Showing posts with label Risk Communications. Show all posts
Showing posts with label Risk Communications. Show all posts

Peter Sandman On H5N1 Research Risk Communications

 

 

# 6162

 

 

I’m a bit chagrinned to admit that I hadn’t checked Peter Sandman’s terrific risk communications website over the weekend in the wake of last Friday’s decision from the Technical consultation on H5N1  held in Geneva.

 

Had I, I would have found a long and thoughtful essay on the need for respectful dialog . . . not `education’ or one sided advocacy in ongoing H5N1 discussions.

 

While not experts in virology, or influenza, Dr. Peter Sandman and his wife and colleague  Dr. Jody Lanard, are often consulted on pandemic communication issues and are internationally recognized experts in all manner of risk communications.

 

Their website, quite frankly,  should be required reading for anyone who’s job it is to deal with the public during a crisis.

 

The Peter M. Sandman Risk Communication Website

Peter M. Sandman website

 

Last Friday Dr. Sandman sent Lisa Schnirring of CIDRAP news  a long email with his thoughts on the press releases coming out of the Geneva meeting (see WHO News Release On Geneva H5N1 Technical Meeting).

 

Lisa subsequently incorporated some of his comments in her article on the meeting Friday night (see WHO H5N1 study group extends moratorium, calls for full publication).

 

Rather than delay further, I’ll simply invite you to visit Dr. Sandman’s site to read:

 

The H5N1 Debate Needs Respectful Dialogue, Not  “Education” or One-Sided Advocacy

by Peter M. Sandman

(a February 17, 2012 email to Lisa Schnirring of CIDRAP News )

 

 

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

IDDR: Stepping Up For Disaster Risk Reduction

 

 

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# 5893

 

The second Wednesday of October has been designated International Day For Disaster Reduction (IDDR) by the United Nations.  This year, the focus is on Making Children & Youth Partners in Disaster Risk Reduction.

 

Secretary-General Ban Ki-moon’s message for this year’s IDDR states:

 

"Vulnerability to disaster is growing faster than resilience.[...] Disaster risk reduction should be an everyday concern for everybody. Let us all invest today for a safer tomorrow."

 

According to United Nations report dated 12-Aug-2011 called Implementation of the International Strategy for Disaster Reduction:

  • The increasing financial, social and political cost of disasters is evident. Mortality risk associated with weather-related hazards is declining at the global
    level, while economic losses continue to  increase across all regions.

  • Economic loss risk is growing faster in higher-income countries. Since 1980, economic loss related to tropical cyclones increased by 262 per cent in high-income countries, compared to 155 per cent in low-income countries.

  • In the period 1970-2010, the world population increased by 87 per cent. During the same period, the population growth in flood-prone river basins increased by 114 per cent, and in cyclone-prone coastlines by 195 per cent.

  • Half of humanity is now living in cities. By 2050, urbanization will rise to 70 per cent and urban risk will continue to increase.

As the world’s population expands, there are simply more of us in harm’s way.  Earthquakes, tsunamis, droughts, cyclones, and other natural disasters have the potential to affect a greater number of people every year.

 

The UN News Centre published the following report yesterday focusing on Europe’s vulnerability to disaster.+

Europe’s vulnerability to natural disasters quickly rising – UN agency

11 October 2011 –

The number of natural hazards taking place in Europe increased significantly last year, the United Nations disaster risk reduction agency says, warning that the region’s governments need to implement prevention platforms to significantly reduce the danger they pose to their populations.

 

“In 2010, Europe saw the biggest increase in disaster events – plus 18.2 per cent – compared to the decade’s averages,” chief of the UN International Strategy for Disaster Reduction (UNISDR) Margareta Wahlström told participants at a forum yesterday in Skopje, the capital of the former Yugoslav Republic of Macedonia.

 

“In terms of economic damages, it accounted for 14.3 per cent of reported global disaster losses in 2010, with most of the damages caused by climatological and hydro meteorological events.”

(Continue . . . )

 

 

Earlier this year, in UNDP: Supercities At Seismic Risk I wrote about a warning that half of the world’s supercities (urban areas with 2 million – 15 million inhabitants) were at high risk of seismic activity.

 

Geohazards International, a non-profit organization that for the past 20 years has been dedicated to reducing the loss of life and suffering around the world in communities most vulnerable to earthquakes, has a good deal of information on at-risk cities as well.

 

The following comes from their Vulnerable Communities page.

 

image

 

And last August, in Weathering Heights: Billion-Dollar-Plus Weather Disasters I outlined the 9 (now 10) billion-dollar-plus weather disasters in the United States in 2011.

 

When you add the the earthquake and Tsunami in Japan, the horrendous Port-au-Prince earthquake of 2010, the floods in Pakistan, and the heat-wave & fires in Russian last year, and scores of other disasters over the past 24 months, you can see just how vulnerable our population really is.

 

While community resilience requires action by local, national, and international authorities, there are also steps that individuals and businesses can take.

 

  • Having a family or business disaster plan, and being properly prepared for a variety of emergencies, can contribute to your community’s resilience.
  • Making your homes, and businesses, safer during an earthquake or other disaster can save lives, and reduce costs and downtime.
  • Participating in local emergency drills, such as the upcoming Shakeout earthquake drills (see A Whole Lotta Shakeouts Goin' On), or local IDDR events helps promote community resilience.
  • And learning basic first aid skills, and CPR, can mean you can help provide immediate assistance during a disaster.

 

For more ideas, visit the IDDR archives page, where you’ll find resources on earlier campaigns.

 

Earthquakes, like Hurricanes, Tornados, Floods, and yes . . . even pandemics . . .  are hazards everyone should be aware of, and prepared to deal with.

 

Everyone should have a disaster plan.  Everyone should have a good first aid kit, a `bug-out bag’, and sufficient emergency supplies to last a bare minimum of 72 hours.

 

For more on  disaster preparedness, I would invite you to visit:

 

In An Emergency, Who Has Your Back?

When 72 Hours Isn’t Enough

The L. A. County Emergency Survival Guide

An Appropriate Level Of Preparedness

»» Read More

NOAA: Lessons From The Joplin Tornado

 

 


# 5857

 

 

The spring of 2011 saw three record-breaking and deadly tornadic outbreaks across the United States.

 

First, over three days in mid-April (14th-16th), a severe storm system produced 179 confirmed tornadoes across 16 southern states, resulting in 43 fatalities and more than a half billion dollars in damage.

 

Two weeks later (Apr. 25th-28th), an even larger outbreak – now dubbed the 2011 Super Outbreak - spawned at least 336 tornadoes across 21 states. More than 300 people died, with the largest number of deaths (249) occurring in Alabama. 

 

Damage estimates for this outbreak exceeded 10 billion dollars.

 

After a remarkably quiet first three weeks of May, another severe storm system swept across the Midwest spawning at least 180 tornadoes over 5 days (May 21st-26th).


The worst of these was the massive F-5 tornado that struck Joplin, Missouri on May 22nd, killing 159 and injuring more than 1,000.

 

image

Photo Credit – NOAA 

Given the scale of destruction in Joplin, it is a wonder that more people weren’t killed. Fortunately, the city had at least a 20 minute warning via emergency sirens, NWS warnings, and local broadcasters.

 

Since this was a `warned event’ - yet yielded a high number of fatalities - the National Weather Service launched an investigation over the summer. More than 100 interviews were conducted in Joplin with tornado survivors, local business owners, EMS personnel, the media, and city officials.

 

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PDF Download Link


Among their findings, many of Joplin’s residents did not act immediately when the tornado sirens sounded.  An excerpt from the executive summary explains:

 

The vast majority of Joplin residents did not immediately take protective action upon receiving a first indication of risk (usually via the local siren system), regardless of the source of the warning.  Most chose to further assess their risk by waiting for, actively seeking, and filtering additional information.

 

The reasons for doing so were quite varied, but largely depended on an individual‘s ― worldview, formed  mostly by previous experience with severe weather.

 

Most importantly, the perceived frequency of siren activation in Joplin led the majority of survey participants to become desensitized or complacent to this method of warning.  This suggests that initial siren activations in Joplin (and severe weather warnings in general) have lost a degree of credibility for most residents – one of the most valued characteristics for successful risk communication.  


Instead, the majority of Joplin residents did not take protective action until processing additional credible confirmation of the threat and its magnitude from a non-routine, extraordinary risk trigger.  This was generally achieved in different ways, including  physical observation of the tornado, seeing or hearing confirmation, and urgency of the threat on radio or television, and/or hearing a second, non-routine siren alert.

 

Having lived in Tornado Alley for a decade, I’m well acquainted with tornado warning fatigue.  Sirens go off with some frequency, and severe weather boxes appear in the corner of your local TV broadcast, but often nothing comes of it.

 

Nationally, the NWS says that 76% of all tornado warnings end up being false alarms. And even if a tornado is spawned, warnings go out across a broad area when only a small number of people are ultimately impacted.


The result is . . .  people stop responding to every alert.

 

Again from the report:

 

This report suggests that in order to improve warning response and mitigate user complacency, the NWS should explore evolving the warning system to better support effective decision making.

 

This evolution should utilize a simple, impact-based, tiered information structure that promotes warning credibility and empowers individuals to quickly make appropriate decisions in the face of adverse conditions.  Such a system should:  


a. provide a non-routine warning mechanism that prompts people to take immediate life-saving
action in extreme events like strong and violent tornadoes


b. be impact-based more than phenomenon-based for clarity on risk assessment


c. be compatible with NWS technological, scientific, and operational capabilities


d. be compatible with external local warning systems and emerging mobile communications
technology


e. be easily understood and calibrated by the public to facilitate decision making


f. maintain existing ―probability of detection‖ for severe weather events


g. diminish the perception of false alarms and their impacts on credibility

 

A tall order.

 

And one that is complicated by the sheer volume of `threat warnings’ we get on a daily basis. Everything from weather alerts, to elevated terrorism levels, to warnings that almost everything you eat, drink, or touch is either contaminated or will give you cancer.

 

After awhile, these warnings tend to fuzz out, blend in, and lose their impact.

 

While it is tempting to suggest scaling back these warnings, there are 7 scientists on trial in Italy right now – charged with manslaughter - over their failure to predict, and warn the public about an earthquake in 2009.

 

Charges levied, even though we don’t currently have the technology to accurately predict earthquakes .

 

Despite the daily clutter of warnings we receive – many of which never materialize - a failure of agencies to warn about known or suspected threats would not be well tolerated by the public.

 

For the NWS, the challenge will be to create an easily identifiable `immediate threat’ warning to elevate it above the `background noise’ of more generic or broad-based warnings.

 

As to the myriad other threats out there, they are all the more reason to incorporate an `all threats’ preparedness plan, instead of focusing on one type of scenario.

 

If you are well prepared for an earthquake, you are also well equipped to handle a hurricane, a pandemic, or any other type of disaster.

 

In order to promote this idea, FEMA, Ready.gov, and other agencies are promoting September as National Preparedness Month.  Follow this year’s campaign on Twitter by searching for the #NPM11 hash tag.

 

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»» 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