Uncertainty, scarcity and transparency: Public health ethics and risk communication in a pandemic

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dc.contributor.authorLowe, Abigail E.en
dc.contributor.authorVoo, Teck Chuanen
dc.contributor.authorLee, Lisa M.en
dc.contributor.authorGillespie, Kelly K. Dineenen
dc.contributor.authorFeig, Christyen
dc.contributor.authorFerdinand, Alva O.en
dc.contributor.authorMohapatra, Seemaen
dc.contributor.authorBrett-Major, David M.en
dc.contributor.authorWynia, Matthew K.en
dc.date.accessioned2023-05-04T14:53:18Zen
dc.date.available2023-05-04T14:53:18Zen
dc.date.issued2022-12en
dc.description.abstractCommunicating public health guidance is key to mitigating risk during disasters and outbreaks, and ethical guidance on communication emphasizes being fully transparent. Yet, communication during the pandemic has sometimes been fraught, due in part to practical and conceptual challenges around being transparent. A particular challenge has arisen when there was both evolving scientific knowledge on COVID-i9 and reticence to acknowledge that resource scarcity concerns were influencing public health recommendations. This essay uses the example of communicating public health guidance on masking in the United States to illustrate ethical challenges of developing and conveying public health guidance under twin conditions of uncertainty and resource scarcity. Such situations require balancing two key principles in public health ethics: the precautionary principle and harm reduction. Transparency remains a bedrock value to guide risk communication, but optimizing transparency requires consideration of additional ethical values in developing and implementing risk communication strategies. Copyright (C) 2022 The Authors. Published by Elsevier Ltd.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.lana.2022.100374en
dc.identifier.other100374en
dc.identifier.pmid36777151en
dc.identifier.urihttp://hdl.handle.net/10919/114911en
dc.identifier.volume16en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectRisk communicationen
dc.subjectCOVID-19en
dc.subjectPandemicen
dc.subjectTransparencyen
dc.subjectPrecautionary principleen
dc.subjectInfection prevention and controlen
dc.titleUncertainty, scarcity and transparency: Public health ethics and risk communication in a pandemicen
dc.title.serialLancet Regional Health-Americasen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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