crisis and emergency risk communication guatemala city, guatemala march 2014

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Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

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Page 1: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis and EmergencyRisk Communication

Crisis and EmergencyRisk Communication

Guatemala City, Guatemala

March 2014

Page 2: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk Communication vs Emergency Communication

Risk Communication vs Emergency Communication

During emergencies public health responders must effectively ensure the following types of communication – Institutional

Intra-inter-agencies/institutions, across levels Inter-sectorial

– Operational To health care workers and respondents (e.g.

alerts, guidance documents To ensure the coordination of the response

– To the public (risk communication)

Page 3: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

• Extremely time pressuring

• Unpredictable & unfolding

• Socially and economically disruptive

• Behaviour–centred & anxiety generator

• Involving multiple stakeholders

• Shifting from national to international

Health crisis are uniqueHealth crisis are unique

Page 4: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Under the IHR, risk communication includes a range of interventions through preparedness, response and recovery of a health crisis for

• informed decisions• positive behaviour interventions• maintenance of trust

to minimize its public health impact.

Communicating during crisis is a capacity Communicating during crisis is a capacity requirement under the IHRrequirement under the IHR

Risk Communication Working Group, March 2009, Lyon

Page 5: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk assessment Risk perception

Risk communication

Risk management

Page 6: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk Communication – Outbreak Communication – Crisis Communication – Emergency Communication - Information – Education - Communication – Public Awareness – Public Education – Social Mobilization – Community Mobilization – Advocacy – Information Officer – Media Officer –

Communication Officer – Reporting Officer – Advocacy Officer - Development Support Communication – Pandemic Communication – Animal Health Communication – Human Health

Communication – Media Relations – Donor Relations – Corporate Relations – External Relations – Public Relations - Risk Communication – Outbreak Communication – Crisis Communication –

Emergency Communication - Behaviour Change Communication – Development Communication – Participatory Communication – Programme Communication – Information – Education -

Communication – Public Awareness – Public Education – Social Mobilization – Community Mobilization – Advocacy – Information Officer – Media Officer – Communication Officer – Reporting Officer – Advocacy Officer - Development Support Communication – Pandemic Communication –

Animal Health Communication – Human Health Communication – Media Relations – Donor Relations – Corporate Relations – External Relations – Public Relations - Risk Communication – Outbreak

Communication – Behaviour Change Communication – Development Communication – Participatory Communication – Programme Communication – Information – Education - Risk Communication –

Outbreak Communication – Crisis Communication – Emergency Communication - Behaviour Change Communication – Development Communication – Participatory Communication – Programme

Communication – Information – Education - Communication – Public Awareness – Public Education – Social Mobilization – Community Mobilization - Risk Communication – Outbreak Communication –

Crisis Communication – Emergency Communication - Behaviour Change Communication

Do we have a shared understanding of Do we have a shared understanding of ‘‘risk communication’?risk communication’?

Page 7: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014
Page 8: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014
Page 9: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

WHO believes that it is high time to acknowledge

crisis communication crisis communication as essential to outbreak

control as epidemiological training and laboratory

analysis.

Risk assessment

Event detection

Crisis communication

Con

trol

mea

sure

s

Evaluation

Event management cycleEvent management cycleEvent management cycleEvent management cycle

Page 10: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

• Expert consultation on Outbreak Communication (2004)

• WHO evidence-based communication guidance (2004)

• Outbreak Communication Planning Guide (2008)

• Communication for behavioural impact (COMBI) (2012)

WHO crisis communication guidance started in 2004WHO crisis communication guidance started in 2004

Literature & field experienceLiterature & field experience

Page 11: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

« The overriding goal for outbreak

communication is to communicate with the public in ways

that build, maintain or

restore TrustTrust  »

WHO Outbreak Communication Guidelines

Page 12: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Your motives

Are the risk managers acting to safeguard my

health?

Your honesty

Are the risk managers

holding back information?

Your skills

Are the risk managers

skilled enough to do the job?

Trust is the public perception Trust is the public perception ofof

Trust is the public perception Trust is the public perception ofof

Page 13: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Trust is the pillar of outbreak Trust is the pillar of outbreak controlcontrol

Trust is the pillar of outbreak Trust is the pillar of outbreak controlcontrol

« …the less people trust those who are supposed to protect

them, the more afraid the public will be and less likely they will be

to conform their choices and behavior with outbreak

management instructions ».WHO Outbreak Communication Guidelines

Page 14: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Trust is essential between

• communicators and policy makers;

• communicators and technical responders.

Building trust is also an internal processBuilding trust is also an internal process

The internal trust relationship is the “Trust Triangle”

Trust Tec

hnic

al

resp

onde

rs

Com

municators

Policy makers

Page 15: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis Communication - Core Capacity Crisis Communication - Core Capacity ComponentsComponents

Crisis Communication - Core Capacity Crisis Communication - Core Capacity ComponentsComponents

PLANNINGPLANNING

2. Public communication coordination

1. Transparency and early announcement of a real or

potential risk

4. Listening through dialogue

3. Information dissemination including

media relations

Page 16: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

1. Transparency and Early 1. Transparency and Early announcement of a real or announcement of a real or

potential riskpotential risk

1. Transparency and Early 1. Transparency and Early announcement of a real or announcement of a real or

potential riskpotential risk Those at real or potential risk can protect themselves; Trust between authorities populations and partners is maintained and strengthened.

Page 17: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

2. Public communication 2. Public communication coordinationcoordination

2. Public communication 2. Public communication coordinationcoordination

Existing public communication resources are used;

Messages are coordinated and confusion and overlap are reduced;

Reach and influence of provided advice are strengthened.

Page 18: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

3. Information dissemination 3. Information dissemination including Media relationsincluding Media relations

3. Information dissemination 3. Information dissemination including Media relationsincluding Media relations

Rapid and effective dissemination of information is crucial during health crisis and mass media are the pillar of it.

Not only media!•Health care workers; •Local and religious leaders;•Citizens’ representatives;•SMS •Social media; •Internet;•Toll-free telephone numbers;•Door-to-door visits

Page 19: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

4. Listening through dialogue4. Listening through dialogue4. Listening through dialogue4. Listening through dialogue

Community perceptions of risks are understood;

Adaptations to messages, materials and strategies are made;

Effectiveness of communication efforts is ensured to support sound decision making.

Page 20: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

1. Assessment

2. Coordination

3. Transparency

4. Listening

5. Communication evaluation

6. Emergency communication plan

7. Training

If crisis are difficult to predict, an outbreak If crisis are difficult to predict, an outbreak communication strategy can be plannedcommunication strategy can be planned

People respond to what outberak

controllers do, not just to what they say.

Crisis communication must be integrated in

risk management form the start.

Page 21: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis Communication - Crisis Communication - Lifecycle Lifecycle Crisis Communication - Crisis Communication - Lifecycle Lifecycle

Maintenance Evaluation

• Prepare• Make alliances• Agree on recommendations• Test messages

• Explain• Inform• Establish credibility• Guide action• Commit to communication

• Foster understanding of risks• Provide background• Foster support for plans• Listen• Empower

about risks • Educate for future response• Individual action• Support for relevant policies

• Promote agency activities

• Evaluate plan• Lessons learned• Identify

improvement

Page 22: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Communication planning allows decision making Communication planning allows decision making

1. What is the situation?

2. Why communicate?

3. To whom?

4. How?

5. When?

6. Who?

7. With what?

8. How is it going on?

9. How effective?

Evaluate the situation in context and time

Set objectives

Define target audience(s)

Outline strategy, channels and tools

Draw a timeline of action

Identify roles and partners

List human and economic resources

Monitor communication impact

Adjust the communication strategy

Page 23: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Gaps and challenges Gaps and challenges (from experience and feedback)

Gaps and challenges Gaps and challenges (from experience and feedback)

General devaluation of communication, not seen as a science;

Disconnect between technical and communication responders;

Low recognition of crisis communication capacity needs before a crisis starts;

Perception of crisis communication as an “add-on” not integrated in planning processes;

Limited financial and human resources dedicated to communication planning;

Unsuitability of planned procedures due to other sectors’ involvement and/or lead taken by the highest government’s level.

Page 24: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

• Extremely time pressuring

• Unpredictable & unfolding

• Socially and economically disruptive

• Behaviour–centred & anxiety generator

• Involving multiple stakeholders

• Shifting from national to international

Crisis communication is designed for Crisis communication is designed for health crisishealth crisis

Information dissemination

Dealing with uncertainty

Coordination - Listening

Listening

Coordination

Coordination

Page 25: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis Communication Resources Crisis Communication Resources Crisis Communication Resources Crisis Communication Resources

• WHO Outbreak Communication Guidelines (2005)www.who.int/infectious-disease-news/IDdocs/whocds200528/whocds200528en.pdf

• WHO Outbreak Communication Planning Guide (2008)www.who.int/ihr/elibrary/WHOOutbreakCommsPlanngGuide.pdf

•WHO Communication for behavioural Impact (2012)http://www.who.int/ihr/publications/combi_toolkit_fieldwkbk_outbreaks/en/

•CDC Crisis and Emergency Risk Communication Manual http://emergency.cdc.gov/CERC/

• PAHO Risk and Outbreak Communication http://new.paho.org/hq/index.php?option=com_content&view=article&id=1940&Itemid=1923&lang=en

Page 26: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis Communication - Crisis Communication - Lifecycle Lifecycle Crisis Communication - Crisis Communication - Lifecycle Lifecycle

Maintenance Evaluation

• Prepare• Make alliances• Agree on recommendations• Test messages

• Explain• Inform• Establish credibility• Guide action• Commit to communication

• Foster understanding of risks• Provide background• Foster support for plans• Listen• Empower

about risks • Educate for future response• Individual action• Support for relevant policies

• Promote agency activities

• Evaluate plan• Lessons learned• Identify

improvement

Page 27: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

What the public seeks from your communication

What the public seeks from your communication

5 public concerns. . .

1. Gain wanted facts

2. Empower decisionmaking

3. Involved as a participant, not spectator

4. Provide watchguard over resource allocation

5. Recover or preserve well-being and normalcy

Page 28: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Crisis and Emergency Risk Communication impacts

Crisis and Emergency Risk Communication impacts

5 organizational concerns -- you need to. . .

1. Execute response and recovery efforts

2. Decrease illness, injury, and deaths

3. Avoid misallocation of limited resources

4. Reduce rumors surrounding recovery

5. Avoid wasting resources

Page 29: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

5 communication failures that kill operational success

5 communication failures that kill operational success

1. Mixed messages from multiple experts

2. Information released late

3. Paternalistic attitudes

4. Not countering rumors and myths in real-time

5. Public power struggles and confusion

Page 30: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

5 communication steps that boost operational success

5 communication steps that boost operational success

1. Execute a solid communication plan

2. Be the first source for information

3. Express empathy early

4. Show competence and expertise

5. Remain honest and open

Page 31: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Psychology of a Crisis

Psychology of a Crisis

Page 32: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

What Do People Feel Inside When a Disaster Looms or Occurs?

What Do People Feel Inside When a Disaster Looms or Occurs?

Psychological barriers:1. Denial2. Fear, anxiety, confusion, dread3. Hopelessness or helplessness4. Seldom panic

Page 33: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Individuals at risk—the cost?Individuals at risk—the cost?

Demands for unneeded treatment Dependence on special relationships (bribery) MUPS—Multiple Unexplained Physical

Symptoms Self-destructive behaviors Stigmatization

Page 34: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Communicating in a Crisis Is DifferentCommunicating in a Crisis Is Different

Public must feel empowered – reduce fear and victimization

Mental preparation reduces anxiety Taking action reduces anxiety Uncertainty must be addressed

Page 35: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Decisionmaking in a Crisis Is DifferentDecisionmaking in a Crisis Is Different

People simplify Cling to current beliefs We remember what we see or previously

experience (first messages carry more weight) People limit intake of new information (3-7 bits)

Page 36: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

 How Do We Communicate About Risk in an Emergency?

 How Do We Communicate About Risk in an Emergency?All risks are not accepted equally Voluntary vs. involuntary Controlled personally vs. controlled by others Familiar vs. exotic Natural vs. manmade Reversible vs. permanent Statistical vs. anecdotal Fairly vs. unfairly distributed Affecting adults vs. affecting children

Page 37: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Be Careful With Risk Comparisons

Be Careful With Risk Comparisons

Are they similarly accepted based on– high/low hazard (scientific/technical measure)– high/low outrage (emotional measure)

A. High hazard B. High outrage

C. Low hazard D. Low outrage

Page 38: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk Acceptance ExamplesRisk Acceptance Examples

Dying by falling coconut or dying by shark– Natural vs. manmade– Fairly vs. unfairly distributed– Familiar vs. exotic– Controlled by self vs. outside control of self

Page 39: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Emergency Risk Communication Principles

Emergency Risk Communication Principles

Don’t overreassure Acknowledge that there is a process in place Express wishes Give people things to do Ask more of people

Page 40: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

  Risk Communication Principles for Emergencies

  Risk Communication Principles for Emergencies

When the news is good, state continued concern before stating reassuring updates

“Although we’re not out of the woods yet, we have seen a declining number of cases each day this week.”

“Although the fires could still be a threat, we have them 85% contained.”

Page 41: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk Communication Principles for Emergencies  

Risk Communication Principles for Emergencies  

Under promise and over deliver . . .

Instead of making promises about outcomes, express the uncertainty of the situation and a confident belief in the “process” to fix the problem and address public safety concerns.

Page 42: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

  Risk Communication Principles for Emergencies

  Risk Communication Principles for Emergencies

Allow people the right to feel fear

Don’t pretend they’re not afraid, and don’t tell them they shouldn’t be.

Acknowledge the fear, and give contextual information.

Page 43: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Six PrinciplesSix Principles Be First: If the information is yours to provide by

organizational authority—do so as soon as possible. If you can’t—then explain how you are working to get it.

Be Right: Give facts in increments. Tell people what you know when you know it, tell them what you don’t know, and tell them if you will know relevant information later.

Be Credible: Tell the truth. Do not withhold to avoid embarrassment or the possible “panic” that seldom happens. Uncertainty is worse than not knowing—rumors are more damaging than hard truths.

Page 44: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Six PrinciplesSix Principles

Express Empathy: Acknowledge in words what

people are feeling—it builds trust.

Promote Action: Give people things to do. It calms anxiety and helps restore order.

Show Respect: Treat people the way you want to be treated—the way you want your loved ones treated—always—even when hard decisions must be communicated.

Page 45: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

StigmatizationStigmatization

Page 46: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Why people stigmatizeWhy people stigmatize

Shortcut when uncertainty and threat are both present to protect against physical and emotional harm

Occurs in a social context Expect it early in a severe influenza pandemic

unless dominant group first to become ill

Page 47: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

The toll of stigmatizationThe toll of stigmatization

Emotional pain (e.g., stress & anxiety) Limited access to health care, education,

housing, and employment Physical violence Affects minority groups differently Potential for group conflict (i.e., a group-level

ethnocentric worldview)

Page 48: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Role for communicationRole for communication

Communication must balance the real risk with needless association of an identifiable group

Take an active role in dispelling misperceptions Correct faulty assumptions

Page 49: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Steps before, during & afterSteps before, during & after

Avoid geographic links if not necessary (e.g., Spanish pandemic versus 1918 pandemic)

Avoid visuals that link group to threat--watch out

for subconscious links: Avian Influenza H5N1

Teach response professionals about stigma Share with media the concern Scan for stigma and confront quickly Watch out when creating historical products

Page 50: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Understanding loss and

bereavement

Understanding loss and

bereavement

Page 51: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Grief and mourningGrief and mourning

The circumstances of the death Nature of the relationship to deceased Prior loss experience Secondary losses Grieving is done in a cultural context

Page 52: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Severe outbreak and lossSevere outbreak and loss

Multiple deaths in families Truncated bereavement rituals Potential for kinship from shared misery Responders could feel guilt

Page 53: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Compassion in communicationCompassion in communication

People will expect demographic details of first deaths (“How do I compare?”)

Look of official reports must be respectful (web) Responders may be losing members too People mourn financial loss too

Page 54: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Theories of grief & mourningTheories of grief & mourning

Dual process model (loss-oriented vs restoration-oriented

Integrative model—family oriented Death of a child (“Parents expect to see their

children grow and mature”) Disenfranchised grief

Page 55: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Cultural differencesCultural differences

Acceptance versus avoidance U.S. dominant group culture

– Little interaction with death/dying– Care ends at gravesite ceremony– No transition period from life to death– Death is failure, to be avoided

Page 56: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Dominant group expectationsDominant group expectations

Rational is more important than emotion Move to restoration orientation quickly Rituals not important

Understanding bereavement rituals of host culture is important—South American Wari tribe

Page 57: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Cultural differences?Cultural differences?

Have you been to a funeral outside your own culture? What is the color of mourning?

What matters matters a lot Acculturation attenuates differences—don’t

stereotype Religious difference are cultural differences Bereavement ignored will cost in

personal/community resilience

Page 58: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Messages and Audiences

Messages and Audiences

Page 59: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

The STARCC PrincipleThe STARCC Principle

Your public messages in a crisis must be:

Simple

Timely

Accurate

Relevant

Credible

Consistent

Page 60: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

What the Public Will Ask FirstWhat the Public Will Ask First

Are my family and I safe? What have you found that may affect me? What can I do to protect myself and my family? Who caused this? Can you fix it?

Page 61: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

What the Media Will Ask FirstWhat the Media Will Ask First

What happened? Who is in charge? Has this been contained? Are victims being helped? What can we expect? What should we do? Why did this happen? Did you have forewarning?

Page 62: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Judging the MessageJudging the Message

Speed counts – marker for preparedness Facts – consistency is vital Trusted source – can’t fake these

Page 63: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Match Audiences and Concerns

Match Audiences and Concerns

Audiences Victims and their families Politicians First responders Trade and industry Community far outside

disaster Media

Concerns Opportunity to express

concern Personal safety Resources for response Loss of revenue/liability Speed of information flow Anticipatory guidance Family’s safety

Page 64: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Perceptions of governmentPerceptions of government

Wide range from distrust to confidence Government withholds information Importance of local health and elected

authorities Government should operate with complete

openness and disclosure

Page 65: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Emergency InformationEmergency Information

Any information is empowering Benefit from substantive action steps Plain English Illustrations and color Source identification

Page 66: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Accuracy of Information

__________

Speed of Release

Empathy+

Openness

CREDIBILITY

Successful Communication

=+

TRUST

Page 67: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Initial MessageInitial Message

Must Be short Be relevant Give positive action steps Be repeated

Page 68: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Initial MessageInitial Message

Must Not Use jargon Be judgmental Make promises that can’t be kept Include humor

Page 69: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Writing for the Media During a Crisis

Writing for the Media During a Crisis

The pressure will be tremendous from all quarters.

It must be fast and accurate. It’s like cooking a turkey when people are

starving. If information isn’t finalized, explain the process.

Page 70: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

International Crises & Cultural

Competence

International Crises & Cultural

Competence

Page 71: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Communication assumptionsCommunication assumptions

Job to prevent illness or death, restore or maintain calm, engender confidence in response

Emergencies are chaotic so roles should be simplified

Confusion is reduced with fast, relevant, simple and consistent messages

Communication resources will be limited

Page 72: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

What we knowWhat we know

The more the public knows about our efforts to openly share information, the more they trust us

Messages are judged based on trustworthiness Some differences don’t matter, some do

Page 73: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Differences that matterDifferences that matter

Role of culture– All individuals like no other (individual) – All individuals like some others (culture)– All individuals like all others (homo sapiens)

Collectivism and Individualism (in-group versus out-group)

Cultural beliefs held more strongly during crisis Communication styles differ by culture

Page 74: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Let’s discuss what culture isLet’s discuss what culture is

Countless value, languages, customs, ethics . . Culture-general knowledge and culture-specific

knowledge Example: culture general—enter new culture

look for differences in: authority, delegation, etiquette, communication styles

Example: culture specific—know the specifics of a culture as it compares to your own

Page 75: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Value of cultural competenceValue of cultural competence

Reduces ethnocentric thinking and behavior (adaptability in crisis is a strength)

Trust builds more quickly Beware of cultural “gotchas” in self and others

Page 76: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Quick exercise: How cultures differ

Quick exercise: How cultures differ

• Crowd or audience behaviors

• How often we smile or to whom

• How we see old age• How open or guarded

we are with information• What is or is not ethical

behavior• Importance of

competition

How time is understood and used

The importance of harmony in a group

What’s polite or impolite If, how and when we touch

each other What is beautiful or ugly What we believe we need or

don’t need

Page 77: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Cultural ConflictCultural Conflict

Cultural conflict dimensions. content and relational all have, cultural conflict adds the third one--"a clash of cultural values."

Acknowledge conflict contains a cultural dimension

Understanding your own culture and developing cultural awareness by acquiring a broad knowledge of values and beliefs of other cultures

Page 78: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Cultural communication stylesCultural communication styles

Communication occurs when sender’s message is received

Messages that do not challenge cultural beliefs will be more easily received

Page 79: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Stakeholder/ Partner

Communication

Stakeholder/ Partner

Communication

Page 80: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Stakeholder/Partner Communication

Stakeholder/Partner Communication

Stakeholders have a special connection to you and your involvement in the emergency.

They are interested in how the incident will impact them.

Partners have a working relationship to you and collaborate in an official capacity on the emergency issue or other issues.

They are interested in fulfilling their role in the incident and staying informed.

Page 81: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Stakeholders can be . . .Stakeholders can be . . .

Advocate–maintain loyalty Adversary–discourage negative action Ambivalent–keep neutral or move to advocate

Page 82: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Sources of Social PressureSources of Social Pressure

What will I gain? What will it cost me? What do those important to me want me to do? Can I actually carry it out?

Page 83: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Trust and MistrustTrust and Mistrust

Stakeholders judge the response to an issue or crisis based on trust

Trust is the natural consequence of promises fulfilled

Mistrust is an outgrowth of the perception that promises were broken and values violated

CDC fulfills trust by combining our best science with strong ethics and values

Page 84: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Consequences of mistrustConsequences of mistrust

Health recommendations ignored and disease and death go up

Demands for misallocation of resources Public health policies circumvented Opportunists prey on others in the “trust gap” Fiscal and medical resources are wasted

We can’t accomplish our mission

Page 85: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Causes of conflict: perception by either party

of

Causes of conflict: perception by either party

of Superiority Injustice Distrust Vulnerability Helplessness

Page 86: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Egregious Mistakes Egregious Mistakes

Deny the problem exists Shoot the messenger Respond with silence Respond with evasion/half truths Selectively tell the story Overtell the story Take an “I” perspective Point fingers

Page 87: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Why do people come to the town hall?

Why do people come to the town hall?

Then why do we conduct meetings the way we do?

Page 88: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Convening a Citizen’s ForumConvening a Citizen’s Forum

Acknowledge concerns Encourage fact-finding Share power Act trustworthy Offer contingent commitments

Page 89: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Empower Group DecisionmakingEmpower Group Decisionmaking

Identify alternatives Analyze alternatives Present all scientific information Choose “want” versus “must” criteria Reach a clear, justifiable decision

Page 90: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Don’t lecture at the TownhallDon’t lecture at the Townhall

Easy but not effective Doesn’t change thoughts/behaviors Key: don’t give a solution, rather help audience

discover solution by asking questions

Page 91: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Dealing With Angry PeopleDealing With Angry People

Anger arises when people. . . Have been hurt Feel threatened by risks out of their control Are not respected Have their fundamental beliefs challenged

Sometimes, anger arises when . . . Media arrive Damages may be in play

Page 92: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

High-Outrage Public Meetings

High-Outrage Public Meetings

“Do’s” The best way to deal with criticism and outrage

by an audience is to acknowledge that it exists. (Don’t say, “I know how you feel.”)

Practice active listening and try to avoid interrupting.

State the problem and then the recommendation.

Page 93: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

High-Outrage Public Meetings

High-Outrage Public Meetings

“Don’ts” Don’t take personal abuse. You represent your

agency and you are not alone. Bring along a neutral third party who can step in and diffuse the situation.

Don’t look for one answer that fits all and don’t promise what you can’t deliver.

Page 94: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Acting TrustworthyActing Trustworthy

Share information early Acknowledge the concerns of others Under-promise and over-deliver Select a spokesperson who is never

condescending Use third-party validators/advocates

Page 95: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Stakeholder PreplanningStakeholder Preplanning

Do an assessment Identify stakeholders Query stakeholders Prioritize by relationship to incident Determine level of “touch”

Page 96: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Responding to StakeholdersResponding to Stakeholders

Standby statement Reaction action plan Web page for partners Conference call Meet face-to-face Commit to a schedule of updates

Page 97: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Gaining AcceptanceGaining Acceptance

Accumulate “yeses” Don’t say “but”—say “yes, and”

Page 98: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Risk Communications PlanRisk Communications Plan

Page 99: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Create and update your planCreate and update your plan

Integrate into overall emergency response plan Endorsed by higher-ups Input from stakeholders Coordinate with partners Longer is not better Practice, practice, practice

Page 100: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

10 Steps for Success10 Steps for Success1. Obtain signed endorsement from leadership

2. Designate responsibilities for media, public, social media, and partner teams

3. Verify clearance/approval procedures

4. Establish agreements on who releases what, when, and how

5. Maintain current staff, partner and media contact lists (including after-hours contacts)

6. Build relationships with partners and media

7. Establish procedures to coordinate with other response teams

8. Designate spokespersons for public health issues

9. Have agreements and procedures to join the joint information center of the emergency operations center

10.Develop procedures to secure needed resources (space, equipment, people)

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Applying the PlanApplying the Plan

1. Verify the situation

2. Notify others

3. Conduct crisis assessment

4. Organize assignments quickly

5. Prepare information and obtain approvals

6. Release information through prearranged channels

7. Obtain feedback and conduct evaluation

8. Conduct public education

9. Monitor events

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Social Media: Crisis Role

Social Media: Crisis Role

Page 103: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Sources of Social PressureSources of Social Pressure

What will I gain? What will it cost me? What do those important to me want me to do? Can I actually carry it out?

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CDC: Why social media in a crisis

CDC: Why social media in a crisis

Need to be where people are Leverage unique characteristics of emerging

channels Tailored health messages Facilitates interactive communication and

community Empowers people in making health decisions

Page 105: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

CDC Audiences Use Social Media

CDC Audiences Use Social Media

Those who use social media on CDC.gov:– Have higher satisfaction ratings (84 out of

100) than those who do not use CDC social media tools (79 out of 100)

– Are more likely to return and recommend the site to others than those who do not use CDC social media tools

– Rate CDC as more trustworthy that those who do not use CDC’s social media tools

Page 106: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Trust, transparency & participation in government

Trust, transparency & participation in government

Pilot to measure TTP in government CDC scored higher than other Fed agencies/benchmark Largest difference for collaboration online

Participant CDC Total Difference

Online participation

73 65 8

Collaboration 80 68 12

Trust 87 81 6

Page 107: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

www.cdc.gov/socialmediawww.cdc.gov/socialmedia

Page 108: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Working With the Media

Working With the Media

Page 109: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Disasters Are Media Events Disasters Are Media Events

We need the media to be there. Give important protective actions for the public. Know how to reach their audiences and what

their audiences need.

Page 110: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Response Officials ShouldResponse Officials Should

Understand that their job is not the media’s job Know that they can’t dismiss media when they’re

inconvenient Accept that the media will be involved in the

response, and plan accordingly

Page 111: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Response Officials ShouldResponse Officials Should

Attempt to provide all media equal access Use technology to fairly distribute information Plan to precredential media for access to

EOC/JOC or JIC Think consistent messages

Page 112: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Response Officials Should Not

Response Officials Should Not

Hold grudges Discount local media Tell the media what to do

Page 113: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

How To Work With ReportersHow To Work With Reporters

Reporters want a front seat to the action and all information NOW.

Preparation will save relationships. If you don’t have the facts, tell them the process. Reality Check: 70,000 media outlets in U.S.

Media cover the news 24/7.

Page 114: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Media, Too, Are Affected by Crises

Media, Too, Are Affected by Crises

Verification Adversarial role National dominance Lack of scientific expertise

Page 115: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Command PostCommand Post

Media will expect a command post. Official channels that work well will discourage reliance on nonofficial channels.

Be media-friendly at the command post—prepare for them to be on site.

Page 116: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

SpokespersonSpokesperson

Page 117: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Role of a Spokesperson in an Emergency

Role of a Spokesperson in an Emergency

Take your organization from an “it” to a “we” Build trust and credibility for the organization Remove the psychological barriers within the

audience Gain support for the public health response Ultimately, reduce the incidence of illness, injury,

and death by getting it right

Page 118: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

Pitfalls for SpokespersonsPitfalls for Spokespersons

Use of jargon Humor Repeating the negative Expressing personal opinions Showing off your vocabulary

Page 119: Crisis and Emergency Risk Communication Guatemala City, Guatemala March 2014

SpokespersonSpokesperson

How to be an effective and trusted spokesperson in 5 minutes of less

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Great Spokesperson Step 1Great Spokesperson Step 1

It’s more than “acting natural.” Every organization has an identity. Try to embody that identity.

Example: CDC has a history of going into harm’s way to help people. We humbly go where we are asked. We value our partners and won’t steal the show. Therefore, a spokesperson would express a desire to help, show courage, and express the value of partners. “Committed but not showy.”

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Great Spokesperson Step 2Great Spokesperson Step 2

Know your audience Your audience is NOT the reporter interviewing

you