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Effectively Communicating the Uncertainties Surrounding Ebola Virus Transmission


Basic scientific research is now considered an integral component of the fight against emerging infectious diseases like Ebola virus. The recent Ebola outbreak, however, demonstrates how the ineffective communication of basic science can stoke public panic more than it provides helpful tools to responders; basic science trades in probabilities and uncertainty, while public communication tends to favor more categorical claims. Here, we discuss the ethics of communicating scientific results, using, as a case study, the recent controversy over whether basic life sciences research demonstrates that Ebola could become transmissible via airborne respiratory droplet nuclei—popularly known as a virus becoming “airborne.” We show how the science does not demonstrate this possibility, despite claims made in the popular and scientific press. We then recommend that uncertain scientific results in the context of public health crises ought to be communicated with humility, an emphasis on what is unknown, and a clear outline of the kinds of evidence that would give proof to controversial claims.


Vyšlo v časopise: Effectively Communicating the Uncertainties Surrounding Ebola Virus Transmission. PLoS Pathog 11(10): e32767. doi:10.1371/journal.ppat.1005097
Kategorie: Opinion
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.ppat.1005097

Souhrn

Basic scientific research is now considered an integral component of the fight against emerging infectious diseases like Ebola virus. The recent Ebola outbreak, however, demonstrates how the ineffective communication of basic science can stoke public panic more than it provides helpful tools to responders; basic science trades in probabilities and uncertainty, while public communication tends to favor more categorical claims. Here, we discuss the ethics of communicating scientific results, using, as a case study, the recent controversy over whether basic life sciences research demonstrates that Ebola could become transmissible via airborne respiratory droplet nuclei—popularly known as a virus becoming “airborne.” We show how the science does not demonstrate this possibility, despite claims made in the popular and scientific press. We then recommend that uncertain scientific results in the context of public health crises ought to be communicated with humility, an emphasis on what is unknown, and a clear outline of the kinds of evidence that would give proof to controversial claims.


Zdroje

1. Drazen JM, Campion EW (2003) SARS, the Internet, and the Journal. N Engl J Med 348: 2029. 12748319

2. Arguin PM, Navin AW, Steele SF, Weld LH, Kozarsky PE (2004) Health communication during SARS. Emerg Infect Dis 10: 377–380. 15030717

3. Evans NG (2010) Speak No Evil: Scientists, Responsibility, and the Public Understanding of Science. Nanoethics 4: 215–220.

4. Osterholm MT (2014) What We’re Afraid to Say About Ebola. New York Times. http://www.nytimes.com/2014/09/12/opinion/what-were-afraid-to-say-about-ebola.html?_r=0.

5. Hoenen T, Safronetz D, Groseth A, Wollenberg KR, Koita OA, et al. (2015) Virology. Mutation rate and genotype variation of Ebola virus from Mali case sequences. Science 348: 117–119. doi: 10.1126/science.aaa5646 25814067

6. Kugelman JR, Wiley MR, Mate S, Ladner JT, Beitzel B, et al. (2015) Monitoring of Ebola Virus Makona Evolution through Establishment of Advanced Genomic Capability in Liberia. Emerg Infect Dis 21: 1135–1143. doi: 10.3201/eid2107.150522 26079255

7. Park DJ, Dudas G, Wohl S, Goba A, Whitmer SLM, et al. (2015) Ebola Virus Epidemiology, Transmission, and Evolution during Seven Months in Sierra Leone. Cell 161: 1516–1526. doi: 10.1016/j.cell.2015.06.007 26091036

8. Osterholm MT, Moore KA, Kelley NS, Brosseau LM, Wong G, et al. (2015) Transmission of ebola viruses: what we know and what we do not know. MBio 6(2): e00137–15. doi: 10.1128/mBio.00137-15 25698835

9. Larimer S (2014) What can we say about Ebola? (without starting a panic or making everyone mad). Washington Post. http://www.washingtonpost.com/news/to-your-health/wp/2014/09/17/what-can-we-say-about-ebola-without-starting-a-panic-or-making-everyone-mad/.

10. Parry L (2014) “Real risk” Ebola virus will mutate to become an AIRBORNE disease, expert warns. Daily Mail. http://www.dailymail.co.uk/health/article-2753421/Real-risk-Ebola-virus-mutate-AIRBORNE-disease-expert-warns.html.

11. Cohen E (2014) Ebola in the air? A nightmare that could happen. CNN. http://www.cnn.com/2014/09/12/health/ebola-airborne/.

12. Bernstein L (2015) Limited airborne transmission of Ebola is “very likely,” new analysis says. Washington Post. http://www.washingtonpost.com/news/to-your-health/wp/2015/02/19/limited-airborne-transmission-of-ebola-is-likely-new-study-says/.

13. Pompi J (2015) Limited airborne transmission of Ebola “very likely,” analysis finds. Washington Times. http://www.washingtontimes.com/news/2015/feb/19/ebola-limited-airborne-transmission-very-likely-an/.

14. Greenberg J (2015) Does new research say Ebola is airborne? Tampa Bay Times, PunditFact. http://www.politifact.com/punditfact/article/2015/feb/24/does-new-research-say-ebola-airborne/.

15. Zimmer C (2015) Is It Worth Imagining Airborne Ebola? National Geographic Magazine, The Loom. http://phenomena.nationalgeographic.com/2015/02/22/is-it-worth-imagining-airborne-ebola/.

16. Ruble K (2015) No, A New Scientific Report Does Not Say That Ebola Is Now Airborne. Vice. https://news.vice.com/article/no-a-new-scientific-report-does-not-say-that-ebola-is-now-airborne.

17. Siegel J, Rhinehart E, Jackson M, HICPAC (2007) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. 17–20 p. http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf.

18. Weingartl HM, Embury-Hyatt C, Nfon C, Leung A, Smith G, et al. (2012) Transmission of Ebola virus from pigs to non-human primates. Sci Rep 2: 811. doi: 10.1038/srep00811 23155478

19. Alimonti J, Leung A, Jones S, Gren J, Qiu X, et al. (2014) Evaluation of transmission risks associated with in vivo replication of several high containment pathogens in a biosafety level 4 laboratory. Sci Rep 4: 5824. doi: 10.1038/srep05824 25059478

20. Wong G, Qiu X, Richardson JS, Cutts T, Collignon B, et al. (2015) Ebola virus transmission in guinea pigs. J Virol 89: 1314–1323. doi: 10.1128/JVI.02836-14 25392221

21. Fiske ST, Dupree C (2014) Gaining trust as well as respect in communicating to motivated audiences about science topics. Proc Natl Acad Sci 111: 13593–13597. doi: 10.1073/pnas.1317505111 25225372

22. Fischhoff B, Davis AL (2014) Communicating scientific uncertainty. Proc Natl Acad Sci 111: 13664–13671. doi: 10.1073/pnas.1317504111 25225390

23. Rosenbaum L (2015) Communicating uncertainty—Ebola, public health, and the scientific process. N Engl J Med 372: 7–9. doi: 10.1056/NEJMp1413816 25394322

24. Smithson M (2013) Unknowns in Dual-Use Dilemmas. In: Selgelid MJ, Rappert B, editors. On the Dual Uses of Science and Ethics. Canberra: ANU E Press. pp. 165–184.

Štítky
Hygiena a epidemiológia Infekčné lekárstvo Laboratórium

Článok vyšiel v časopise

PLOS Pathogens


2015 Číslo 10
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