Organizing to Confront Terrorism: The Role of Risk Communication George Gray Harvard Center for Risk Analysis Harvard School of Public Health Overview ] The Health Risks of Fear ] Risk Perception ] Toward Better Communication \ Sound risk analysis \ Commitment to communication \ Organizing for better analysis and communication Harvard Center for Risk Analysis The “Terror” in Terrorism ] Actions of terrorists are as much about creating widespread fear as about causing physical damage ] Terror defined as “intense, overpowering fear*” suggests that response may be greater than warranted by actual risk * The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2000 by Houghton Mifflin Company Harvard Center for Risk Analysis The Health Risks of Fear ] Efforts to confront fear may lead to actions that increase risk ] Fear and anxiety may have direct risks to health Harvard Center for Risk Analysis Making Things Worse? ] Post September 11 saw drop in air travel and increase in highway travel - highway travel is riskier ] Increase in gun sales in October, 2001 (background checks up 39 percent from October, 2000) - guns purchased for self-protection far more likely to be used in suicide, crime or to harm someone accidentally than to be used for self defense* ] Prophylactic use of “Cipro” by perhaps millions of Americans# - increasing antibiotic resistance? •A.L. Kellerman, G. Somes, F.P. Rivera, R.K. Lee, and J.G. Benton,“Injuries and Deaths Due to Firearms in the Home,” Journal of Trauma, Injury, Infection, and Critical Care 25, no. 2 (1998):263-267 Harvard Center for Risk Analysis •# R. Blendon, J. Benson, C. DesRoches, C. and M. Herrmann, “Harvard School of Public Health/Robert Wood Johnson Foundation Survey Project on Americans’ Response to Biological Terrorism,” International Communications Research 10/24-28 Fear and Health Harvard Center for Risk Analysis Why We Fear What We Fear ] Long history of research in risk perception with key work by Paul Slovic, Baruch Fischoff, Amos Tversky and many others ] Efforts to identify “triggers” that increase or decrease fears of particular risks ] Helps identify why sometimes our fears don’t match the facts Harvard Center for Risk Analysis Risk Perception Factors Increase Perceived Risk Decrease Perceived Risk Control Lack of Control Choose risk Don’t choose risk Natural Man-made New risk Familiar risk Potentially catastrophic Not catastrophic Harvard Center for Risk Analysis Risk Perception Factors Increase Perceived Risk Decrease Perceived Risk Could affect me Happens to others Known to science Very uncertain Trust in organization creating, controlling or communicating about the risk Lack of trust in organization creating, controlling or communicating about the risk Harvard Center for Risk Analysis The Importance of Trust ] Trust in institutions managing risks decreases fears ] Information from trusted sources is more likely to be used appropriately ] Trust is built by actions and words Harvard Center for Risk Analysis Trust and Bioterrorism ] Great public anxiety during anthrax episode meant communicating about the risks was key ] October 2001 poll asked who would be trusted as source of information: \ Centers for Disease Control - 48% \ Secretary of HHS - 38% \ Director of FBI - 33% ] Most communication by HHS, FBI and Attorney General Harvard Center for Risk Analysis Toward Better Communication ] Need sound risk analysis \ Communication can’t be pandering to emotions \ Need to understand sources and size of risks \ Helps set priorities for actions and communication ] Challenges \ Terrorism risks difficult to assess \ Intelligent adversary confounds risk management Harvard Center for Risk Analysis Toward Better Communication ] A commitment to communication \ Make communication ongoing part of policy at the highest levels [ Build trust for future [ Plan communications for situations \ Consider the risk communication implications of specific actions (or inaction) ] Challenges \ Risk management decisions are already difficult [ Decisions require balancing costs, benefits and other factors [ Communications needs compete with analyses, politics, public pressures and resource constraints \ Be realistic about what can be achieved - help people understand the facts rather than acting like they “should” Harvard Center for Risk Analysis An Example: “Dirty” Bombs ] On June 10, 2002 it was announced that Abdullah Al Muhajir had been arrested and was suspected of planning to detonate a “dirty” bomb containing radioactive material along with conventional explosives ] Think about risk perception and communication \ The way this is communicated will influence public reaction to this event and to the actual use of dirty bomb if it ever occurs \ Risk perception research tells us that several key “fear buttons” will be pushed by this topic, mostly because radiation is involved [ New risk [ Man-made [ Uncertain [ Hard to understand [ Potentially catastrophic Harvard Center for Risk Analysis Risk Communication and “Dirty Bombs” Attorney General John Ashcroft - Moscow, June 10, 2002 “In apprehending al Muhajir as he sought entry into the United States, we have disrupted an unfolding terrorist plot to attack the United States by exploding a radioactive "dirty bomb." Now, a radioactive "dirty bomb" involves exploding a conventional bomb that not only kills victims in the immediate vicinity, but also spreads radioactive material that is highly toxic to humans and can cause mass death and injury. News media coverage - USA Today June 11, 2002 ] "The truth is, you have to start with a boatload of radioactive material in a dirty bomb for the health risk to the population to be significant," says Jonathan Links of the Johns Hopkins School of Public Health in Baltimore, a past head of the Society of Nuclear Medicine. "The real threat of a dirty bomb is psychological.” ] In terms of immediate casualties, a dirty bomb is "more on par with a natural catastrophe, a bad fire," says Bruce Blair, president of the Center for Defense Information. …. But Blair and others warn that even a low-tech dirty bomb using small amounts of dynamite and radioactive material probably would accomplish one of the chief goals of terrorism — creating widespread fear and panic Harvard Center for Risk Analysis Dirty Bombs - What Do We Learn ] First Government communications pushed “fear buttons” ] News media did a very good job of conveying information to put fears in perspective \ Used trusted experts \ Used perception factors - compare to known risks \ Recognized the role of fear ] Overall, a communication success but Government missed chance to build trust for future Harvard Center for Risk Analysis Organizing for Risk Analysis and Communication ] Opportunity with Department of Homeland Security ] Communication expertise in many agencies and departmental functions being incorporated into the Department of Homeland Security ] Several opportunities within the Homeland Security Act of 2002 Harvard Center for Risk Analysis The Importance of Communication ] Sound risk communication is clear to the central mission of the Department of Homeland Security: (b)(1) The primary mission of the Department is to— (A) prevent terrorist attacks within the United States; (B) reduce the vulnerability of the United States to terrorism; and (C) minimize the damage, and assist in the recovery, from terrorist attacks that do occur within the United States. ] Risk communication should be a central tool for achieving the goals within the Department of Homeland Security Harvard Center for Risk Analysis The Need for Sound Analysis ] Many potential threats of different likelihoods and consequences mean priorities must be set ] Risk analysis can be used to rank risks and focus resources ] For example, under Section 301 of the HAS: In assisting the Secretary with the responsibilities specified in section 101(b)(2)(B), the primary responsibilities of the Under Secretary for Chemical, Biological, Radiological, and Nuclear Countermeasures shall include— ….. (3) establishing priorities for, directing, funding, and conducting national research, development, and procurement of technology and systems— (A) for preventing the importation of chemical, biological, radiological, nuclear, and related weapons and material; and (B) for detecting, preventing, protecting against, and responding to terrorist attacks that involve such weapons or material Harvard Center for Risk Analysis Summary ] In organizing to confront terrorism, we must emphasize risk analysis and communication ] Risk analysis can help identify and characterize threats and prioritize responses ] Risk communication is key to reducing the terror in terrorism - requires a commitment to communication at all levels of the Department of Homeland Security Harvard Center for Risk Analysis Thank You!