Why are health authorities still struggling to communicate?

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What's That Rash? 8 min 2 speakers 7 chapters transcribed 2 days ago
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What sparked the discussion about health authorities’ communication failures?

Tegan Taylor 0:00
This is an ABC podcast. Hello, this is Coronacast, a daily podcast all about the coronavirus. I'm health reporter Tegan Taylor...
Norman Swan 0:10
And I'm physician and journalist, Dr. Norman Swan. It's Tuesday, the 1st of December, and this time a year ago, there was a virus circulating in Hubei province, just starting to get reported, probably spread from mid-November, and things are just gathering pace under the radar. One year ago.
Tegan Taylor 0:31
We'll have to do a deep dive into the early days of the virus, but not today, Norman.
Norman Swan 0:35
Okay. I'll hold myself back.
Tegan Taylor 0:37
Well, the last couple of days have been a real rollercoaster ride again in Adelaide, Norman. We've heard about a man who was out and about with COVID and there were question marks about whether he should have been in isolation or not. And the communication seems a bit messy and it's been a bit hard to know what he was expected to do or whether he understood what he was expected to do. And even now, I can't really make sense of what he was expected to do, whether he knew it or not. How do we make sense of these sorts of things? And

How did the South Australian COVID‑positive case illustrate mixed messages from officials?

Tegan Taylor 1:06
If we can't communicate it well, then how do we know that people actually know what to do? Yeah,
Norman Swan 1:11
I think that what you're seeing here is an early forgetfulness, if you like, of the key message from this pandemic throughout. It doesn't matter really what country you're in, is that if you've got consistent messaging from the leadership, in other words, political leadership and your public health leadership, then then people trust that and they follow it. And hopefully that advice is solid. And in Australia, by and large, it has been solid. So that from Prime Minister to Brendan Murphy and from Dan Andrews and Brett Sutton and Alan Cheng and so on. So in other words, you've had good synchrony and we've had very good policies in Australia in terms of lockdown. Okay, they've been controversial. But communication has been fairly consistent.
Norman Swan 1:58
Now, in Victoria... The data looked as if they were transparent, but they actually weren't that transparent. It was sometimes very hard for us to make sense of what they were actually saying. And I think that reflected, rather than them being deliberately obscure, it just reflected the fact that their contact tracing was in a bit of a mess. And therefore, they didn't really have good data to pass on.

Why is consistent messaging from political and public‑health leaders crucial in a pandemic?

Norman Swan 2:20
So now you've got this situation. And it's very important to remember this because it's important for the next pandemic. It's important if the coronavirus comes back in Australia, such as you've had in South Australia. is that South Australians have behaved really well, magnificently. They've come forward to be tested. However, a wobble like this does create a problem for community understanding because the temptation here, of course, is to victim blame. Oh, there's this guy and he's been out and about and we probably even implied that yesterday on Coronacast. He's been out and about, you know, what a dickhead for doing this. And so on and so forth. It turns out he's actually behaved quite well. And if there was confusion over communication, the confusion has been at all levels.
Norman Swan 3:03
The understanding we seem to have got yesterday was that he, in fact, was a casual contact, was told to isolate until he was tested. He was tested and isolated to the result. The result was negative. So he wasn't in quarantine.

What lessons did the hosts draw about trust, transparency, and data quality?

Norman Swan 3:19
And then he was told to get another test at 11 days, which apparently was positive. And it was while he was positive that he was out and about. I'm not sure that he knew that he was positive, but he was out and about around about that period of time. So it's just another example where you're creating danger when you're not sure of your facts and you jump in. And then people like us, we jump in too. But we're assuming that the information is accurate. Not making any excuses about this. It's just another lesson that how the authorities communicate is essential to the control of a pandemic and to this one because it's not over yet.
Tegan Taylor 3:57
And the other thing in terms of just refining Australia's approach to coronavirus is that we've heard that Victoria is doing an overhaul of its hotel quarantine system.

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