Highlights
- •The public has knowledge about Ebola and is updated on the topic, including scientific issues that are on the agenda, such as the question of Ebola transmission.
- •No statistically significant difference was found between health care workers versus nonhealth care workers in the knowledge and worry score.
- •The public expects information about Ebola from health authorities, including topics of uncertainty.
- •More than half of the participants thought the information provided by health authorities on Ebola and Ebola prevention was insufficient, and almost half were unsure if the information was sufficient.
Background
The unexpected developments surrounding the Ebola virus in the United States provide
yet another warning that we need to establish communication preparedness. This study
examines what the Israeli public knew about Ebola after the initial stages of the
outbreak in a country to which Ebola has not spread and assesses the association between
knowledge versus worries and concerns about contracting Ebola.
Methods
Online survey using Google Docs (Google, Mountain View, CA) of Israeli health care
professionals and the general public (N = 327).
Results
The Israeli public has knowledge about Ebola (mean ± SD, 4.18 ± 0.83), despite the
fact that the disease has not spread to Israel. No statistically significant difference
was found between health care workers versus nonhealth care workers in the knowledge
score. Additionally, no statistically significant association was found between knowledge
and worry levels. The survey indicated that Israelis expect information about Ebola
from the health ministry, including topics of uncertainty. More than half of the participants
thought the information provided by the health ministry on Ebola and Ebola prevention
was insufficient (50.5% and 56.4%, respectively), and almost half (45.2% and 41.1%,
respectively) were unsure if the information was sufficient.
Conclusion
The greatest challenges that the organizations face is not only to convey knowledge,
but also to find ways to convey comprehensive information that reflects uncertainty
and empowers the public to make fact-based decisions about health.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Infection ControlAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Ebola crisis-communication chaos we can avoid.J Health Commun. 2014; 19: 1213-1215
- Pandemics: avoiding the mistakes of 1918.Nature. 2009; 459: 324-325
- Trust and social representations of the management of threatened and endangered species.Environment & Behavior. 2003; 35: 286-307
- Ebola crisis: Tom Frieden ‘confident’ US will not see outbreak.2014 (Available from:) (Accessed November 23, 2014)
- Communicating uncertainty - Ebola, public health, and the scientific process.N Engl J Med. 2015; 372: 7-9
- Risk communication, the West Nile virus epidemic, and bioterrorism: responding to the communication challenges posed by the intentional or unintentional release of a pathogen in an urban setting.J Urban Health. 2001; 78: 382-391
- Risk communication: identifying the importance of social context.Health Risk Soc. 2005; 7: 101-105
- Major motives in non-acceptance of A/H1N1 flu vaccination: the weight of rational assessment.Vaccine. 2011; 29: 1173-1179
- Risk as analysis and risk as feelings: some thoughts about affect, reason, risk and rationality.Risk Anal. 2004; 24: 311-322
- Public reception of scientific uncertainty in the endocrine disrupter controversy: the case of male fertility.J Risk Res. 2012; 16: 677-695
- Explaining and proclaiming uncertainty: risk communication lessons from Germany's E. coli outbreak.2011 (Available from:) (Accessed November 23, 2014)
- Ebola (Ebola virus disease). Transmission.2014 (Available from:) (Accessed November 23, 2014)
- Ebola response roadmap. Situation report update.2014 (Available from:) (Accessed December 5, 2014)
- Questions and answers about Ebola.2014 (Available from:) (Accessed December 5, 2014)
- Airborne Ebola spread can't be ruled out, docs from infamous ‘Hot Zone’ episode say: The Washington Times.2014 (Available from:) (Accessed November 23, 2014)
- Is Ebola airborne? Aerial transmission of the virus cannot be ‘excluded’: International Business Times.2014 (Available from:) (Accessed November 23, 2014)
- Doomsday warning: UN Ebola chief raises ‘nightmare’ prospect that virus could mutate and become airborne - making it much more infectious: MailOnline.2014 (Available from:) (Accessed November 23, 2014)
- Threat of lawsuit could test Maine's quarantine policy: The New York Times.2014 (Available from:) (Accessed November 23, 2014)
- Ebola and quarantine.New Engl J Med. 2014; 371: 2029-2030
- The case for a ‘deficit model’ of science communication: SciDev.Net.2005 (Available from:) (Accessed November 23, 2014)
- Citizen science: a study of people, expertise and sustainable development.Routledge, London, England1995
- Nations at ease with radical knowledge: on consensus, consensusing and false consensusness.Social Studies of Science. 2010; 40: 105-126
- The health belief model: a decade later.Health Educ Behav. 1984; 11: 1-47
- Doing quantitative research in the social sciences: an integrated approach to research design, measurement and statistics.Sage, London, England2005
- Hazard versus outrage in the public perception of risk.in: Covello V.T. McCallum D.B. Pavlove M.T. Effective risk communication: the role and responsibility of government and nongovernment organizations. Plenum Press, New York [NY]1989: 45-49
- The medium and the message of Ebola.Lancet. 2014; 384: 1641
- SARS wars: an examination of the quantity and construction of health information in the news media.Health Commun. 2007; 21: 35-44
- Misrepresentation of health risks by mass media.J Public Health (Oxf). 2008; 30: 202-204
- Mass-mediated medicine.Isr Med Assoc J. 2006; 8: 757-762
- Combined simian hemorrhagic fever and Ebola virus infection in cynomolgus monkeys.Lab Anim Sci. 1992; 42: 152-157
- Transmission of Ebola virus (Zaire strain) to uninfected control monkeys in a biocontainment laboratory.Lancet. 1995; 346: 1669-1671
- Lethal experimental infections of rhesus monkeys by aerosolized Ebola virus.Int J Exp Pathol. 1995; 76: 227-236
- Ebola hemorrhagic fever, Kikwit, Democratic Republic of the Congo, 1995: risk factors for patients without a reported exposure.J Infect Dis. 1999; 179: S92-S97
- Transmission of Ebola virus from pigs to non-human primates.Sci Rep. 2012; 2: 811
- Transmission of Ebola viruses: what we know and what we do not know.MBio. 2015; 6: e00137-15
- CDC pulls poster saying Ebola can spread through a sneeze: New York Post.2014 (Available from:) (Accessed November 23, 2014)
- The views of scientific experts on how the public conceptualize uncertainty.J Risk Res. 2003; 6: 75-85
- Commentary: When the next shoe drops — Ebola crisis communication lessons from October Center for Infectious Disease Research and Policy.2014 (Available from:) (Accessed December 15, 2014)
- Risk communication: a handbook for communicating environmental, safety, and health risks.Wiley, Hoboken [NJ]2009
- Risk and crisis communications: methods and messages.John Wiley & Sons, Hoboken [NJ]2011
- Alan Irwin, citizen science.Opticon1826. 2011; 6: 1-6
Article info
Publication history
Published online: April 24, 2015
Footnotes
Funding support: The research leading to these results has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no 612236.
Conflicts of interest: None to report.
Identification
Copyright
© 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.