Progress in public health risk communication in China: lessons learned from SARS to H7N9

Autor: Ronald L. Moolenaar, Richun Li, Ruiqian Xie, Melinda Frost, Qun’an Mao
Rok vydání: 2019
Předmět:
China
medicine.medical_specialty
Capacity Building
030209 endocrinology & metabolism
Global Health
Influenza A Virus
H7N9 Subtype
Severe Acute Respiratory Syndrome
World Health Organization
Risk communications
International Health Regulations
Disease Outbreaks
H7N9
Global disease detection
03 medical and health sciences
0302 clinical medicine
Health care
Global health
medicine
Humans
International health regulations
030212 general & internal medicine
Disease Notification
Retrospective Studies
SARS
business.industry
Communication
Research
lcsh:Public aspects of medicine
Public health
Global health security
Public Health
Environmental and Occupational Health
Capacity building
lcsh:RA1-1270
Public relations
Private sector
United States
Preparedness
Public Health
Centers for Disease Control and Prevention
U.S
business
Zdroj: BMC Public Health, Vol 19, Iss S3, Pp 1-9 (2019)
BMC Public Health
ISSN: 1471-2458
DOI: 10.1186/s12889-019-6778-1
Popis: Background Following the SARS outbreak, the World Health Organization revised the International Health Regulations to include risk communication as one of the core capacity areas. In 2006, the U.S. Centers for Disease Control and Prevention’s Global Disease Detection [GDD] program began collaborating with China to enhance China’s risk communication capacity to address gaps in the SARS communication response. This article describes tangible improvements in China’s public health emergency risk communication capacity between the SARS and H7N9 outbreaks; documents U.S. CDC GDD cooperative technical assistance during 2006–2017; and shares lessons learnt to benefit other countries and contribute to enhance global health security. Method A questionnaire based on the WHO Joint External Evaluation tool [Risk Communication section] was developed. A key communications official from the China National Health Commission [NHC] completed the questionnaire retrospectively to reflect China’s capacity to manage communication response before, during and after the outbreaks of SARS in 2003, influenza H1N1 in 2009, and influenza H7N9 in 2013. A literature search was also conducted in English and Chinese to further substantiate the results of the questionnaire completed by NHC. Results China demonstrated significantly improved risk communication capacities of pre-event, during event and post event responses to H7N9 when compared to the SARS response. China NHC improved its response through preparedness, availability of dedicated staff and resources for risk communication, internal clearance mechanisms, standard operating procedures with national response parties external to NHC, rumor management, communication with international agencies and consistent messaging with healthcare and private sectors. Correspondingly, the perceived level of trust that the public had in the NHC following outbreaks rose between the SARS and H7N9 response. Conclusion Risk communication capacities in China have increased during the ten years between the SARS outbreak of 2003 and the H7N9 outbreak of 2013. Long-term risk communication capacity building efforts in bilateral collaborations are uncommon. The U.S. CDC GDD project was one of the first such collaborations worldwide. The lessons learned from this project may benefit lower and middle-income countries as they build their national emergency risk communication capacity. Electronic supplementary material The online version of this article (10.1186/s12889-019-6778-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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