GIL BASHE ON MEDIKA LIFE

The Pandemic of Poor Communications

Absence of Trusted Voice and Clear Next-Step Policies are Driving COVID Paralysis — A Look Back to March 2020 and Search for Expert Communicators

Almost two years ago, in March 2020, I published the post below on Medium. At that time, we were at the earliest stages of the then — “pandemic.” Much of the world had yet to move into protective “lock-down.” Since that time, we have ushed into the prevention and mitigation system COVID-19 vaccines and treatments. Now, we have a far better understanding of the variants and recognition that our inability to rally global citizens to vaccinate or ensure all have access to vaccination impacts our collective wellbeing.

Our biggest challenges aren’t lack of ability to source ideas and innovate. We demonstrate daily the power of collaboration over competition to accelerate new medical possibilities. There is a different problem we must resolve in order to move beyond the status quo — lack of confidence in authority.

But, for decades we have been sowing fields of scientific doubt and global health disparities. The 24/7 news cycle gives equal voice to naysayers of “possibilities” and hypotheses to keep many wondering. Social media feeds on placing clinical experts on an even par with skeptics and anti-vaxxers. We are stuck — a paralysis that contributed to some 800,000 COVID-related deaths in the United States alone.

I’m republishing the original article from March 2020 — with little change. These words still have power. In the past 21 months, ideas and innovation — science — demonstrated we can navigate this incredible public health labyrinth. Now, communication skill must rise to exceptional levels in support of policymakers, public health scientists and health professionals if we are to see any meaningful progress in rallying consumers to move with confidence toward thefinish line.

Consider this hypothesis: Lack of a widely embraced information clearinghouse on COVID prevention and mitigation, using consumer-friendly language and championed by a widely respected voice and global bodies sustains confusion instead of collective and collaborative, swift action.

On February 7, 2020, PR Week ran a story about the coronavirus that examined the disease’s progress from a communications standpoint. The piece noted that governments and businesses were struggling to give their stakeholders accurate, current information on the spread of the virus — because they lacked a strong, centralized source of information to consult in determining the next steps. Two year ago, I said:

“… governments and multinational businesses, especially tourism companies and organizations with supply chains in China, are lacking a primary information source about the virus, notes Gil Bashe, managing partner of global health at Finn Partners.

“It’s evident that comms is not yet aligned [among major organizations],” he says. “What we don’t have is a central clearinghouse of expertise and accuracy that all partners can draw from.”In the absence of an authoritative source, a void is created, and people fill the void with what they think.”

What has changed in two years? Unfortunately, when it comes to communicating about the outbreak and what people in the United States might do, very little.

When people hunger for direction, they seek authoritative voices. Right now, writing eyeball-popping headlines and generating viewership seems to be the news media’s focus. Reporters even pressed noted soccer coach Jurgen Klopp for his opinion on how coronavirus would impact championship games. Klopp, with more sense than many, snapped back that his opinion was unimportant — ask a real expert.

As the Wall Street Journal points out, fighting this virus varies from place to place, state to state and, no surprise, country to country. When facing pandemics, Americans have traditionally relied on good, solid public health information from Federal and state governments upon which local authorities can base their response and which the public can use to protect themselves and their families. This time, information is lacking and inconsistent. In Newton, Massachusetts, a school group returning from a trip to Italy is quarantined, and yet, in New York City, a group that visited the same towns in Italy is not. Both municipalities are working from communications that are weeks old and which leave discretion to local authorities and individuals to “self-monitor,” without clear direction.

It turns out that, at least as far as COVID-19 is concerned, communicating about the disease is more difficult than overcoming its contagion.

In fact, poor communications are clearly making it more difficult to fight the disease. Public-education campaigns have been critical to fighting pandemics and scourges like polio ever since public health authorities began their work in the 20th Century. Communicating is key to the success or failure of public health efforts around infectious diseases — and our inability, so far, to do it well with COVID-19 is as dangerous as the virus itself.

When authorities fail to communicate facts and “what you can do” next steps, people fill the void with what they (and others) think — not what they know. When those people are the heads of businesses or local public officials, messages about the disease are not just mixed — they’re completely jumbled and often in conflict. [2022: Company leaders may need to apply the same thought and rigor to communicating to their employees about vaccination and mitigation strategies as was expected by government. Employees may have more confidence in corporate leaders and local elected officials than Federal policymakers. Still coordination and collaboration is essential.]

Not even the news media are immune to the effects of poor disease communication. The competition among news sources to be “your address for updates” is fierce — and in some cases, doing a disservice to public information.

One local New York news broadcast led last week with a frenzied report on panic in the city’s stores as customers made runs on hand sanitizer, protective masks, canned goods and bottled water. Buried several stories later was the information that people actually needed: a balanced report with the head of infectious diseases at a city hospital explaining that viewers shouldn’t panic, should take basic precautions and that COVID-19 would impact most people less than a mild case of flu. At one point, a New York Times headline grabbed readers with the information that coronavirus’s death rate hovered at around 3.4 percent. Buried in the body copy were the reassuring facts: “…this figure does not include mild cases that do not require medical attention and is skewed by Wuhan, where death rate is higher than elsewhere in China. It is also quite possible that there are many undetected cases that would push the mortality rate lower.” The headline was updated that same day to reflect balance.

What can we as communications professionals do to make the situation better?

  1. In successful issues management, it’s vital to start with “what we know.” Here, it’s hard. We don’t know everything. Some facts change daily. Public health experts learn more every hour. But, it is more vital than ever that we in the US and worldwide get a handle on communicating clearly what we know and what we don’t. Those of us communicating on this issue, even peripherally, need to base our language on facts from authoritative public officials dealing with the disease.
  2. Separate fact from opinion. As communicators, we must always recognize that self-appointed experts may not have the clinical expertise or insight to comment authoritatively. We must then clearly offer their comments as an opinion to ensure that reporters — hungry for a new angle on this attention-getting subject — are able to recognize speculation from fact. [2022: consumers are finding that the CNN, MSNBC, FOX news formats designed to retain viewership require constant hypotheses. This swirl keeps eyeballs tuned to screens — but it also creates public health mobilization push back.]
  3. Build authoritative voice. While epidemiologists, virologists, infectious disease experts and others plumb the data for insights, no leader has stepped forward and secured the public’s ear, eye and heart on this issue. For that reason, those tasked with communicating — whether to the public or to their companies and communities — should look to these sources of reliable information to build an authoritative voice:

Also, on Twitter, there are several knowledgeable influencers worth tracking. These include former Food and Drug Administration Commissioner Scott Gottlieb, MD (@ScottGottliebMD), WebMD Chief Medical Officer John Whyte, MD (@drjohnwhyte) and UK-based Junaid Bajwa, MD (@jrjbajwa), NHS England advisor and global digital/health biopharma leader. These two public health physicians double- and triple-check their data sources and have access to both public health officials and scientists on the frontline. My last go-to source is one of the world’s leading virologists and champions in confronting infectious and viral disease, Dr. Peter Piot. [2022: Dr. Piot has since stepped into the shadows. WHO has been pushed aside. I have now added George Washington University Professor Leana Wen, MD, @DrLeanaWen, and James E.K. Hildreth, MD, @JamesEKHildreth president and CEO, Meharry Medical College to my trusted info source list.]

Are we facing a World-War-Z-zombie-apocalypse situation? The answer is no. But, we are anxious and uncertain, vacillating between bravado and self-imposed isolation. Now is the perfect time for us to support — and rely on — our public-health leaders and infrastructure and use common sense when communicating. We live under a partially unknown threat, and our access to constant information — pushed via phone alerts and constant social and traditional media updates — transforms what we hear into what we fear. Perhaps, when considering how we communicate, we can heed the words of one of our greatest communicators, who steered the world forward during a period of much greater uncertainty that included a depression and looming world war — the 32nd US President Franklin D. Roosevelt, when he said:

“We have nothing to fear but fear itself.”

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Gil Bashe, Medika Life Editorhttps://gil-bashe.medium.com/
Health advocate connecting the dots to transform biopharma, digital health and healthcare innovation | Managing Partner, Chair Global Health FINN Partners | MM&M Top 50 Health Influencer | Top 10 Innovation Catalyst. Gil is Medika Life editor-in-chief and an author for the platform’s EcoHealth and Health Opinion and Policy sections. Gil also hosts the HealthcareNOW Radio show Healthunabashed, writes for Health Tech World, and is a member of the BeingWell team on Medium.

GIL BASHE

Editor in Chief, Medika Life

Meet the Medika Life editor-in-chief, working closely with founding editors Robert Turner and Jeff Livingston, MD.

Not your usual health-industry executive, Gil Bashe has had a unique career shaped by more than three decades in healthcare policy, pharma, life science, digital health and venture capital and informed his determination to ‘give back.’

A champion for health innovation that sustains people’s lives and improves their care, Gil honed his perspectives on both battlefield and boardroom. He started in health as a combat medic in an elite military unit. He went on to serve as a clergyman tending to the ill; as a health products industry lobbyist; as CEO of one of the world’s largest integrated health marketing companies; as a principal in private equity; as a Medika Life author and Health Tech World correspondent; and as Chair, Global Health at FINN Partners, a community of purpose dedicated to making a difference.

In the forefront of change, Gil is ranked as a Top 10 Digital Health Influencer; Medical Marketing & Media Top 10 Innovation Catalyst; Medika Life named him a “Top 50 Global Healthcare Influencer,” and PM360 presented him with its “Trailblazer Lifetime Achievement Award.” He is a board member for digital health companies and serves as advisor to the CNS Summit, Galien Foundation, Let’s Win for Pancreatic Cancer, Marfan Foundation and other health-centered organizations.

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