Process and components of disaster risk communication in health systems: A thematic analysis

Risk communication (RC) is one of the necessary functions in disaster management. Establishing communication processes such as planning, transparency of policies and guidelines, RC expert training, providing communication infrastructure and evaluation in the shortest period reduces confusion and management inconsistency. One of the existing challenges is not knowing the exact dimensions of risk communication and its components in disasters. The aim was to identify the components of disaster risk communication in the health system. This research was conducted by systematic review and searching of the databases of PubMed, Scopus, Web of Science, ProQuest, Google Scholar and ScienceOpen 2000-2021 to identify the components of disaster risk communication in the health system. Thematic content analysis was used for data analysis. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 chart was used for systematic search, and a modified Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) was used for quality determination. Out of 12 342 articles extracted, 25 studies were included for analysis. The components of disaster risk communication were analysed in 6 categories and 19 subcategories. These categories include communication (communication processes, communication features and infrastructure), information (content production, content characteristics and publishing), risk communication management (risk perception assessment, planning, coordination and logistics), monitoring and control (monitoring and evaluation, accreditation, documentation), education and training (public and organisational) and ethics and values (culture and social beliefs, ethics and trust). According to this research, the establishment of communication infrastructure and advanced equipment such as various structured formats for communication and artificial intelligence; online and offline communication support systems; and timely and accurate notice can help achieve goals such as coordination and organisation in the health system and increase social participation.

Contribution

This study has clarified and explained all the main components and measures of risk communication that can be used for planning scientifically.

Reality Construction of Disaster Discourses on Twitter: Analysis of Corpus-Assisted Discourse Study on Forest Fires in Indonesia From 2014-2019

This paper takes the form of a case study of forest fires that occurred in Indonesia from 2014 to 2019 and were reported on the social media of Twitter. The study was a corpus-assisted discourse study (CADS) using data scraping or text mining on Twitter based on the keyword "kebakaran hutan" [forest fire] and discourse analysis. The actor-network theory was used to map the actors involved. This study concludes that five discourses show a consistently large pattern of Twitter users responding to the problem of forest fires in Indonesia. Regarding the actors, the government takes an essential role of leadership and information arbitrage on Twitter. Seeing as it is the state's responsibility to ensure the safety of all people, the government must appear to be the main holder of control in managing disaster information traffic to avoid irresponsible information or hoaxes disseminated by parties or actors. These results indicate that the availability of information obtained from every conversation of Twitter users can be used as a study or input in the formulation of evidence-based policy about forest fires. It should be given more attention as an alternative means of solving the issue of forest fires, which has become an annual problem in Indonesia.

The timing of storm awareness in the Caribbean: the utility of climate information for improved disaster preparedness

Noting the frequency of tropical storm hazards and related disasters within the Caribbean, this paper initially highlights the relatively short average period of 'storm awareness timing' in the region, less than 24 hours, with variations in time and space. Next, it evaluates the results of a survey on communicating disaster risk by a range of participants at the 2016 Wet/Hurricane Season Caribbean Community Climate Outlook Forum in Dominica. Respondents commented that there may be a 'weekend effect' possibly hindering quick action and suggested that improved institutional support was needed to use climate information better. Analysis of these two datasets in tandem offers a unique understanding of whether the timing of events may contribute to limitations on responses by local authorities. Lastly, the paper ends with insights into how this research can assist regional authorities in enhancing and utilising climate information for disaster risk reduction, as well as by indicating where critical issues remain.

Investigating the prevention and mitigatory role of risk communication in the COVID-19 pandemic: A case study of Bloemfontein, South Africa

The South African disaster response activities surpass risk reduction since the implementation of the Disaster Management Act 57 of 2002 (DMA) and the National Disaster Management Framework of 2005 (NDMF). Risk reduction, in particular risk communication, remained unexploited until the occurrence of coronavirus disease 2019 (COVID-19) pandemic. The legislation and policy mandate a proactive approach for disaster management, requiring a focus on disaster risk reduction. Therefore, this study aimed to assess the significance of risk communication as a critical prevention and mitigatory strategy in disaster risk management, focusing on the COVID-19 pandemic. Key to risk communication success is ensuring adequate comprehension, accurate perception of the disseminated information, and compliance with regulations. Questions of trustworthiness, acceptability, effectiveness, and usefulness of messages and strategies communicated sought answers from the Bloemfontein population. Furthermore, the Agenda-setting Theory provided the grounding for the study. The study sample was picked in a stratified random sampling manner, using the confidence level and margin of error equation. A questionnaire survey was used to collect the data required to achieve the research objectives. Risk communication as a disaster risk reduction strategy implemented concurrently with imposed regulations was found to have played a vital role in mitigating the virus spread. However, the respondents were not aware of the local disaster management centre, which is supposed to be engaged in COVID-19 disaster management activities.

Trust and Public Health Emergency Events: A Mixed-Methods Systematic Review

The systematic review examined the phenomenon of trust during public health emergency events. The literature reviewed was field studies done with people directly affected or likely to be affected by such events and included quantitative, qualitative, mixed-method, and case study primary studies in English (N = 38) as well as Arabic, Chinese, French, Russian, and Spanish (all non-English N = 30). Studies were mostly from high- and middle-income countries, and the event most covered was infectious disease. Findings from individual studies were first synthesized within methods and evaluated for certainty/confidence, and then synthesized across methods. The final set of 11 findings synthesized across methods identified a set of activities for enhancing trust and showed that it is a multi-faceted and dynamic concept.

Presenting or Spinning Facts? Deconstructing the U.S. Centers for Disease Control Statement on the Importance of Reopening Schools Under COVID-19

Credible, reliable and consistent information to the public, as well as health professionals and decision makers, is crucial to help navigate uncertainty and risk in times of crisis and concern. Traditionally, information and health communications issued by respected and established government agencies have been regarded as factual, unbiased and credible. The U.S. Centers for Disease Control and Prevention (CDC) is such an agency that addresses all aspects of health and public health on behalf of the U.S Government for the benefit of its citizens. In July 2020, the CDC issued guidelines on reopening schools which resulted in open criticism by the U.S. President and others, prompting a review and publication of revised guidelines together with a special "Statement on the Importance of Reopening Schools under COVID-19." We hypothesize that this statement introduced bias with the intention to shift the public perception and media narrative in favor of reopening of schools. Using a mixed methods approach, including an online text analysis tool, we demonstrate that document title and structure, word frequencies, word choice, and website presentation did not provide a balanced account of the complexity and uncertainty surrounding school reopening during the COVID-19 pandemic. Despite available scientific guidance and practical evidence-based advice on how to manage infection risks when reopening schools, the CDC Statement was intentionally overriding possible parent and public health concerns. The CDC Statement provides an example of how political influence is exercised over the presentation of science in the context of a major pandemic. It was withdrawn by the CDC in November 2020.