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The peer-reviewed journal of the Sax Institute
RESEARCH ARTICLE (Open Access)

Communicating about risk: strategies for situations where public concern is high but the risk is low

Claire Hooker A * , Adam Capon B and Julie Leask C
+ Author Affiliations
- Author Affiliations

A Centre for Values, Ethics and Law in Medicine, University of Sydney, NSW, Australia

B Environmental Health Branch, Health Protection NSW, Sydney, Australia

C School of Public Health, Sydney Medical School and Sydney Nursing School, University of Sydney, NSW, Australia

* Correspondence to: claire.hooker@sydney.edu.au

Public Health Research and Practice 27, e2711709 https://doi.org/10.17061/phrp2711709
Published: 15 February 2017

Abstract

In this article, we summarise research that identifies best practice for communicating about hazards where the risk is low but public concern is high. We apply Peter Sandman’s ‘risk = hazard + outrage’ formulation to these risks, and review factors associated with the amplification of risk signals. We discuss the structures that determine the success of risk communication strategies, such as the capacity for early communication to ‘capture’ the dominant representation of risk issues, the importance of communicating uncertainty, and the usefulness of engaging with communities. We argue that, when facing trade-offs in probable outcomes from communication, it is always best to choose strategies that maintain or build trust, even at the cost of initial overreactions. We discuss these features of successful risk communication in relation to a range of specific examples, particularly opposition to community water fluoridation, Ebola, and routine childhood immunisation.

2017 © Hooker et al. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence, which allows others to redistribute, adapt and share this work non-commercially provided they attribute the work and any adapted version of it is distributed under the same Creative Commons licence terms.