which quite frankly should be second home for anyone involved in public relations or risk communications.

 

Peter Sandman Website logo

 

I’ve highlighted Peter and Jody’s work often in the past, including:

 

Peter Sandman: Swine Flu For Grownups
Experts: `Mild’ Is A Misleading Term For This Pandemic
Peter Sandman On Pandemic Risk Communication

 

 

When you think about `risk communications’ and `flu’, very little comes close to the often unseemly debate of the past few months over the publication of the Kawaoka and Fouchier H5N1 transmissibility papers.

 

 

For those that need a refresher:

 

Last September, Ron Fouchier from the Netherlands (and almost simultaneously Professor Yoshihiro Kawaoka from Wisconsin) announced success in creating enhanced strains of the H5N1 avian flu virus in the laboratory that can transmit efficiently among ferrets, which quickly sparked biosecurity concerns.

 

For some background, see Katherine Harmon’s Sci-Am article , New Scientist: Five Easy Mutations, & NPR: Bio-Terrorism Concerns Over Bird Flu Research.

 

 

The fate of these two papers has now been decided; Kawaoka’s was published earlier this month (see Nature Publishes The Kawaoka H5N1 Study), and a revised version of Fouchier’s paper is due out anytime.

 

While the original focus of this debate has been settled, we are left with nagging questions regarding the way this debate was handled, and concerns over what happens when this sort of situation inevitably occurs again.

 

Which brings us to a long, detailed, and very informative analysis of the risk communication missteps made by both sides of this debate, posted by Dr. Sandman on his website in response to a reader’s comment.

 

It is called:

 

Risk communication aspects of the debate over H5N1 transmission studies

 

 

I’ll not try to summarize this well reasoned and detailed examination of the events of the past few months, as to do so would be a disservice.

 

This article deserves to be read in its entirety. 

 

Highly recommended.

»» Read More

Jody Lanard: Risk Communication & Flu Vaccine Effectiveness

 

 

# 5923

 

My thanks to Crof for picking up on a short posting by Dr. Jody Lanard on the CDC’s recent unveiling of flu vaccine efficacy numbers.

 

As most of my readers know, flu vaccine effectiveness studies have been all over the map in recent years, with some showing remarkably high levels of protection while others have returned less encouraging numbers. 

 

For years the CDC’s mantra has been for healthy adults under the age of 65, in years when the vaccine is a good match to circulating strains, effectiveness ranges from 70%-90%.

Of course, if you don’t fall into this `ideal’ cohort, or if the virus drifts away from the vaccine strain, your mileage may vary. 

 

Sometimes, considerably.

 

Which is something we’ve addressed numerous times in this space, including:

 

Study: Obesity, Influenza & Immunity

Study: Flu Vaccines And The Elderly

Flu Shots For The Elderly May Have Limited Benefits

 

Recently the CDC updated their FAQ on Flu Vaccine effectiveness, and as part of a much longer detailed posting, lowered the estimate of the inactivated flu shot’s effectiveness to read:

 

. . . recent RCTs of inactivated influenza vaccine among adults under 65 years of age have estimated 50-70% vaccine efficacy during seasons in which the vaccines' influenza A components were well matched to circulating influenza A viruses.

 

 

Dr. Jody Lanard, who along with her husband Peter Sandman, are considered among the most authoritative in the world on the subject of risk communications, has posted a brief commentary on the way this revised information has been rolled out by the CDC.

 

Highly recommended.

 

Follow the link to read:

 

Brief analysis of a risk communication error:

The CDC reports its newest estimate of influenza vaccine efficacy: 50-70% in healthy adults under 65


By Jody Lanard M.D. (posted on October 25 2011, 1:30 pm EDT)

 

 

 

Between Sandman and Lanard, they produce a wealth of invaluable risk management advice freely available on their website:

 

Peter Sandman Website logo

 

For anyone even remotely involved as a spokesperson for an agency, organization, or company during a crisis, this site should be viewed as essential reading. 

 

Over the years I’ve been happy to feature their writings a number of times, including here, here, and here.  

 

For more, simply do a blog search on `Sandman.

»» Read More

Cutting Through The Fukushima Fog

 

 


# 5610

image

Photo credit IAEA

 

As I noted in The Fog Of Disaster Reporting, written less than 48 hours after the earthquake/tsunami combination that devastated northern Japan, my confidence level in the accuracy of many of the stories coming out of the disaster zone was pretty low.

 

So low, that in many cases I opted not to use them in this blog.

 

Since then, we’ve learned that the nuclear accident at the Fukushima Daiichi facility was much worse than first reported. 

 

Despite what we now know was a meltdown of three reactors within hours of the quake, the severity level of the incident was held at a 5 for a full month (the same as Three Mile Island), before being raised to a  Chernobyl-comparable level 7 on April 11th.

 

 

Today, the Yomiuri News Agency is reporting that two of these damaged reactors may have suffered a `Melt Through’ – an even more serious event than a meltdown –where nuclear fuel actually melted through the walls or floors of reactor vessel.

 

Melted Fuel at Fukushima May Have Leaked Through, Yomiuri Says

By Go Onomitsu - Jun 7, 2011 2:02 AM ET

 

 

NHK World News is also reporting that today (Tuesday) a government appointed expert panel met for the first time to investigate the Fukushima nuclear accident (see Govt panel on nuclear accident holds 1st meeting).

 

The panel is expected to produce an interim report by the end of the year, but according to committee's head - Professor Emeritus at the University of Tokyo, Yotaro Hatamura - will not aim to clarify who is responsible for the accident.

 

Meanwhile, just hours before the first meeting of this expert panel was held, it was revealed that the amount of radiation released from the damaged Fukushima facility during the first week of the disaster was likely more than double what had previously been estimated.

 

Japan doubles plant radiation leak estimate

(AFP) – 4 hours ago

TOKYO — Japan has more than doubled its initial estimate of radiation released from the crippled Fukushima nuclear plant in the week after the March 11 tsunami, ahead of the launch of an official probe Tuesday.

 

The nation's watchdog, the Nuclear and Industrial Safety Agency (NISA), now says it believes 770,000 terabecquerels escaped into the atmosphere in the first week -- compared to its earlier estimate of 370,000 terabecquerels.

(Continue . . . )

 

The hits, as they say, just keep on coming.

 

There are now concerns that the environmental contamination surrounding the plant may be worse than previously suspected, and that people beyond the 20 km evacuation radius may have been exposed to more radiation than previously thought.

 

These belated and incrementally worsening status reports from plant operator TEPCO and Japan’s Nuclear Safety Commission probably won’t do a lot to inspire confidence in their future pronouncements.

 

Of course, early reports from the ground during any major disaster are usually fragmentary, often misleading, and occasionally just downright wrong.

 

How much of this `bad information’ is due to attempts to `manage’ the crisis by doling out bad news a piece at a time – and how much comes from a genuine impenetrable `fog’ of disaster – is hard to know.

 

Often it is a mixture of both.

 

But as was noted last month in  Sandman & Lanard On Worst-Case Crisis Communications, it is important for officials to get out in front of any crisis.

 

Playing catch-up, or worse, appearing to intentionally withhold bad news, can make a bad situation worse.

 

Telling the truth and telling it early, are key points to effective crisis communications.

 

Simple advice, yet it is often ignored.

 

In Japan’s nuclear crisis: The need to talk more candidly about worst case scenarios Peter Sandman wrote:

 

The main communication problem results from the public’s inability to know how much of the situation is under how much control, and what might happen if things get worse. Japanese officials have not helped us to understand that.

 

Worse, they have not communicated in ways that encourage us both to trust that they are telling us everything they know and everything they’re worried about, and to trust that they know what they are doing.

 

And earlier, in Cultural differences regarding Fukushima crisis communication Peter wrote about the consensus document on crisis communications from the World Health Organization  entitled “WHO Outbreak Communication Guidelines”.

 

In an excerpt from the section on Announcing early”, it states:

 

People are more likely to overestimate the risk if information is withheld. And evidence shows that the longer officials withhold worrisome information, the more frightening the information will seem when it is revealed, especially if it is revealed by an outside source….

 

Early announcements are often based on incomplete and sometimes erroneous information. It is critical to publicly acknowledge that early information may change as further information is developed or verified.

 

 

Peter Sandman Website logo

 

For anyone even remotely involved as a spokesperson for an agency, organization, or company during a crisis, their site should be viewed as essential reading. 

 


Unfortunately, the stream of continually revised information coming out of Japan over the past three months appears more akin to the hoary old tale of the wealthy Englishman who, after traveling the world for many months, called home and spoke to his butler.

 

 

"Well James, has anything happened in my absence?"

 

"Yes, sir.  Your dog died."

 

"He died? Whatever from?  He was a young pup."

 

"Probably from eating burned horse flesh, sir."

 

"Burned horseflesh?  Where on earth did he get burned horseflesh?"

 

"From the stables, Sir. They burned to the ground two weeks ago."

 

"How did the stables catch fire?"

 

"Probably flames from the house, sir."

 

"The house burned down too!  How did that happen?

 

"We suspect the drapes caught fire from the candles, sir."

 

"Candles!  We have electricity. Why on earth were you using candles?"

 

"They were around your mother's coffin in the parlor, sir."

 

"Mum is dead!  My God James, what happened!"

 

"Well Sir, we suspect it was from the shock of your wife running off with the gardener . . ."

 

You get the idea.

 

While the exchange above may make for good comedy, any semblance of it in the real world makes for lousy crisis communications.

»» Read More

Sandman & Lanard On Worst-Case Crisis Communications

 

 

# 5411

 

 

When it comes to risk communications during a crisis, you’d have to go a long way to beat the advice of Dr. Peter Sandman and his wife Dr. Jody Lanard. 

 

Both are highly regarded consultants in the field, and have been called upon by entities both public and private during times of crisis. Between the two of them, they produce a wealth of invaluable risk management advice freely available on their website:

 

Peter Sandman Website logo

 

For anyone even remotely involved as a spokesperson for an agency, organization, or company during a crisis, this site should be viewed as essential reading. 

 

Over the years I’ve featured their writings a number of times, including here, here, and here.   For more, simply do a blog search on `Sandman’.

 

Last night Sandman and Lanard responded to an anonymous journalist’s question regarding the open discussion of `worst-case’ scenarios in Japan. 

 

You’ll find an excerpt below, but follow the link to read it in its entirety (and follow the links as well!).

 

Japan’s nuclear crisis: The need to talk more candidly about worst case scenarios

name:Anonymous

field:Newspaper reporter

date: March 16, 2011

location:Canada

comment:

I’m a reporter working on a story that takes a look at the rhetoric/fear-mongering surrounding the disaster in Japan. I figured you’d have some awesome insights based on your field of work.

The story is pegged to these comments, from Europe’s Energy Commissioner Guenther Oettinger, on Tuesday:

  • “There is talk of an apocalypse and I think the word is particularly well chosen. Practically everything is out of control. I cannot exclude the worst in the hours and days to come.” [from: www.telegraph.co.uk]
  • “The site is effectively out of control. In the coming hours there could be further catastrophic events which could pose a threat to the lives of people on the island.” [from: msnbc.tumblr.com]

Do you have any reactions?

peter responds:

Note: My wife and colleague Jody Lanard collaborated on this response.

Oettinger’s statements are at the upper end of dramatic. “Practically everything” isn’t out of control.

 

Statements like his result from the failure of officials to follow two crucial precepts of crisis communication.

  • Be incredibly respectful of and empathic about normal people’s fears and fantasies.
  • Get out in front of worst-case-scenario speculation by sharing the worst case scenarios that officials consider possible and worth planning for.

The main communication problem results from the public’s inability to know how much of the situation is under how much control, and what might happen if things get worse. Japanese officials have not helped us to understand that. Worse, they have not communicated in ways that encourage us both to trust that they are telling us everything they know and everything they’re worried about, and to trust that they know what they are doing.

 

What are the worst cases their experts are worried about and working to prevent? The world has a right to know that, and the world has a right to judge them harshly for not revealing that. More importantly, the world has no choice but to try to figure out on its own what the worst case scenarios might be that officials are either too irresponsible to consider or too cowardly to reveal.

 

Under such conditions, outside speculation about worst case scenarios justifiably gains traction – especially since the trajectory of the story has been to keep getting worse in the face of official assurances that things were not likely to get worse.

 

Ideally, officials would have preempted much outside speculation by sharing their worst fears publicly. Our crisis communication advice is always that officials should try to recreate in the public the same level of concern that they themselves are experiencing, and should focus about equally on the two most important questions about the short-term future:

  1. What do you think is most likely to happen?
  2. What’s the worst outcome that you haven’t dismissed as too unlikely to be worth worrying about?

Since officials have avoided answering the second question, speculation has taken off.

(Continue . . . )

 

 

Great stuff, so go read it all.

»» Read More

Sandman And Lanard On Pandemic Credibility and Communication

 

 

# 4688

 

 

My thanks and a big hat tip to Crof at Crofsblog  for posting a link to what he rightfully calls the ` absolute must read’ of the day; an in-depth analysis of the World Health Organization’s pandemic communications and the charges of a `fake pandemic’.

 

The “Fake Pandemic” Charge Goes Mainstream and WHO’s Credibility Nosedives

by Peter M. Sandman and Jody Lanard

The extremely long assessment that follows advances an argument we can summarize in a single sentence:

The absurd charge that the World Health Organization (WHO) hyped a fake pandemic in order to enrich Big Pharma has gained undeserved mainstream credibility mostly because WHO has badly mishandled its risk communication about three issues: (a) the mildness of the pandemic (so far); (b) the debatable meaning of the term “influenza pandemic”; and (c) the inevitable – but not culpable – structural conflicts of interest of WHO advisors.

 

(Continue reading . . . )

 

Dr. Peter Sandman is an internationally recognized expert on effective crisis communications, and he along with his wife and colleague  Dr. Jody Lanard produce a wealth of invaluable risk management advice on their website:

 

Peter Sandman Website logo

I’ve highlighted their work on numerous occasions, including:

 

Referral: Risk Communication and Disasters
Peter Sandman: Swine Flu For Grownups
Experts: `Mild’ Is A Misleading Term For This Pandemic
Peter Sandman On Pandemic Risk Communication
»» Read More