2013|Facilitator’s Guide COMMUNICATION AND INFORMATICS This publication was made possible in part through the support provided by the United States Agency for International Development. The opinions expressed herein are those of the author(s) and do not necessarily reflect the views of the US Agency for International Development or the US Government. USAID reserves a royalty-free nonexclusive and irrevocable right to reproduce, publish, or otherwise use, and to authorize others to use the work for Government purposes. SEAOHUN One Health Course- Facilitator’s Guide Preface “One Health” is an important global activity based on the concept that human, animal and environmental/ecosystem health are interdependent, and professionals working in these areas best serve the population by collaborating to better understand all the factors involved in disease transmission, ecosystem health, the emergence of novel pathogens and emerging zoonotic agents, as well as environmental contaminants and toxins that are capable of causing substantial morbidity and mortality, and impacting on socioeconomic growth, including in less developed countries. This COMMUNICATION AND INFORMATICS Module is part of a complete series of One Health educational and training documents designed to be used in whole or in part, and to be modified as needed to serve as a context- and culturally-relevant source of information for teaching undergraduate students and university graduate students, and for training workshops focused on One Health professionals responsible for human, domesticated animal, wildlife and ecosystem/environmental health. The goals are to: increase exposure to and improve cross-sectoral and inter-professional collaboration on key disease surveillance and disease outbreaks; provide practical strategies useful for field investigations of disease outbreaks, and a realistic exposure for students and faculty interested in emerging infectious diseases, including emerging zoonotic infectious agents, newly identified infectious agents capable of causing pandemic threats, disease management and public awareness campaigns, environmental and ecosystem health; and improve cooperation among national, regional and district-level government health officials interested in the One Health principle, along with multilateral health agencies (such as the World Health Organization [WHO], the Food and Agriculture Organization of the United Nations [FAO], and the World Organisation for Animal Health [OIE]), as well as non-governmental organizations (NGOs) and private industry. For more information about this course, contact: Stanley Fenwick Regional Technical Director RESPOND Stanley_Fenwick@dai.com Felicia B. Nutter, DVM, PhD, RESPOND Project Senior Technical Officer Tufts University +1 508 887 4921 Felicia.Nutter@tufts.edu Roberta Talmage TRG, Inc. Organizational Development & Training Specialist Arlington, VA 22203 +1 703-875-8909 rtalmage@trg-inc.com This complete set of One Health modules can be used individually by professors and trainers, but all users are encouraged to begin the activity by consulting the introductory module which provides an appropriate context and background. 1|Page Module: Communication & Informatics All of the training material represents contributions by the faculty and leadership of the Southeast Asia One Health University Network (SEAOHUN), and the input of technical and managerial support from the partners of the USAID’s RESPOND Project, part of the larger Emerging Pandemic Threats (EPT) program, including Tufts University, University of Minnesota, Training Resources Group (TRG), Ecology and Environment, Inc. (E & E), and). Development of these training materials would not have been possible without the contributions of the following individuals and groups: Southeast Asia One Health University Network (SEAOHUN) Dr. Abu Tholib Aman, Universities Gadjah Mada, Indonesia Mr. Irwin Fernandez Chavez, Mahidol University, Thailand Dr. Ede Surya Darmawan, Universitas Indonesia, Indonesia Dr. Latiffah Hassan, Universiti Putra Malaysia, Malaysia Dr. Nongyao Kasatpibal, Chiang Mai University, Thailand Dr. Sumalee Lirtmunlikaporn, Chiang Mai University, Thailand Dr. Sarmin MP, Universities Gadjah Mada, Indonesia Dr. Mohd Rizal Abdul Manaf, Universiti Kenbangsaan Malaysia, Malaysia Dr. Roslaini Bin Abd. Majid, Universiti Putra Malaysia, Malaysia Dr. Walasinee Moonarmart, Mahidol University, Thailand Dr. Pham Hong Ngan, Hanoi University of Agriculture, Thailand Dr. Mohd Sham Bin Othman, Universiti Kenbangsaan Malaysia, Malaysia Dr. Surachai Pikulkaew, Chiang Mai University, Thailand Dr. Trioso Purnawarman, Bogor Agricultural University, Indonesia Dr. Agik Suprayog, Bogor Agricultural University, Indonesia Dr. Metawee Thongdee, Mahidol University, Thailand Dr. Kriangkrai Thongkorn, Chiang Mai University, Thailand Mr. Luu Quoc Toan, Hanoi School of Public Health, Thailand Dr. Ronald Enrique Morales Vargas, Mahidol University, Thailand Ms. Le Thi Thanh Xuan, Hanoi Medical University/Institute for Preventive Medicine and Public Health, Thailand RESPOND Project, USAID Emerging Pandemic Threats (EPT) Program Development Alternatives International (DAI): Dr. Douglas Hatch, Ms. Pornthip Rujisatian Environment and Ecology, Inc. (E&E): Ms. Louise Flynn University of Minnesota: Dr. Jeein Chung, Dr. Karin Hamilton Tufts University: Dr. Stanley Fenwick, Dr. Raymond Hyatt, Dr. Felicia Nutter, Dr. Jennifer Steele Training Resources, Inc. (TRG): Ms. Kimberly Kennedy, Ms. Roberta Talmage The following attribution should be used by anyone copying materials or content from the One Health modules series: One Health Educational Module, Southeast Asia One Health Network (SEAOHUN), 2014 2|Page SEAOHUN One Health Course- Facilitator’s Guide Module: Communication and Informatics Course Overview Module Description This module fosters an understanding of effective communication and and Learning information sharing across disciplines and sectors. Key outcomes of the Outcomes module are the ability to: Describe how to effectively use basic communication techniques and tools in the One Health approach Demonstrate familiarity with various information management and technological applications that may be used in the One Health approach Target Learner Undergraduate University Students; or One Health Partners, Practitioners or Professionals Learning Map Communication Skills Informatics One Health Promotion Communication Strategies Communicating With/Through the Media Introduction to Risk Communication Delivering Risk Communication Messages 3|Page Module: Communication & Informatics Course Competencies Competency #1 Describe basic communication techniques and tools (e.g., written communication, multimedia, social media, interactive discussion, listening) Learning Objectives to Develop Competency Demonstrate communication skills that encourage the open communication needed during an effective One Health response. Understand how a variety of communication techniques may be used to effectively articulate and exchange ideas on the implementation of One Health in various situations Apply communication strategies for promotion One Health concepts (including two-way communication) Competency #2 Understand the fundamentals of risk communication Learning Objectives to Develop Competency Identify the designated spokesperson(s) for particular issues Demonstrate the ability to communicate risk at multiple levels Communicate effectively with the media and public Competency #3 Learning Objectives to Develop Competency Understand a variety of ways to manage and share Information Collect, manage, organize and report data to ensure that each person in the team has the information they need to do their job Organize and analyze data and disseminate findings using available tools, including databases and social networks 4|Page SEAOHUN One Health Course- Facilitator’s Guide Module Overview Time/Length Topic/Activity 190 minutes Introduction to Communication Skills 95 minutes One Health Promotion Communication Strategies 135 Minutes Introduction to Risk Communication 60 minutes Delivering Risk Communication Messages 165 Minutes Communicating With or Through the Media 120-145 Minutes 60 Minutes Introduction to Informatics Learning Reflection and Evaluation Materials Computer, LCD Projector, Screen/Blank Wall Flipchart or whiteboard with markers Module PowerPoint Video Clips – “Who’s on First?” and “Mr. Bean” Video recording device Student Guide Computer, LCD Projector, Screen/Blank Wall Flipchart or whiteboard with markers Module PowerPoint Student Guide Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Tech Page or List from Session 2 Coin Student Guide Talking Points Student Guide Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Video Recording Device Handout Case Study Talking Points Media Interview Observation Sheet Student Guide Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Internet Access Laptops loaded with Excel Template Student Guide Student Guide 5|Page Module: Communication & Informatics Facilitator Background Resources Included in Resource Folder Centers for Disease Control and Prevention. (2007). Crisis and Emergency Risk Communication: Pandemic Influenza. Retrieved from http://emergency.cdc.gov/cerc/pdf/CERC-PandemicFluOCT07.pdf. U. S. Department of Health & Human Services, National Institutes of Health, National Cancer Institute. (2008). Making Health Communication Programs Work (The Pink Book). Retrieved from http://www.cancer.gov/cancertopics/cancerlibrary/pinkbook. 6|Page SEAOHUN One Health Course- Facilitator’s Guide INTRODUCTION TO COMMUNICATION SKILLS Learning Objective: Type of Learning: Timing: Equipment and Materials: Demonstrate communication skills that encourage the open communication needed in an effective One Health response. Understand how a variety of communication techniques may be used to effectively articulate and exchange ideas during the implementation of One Health initiatives. Large Group Discussions; Large Group Activity; Small Group Activities; Self-Assessment 190 Minutes Computer, LCD Projector, Screen/Blank Wall Flipchart or whiteboard with markers Module PowerPoint Video Clips – “Who’s on First?” and “Mr. Bean” Video recording device (hand held or digital) Student Guide Detailed Facilitator Notes 30 minutes Introduction to Communication Skills Welcome students to the module on Communications and Informatics. Large Group Discussion Quickly review the module competencies: Describe basic communication techniques and tools (e.g., written communication, multi-media, social media, interactive discussion, listening) Understand the fundamentals of risk communication Understand a variety of ways to manage and share Information Time/Length 185 Minutes 95 minutes 135 Minutes 60 minutes 165 Minutes 120-145 Minutes 60 Minutes Module Schedule Topic/Activity Introduction to Communication Skills One Health Promotion Communication Strategies Introduction to Risk Communication Delivering Risk Communication Messages Communicating With or Through the Media Introduction to Informatics Learning Reflection and Evaluation 7|Page Module: Communication & Informatics After outlining the competencies and agenda for the module, ask students to respond to the following question, “What is communication?”. Have students brainstorm definitions and capture their responses on a whiteboard of flipchart. Present a common definition for communication and point out how it relates to their responses. Some example definitions are: …the imparting or exchanging of information or news. …means of connection between people or places, in particular. …the act or process of using words, sounds, signs, or behaviours to express or exchange information or to express your ideas, thoughts, feelings, etc., to someone else …a message that is given to someone: a letter, telephone call, etc. Then ask, “What skills do you need to be a good communicator?” Add these responses to the flipchart and ensure that the following key communication skills are listed: Listening Speaking Writing Interpreting Finally, ask and record responses to the final opening question: “How do we communicate in today’s world?” Responses should include phone (cell and landline), email, social media, internet, newspapers, radio, television, face-toface, etc. Spend a few minutes on the special challenges posed with emerging modern methods of communication. Challenges should include privacy, information overload, piracy, cyber threats, identity theft, limited face-to-face contact, etc. 30 Minutes Face-to-Face or In-Person Communication Tell the class: As you have noted, communication can be either in-person or written. Large Group Face-to-Face, or in-person, communication involves both speaking and Discussion listening and is impacted by the speaker’s tone and the speaker’s and listener’s body language. 8|Page SEAOHUN One Health Course- Facilitator’s Guide Introduce the following basic questions that one should consider before communicating. These questions are relevant in verbal, non-verbal and written communications. What is the intent or purpose of the communication? What needs to be communicated? To whom is the information being communicated? What do you know about the individuals receiving the information? How are you going to communicate the information? Show the video clip “Who’s On First?” Abbott and Costello: YouTube – http://www.youtube.com/watch?v=airTm9LcoY Note: The video clip contains fast speaking and heavily accented characters which may not be fully understood for non-native English audience. This clip can be replaced by another video clip that is suitable for your students. Ask the class to discuss what they observed in the video, including the essence of the communication and the listening techniques used by the two characters. Make sure the students address the content of the discussion, the tone and the body language adopted by the two characters. Use this discussion to transition to the review of key components of spoken communication. Remind students that spoken messages have 3 components related to the probability that the message intended is the message received. Verbal (7%) – actual words spoken in the message Tone (38%) – vocal inflection while speaking (sincere, authentic, sarcastic, interested, bored) Non-verbal (55%) – physical aspects while delivering the message (facial expressions, gestures, eye contact, posture) 9|Page Module: Communication & Informatics Note: The key point here is not that words are unimportant! Words are very important, however, when they are not paired with supporting voice tone and non-verbals messages are not as strong or can be misinterpreted. This is based on a research experiment done by Albert Mehabrian of University of California Los Angeles where he looked at the relative importance of verbal and nonverbal communication. His study found that when non-verbals (body language and tone) were different then the words, people paid MORE attention to what their non-verbals were saying then the words. To ensure words, tone and body language work together to communicate a congruent message, it is important to think about: What is the intent or purpose of the communication? What needs to be communicated? To whom is the information being communicated? What do you know about the individuals receiving the information? How are you going to communicate the information 20 Minutes Transition to body language without stating that you are going to focus on body language. Ask students to find a partner and give them the following instructions: Small Group You need to give a co-worker a message from your supervisor. Decide Activity if the message is going to be good or bad news. Turn to your partner and say: “Our supervisor just asked me to let you know that….” Do not say more than that short phrase. Ask your partner to guess if the message was going to be good or bad news and why they made that assumption. Switch roles. Debrief the exercise with the following questions: How many people guessed right? Raise your hands. How did you know if the message was positive or negative? Has this ever happened to you in real life? What are the lessons learned from this exercise? Show the class a short video clip of Mr. Bean. Use one of the clips below: YouTube – http://www.youtube.com/watch?v=uYCIRoHuKNU Individual Activity ‘ 10 | P a g e 15 Minutes Ask students to write a short paragraph in their Student Guides interpreting the content of the clip based on their observations of: Facial expressions Body posture/gestures Eye contact SEAOHUN One Health Course- Facilitator’s Guide Large Group Discussion 10 Minutes Review students’ responses to the video and discuss the overall message that Mr. Bean is trying to relay through body-language. You can discuss the whole video clop or just small sections. Discuss with students the meaning of the term body-language and how this type of communication can support or deter effective communication. In this discussion, capture the following points: Key Components of Body Language Posture How you sit and stand can show your level of confidence as well as your level of interest in the topic at hand. An erect posture demonstrates confidence, poise and alertness, while a drooping shoulders or slouching can reveal insecurity, apathy or a lack of interest. Facial Expressions Emotional expressions made by faces have a communicative component. While you might say one thing, your expression can tell a different story. Make sure you face demonstrates interest and enthusiasm and be aware of in the moment expressions of dissatisfaction, anger, etc. Eye Contact The appropriate level of eye contact is culturally dependent, but always aim to demonstrate interest and respect. Keep your eyes focused on the task and avoid getting distracted (for example looking at the clock, etc.) Gestures Movement of the hands can enhance communication by supplementing speech. You should avoid continuous gestures, but you can use short gestures to emphasize a point. Like eye contact, gestures are culturally dependent and a gesture in one culture can mean something very different in another culture. Movement Movement such as fidgeting shows disinterest and disengagement form a conversation. Sit still and focus on the current task (check phones, emails, etc. after a conversation is over.) Head Motion The movement of the head plays an important role in communication. Appropriate nods and shakes of the head can enhance a point or display understanding and agreement/disagreement without using words. 11 | P a g e Module: Communication & Informatics 30 Minutes Transition to listening with the following exercise without stating that you are focusing on listening. Large Group Activity Ask students to generate a few ‘conversation topics’ and write the ideas up on a flipchart or whiteboard. Ideas might include current events from the news, current issues at the university, a One Health-related issue, etc. Ask for 3-5 students to volunteer to give a 3 minute talk on one of the conversation topics. Give each student just a few minutes to prepare. Do NOT tell the class that they are supposed to listen when their classmate are presenting. After all the students have spoken, ask the class to reflect on the following questions and write down some notes for each. How much do you recall about each of the conversation topics you listened to? Do you feel you listened to the session? Why or why not? If you listened, what was it like to sit back? If you did not listen, what made you tune out? If you were a presenter, what was it like to be in front of the group? How did you know people were listening (or were not)? Stop and discuss their responses to the questions. Remind the class that this discussion is not meant to be a feedback session for specific presenters/ listeners, but rather a chance to get general observations and reflect on the outlined questions. Remember to focus on LISTENING and not focus on PRESENTING. Then, ask the class: Have you ever had someone carefully listen to what you said? How did that feel? What did that person do that communicated to you that they were listening? 10 Minutes Tell the class that it is suggested that listening involves four main components: (Text below is from www.state.gov) Large Group Discussion 12 | P a g e Seek to understand before you seek to be understood. Be non-judgmental. Give your undivided attention to the speaker. Use silence effectively. SEAOHUN One Health Course- Facilitator’s Guide Select a student to read each of the following sections outloud. Have the other students follow along in their Student Guides and take quick reflections/comments on each section. 1. Seek to understand before seeking to be understood. When we seek to understand rather than be understood, our modus operandi will be to listen. Often, when we enter into conversation, our goal is to be better understood. We can be better understood, if first we better understand. With age, maturity, and experience comes silence. It is most often a wise person who says little or nothing at the beginning of a conversation or listening experience. We need to remember to collect information before we disseminate it. We need to know it before we say it. 2. Be nonjudgmental. Empathetic listening demonstrates a high degree of emotional intelligence. There is a reason kids do not usually speak with adults about drugs, sex, and rock and roll. The kids already know what the adults have to say. Once a child knows your judgment, there is little reason to ask the question unless the intention is to argue. If we would speak to anyone about issues important to them, we need to avoid sharing our judgment until we have learned their judgment. This empathetic behavior is an indicator of emotional intelligence as described in Chapter 3. Give your undivided attention to the speaker. The Chinese symbol that we used to describe listening used the eyes and undivided attention. Absolutely important is dedicating your undivided attention to the speaker if you are to succeed as an active listener. Eye contact is less important. In most listening situations people use eye contact to affirm listening. The speaker maintains eye contact to be sure the listener or listeners are paying attention. From their body language the speaker can tell if he is speaking too softly or loudly, too quickly or slowly, or if the vocabulary or the language is inappropriate. Listeners can also send messages to speakers using body language. Applause is the reason many performers perform. Positive feedback is an endorphin releaser for the giver and the sender. Eye contact can be a form of positive feedback. BUT, eye contact can also be a form of aggression, of trying to show dominance, of forcing submissive behavior. All primates use eye contact to varying degrees. We should be careful how we use it when listening. If we want to provide undivided attention to a child, a better way to show your attention is to do a "walk and talk" as we discussed in Chapter 2. Walk and talk is such a successful strategy that works well for active listening! 13 | P a g e Module: Communication & Informatics 4. Use silence effectively. The final rule for active or empathic listening is to effectively use silence. To often a truly revealing moment is never brought to fruition because of an untimely interruption. Some of the finest police interrogators, counselors, teachers and parents learn more by maintaining silence than by asking questions. As an active or empathic listener, silence is a very valuable tool. DO NOT interrupt unless absolutely necessary. Silence can be painful. It is more painful for a speaker than for a listener. If someone is speaking, and we want them to continue talking, we do not interrupt. Rather, we do provide positive feedback using body language, eye contact, and non-word sounds like "umh, huh". Silence is indeed golden especially when used to gather information as a listener. In fact, the Chinese symbol for listening is: 15 Minutes Personal Listening Assessment Instruct the students to complete the Personal Listening Assessment, a selfSelfassessment of their learning skills and behaviours, located in their Student Assessment Guides. Tell them that you will come back to the assessments later in this session Personal Listening Assessment Instructions: Read the statements below and honestly assess how often you demonstrate these behaviours, then respond to the open-ended questions: Rate how often you demonstrate the behaviours described in the statements. Statements 1. My family and friends say I am a good listener. 2. I find myself daydreaming while I try to listen. 3. I find myself pretending to listen. 4. I fidget a lot when I am trying to listen to others. 5. I only focus on the parts of a conversation I am interested in. 14 | P a g e Never Rarely Sometimes Often Always SEAOHUN One Health Course- Facilitator’s Guide 6. If I disagree with an opinion or statement someone else has made I have a hard time listening. 7. I finish peoples’ thoughts and sentences. 8. I listen to part of a story and then start to think about what story I will tell next. 9. I can accurately repeat back what someone has told me. 10. I let the people I am listening to know that I am interested by using verbal and non-verbals. Which word on the scale below best describes how you rate your listening skills? _______________________________________________________________________________ _______________________________________________________________________________ Explain why you gave yourself this rating. _______________________________________________________________________________ _______________________________________________________________________________ Excellent Above Average Average Below Average Poor 30 Minutes Putting It All Together: Speaking, Body Language & Listening In this activity, students will evaluate the effectiveness of their oral, bodylanguage and listening skills. They will identify actions or statements that Small Group engage their counterpoint in the conversation, as well as those that create a Activity barrier. Divide students into groups of three and give them the following task: Assign the following roles: interviewer, interviewee and observer. The topic you will discuss is Communication and Culture. The interviewer will have 5 minutes to discuss this topic with the interviewee. During the discussion, the observer will take notes on communication between the interviewer and the interviewee and will capture the discussion on video (optional). Switch Roles (if time permits) Note: During this exercise, it is suggested that each small group video tape the conversation so they can go back and look at the body language. If you do not have access to a video recording device, the observer will be the main source of feedback. 15 | P a g e Module: Communication & Informatics After the 5 minute interview is over, have students review the tape. Depending on the size of the group, this can be done with the entire class or just done in trios. If the session is not videotaped, the observer can offer their thoughts first and have the interviewer and interviewee add in additional feedback. Have the class, or smaller groups, respond the following questions: What did the interviewers do effectively (body language, tone and words) that helped them elicit information from the interviewee? What actions created barriers? How did the body language of the interviewee portray confidence and competence? Were they able to get their message and thoughts across clearly? For both the interviewee and the interviewer, what did they do effectively in terms of their spoken and non-spoken language? For both the interviewee and the interviewer, what suggestion do you have to enhance communication? Note: As an optional closing, end with the Forbes magazine 10 communications secrets from great leaders article at www.forbes.com. The tips include: 16 | P a g e Speaking not with a forked tongue Get personal Get specific Focus on leaving-behinds not take-aways Have an open mind Listen Replace ego with empathy Read between the lines When you speak, know what you are talking about Speak to groups as individuals SEAOHUN One Health Course- Facilitator’s Guide ONE HEALTH PROMOTION COMMUNICATION STRATEGIES Learning Objective: Type of Learning: Timing: Equipment and Materials: Pre-Class Assignment Apply communication strategies for the promotion of One Health concepts. Small Group Activity; Large Group Discussion 95 Minutes Computer, LCD Projector, Screen/Blank Wall Flipchart or whiteboard with markers Module PowerPoint Student Guide Read Article – Communication Strategies Toolkit, U.S. Environmental Protection Agency Detailed Facilitator Notes Prework Prior to the session ask students to read and come prepared to discuss the article following article on communication strategies. Article—Communication Strategies Toolkit, Environmental Protection Agency, United States 10 Minutes Introduction to Communication Strategies Open by saying that communication strategies are plans for communicating information related to a specific issue, event, situation or audience. They serve as the blueprints for communicating with the public, stakeholders or even colleagues. Ask students to recall from their pre-reading the key elements of effective communication strategies. Stress that communication strategies should identify the why, who, what and how. Specifically the strategy should: Outline the objective/goals of the communication, Identify stakeholders, Define key messages, Pinpoint potential communication methods and vehicles for communicating information for a specific purpose, and Specify the mechanisms that will be used to obtain feedback on the strategy. 17 | P a g e Module: Communication & Informatics 75 Minutes Promoting a One Health Approach Divide the students into groups of 3-4 (depending on the size of class) and give them the 40 minutes to complete the following task: Small Group You have been asked to speak to a community or an organization Activity about One Health. Your goal is to promote the One Health approach as it relates to a recent outbreak. Turn to the Communication Strategy Scenarios in your student guide (taken form ProMED mail). Each scenario contains information on a current One Health issue, details on key stakeholders and limitations of communication methods. In your group, select one of the scenarios, develop a communication strategy for the threat and prepare a 5-10 minute presentation to give to the class. Use the Communication Strategies Worksheet to guide your strategy development process. Note: For graduate or professional level students, have students discuss scenarios that they have been involved with or are aware of. Communication Strategy Scenario 1 Outbreak of Salmonellosis from Wedding Reception Laboratory tests on samples collected from victims of the wedding reception food poisoning in Tanjung Dawai, which claimed 4 lives last week, confirmed chicken served was contaminated with salmonellae. State Health Department director Dr Ismail Abu Taat said the 2nd test on the samples confirmed the presence of the bacterium, which can cause a food borne illness. However, he said that salmonella bacteria are commonly found in livestock, and the department concluded that those who prepared the dish failed to clean the chicken properly. Dr Ismail said earlier investigations revealed that the chicken used for the ayam masak merah dish had been sent to the host in Kampung Huma a day before the wedding reception. "The chicken was sent to the house on Friday [4 Oct 2013?] evening, but it was only cooked at 4:00 pm the next day. This had allowed the bacteria to replicate in the chicken." "Investigation also revealed that the chicken was contaminated and gave off a foul smell. However, those who prepared the dish only removed the spoiled portion and cooked the meat," he said. More than 280 guests, including the bride's family, suffered symptoms such as diarrhea and vomiting; after the feast, 4 guests died. Health Minister Datuk Seri Dr S. Subramaniam said illness can also occur when there is a long delay between preparing and consuming food. Communicated by: ProMED-mail from HealthMap alerts promed@promedmail.org Source: New Straits Times [edited] http://www.nst.com.my/nation/general/chicken-dish-cause-of-food-poisoning-at-kenduri-1.370683 18 | P a g e SEAOHUN One Health Course- Facilitator’s Guide Communication Strategy Scenario 2 Outbreak of Leptospirosis in Thailand There is an outbreak of leptospirosis in the northeastern part of Surin district [Surin province]. 107 cases have been confirmed and 7 people are dead. Health authorities of the prefecture consider farmers at great risk and recommend that they wear rubber boots and rubber gloves in order to prevent infection during farm work. Leptospirosis is an infection caused by Gram negative bacteria of the genus _Leptospira_ (the natural host are wild animals such as rats). It is a zoonotic disease and infection occurs orally and percutaneously from water and soil. In humans, the incubation period is about 3-14 days and symptoms include chills, fever, headache, malaise, and myalgia. In the mild form, patients soon recover. However, in the severe form (Weil's disease), jaundice, bleeding, kidney failure, and liver damage are observed, and the mortality rate is 5-50 percent. Epidemics of leptospirosis occur from July to October in Southeast Asia, including Thailand. [Leptospirosis outbreaks occur with some regularity during periods of flooding in Thailand as a result of people wading through contaminated water. Most cases occur among agricultural workers, notably rice producers. The principal reservoirs in Thailand are chronically infected rats and dogs that excrete _Leptospira_ in their urine (see ProMED-mail posts Leptospirosis - Thailand (02) 19971121.2345 and Leptospirosis - Thailand (Nan)(02): background 20060913.2592). Communicated by: ProMED-mail from HealthMap alerts promed@promedmail.org Source: Bangkok Shuho [in Thai, trans., edited] http://www.bangkokshuho.com/article_detail.php?id=137 Communication Strategies Worksheet Issue/Problem and Key messages Description of the issue/problem: The key messages to be communicated for this issue/problem Planning the Strategy: Audience and Communication Vehicle Audience Communication Vehicles Implementation: Communication Vehicle and Required Resources Communication Vehicle Required Resources and Time 19 | P a g e Module: Communication & Informatics Have each group present their One Health challenge and communication strategy. Take 10 minutes for feedback and have students respond to the following questions. What pieces of the communication strategy would be effective with the community or organization? Give specifics. What pieces of the strategy need to be enhanced? Large Group Discussion 20 | P a g e 10 Minutes Concluding Remarks & ‘Tech’ Page Set-Up Get any final comments on communication strategies and One Health from the class. Before closing the session, start a ‘tech’ page on a whiteboard or flipchart with technical terms, data, statistics and jargon on One Health that students heard in the communication strategies. These are words that might be understood fully by the general public. Have the review each term and brainstorm simpler ways they could relay the information (e.g. in lay terms with simple words and descriptions). Tell the class that you will keep a running list on the tech page throughout the rest of the sessions. SEAOHUN One Health Course- Facilitator’s Guide INTRODUCTION TO RISK COMMUNICATION Learning Objective: Type of Learning: Timing: Equipment and Materials: Understand the fundamentals of risk communication. Demonstrate the ability to effectively communicate risk to multiple audiences (public, politicians, media, stakeholders, health workers, etc.) Large Group Discussions; Individual, Small Group and Large Group Activities; Lecture 135 Minutes Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Tech Page or List from Session 2 Coin Student Guide Detailed Facilitator Notes 5 Minutes Welcome students to the session introduction on risk communication. Have the tech page hung up to capture any new One Health terms throughout the session and note that you will stop to discuss the terms at the end of the Large Group session. Remind the class that the tech page is a list of jargon, acronyms or Discussion technical words that should not be used when communicating with the general public. Individual Activity 10 Minutes Introduction to Risk Communication Ask the students to think about a time when they: Wanted to do something that others considered risky; or Saw someone taking a risk that made you worry. Have them write down the situations they thought of in their Student Guide and answer the following questions: How did you communicate about the risk to the other person? (either the individual who thought you were taking a risk, or the individual that you thought was taking a risk) Was your communication well received? What made your message effective or ineffective? Give participants 7 minutes and then get a few examples from the group. Use their examples to transition into a brief presentation on the definition of risk communication, what makes it important and what makes it effective. 21 | P a g e Module: Communication & Informatics Lecture 65 Minutes Lecture on Risk Communication Deliver the presentation on risk communication using the lecture notes in the notes section of the PowerPoint. You will cover the following points: What is risk communication? What can risk communication do? When is risk communication most effective? Risk Paradigms and Emotion Risk Analysis Paradigm Emotion Trust and Fear After the section on Trust and Fear, break from the presentation to conduct the following activity which introduces the concept of interpreting risk. Large Group Activity Interpreting Risk – The Coin Toss Show a coin with two distinct sides and ask students to play a game with you. Say, “I am going to toss this coin. If it lands on ‘head’ you will win 500 Baht (or local currency). If it lands on ‘tails’, then you will owe me 300 Baht (or local currency). Who is willing to play?” Get a show of hands and then discuss the activity and its results. Ask the following questions: For those of you who don’t want to play, what are some of the reasons why? For those of you who did want to play, what are some of the reasons why? After the discussion, tell the students that this is a common game used to teach risk perception in the economics field. From a purely mathematical point of view, almost all people should be willing to play this game, but many are not. While the refusal to play may have nothing to do with odds (for example some people object to gambling while others fear that the game is rigged), the overall point of the game is that we interpret risk differently and most of us are ‘programmed’ to be risk averse even when the facts say that the odds are in our favor. Lecture 22 | P a g e Lecture on Risk Communication Continued Return to the lecture to discuss the following topics: Risk Perception Interpreting Risk Viewing Risk Best Practices in Risk Communication SEAOHUN One Health Course- Facilitator’s Guide Moving from the basics of risk communication to a discussion on best practices, ask the students, “Based on our conversation so far, what would you say are some of the best practices for risk communication?” Record their answers on a whiteboard or flipchart and then refer them to the following handout in their Student Guide. Ask students to review the list and note down any questions they have. Give them 5 minutes to review and then take questions. 10 Best Practices of Risk Communication 1. Risk and crisis communication is an ongoing process 2. Conduct pre-event (e.g., pre-disease outbreak) planning and preparedness activities 3. Foster partnerships with public (e.g., involve stakeholders such as farmers, law enforcement, and health agencies in pre-event planning) 4. Collaborate and coordinate with credible sources 5. Meet the needs of media and remain accessible 6. Listen to public’s concerns and understand audience 7. Communicate with compassion, concern, and empathy 8. Demonstrate honesty, candor, and openness 9. Accept uncertainty and ambiguity (people do not respond well to or trust someone who says “I know it all”) 10. Give people meaningful actions to do (build self-efficacy) – this may be as simple as advising people to wash their hands carefully or as specific as giving people a phone number to call if they have information/knowledge to share about a disease outbreak. Taken from the National Center for Food Protection and Defense – A Homeland Security Center of Excellence (http://www.ncfpd.umn.edu) Katherine Waters, Jaime Umber, and Meredith Ferris w/ NCFPD Talking Points for Risk Communication For the remainder of the session, the group will practice creating talking points for communicating to various audiences. Tell the class that good talking points: Are clear and succinct summaries (often less than one page) of key messages to communicate to the public. They provide only the most important information so that the public will not be overwhelmed with extra information and use familiar, non-technical language or jargon. Give consistent messages from all spokespersons to prevent public panic. Panic can stem from inconsistent or contradictory messages. 23 | P a g e Module: Communication & Informatics Should address people’s concerns, clarify mis-information or misconceptions, motivate people to take do-able actions and give them advice on where to find additional information (e.g. medical care, frequently asked questions, etc.) Can be used by a variety of stakeholders and media (e.g. when visiting an affected community, when talking to a government official, when being interviewed by the media, or when creating print media, radio content, or in social media.) The ‘Rule of Three’ In the case of high stress situations, messages should be based on the ‘Rule of Three'. Dr. Vincent Covello for the Center for Risk Communication maintains that in high stress situations people can process 3 information bits. Rule of Three states in high stress situations, we should: Present 3 key messages Repeat key message 3 times Prepare 2-3 supporting messages for each key message Have participants review the “How to Write Talking Points” section in the Student Guide. Give them few minutes to look over the tips and see if there are any questions. 50 Minutes Applying the Knowledge: Developing Talking Points Note: Two case studies are provided below and in the Student Guide, one Small Group on Rabies in Bali and one in Leptospirosis in Cambodia. As the facilitator, Activity read each case study prior to class and select the one that you would like to use. Divide students into small groups of (4-5 people each) and have them review the selected case study. Assign each group a different target audience and give them 15 minutes to create a set of talking points targeting their audience. Have each group (or select a few groups to) share their talking points. Example target audiences include: General Public Health Workers Local Leaders/Politicians 24 | P a g e SEAOHUN One Health Course- Facilitator’s Guide Case Study Option 1: Leptospirosis in Cambodia Part A Outside a coastal village in Cambodia that lies near a river there has been unusually heavy flooding this past monsoon season. Farmers growing rice and other crops were temporarily displaced from their homes, as were their animals, moving from the coastal areas to higher ground. Flooding has been occurring on a more frequent basis in Cambodia—six times over the last ten years. This is a sharp increase over previous decades. And floods are becoming more severe. The process farmers use to plant rice is weather-dependent. The amount of rainfall determines the size and quality of the rice crop, with a potential for large variations from year to year. When floods occur, farming is disrupted, crops are damaged, and farmers lose money. =Many farmers practice agriculture at a subsistence level, using traditional methods that are low in productivity. They depend on their oxen to help plough the fields, to furrow and turn up the soil, and to rake the fields before they plant rice. Most farmers have one bull, a couple of steer, and a couple cows with calves. After the flooding subsided and the farmers, with their animals, returned to their land from the hills, they noticed their cows experiencing “abortion storms” one to three weeks later. In addition, the calves were showing symptoms of illness, such as jaundice and pulmonary congestions. As a result, many of the calves couldn’t be used to cultivate the soil. Because of this, the farmers turned to scattering rice seed on the untilled soil. But soon rodents came and ate the seed. At the same time, many farmers and their families in the area were getting sick with high fevers, headaches, redness in the eyes, and jaundice. Word of their illness reached the district health office, which sent out public health workers to investigate the outbreak. When the health workers visited the farmers, they noticed that some of the animals were experiencing symptoms of illness. Part B Leptospirosis is an infectious disease that is dependent upon the interaction of humans, animals, and the environment. Increases in the frequency and intensity of flooding in Cambodia have had an effect on the regularity of the seasons. Global climate change, including extreme weather events, is resulting in a rise of leptospirosis outbreaks. Weather conditions and a decline in the population of farm animals are leading to lower farm productivity. Rural populations, in particular, have a strong dependence on the regularity of seasons, controlled by the climate, for their well-being. Because the vast majority of Cambodians live in rural areas, the flooding of their farms makes them more vulnerable to poverty. Other factors, such as industrialization, deforestation, and changes in land use also contribute. Cambodia has one of the highest rates of deforestation in the world. Flooding and mudslides are caused by the deforestation of the mountain ranges. Without vegetation to help 25 | P a g e Module: Communication & Informatics hold the soil together, mountain ranges can erode by wind and water. These factors present serious challenges to reducing poverty, ensuring equity, and securing people’s livelihoods. Part C Only 30% of Cambodians have access to safe drinking water and 19% to adequate sanitation. Most get their drinking water by walking long distances to rivers. About 75% of the rural population practice open defecation. People use rice paddies, banana groves, and other water sources to dispose of their own waste, thus polluting the water on which they depend. A lack of proper sewage and waste-water treatment, coupled with poor standards of hygiene, results in many people being forced to drink contaminated water. Persistent poverty, limited sources of land management, institutional and governmental constraints, poor sanitation and rodent management all contribute to the risk of spirochetes such as leptospirosis causing disease in humans and animals. Case Study Option 2: Rabies in Bali Introduction Bali Island is one of the most important tourist destinations in Indonesia. Every year more than one million foreign and domestic tourists visit this Island. Tourism businesses now become primary income for people in this Island. This island is one among 35 Provinces in the Republic of Indonesia. With a total of 3,890,000 inhabitants, Bali Province consists of 9 Districts and 54 sub districts. Despite most of the Indonesian is Muslim, Hinduism is the religion of the majority of Balinese. Due to their practice and belief, Balinese show high compassion to animals, particularly dogs. In their belief, dog is the animal who will accompany their souls to enter the heaven. As a result of that belief, dogs are easily found in the streets because most of the owned dogs are roaming freely (74%), whereas the rest are kept in houses resulting the vaccination coverage is low. Bali was historically rabies-free, but in 2008 rabies was detected on a peninsula on the South of the island, probably introduced by infected dogs travelling on fishermen’s boats. Balinese government is very concern about this disease especially as it happens on the island of tourist holiday hotspots as it will ruin the tourism industry. Starting December 2008, the Balinese government began culling using strychnine-laced baits or blow darts to unconfined dogs in areas of big towns like Denpasar and Badung with confirmed rabies cases and began vaccinating dogs at fixed posts. It was estimated from a survey in Badung, where the ratio of human to dog ratio was 8.3 human to 1 dog. Chapter 1 Made, 27 years old, is a father of three children who lived in Village Api-api of Bali Island. On August 11th 2011, he was bitten by his dog’s neighbour. The dog bite on Made’s right heel and caused small laceration. His family later brought him to Private Practice Midwives nearby as there was no medical facility in the village. The midwife washed the wound according to the standard operating procedures. Made started to developed flu-like symptoms such as discomfort, fever, and headache. On December 3, 2011 Made developed delirium and seizures. He was taken to the sub-district health center by his 26 | P a g e SEAOHUN One Health Course- Facilitator’s Guide family members who later referred him to the district hospital. However, on December 5, 2011 Made died. Chapter 2 The same dog who attacked Made somehow escaped to the nearby village which is Bota village, and attacked new victims including a human, a dog and cattle. Eventually, the dog died after being hit with stones by the angry Bota villagers and the body of the dog was thrown into the nearby bushes. The new victim, Wayan, was taken to the district hospital for anti-rabies treatment. The wound of the victim was cleaned with disinfectant and was given anti-tetanus along with HRIG and initiated rabies vaccine. Wayan recovered 15 days later after being treated with anti-rabies treatment. The district hospital notified the case to the District Health Services, and District Livestock Services for the them to conduct further investigations. Chapter 3 The veterinarians from District Livestock Services conducted an investigation at Bota village by gathering the dogs with bite marks on the body inclusive the owned dogs, to be observed in a quarantine facility for 14 days. The villagers were very angry at the authorities and becoming less cooperative. Nevertheless the villagers obeyed the authority’s advice after a public dialogue was carried out. At the same time, the District Livestock Services observed the bitten cattle for any abnormal behavior and clinical symptoms. On the 10th day of the quarantine, the bitten dog were found dead at the quarantine facility. A sample from the unfortunate dog’s brain was sent to the laboratory for microscopic examination. At the same time, the health authority conducted an enquiry of the history of the patient and found out that Wayan was bitten by a dog without prior provocation from the victim. They also found out that the dog was new to the area. Fortunate enough, the cattle did not show any sign of rabies infection. Chapter 4 At the Api-api village, more dogs were seen having abnormal behaviour and some villagers were getting bitten by these dogs. Most of the victims seek treatment at Private Practice Midwives and the same advice given to Made that they should go to the subdistrict health center at South Kuta to get anti-rabies vaccine. The victims complied with her advice and took the anti-rabies treatment. The victims recovered after 15-25 days and return to their daily activity soon after. The subdistrict health center notified the cases to the District Health Services, and District Livestock Unit, where the same actions to the dogs were applied. Meanwhile, the result of laboratory examination showed positive rabies infection on sample of dog’s brain that bitten Wayan. The District Livestock Services took the action of launching rabies control program in the areas by mass vaccination to the owned dogs and culling of the stray dogs. This program created conflict between District livestock authority and villagers to the extent that the villagers hide some dogs to other areas. Mass dog vaccinations substantially reduced rabies incidence in Bali. 27 | P a g e Module: Communication & Informatics Large Group Discussion Compare and contrast the messages between the different groups. Some things to look for and reflect on are: Who is affected and how? What is the target group’s role in mitigation? What role does an individual in this constituency play? What actions must the target group take? How can the target audience access medical or other emergency services? Debrief with the following questions: What made it difficult to write the talking points? What made it easier to write the talking points? What additional information would have helped you write the talking points? What questions do you have for your target audience? How confident are you that your messages will be accepted by the target audience? Why? Be sure to have students save the talking points to use in the next session on risk communication messaging. 5 Minutes Concluding Remarks and Tech Page Update Wrap up the session and return to the tech page. If any new terms, etc. were added, have the group review each term and decide how they could make the Large Group concept clear to the public. Discussion 28 | P a g e SEAOHUN One Health Course- Facilitator’s Guide DELIVERING RISK COMMUNICATION MESSAGES Learning Objective: Type of Learning: Timing: Equipment and Materials: Demonstrate ability to communicate risk at multiple levels. Communicate effectively with the media and public. Individual Activity; Role Play; Large Group Discussion 60 Minutes Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Talking Points from Introduction to Risk Communication Student Guide Detailed Facilitator Notes 10 minutes Introduction to Delivering Risk Communication Messages Welcome students back and introduce them to the topic of today’s session: Delivering Risk Communication Messages. Recap their learning from the previous session on developing talking points and connect their learning to the delivery of risk messages. Pre-prepared talking points are extremely useful and allow you to be prepared to speak with the public about what should be done during an outbreak. After they are developed, you are armed with the words and facts to motivate and help others. The next step is learning how to deliver a message in the most effective and efficient manner. Research shows that showing competency and empathy, as well as giving the public specific actions to take, helps avoid panic and allows the public to better handle a crisis or an emergency. In this next activity, you will consider how to word messages to best show empathy and competency. These two qualities of messaging are key, because they motivate individuals to accept and act upon your recommendations. Review the following points with students: Research shows that trustworthiness is established in first 9-30 seconds of a conversations Trust, caring and empathy are shown through both body and verbal language. It is important to say that you are concerned and acknowledge your audience’s uncertainty fear, and/or pain. 29 | P a g e Module: Communication & Informatics Using simple language, or common words and terms familiar to the general public, helps the speaker establish a connection with a broad audience. The public is more likely to listen to and believe in a speaker who establishes trust and empathy immediately. 10 Minutes Ask the students to take a few minutes to read through their talking points from the previous session. Have them consider the following additions/revisions: Add elements that establish empathy and a caring tone Simplify words and language Explain actions being taken to solve the problem 25 Minutes Have the students partner with someone with the same audience type if possible and give them the following activity: Decide who will share the message first and have that individual take three minutes to deliver the message. During the delivery, the other partner will play the role of the target audience. Once the first individual finishes, the member of the target audience will write done observation notes on the sheet found in the Student Guide. S/he will consider the following questions: Individual Activity Role Play – Was the communication effective? – What made it effective? What could be enhanced? 15 Minutes Large Group Discussion 30 | P a g e Then switch roles and repeat steps 1 and 2. After you are both done, share your observations. (3 minutes for each person, 6 minutes in total) Ask participants to share their experiences and observations. Use the questions below to guide the discussion. How did the limited amount of time affect which messages you were able to say? What makes it hard to show empathy or competence? What makes it easier to show empathy or competence? What makes it hard to use simple language? Who else can assist you in talking with people to establish trust and credibility? What differences do you notice between the different audiences? SEAOHUN One Health Course- Facilitator’s Guide COMMUNICATING WITH OR THROUGH THE MEDIA Learning Objective: Type of Learning: Timing: Equipment and Materials: Pre- Class Assignment Identify the designated spokesperson(s) for particular issues Communicate effectively with the media and public Recorded Interview Activity (Individual, Small and Large Group Activities) 165 Minutes Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Video Recording Device Handout – Common Questions Asked by Reporters During a Crisis Case Study from Introduction to Risk Communication session Talking Points from Introduction to Risk Communication session Media Interview Observation Sheet (one per student) Student Guide Review Handout – Questions Asked By Reporters During a Crisis (if necessary) Detailed Facilitator Notes If possible, invite current or retired members of the press or media to come interview students during this session. If you are unable to do so, then prior to the session, identify and prepare volunteers to serve as media interviewers. Interviewers should be given the Case Study selected for this activity and asked to review the set of questions in the Common ‘Questions Asked By Reporters During a Crisis’ handout. Encourage interviewers to be as realistic as possible. Handout – Common Questions Asked by Reporters During a Crisis Pre-Class Preparation 45 Minutes Large Group Discussion Introduction to Communicating With or Through the Media Welcome students to the class on communicating with or through the media. The group will apply their new skills and knowledge in this session. Hold a brief discussion about a health event your local community, such as H5Nw influenza, etc. Outline the basic information of the event and then ask: How did the public get information on the health event? How did the media present the information? Was it done well or poorly? What spokespersons were involved? Were they credible? Why or why not? 31 | P a g e Module: Communication & Informatics Lead a discussion regarding spokespersons and individuals involved on a communication team in a disease outbreak scenario. Examples of people who might become spokespersons or interviewed are local or regional NGO’s, local leaders/politicians, veterinarians, doctors, nurses, health officers/epidemiologists, security/police officers/first responders. Ask the class, “What makes for a good spokesperson?” You should get responses like: they are experts, seen as technically credible, good communicators – have clear messages, effective body language, come across as trustworthy to the audience, may be someone the audience can relate to (e.g. one of their own!) Follow up with another question, “Why is the media so important for One Health communications?” Take some of their responses and connect them to the importance of working with and through the media. Highlight the following points: Media can reach many people Media can quickly get out emergency information Media can give the public resources to turn to, such as phone numbers or addresses to go for help Media can provide a forum for the public to voice their concerns Then ask, “What might be some of the challenges of working with the media?” Some examples might be: Media does not always present a story in positive light Media can misrepresent a situation or provide misinformation Media only looks for “bad” news People do not always trust the media Journalists ask trick questions Have students review the “Six Ingredients for Successful Interviews” section in their Student Guide. Follow up by answering questions and highlighting the points outlined below. As a One Health representative you must: Be prepared to meet the press and get your message out first Meet and work with journalists before an emergency or outbreak so you can establish a working relationship based on trust and respect to better inform the public. - Having a positive relationship with the media is important in getting out correct information in a timely way. Have your messages ready and feel confident in your presentation. Select the best spokesperson(s). 32 | P a g e SEAOHUN One Health Course- Facilitator’s Guide 10 Minutes Individual Activity Media Interview Activity: Preparation In this activity, the class will use thee talking points developed in the previous session in a media interview setting. Tell the class that they will be using the scenario and related talking points from sessions three and four. Assign students to represent a variety of individuals who might be involved in a One Health communications team. This can include a mayor/local leader, community health worker, emergency responder, etc. Then, give students the following instructions. You have been selected as the One Health representative responsible for speaking with the media. You will be interviewed by a local media representative and have a three minute time slot (or 10 minutes if you are working with small groups) that will be shown on the evening news. Take 10 minutes to review and revise your talking points as needed before the interview. 90 Minutes Media Interview Activity: Practice Note: Depending on the size of your group this activity can be Pair Activity conducted with an individual or a small group. The time allocated for this activity is representative of 10 students who go through an individual interview. Adjust the time depending on your class size. In addition, we suggest that you video tape each interview in order to review it after the activity. If you are not able to video the interviews, please have each interviewer write down their observations on the Media Observation Sheet after each interview. Introduce the group to the media interviewer(s). For fun, you may want to include which news outlets they are from (e.g. local or international news station, etc.). Then give the following task: Individual Interview A media representative will interview each One Health representative about the current outbreak. Each individual will have three minutes to answer. Each interview will be videotaped for review. Small Group Interviews A media representative will conduct panel interviews with teams of One Health representatives. Each individual will receive a different question to answer. Each group will have 6 minutes to answer questions. 33 | P a g e Module: Communication & Informatics Large Group Discussion – (5 minutes per person) Review the videos in the large group and have students identify one strength and one area of improvement for each interviewee. As the facilitator, track the comments on the Media Interview Observation Sheet (found in the handout section of this guide) and then share your own reflections. If you did not videotape the interviews, then share your observations with the group—sharing one strength and one weakness with the group. Large Group Discussion Ask each group to share their observations and recommendations for one strength and one area of improvement for each student. Have the volunteer media interviewer serve as the facilitator of the conversation. Be sure each student receives the copies of their observation sheets to review after the session is over. 20 Minutes Media Interview Activity: Discussion and Debrief Summary Facilitate a discussion with the group on their overall observation and lessons learned from this experience. Use the following guiding questions: What made it easy to use the talking points? What was challenging about using the talking points? Was there more information that you wanted to provide? If so, what and why? What questions did the interviewer have that were off topic for you? How easy or difficult was it to redirect? What questions do you have about the skills on the observation sheet? If you had the opportunity to select the best spokesperson(s) for this topic, who would you choose? Why? 5 Minutes Concluding Remarks Wrap up the session and be sure to see if there are any One Health terms to add and define on the tech page. Large Group Discussion 34 | P a g e SEAOHUN One Health Course- Facilitator’s Guide INTRODUCTION TO INFORMATICS Learning Objective: Type of Learning: Timing: Equipment and Materials: Pre-class Assignment Collect, manage, organize and report data to ensure that each person in a One Health team has the information they need to do their job. Organize and analyze data and disseminate findings using available tools including databases and social networking. Individual or Small Group Activity; Group Discussions 120-145 Minutes Computer, LCD Projector, Screen/Blank Wall Whiteboard or flipchart with markers Module PowerPoint Internet Access (for student computers—optional) Laptops loaded with Excel Template (for students) Student Guide Complete the Personal Data Table (if selecting the “quick activity”) Detailed Facilitator Notes If you decide to go with the “quick activity” at the end of this session have students fill in the chart below at the end of the previous session and send it to you before class begins. Prework & Facilitator Set Up Be sure to let students know that this data is optional. They may provide as much or as little information as they choose. Gender Height Weight Age Birth Month Year in Program Ethnicity Insert the data into an Excel document so that students can manipulate the data during the exercise. 35 | P a g e Module: Communication & Informatics 10 Minutes Introduction to Informatics Welcome learners to the session on informatics. Start off by showing the following video on Health Informatics and sharing the following general definition of informatics. YouTube —Health Informatics http://www.youtube.com/watch?v=rFxewUq1cE4 “Informatics studies the application of information technology to practically any field, while considering its impact on individuals, organizations, and society. It uses computation as a universal tool to solve problems in other fields, to communicate, and to express ideas.” – Illinois Informatics Institute Ask participants for their general reactions to the video and the definition. Then ask them, “How is your everyday life touched by informatics?” Get a few responses before moving on. See the Facilitator Quick Notes section on page 37 for background reading informatics. Lecture 10 Minutes Give a brief, interactive presentation on the basics of informatics that addresses the points outlined below. Detailed facilitator notes can be found in the notes section of the PowerPoint: Why Informatics is Important? How Informatics Already Impacts Us The Goal of Informatics The Flood of Information The Key Elements of Informatics Informatics & One Health This information is adapted from a presentation by Dianne Hansford and a presentation by Mark H. Spohr, World Health Organization. Individual Activity 36 | P a g e 40 Minutes Informatics Activity (Short/Basic Option) Tell students that the class is going to put the information they just learned about informatics into practice. Split participants into small groups and give them 20 minutes to complete the task outlined below. If possible, be sure that each group has a person who knows Microsoft Excel to help make the task easier. Your job is to “analyze” the data collected in this class and decide how you will share the information back with the group. SEAOHUN One Health Course- Facilitator’s Guide Give each group a computer with the excel file on it containing the data entry template and check periodically to see if the groups have any questions or are stuck. At the end of the exercise, have each group share what additional data point they collected and the one new piece of information/knowledge derived from their data. Then ask some processing questions: Do you believe the data you gathered is credible? Why or why not? What was it like to use Excel for data storage and manipulation? What process did you use to decide on your information/knowledge point? How did you move from data to information to knowledge? How might your experience with this exercise relate to real challenges and opportunities for One Health Informatics? Small Group Activity 60-75 Minutes Informatics Scavenger Hunt Activity (Extended/Advanced Option) Assign participants to groups for a web-based scavenger hunt. Give each group a One Health topic to focus on and give the following task: For the topic assigned to you have 45 minutes to acquire, store and develop a 3 minute presentation on current data available via the web. Each group should hunt for the following at a minimum: - One human health related data source - One animal health related data source - One environment related data source - One country related resource Note: You can assigned different countries or suggest a website with this kind of open data if available) Give participants computers/laptops with internet access. At the end of the 40 minutes have each group present. After all groups have presented discuss the following questions: How easy or hard was it to acquire data? Why or why not? Do you believe the data you gathered is credible? Why or why not? How did you “store” your data? Would your storage option work to share information with others? How about 6 months-1 year from now? What process did you use to create the presentation? How did you move from data to information to knowledge? How might your experience with this exercise relate to real challenges and opportunities for One Health Informatics? 37 | P a g e 38 | P a g e SEAOHUN One Health Course- Facilitator’s Guide Detailed Facilitator Notes – What is Informatics? Retrieved from: The Illinois Informatics Institute at www.informatics.illinois.edu Informatics studies the application of information technology to practically any field, while considering its impact on individuals, organizations, and society. It uses computation as a universal tool to solve problems in other fields, to communicate, and to express ideas. Formally, informatics is the study of the structure and behavior of natural and artificial systems that generate, process, store, and communicate information. Informatics also includes (1) the study of the cognitive, social, legal, and economic impact of information systems; (2) research and development of technologies needed to implement artificial information systems that enhance our cognitive abilities; and (3) the development and use of advanced information systems in science, engineering, arts, humanities, education, and business. Because so much information can be stored digitally, we can manipulate it by computer. And because there is so much information, computing is often the only way to make information beneficial to humanity. The ability to handle vast amounts of information cheaply has changed the way we live. Advances in computing power, the World Wide Web, search engines, and large-scale collaborative initiatives like Wikipedia have revolutionized the way knowledge is created and shared. We have new forms of social interaction — from email, IM, and blogs to eBay, Facebook, and YouTube — and collaborative art and entertainment - from Limewire and podcasts to Guitar Hero and Second Life. Information technology (IT) has become a ubiquitous, indispensable component of our everyday lives, helping — or hindering — us as we manage information, create knowledge, and make decisions. Within the humanities, digital content is changing the way we visualize, present, understand, and experience history and literature. Within the fine arts, artists are using high-tech tools to construct virtual worlds, produce animations, and make music. Within the social, biological, and physical sciences, pattern analysis, data mining, visualization of massive data sets, and large-scale simulation of biological and physical processes, are enabling new discoveries and insights. To leverage these advances to solve problems across all disciplines requires knowledge of how to represent problems and domain-specific data, how to structure processes, how to handle work-flow, how to manage complexity, and how to interpret results. To fully participate as an informed member of society, we must appreciate the historical, ethical, and social ramifications of these accelerating changes. Informatics addresses all of these issues and provides tools for handling them. 39 | P a g e 40 | P a g e SEAOHUN One Health Course- Facilitator’s Guide LEARNING REFLECTIONS & EVALUATION Learning Objective: Type of Learning: Timing: Individual Assessment; Group Feedback 60 Minutes Equipment and Materials: Student Guide To reflect on learnings in the Communication & Informatics Module To get feedback from participants on what they felt were the strengths of the module and areas that the module could be improved. Detailed Facilitator Notes Evaluate/ Create Apply How would you rate your level of the following Communication & Informatics Module competencies: Understand Individual Learning Assessment Have your students complete the Communication and Informatics module learning assessment in their Student Guides. Once they are done, collect the responses to inform future deliveries of the module. Describe basic communication techniques and tools (e.g., written communication, multi-media, social media, interactive discussion, listening). Understand the fundamentals of risk communication. Understand a variety of ways to manage and share Information. Write down two or three things that you learned from the session. Think about: What was new or surprising to you? What have you changed your mind about? What you are still unsure about? What was interesting to you/what would you like to study in more details? Are there new behaviors that you will try based on this class? What topics from the class will you share with others outside the class? 41 | P a g e Module: Communication & Informatics 10 Minutes In small groups, have each student share: Their key leanings from the module. Small Group How they will apply the concepts, knowledge, skills they gained from Dsicussion the module. Group Feedback 42 | P a g e 10 Minutes Ask the students: What is one element of the module they like/felt was a strength? What is one thing in the module they suggest be changed? Any additional comments. SEAOHUN One Health Course- Facilitator’s Guide REFERENCES FOR STUDENTS Included in Resource Folder Communications Centers for Disease Control and Prevention. (2007). Crisis and Emergency Risk Communication: Pandemic Influenza. Retrieved from http://emergency.cdc.gov/cerc/pdf/CERC-PandemicFluOCT07.pdf. United States Department of Health & Human Services, National Institutes of Health, National Cancer Institute. (2008). Making Health Communication Programs Work (The Pink Book). Retrieved from http://www.cancer.gov/cancertopics/cancerlibrary/pinkbook. United States Environmental Protection Agency. (n.d) Communication Strategies. Retrieved from http://www.epa.gov/superfund/community/pdfs/toolkit/comstrats.pdf Informatics The Rockafeller Foundation. (2010) Public Health Informatics. In From Silos to Systems: An Overview of eHealth’s Transformative Power (Chapter 2). Retrieved from: http://www.rockefellerfoundation.org/ uploads/files/7d1832b5-96a1-4a70-8089-288f0b3235e7-silos-to.pdf. Additional Resources Communication United States Agency for International Development PREVENT Project. (2011). Outbreak Response and Risk Communication Guide. http://h1n1vax.aed.org/docs/Outbreak%20Response% 20and%20Risk%20Communication%20Guide.pdf. United States Agency for International Development PREVENT Project. (2011). Risk Communication Planning and Action Guide. http://h1n1vax.aed.org/docs/Risk%20Communication%20Planning %20and%20Action%20Guide.pdf Informatics Spohr, M. H. Health Informatics Series: Introduction to Health Informatics [PowerPoint Presentation]. Retrieved from University of Pittsburg website www.pitt.edu/~super4/36011-37001/36991.ppt. Center for Disease Control, Public Health Surveillance and Informatics Program Office. (2012). The Role of Public Health Informatics in Enhancing Public Health Surveillance by T. G. Savel and S. Foldy. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/su6103a5.htm. 43 | P a g e