How Well Did Health Departments Communicate About Risk at the Start of the Swine Flu Epidemic in 2009?
Jul 7, 2009
How Effective Were State and Local Public Health Departments?
Published Aug 11, 2009
Since 2001, the U.S. government has invested heavily to help state and local health departments improve their readiness for public health emergencies. A key component of emergency response is risk communication: providing accurate, credible, actionable, and timely information to the public to inform decisionmaking and reduce uncertainty before, during, and after a public health emergency. The recent H1N1 (also known as swine flu) episode in April 2009 provided a rare opportunity to test state and local public health department capabilities for risk communication. On April 26, 2009, the Secretary of the Department of Health and Human Services declared a public health emergency in response to the outbreak of H1N1. A team of RAND researchers assessed how effectively state and local health departments communicated information via the Web about this emergency to their constituents within 24 hours of the declaration. The researchers examined the Web sites of all 50 state public health departments and the District of Columbia. They also examined Web sites from 153 local jurisdictions. The assessment focused on three criteria:
Overall, the results were mixed: Nearly all state health departments delivered timely, accessible information to their constituents, covering the requisite range of topics; far fewer local jurisdictions did so.
The researchers drew three implications for policy. First, the variability across local jurisdictions may be the result of lack of consensus about the role of public health departments. Public health departments must work with state and community agencies to clarify and institutionalize their respective roles. Second, public health departments need to ensure the ability to communicate with limited-English-proficiency populations, suggesting the need for standards dictating when multilingual information is called for. Finally, federal funding for public health emergency preparedness activities has declined in recent years. Coupled with the economic downturn, this reduction has led many public health departments to cut back their staffs and activities. These cuts threaten to erase much of the progress illustrated by the state health department responses to the H1N1 alert. Efforts to maintain these gains will be important in coming years.