Crisis & Risk Communication Guidelines, Reports, & Relevant Peer Reviewed Research Papers
Documents in English
- The World Health Organisation. (2018). Risk Communication and Community Engagement (RCCE) Considerations: Ebola Response in the Democratic Republic of the Congo.
- This document was developed by the World Health Organization’s Health Emergencies Programme as a resource for the response to the Ebola Virus Disease (Ebola) outbreak in the Democratic Republic of the Congo in May 2018. It is intended to be used to guide risk communication and community engagement (RCCE) work which is central to stopping the outbreak and preventing its further amplification.
- Aakko E. (2004). Risk Communication, Risk Perception, and Public Health. Wisconsin Medical Society; 103: 25-27.
- Two-page document by Eric Aakko, from the Bureau of Environmental Health, Wisconsin Department of Health and Family Services, USA, which defines risk communication and risk perception and summarizes key studies relating to effective risk communication in the public health context.
- Association of State and Territorial Health Officials (ASTHO). Addressing Communication Challenges During an Infectious Disease Emergency Response: States Experiences from the H1N1 Pandemic.
- This report analyzes state experiences during the 2009 H1N1 pandemic response in the U.S and comments on possible avenues to address communication challenges that local health agencies encounter when responding to an outbreak.
- Chandler C., Fairhead J., Kelly A., et al. (2015). Ebola: limitations of correcting misinformation. The Lancet; 385: 1275-1277.
- The authors of this Lancet Comment, members of the Ebola Response Anthropology Platform, question the assumption that messaging based only biomedical facts can always correct local logic, concerns, and rumors. It is argued that most effective approaches to managing an Ebola like crisis are likely to be diverse. locally sustainable and developed with respect for local cultures and beliefs.
- Covello V.T. (2003). Best Practices in Public Health Risk and Crisis Communication. Journal of Health Communication; 8: 5-8.
- This publication provides a review of the best practices in public health emergency risk communication.
- Dalrymple K.E., Young R., Tully M. (2016). “Facts, Not Fear”. Science Communication; 38: 442-467.
- This paper uses analysis from the 2014-2016 Ebola crisis to evaluate ways to manage uncertainty during emerging infectious disease outbreaks.
- Dickmann P., McClelland A., Gamhewage G.M., et al. (2015). Making sense of communication interventions in public health emergencies – an evaluation framework for risk communication. Journal of Communication in Healthcare; 8: 233-240.
- This article puts forward a new risk communication evaluation framework in the context of infectious diseases outbreaks, using measurable performance parameters link to the disease’s dynamics and epidemic curve.
- European Center for Disease Prevention and Control (ECDC). (2014). Social Media Strategy Development: A Guide to Using Social Media for Public Health Communication.
- This ECDC guidance document aims to provide public health organizations and agencies with practical recommendations on how to integrate social media into their communication strategies, in particular in the context of infectious disease prevention, response and outbreak risk communication.
- European Center for Disease Prevention and Control (ECDC). (2014). A literature review on effective risk communication for the prevention and control of communicable diseases in Europe.
- This ECDC literature review analyses the existing literature and knowledge on risk communication related to infectious diseases, in particular focusing on current risk communication definitions, methodologies & guidelines, as well as insights and past lessons learned.
- Fast S.M., Mekaru S., Brownstein J.S., et al. (2015). The Role of Social Mobilization in Controlling Ebola Virus in Lofa County, Liberia. PLoS Currents Outbreaks; 1.
- Using data from the 2014-2016 Ebola crisis in Liberia, this study models the spread of the Ebola virus with and without behavior change. This research highlights the importance of risk communication and awareness induced behavior changed in curbing the Ebola outbreak in Liberia.
- Fortune F., Chungong C., Kessinger A. (2011). Community Radio, Gender & ICTs in West Africa, How Women are Engaging with Community Radio Through Mobile Phone Technologies: Search for Common Grounds.
- This report describes a comparative study across Sierra Leone, Liberia and Guinea exploring the intersection between radio, gender and information communication technologies.
- Hobbs J., Kittler A., Fox S., et al. (2004). Communicating health information to an alarmed public facing a threat such as a bioterrorist attack. Journal of Health Communication; 9.
- This study explores the role of the internet in managing risk communication in the context of a bioterrorist attack. While the results of this study are nested in the context of a deliberate event, they can be extrapolated to broad range infectious diseases related crises.
- Institute of Medicine. (2010). The 2009 H1N1 Influenza Vaccination Campaign: Summary of a Workshop Series. Washington, DC: The National Academies Press.
- The Institute of Medicine held a number of workshops to gather lessons learned from the vaccination campaigns during the 2009 H1N1 pandemic in the U.S. The participants’ past experiences, strategies, and recommendations are summarized in this report.
- Jacobsen K.H., Aguirre A.A., Bailey C.L., et al. (2016). Lessons from the Ebola Outbreak: Actions Items for Emerging Infectious Disease Preparedness and Response. EcoHealth; 13.
- This article provides a list of actions items and research priorities the global community can take to improve preparedness for future infectious disease crisis, including strengthening risk communication capacities by engaging with local social scientists, as well as better understanding the role of social media in effective communication.
- Maduka O., Maleghemi S., Komakech W., et al. (2016). Effective risk communication and contact tracing for Ebola virus disease prevention and control Experiences from Port Harcourt. Nigeria Public Health; 135: 140-143.
- This papers explore the success of the Ebola outbreak response in Nigeria, highlighting the importance of effective risk communication and contact tracing strategies and of a robust EOC to coordinate emergency management activities and information sharing.
- Milken Institute School of Public Health, George Washington University. (2016). Ebola Risk Communication Project in Liberia: Lessons in Crisis Communication.
- This report by the Milken Institute School of Public Health provides insights into the channels, types, and reliability of information shared with the Liberian population during the 2014-2016 Ebola crisis. The data analyzed in this report reveal ways and areas to improve with regard to future crisis communication strategies.
- Robinson S.J., Newstetter W.C. (2003). Uncertain science and certain deadlines: CDC responses to the media during the anthrax attacks of 2001. Journal of Health Communication; 8, Suppl 1.
- Through interviews, this study analyzes how CDC staff perceived their response to the 2001 anthrax attack in the US, providing insights and lessons learned for the development of more robust communication infrastructures and strategies during future crises.
- Ropeik D. (2007). Risk Communication, an overlooked took for improving Public Health. Maxey-Rosenau-Last Public Health and Preventive Medicine: Fifteenth Edition: McGraw Hill Professional.
- This book chapter outlines the evolution of the definition of risk communications and explains how the biology of fear and the psychology of risk perception can provide insight into developing better risk communications strategies while using real life events and crises.
- Rosenbaum L. (2015). Communicating Uncertainty – Ebola, Public Health, and the Scientific Process. New England Journal of Medicine; 372: 7-9.
- This paper explores the challenges of communicating uncertainty without generating fear during an infectious disease outbreak, using real examples like the 2001 anthrax crisis, the 2003 SARS epidemic, and the 2014-2016 Ebola crisis.
- Toppenberg-Pejcic D., Noyes J., Allen T., et al. (2018). Emergency Risk Communication: Lessons Learned from a Rapid Review of Recent Gray Literature on Ebola, Zika, and Yellow Fever. Health Communication.
- A review of gray literature from 2015 to 2016 was conducted to identify the lessons learned for emergency risk communication from recent outbreaks of Ebola, Zika, and yellow fever. The literature highlights the importance of local communities. A one-size-fits-all approach does not work. For maximum effectiveness, local communities need to be involved with and own emergency risk communication processes, preferably well before an emergency occurs. Social media can open new avenues for communication, but is not a general panacea and should not be viewed as a replacement for traditional modes of communication. In general, the gray literature indicates movement toward greater recognition of emergency risk communication as a vitally important element of public health.
- Shrivastava S.R., Shrivastava P.S., Ramasamy J. (2016). Risk Communication: An Integral Element in Public Health Emergencies. International Journal of Preventive Medicine; 7: 12.
- This letter to the Editor of the International Journal of Preventive medicine explains the importance of risk communication is preventing and responding to public health crises.
- The U.S Center for Disease Prevention and Control. (2014). Crisis Emergency Risk Communications (CERC): Basic Zcard.
- This document summarizes all the key element of the CERC recommendations developed by CDC in a user-friendly format.
- The U.S Center For Disease Prevention and Control. (2015). Crises Emergency Risk Communications (CERC): The First 48 Hours Checklist.
- This CDC document outlines the key crisis and emergency risk communication actions that need to be performed during the first 48 hours of an emergency.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): CERC Assessment Tool.
- This CDC document provides guidance for the initial intensity assessment of a crisis event.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC) – CHECKLIST: Basic tenets of emergency risk communication.
- This CDC document provides a basic checklist of best practices for crisis and emergency risk communication.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): Template for News Release.
- This CDC document can be used as a template for the release of the initial official statement regarding a crisis event.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): Immediate Response.
- This CDC document outlines in a checklist format the immediate steps to take when a crisis hits.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): Message Template for the First Minutes of all Emergencies.
- This CDC document can be used as a template during the first minutes of a crisis event or incident.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): Staffing Planning Worksheet.
- This CDC document is a worksheet to plan staffing requirements for emergency communication response.
- The U.S Center For Disease Prevention and Control. (2015). Crisis Emergency Risk Communications (CERC): Special Population Assessment Tool.
- This CDC document is a tool to assess special populations and help identify subgroups that may require different messages or different communication channels.
- The U.S Center For Disease Prevention and Control. Crisis and Emergency Risk Communication (CERC) And Ebola 2016.
- A Risk Communication Action Planned developed by CDC following the 2014-2016 Ebola crisis outlining steps for the implementation of a national risk communication specifically for Ebola.
- The U.S Center for Disease Prevention and Control (CDC). (2014). Crisis and Emergency Risk Communication Manual.
- The U.S Center for Disease Prevention and Control (CDC). (2015). Crises Emergency Risk Communications (CERC): Anticipated Questions Worksheet.
- This CDC document is a worksheet on the commonly asked questions by the media and other stakeholders during a crisis.
- The World Health Organization (WHO). (2004). Best practices for communicating with the public during an outbreak.
- This report was developed by WHO after the SARS epidemic. The first half of the report focuses on past outbreak experiences and describes the communication challenges. The second half turns these past experiences into best practices and recommendations for communication during an outbreak.
- The World Health Organization (WHO). (2005). Outbreak Communication Guidelines.
- This document was developed by WHO following an extensive literature review on risk communications during infectious disease outbreaks – the results of this review are summarized here in a step by step list of best practices.
- The World Health Organization (WHO). (2014). Involving Everyone: Social Mobilization is key an Ebola outbreak response in Guinea.
- WHO post illustrating the importance of social mobilization and community engagement in responding to infectious diseases outbreaks.
- The World Health Organization (WHO). (2015). Chapter 7: Risk and crisis communication in: Endericks T, McCloskey B, Vincent E, et al., eds. Public Health For Mass Gathering: Key Considerations. Geneva: WHO Publishing.
- Book chapter developed by WHO describing best practice in risk communication in the context of mass gathering. The recommendation provided in this chapter can be applied to many public health emergency situations, including infectious disease outbreaks.
- The World Health Organization (WHO). Risk Communication in the context of Zika virus 2016.
- This document developed by WHO provides interim step by step guidance for communicating risk around Zika virus, its transmission channels and the potential implications of infection.
- The World Health Organization (WHO). Communicating Risk in Public Health Emergencies: A WHO Guideline for Emergency Risk Communication (ERC) policy and practice.
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These guidelines provide overarching, evidence-based guidance on how risk communication should be practiced in an emergency. The recommendations also guide countries on building capacity for communicating risk during health emergencies.
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- United Nations Radio. (2016). Ebola Hero Shares How Radio Saved Lives in Liberia.
- UN radio show highlighting the importance of radio as a communication channel during the 2014-2016 Ebola crisis in Liberia.
- Wyatt HW. (2000). The role and responsibility of the media in the event of a bioterrorist act. J Public Health Manag Pract;6.
- Article reviewing the importance of responsible reporting and the role of the media in informing the public and alleviating its fears during a bioterrorism crisis.
- The Food and Agriculture Organization of the United Nations. (2015). Report: Regional Training on Enhancing Risk Communication on Food Safety.
- This report summarizes the key elements of the FAO training program on best practices for risk communication in real life food safety situations.
- All Party Parliamentary Group for Africa, Polygeia. (2016). Lessons from Ebola Affected Communities: Being prepared for future health crises.
- This report is written by Polygeia and commissioned by the Africa APPG with fieldwork funding from the Royal African Society. Overall, this report highlights the importance of prioritizing local ownership and community level investments when ensuring preparedness and response capacity to respond to public health crises. It also analyzes the role of local leaders, faith leaders and the youth in effective risk communication and community engagement activities during the 2014-2016 Ebola crisis.
- Bedrosian S.R., Young C.E., Smith L.A., et al. (2016). Lessons of Risk Communication and Health Promotion – West Africa and the United States. Morbidity and Mortality Weekly Report (MMWR); 65: 68-74.
- In this Morbidity and Mortality Weekly Report, CDC summarizes the risk communication and health promotion activities and lessons learned during the 2014-2016 Ebola crisis, in West Africa and the United State
- The World Health Organization (WHO). (2005). The International Health Regulations.
- The International Health Regulations (IHR) are an international legal instrument that binds 196 countries in the aim of helping the international community to prevent and respond to acute public health risks.
- World Health Organization. (2018). Managing Epidemics: Key facts about major deadly diseases.
- The 21st century has already been marked by major epidemics. Old diseases – cholera, plague and yellow fever – have returned, and new ones have emerged – SARS, pandemic influenza, MERS, Ebola and Zika. This manual provides concise and up-to-date knowledge on 15 infectious diseases that have the potential to become international threats, risk communication rips, and suggestions on how to respond to the diseases.
- Chapman H.J., Animasahun V.J., Tade A.E., et al. (2016). Addressing the role of medical students using community mobilization and social media in the Ebola response. Perspectives on Medical Education; 5: 186–190.
- This journal article describes how local medical students can help facilitate dynamic communication strategies, including social media and community engagement, to educate and empower both other medical students and the rest of the community for local or/or national health initiatives.
- Spadicini B.M. (2015). Tracking Rumors to Contain Disease: The Case of DeySay in Liberia’s Ebola Outbreak. USAID.
- This 2015 USAID blog post describes the innovative way USAID’s Health Communication Capacity Collaborative (HC3) initiative designed the DeySay SMS system, which used local healthcare workers and text messages to monitor, track and report rumors about Ebola across Liberia, allowing for more effective rumor tracking and debunking.
- The Pan American Health Organization (PAHO). (2014). Risk Communication Checklist for Ebola.
- A Risk Communication Action Planned developed by PAHO outlining steps for the implementation of a national risk communication for Ebola.
- The Government of the Grand Duchy of Luxembourg, Ministry of Health. (2015). Conference: Lessons learned for public health from the Ebola outbreak in West Africa – how to improve preparedness and response in the EU for future outbreaks.
- This online report is a summary of a conference that outlines the major lessons from the 2014-2016 Ebola crisis that focus on improving risk communication, collaboration with communities, and strengthening local crisis management capacity.
- Department of Homeland Security, Federal Emergency Management Agency (FEMA). (2016). Basic Guidance for Public Information Officers.
- This guideline document was developed in coordination with Federal, State, tribal, and local Public Information Officers for the Federal Management Agency. It provides operational recommendations for Public Information Officers working within the Incident Command System.
- Department of Homeland Security, Federal Emergency Management Agency (FEMA). (2016). Emergency Support Function # 2: Communication Annex.
- The Emergency Support Function # 2 is an annex document to the U.S National Response Framework which focuses on describing the communication infrastructures and strategies during emergency response.
Documents in French [Document en Francais]:
- Seytre B. Les Errances de la Communication sur la Maladie a Virus Ebola. Bulletin de la Societe de Pathologie Exotique Lavoisier.
- This article reviews the different risk communications strategies used across different West African countries during the 2014-2016 Ebola crisis, highlighting the importance of a flexible and situation-adaptable risk communication strategy.
- The World Health Organization (WHO). (2005). Lignes directrices de l’OMS sur la communication lors des flambées de maladies.
- This document was developed by WHO following an extensive literature review on risk communications during infectious disease outbreaks – the results of this review are summarized here in a step by step list of best practices.