colormyquilt
Senior Moderator
Re: CDC offers pandemic communication guidance
Bump this.
Bump this.
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CDC offers pandemic communication guidance
- Thread starter AlaskaDenise
- Start date
Shannon Bennett
Well-known member
Re: CDC offers pandemic communication guidance
I would like to see Stress Reactions added to a more prominant position.
Re: CDC offers pandemic communication guidance
<HR style="COLOR: #cccccc; BACKGROUND-COLOR: #cccccc" SIZE=1>Let me see if I can get my info here for easy access in pandemic prep. Mellie
From http://www.wildlandfire.com/docs/200...ss_debrief.htm <TABLE cellPadding=4 width="100%" border=0><TBODY><TR><TD width="100%" colSpan=4>
Reactions</TD><TD width="25%">Cognitive
Reactions</TD><TD width="25%">Emotional
Reactions</TD><TD width="25%">Behavioral
Reactions</TD></TR><TR><TD vAlign=top width="25%">Chest pain*
Difficulty breathing*
Shock symptoms*
Fatigue/ exhaustion
Insomnia
Sleep disturbances
Hyperactivity
Change in appetite
Digestive problems
Headaches
Nausea/ vomiting
Profuse sweating
Rapid heart rate
Thirst
Visual difficulties
Clenching of jaw
Nonspecific aches and pains </TD><TD vAlign=top width="25%">Poor concentration
Flashbacks
Difficulty with decisions
Memory disturbance
Amnesia
Confusion
Poor problem solving
Disturbed thinking
Poor abstract thinking
Change in alertness (higher or lower)
Nightmares
Disorientation
Difficulty identifying familiar objects or people </TD><TD vAlign=top width="25%">Fear
Guilt
Anger
Over-sensitivity
Emotional numbing
Loss of emotional control
Anxiety
Depression
Grief
Denial
Feeling helpless
Sense of failure
Feeling overwhelmed
Blaming others or self
Irritability
Frustration Severe panic (rare)
</TD><TD vAlign=top width="25%">Change in activity
Change in communication
Withdrawal
Suspiciousness
Hyper alertness
Heightened startle reflex
Emotional outbursts
Intense anger
Scapegoating
Inability to rest, pacing
Temporary loss or increase of appetite
Excessive alcohol consumption
Change in sexual functioning
</TD></TR><TR><TD vAlign=top width="100%" colSpan=4>* Get medical help if you experience chest pain, difficulty breathing, severe pain, or symptoms of shock (shallow breathing, rapid or weak pulse, nausea, shivering, pale and moist skin, mental confusion, and dilated pupils).
**Get mental health support if your symptoms or distress continue for several weeks or interfere with your daily activities. </TD></TR><TR><TD width="100%" colSpan=4>
I would like to see Stress Reactions added to a more prominant position.
Re: CDC offers pandemic communication guidance
<HR style="COLOR: #cccccc; BACKGROUND-COLOR: #cccccc" SIZE=1>Let me see if I can get my info here for easy access in pandemic prep. Mellie
From http://www.wildlandfire.com/docs/200...ss_debrief.htm <TABLE cellPadding=4 width="100%" border=0><TBODY><TR><TD width="100%" colSpan=4>
STRESS REACTIONS
</TD></TR><TR><TD align=top width="25%">Physical
Reactions</TD><TD width="25%">Cognitive
Reactions</TD><TD width="25%">Emotional
Reactions</TD><TD width="25%">Behavioral
Reactions</TD></TR><TR><TD vAlign=top width="25%">Chest pain*
Difficulty breathing*
Shock symptoms*
Fatigue/ exhaustion
Insomnia
Sleep disturbances
Hyperactivity
Change in appetite
Digestive problems
Headaches
Nausea/ vomiting
Profuse sweating
Rapid heart rate
Thirst
Visual difficulties
Clenching of jaw
Nonspecific aches and pains </TD><TD vAlign=top width="25%">Poor concentration
Flashbacks
Difficulty with decisions
Memory disturbance
Amnesia
Confusion
Poor problem solving
Disturbed thinking
Poor abstract thinking
Change in alertness (higher or lower)
Nightmares
Disorientation
Difficulty identifying familiar objects or people </TD><TD vAlign=top width="25%">Fear
Guilt
Anger
Over-sensitivity
Emotional numbing
Loss of emotional control
Anxiety
Depression
Grief
Denial
Feeling helpless
Sense of failure
Feeling overwhelmed
Blaming others or self
Irritability
Frustration Severe panic (rare)
</TD><TD vAlign=top width="25%">Change in activity
Change in communication
Withdrawal
Suspiciousness
Hyper alertness
Heightened startle reflex
Emotional outbursts
Intense anger
Scapegoating
Inability to rest, pacing
Temporary loss or increase of appetite
Excessive alcohol consumption
Change in sexual functioning
</TD></TR><TR><TD vAlign=top width="100%" colSpan=4>* Get medical help if you experience chest pain, difficulty breathing, severe pain, or symptoms of shock (shallow breathing, rapid or weak pulse, nausea, shivering, pale and moist skin, mental confusion, and dilated pupils).
**Get mental health support if your symptoms or distress continue for several weeks or interfere with your daily activities. </TD></TR><TR><TD width="100%" colSpan=4>
(? 1997-2007 Copyright Wildlandfire.com)
12 Things to Try:
12 Things to Try:
- Within the first 24 to 48 hours, periods of strenuous physical exercise alternated with periods of relaxation will alleviate some of your physical reactions.
- Talk to people - talk is the most healing medicine. Spend time with others, both those within emergency services and those in ordinary life.
- Do things that feel good to you.
- Beware of numbing the pain with drugs or alcohol. You don't need to complicate this with a substance abuse problem.
- Structure your time - keep busy. Keep your life as normal as possible. As much as you can, keep the commitments you have made.
- You are normal and are having normal reactions. Don't label yourself crazy.
- Reach out - people do care. Accept offered help.
- Realize that those around you are also under stress. Remember that others were also affected by this incident. Help those around you as much as possible. You can help them by sharing your feelings or simply checking out how they're doing.
- Give yourself permission to feel rotten.
- Keep a journal - write your way through those sleepless hours.
- Eat nutritious, well-balanced meals high in carbohydrates and low in sugar. Avoid excessive use of caffeine.
- Don't make any big life changes, until things have settled.
colormyquilt
Senior Moderator
Re: CDC offers pandemic communication guidance
bump this.
Outline view of the CDC powerpoint presentation from Snowy Owl's post.
1<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comffice
></o
Crisis & Emergency Risk Communication<o
Pandemic Influenza<o
2 Communicating in a crisis is different<o
_ In a serious crisis, all affected people . . .<o
? Take in information differently<o
? Process information differently<o
? Act on information differently<o
_ In a catastrophic event: communication is different<o
_ Be first, be right, be credible<o
3 What the public seeks from your communication<o
5 public concerns. . .<o
1.Gain wanted facts<o
2.Empower decisionmaking<o
3.Involved as a participant, not spectator<o
4.Provide watchguard over resource allocation<o
5.Recover or preserve well-being and normalcy<o
4 Crisis and Emergency Risk Communication impacts<o
5 organizational concerns -- you need to. . .<o
1.Execute response and recovery efforts<o
2.Decrease illness, injury, and deaths<o
3.Avoid misallocation of limited resources<o
4.Reduce rumors surrounding recovery<o
5.Avoid wasting resources<o
5 5 communication failures that kill operational success<o
1.Mixed messages from multiple experts<o
2.Information released late<o
3.Paternalistic attitudes<o
4.Not countering rumors and myths in real-time<o
5.Public power struggles and confusion<o
6 5 communication steps that boost operational success<o
1.Execute a solid communication plan<o
2.Be the first source for information<o
3.Express empathy early<o
4.Show competence and expertise<o
5.Remain honest and open<o
7 What Do People Feel Inside When<o
a Disaster Looms or Occurs?<o
Psychological barriers:<o
1.Fear, anxiety, confusion, dread<o
2.Hopelessness or helplessness<o
3.Seldom panic<o
4.Fight or flight<o
8 How Do We Communicate About Risk in an Emergency?<o
All risks are not accepted equally<o
_ Voluntary vs. involuntary<o
_ Controlled personally vs. controlled by others<o
_ Familiar vs. exotic<o
_ Natural vs. manmade<o
_ Reversible vs. permanent<o
_ Statistical vs. anecdotal<o
_ Fairly vs. unfairly distributed<o
_ Affecting adults vs. affecting children<o
9 5 Key Elements To Build Trust<o
1.Expressed empathy<o
2.Competence<o
3.Honesty<o
4.Commitment<o
5.Accountability<o
10<o
11 Initial Message<o
Must<o
_ Be short<o
_ Be relevant<o
_ Give positive action steps<o
_ Be repeated<o
12 Initial Message<o
Must Not<o
_ Use jargon<o
_ Be judgmental<o
_ Make promises that can?t be kept<o
_ Include humor<o
13 Media and Crisis Coverage<o
_ Evidence strongly suggests that coverage is more factual when reporters have more<o
information. They become more interpretative when they have less information.<o
_ What should we conclude?<o
14 Role of a Spokesperson<o
in an Emergency<o
_ Take your organization from an ?it? to a ?we?<o
_ Build trust and credibility for the organization<o
_ Remove the psychological barriers within the audience<o
_ Gain support for the public health response<o
_ Ultimately, reduce the incidence of illness, injury, and death by getting it right<o
15 Emergency Risk Communication Principles<o
_ Don?t overreassure<o
_ Acknowledge that there is a process in place<o
_ Express wishes<o
_ Give people things to do<o
_ Ask more of people<o
16 What is different?<o
17 National Strategy<o
_ Stop, slow, limit spread of pandemic to the <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com
_ Limit domestic spread of pandemic?mitigate disease, suffering, and death<o
_ Sustain infrastructure/economy and functioning of society<o
18 What is different? Biological<o
_ Little or no immunity worldwide<o
_ More people at higher risk<o
_ Evolves in waves<o
? 2-3 waves, last 6-8 weeks, in 12-18 months<o
19 What is different? Psychological/Spiritual<o
_ Uncertainty<o
? Increases anxiety?people seek information<o
? Greatest uncertainty early in pandemic<o
_ Community hardiness/personal resilience<o
_ Number of deaths ?out of time?<o
20 What is different? Sociological<o
_ Behaviors impact infection rates?less control<o
? Denial (it won?t happen to me)<o
? High-risk (Russian roulette coughing)<o
? Can?t be burdened (let someone else do it)<o
? Wants to but believes can not (I need to work)<o
_ Inadequate vaccines/antivirals<o
? Primary communication steps<o
? Be 100% accountable<o
21 Community Hardiness<o
22 Community hardiness: Defined<o
_ Existing protective qualities and vulnerabilities that will determine the community?s ability to<o
take deliberate, meaningful, and collective action against a public health threat<o
? Protective qualities: robustness, redundancy, resourcefulness, & rapidity<o
? Vulnerabilities: susceptibility related to sense of community, shelter, sustenance, security,<o
and growth from adversity<o
23 Community hardiness: Factors<o
_ Socioeconomic status<o
_ Community-based organizations<o
_ Health care capacity<o
_ Social stressors (racial, economic, political strife)<o
_ Political and civic perspectives<o
_ Community cohesion and group self-efficacy<o
24 Personal resilience: Factors<o
_ Mental toughness more important than physical strength<o
_ A purpose for going on: ?help my family?<o
_ Self-efficacy: ?I think I can?<o
_ Prior experience<o
_ Good coping strategies (repress negative and take action)<o
25 Stigmatization<o
26 Stigmatization<o
_ Can affect product, industry, animal, place, people<o
_ Four characteristics to stigmatization<o
? Problem stigmatizer believes he can control<o
? Must be distinguishable<o
? Stigma associated with the party<o
? Reaction that distances<o
27 Recent examples<o
_ 1997 strawberries and hepatitis A in <st1:country-region w:st="on"><st1
_ 1997 H5N1 outbreak in <st1
_ 1999 West Nile virus outbreak in <st1:State w:st="on"><st1
_ 2003 SARS outbreak in <st1:country-region w:st="on">China</st1:country-region> and <st1:country-region w:st="on"><st1
28 Why people stigmatize<o
_ Shortcut when uncertainty and threat are both present to protect against physical and<o
emotional harm<o
_ Occurs in a social context<o
_ Expect it early in a severe influenza pandemic unless dominant group first to become ill<o
29 Steps before, during & after<o
_ Avoid geographic links if not necessary (e.g., Spanish pandemic versus 1918 pandemic)<o
_ Avoid visuals that link group to threat--watch out for subconscious links: Avian<o
Influenza H5N1<o
_ Teach response professionals about stigma<o
_ Share with media the concern<o
_ Scan for stigma and confront quickly<o
_ Watch out when creating historical products<o
30 Understanding loss and bereavement<o
31 Deaths in the U.S. vs Pandemic<o
_ About 2.5 million annually<o
_ Seasonal influenza 36,000 deaths/95% ->65 yrs<o
_ In 12-18 months add 2 million<o
_ Deaths ?out of time? (healthy adults/children)<o
32 Severe pandemic and loss<o
_ Multiple deaths in families<o
_ Truncated bereavement rituals<o
_ Potential for kinship from shared misery<o
_ Responders could feel guilt<o
33 Cultural differences?<o
_ Have you been to a funeral outside your own culture? What is the color of mourning?<o
_ What matters matters a lot<o
_ Acculturation attenuates differences?don?t stereotype<o
_ Religious difference are cultural differences<o
_ Bereavement ignored will cost in personal/community resilience<o
34 Compassion in communication<o
_ People will expect demographic details of first deaths (?How do I compare??)<o
_ Look of official reports must be respectful (web)<o
_ Responders may be losing members too<o
_ People mourn financial loss too<o
35<o
Information Technology in Pandemic Influenza<o
Communications<o
36 The Internet as a Communication Channel during an Emergency<o
_ 97% of all internet users and 64% of non-users expect to be able to find important<o
information online<o
_ The internet as an information source grew 8% in the two weeks after September 11th<o
_ The 2001 anthrax attacks highlight the desire for any information, the prevalence of false<o
information, and the willingness to ?buy in? to panic-baiting<o
37 The Blogosphere as Community<o
_ Number of internet users who read blogs jumped 11 to 39% from 2003 to 2005<o
_ During a pandemic, blogs:<o
? Allow for news missing from mainstream media and discussions of sensitive information<o
or issues<o
? May appeal to individuals and communities coping with crisis, illness or death<o
38 Internet Rumor Monitoring<o
_ Technorati (http://technorati.com/) tracks ~50 million blogs<o
_ Establish own organization blogs or address rumors on existing agency sites<o
_ Monitor and edit wikis<o
_ How to evaluate websites for individuals during their own internet searches<o
39<o
40 The Langan Boys-1918<o
Thomas Langan, 25 years old<o
William Langan, 22 years old<o
Edward Langan, 20 years old<o
David Langan, 16 years old<o
Thomas and Carrie Langan were married in 1909 and had 5 children<o
William, Edward, and David lived at home<o
41<o
42 H1N1 Comes to <st1:City w:st="on"><st1
_ Dec. 1918 all four boys became ill with influenza<o
_ Thomas fell ill and William dropped off a home remedy<o
43 December 16: Edward (20) died<o
44 December 19: William (22) died<o
45 December 20: David (16) died<o
46<o
Thomas, still ill,<o
attends the funerals<o
of William and David,<o
held the same day<o
47 Thomas & Carrie Langan 1941<o
48 Thomas & Carrie, 1955<o
49 1918 Pandemic Deaths by Age<o
<o
bump this.
sharon sanders
Editor-in-Chief & President
Re: CDC offers pandemic communication guidance
Thank you Colormyquilt for reviewing the site and bringing to our attention again some very pertinent threads.
:applause:
Thank you Colormyquilt for reviewing the site and bringing to our attention again some very pertinent threads.
:applause:
Lizw
Well-known member
Re: CDC offers pandemic communication guidance
Under Behavioral Reactions, I think it would be appropriate to add that physical violence can easily take place, not the kind that takes your stored food away, but the unreasoning reaction to more stress and grief than a person can handle. I recall being physically attacked by a woman whose mother had coded. She had a valid DNR in place, and we (EMT's) wouldn't try to resuscitate. It took the whole rest of the crew to pull her off me. I felt so awful for her, but I couldn't go against the mother's legally stated wishes. Heath care workers need to be alert for their own safety if things get worse.
Under Behavioral Reactions, I think it would be appropriate to add that physical violence can easily take place, not the kind that takes your stored food away, but the unreasoning reaction to more stress and grief than a person can handle. I recall being physically attacked by a woman whose mother had coded. She had a valid DNR in place, and we (EMT's) wouldn't try to resuscitate. It took the whole rest of the crew to pull her off me. I felt so awful for her, but I couldn't go against the mother's legally stated wishes. Heath care workers need to be alert for their own safety if things get worse.
colormyquilt
Senior Moderator
Re: CDC offers pandemic communication guidance
You're welcome. It's good to have such a good database.
You're welcome. It's good to have such a good database.