COVID-19 and Risk

COVID-19 and Risk
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Risk has emerged as a key mechanism for controlling the future and learning from past misfortunes. How did risk influence policy makers’ responses to COVID-19? How will they be judged for their decisions? Drawing on case studies from the UK, China, Japan, New Zealand and the US, this original text explores policy responses to COVID-19 through the lens of risk. The book considers how different countries framed the pandemic, categorised their populations and communicated risk. It also evaluates the role of the media, conspiracy theories and hindsight in shaping responses to COVID-19. As we reflect on the ‘first wave’, this book offers a vital resource for anticipating future responses to crises.

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Alaszewski Andy. COVID-19 and Risk

COVID-​19 and Risk. Policy Making in a Global Pandemic

Contents

List of tables

Notes on the author

Acknowledgements

Preface

1 Introduction

Risk as a way of managing uncertainty

The use of risk to manage uncertainty

Predicting the future

Allocating blame

Other approaches to managing uncertainty. Trust and hope

Limits of rationality: religion, ideology and emotion

Comment

2 The challenge of foresight

The challenge of responding to a new infectious disease

Risk and framing

The development and maintenance of frames

Framing COVID-​19

COVID-​19 framed as SARS in the western Pacific Rim

COVID-​19 and Ebola in West Africa

Framing COVID-​19 as seasonal flu

Tensions over the framing of COVID in the US

Effectiveness of the different frames

Case study: the shift from herd immunity to lockdown in the UK in March 2020

Early March: herd immunity

A policy shift in mid-​March

Late March: lockdown

Comment

3 The risk of COVID-​19

Risk: probability and outcome

Probability, categorisation and outcomes in the COVID-​19 pandemic. Identifying ‘at-​risk’ groups

Risk categorisation

Pregnant women as higher risk: value without probability. Pregnant women and the precautionary principle

The impact of the high-​risk categorisation

The varying experiences of older people during the pandemic

Older people pre-​lockdown

Older people during the first lockdown

Older people and allocating vaccines: November 2020

Comment

Case study: deciding on priorities for the COVID-​19 vaccine

Approaches and choices: Russia, France and the UK. Russia

France

The UK

What were the options and what was the rationale for vaccination priorities in the UK?

Distributing the vaccine as rapidly as possible

Contributing to social justice

Reducing the rate of transmission

Risk implications

Comment

4 Communicating risk

Risk issue: the challenge of communication

Achieving the right balance

Effective targeting

Communicating the public health message during the pandemic. Developing and communicating a consistent risk message

Mixed messages: public health messaging in the UK and US

Messaging in the UK

Mixed messaging in the US

Case study: Engendering and maintaining trust through effective risk communication in New Zealand. Initial communication of the risk of COVID-​19

Using a risk framework to communicate risk

Risk implications

Comment

5 Pandemic narratives

Pandemics and risk narratives. The media and representations of risk

Representing risk through a narrative matrix

Telling the story of the COVID-​19 pandemic: numbers and people

Official accounts: numbers and facts

Media narratives: adding moral judgements and emotion to numbers and facts

Telling stories about the failure to manage risk in care homes

Case study: BAME groups and narratives of innocent victims and the guilty parties

Media coverage of the impact of COVID-​19 on individuals with a BAME background. Coverage in the US

Coverage in the UK

Risk implications

Comment

6 Contesting risk

Risk issue: the challenges to scientific knowledge. Enlightenment, science and its critics

Distrust of experts and expert knowledge

Distrust of scientific knowledge and conspiracy theories

Populism and conspiracy theories

The COVID-​19 paradox: hostile reactions to scientific knowledge. The rapid development of scientific knowledge about COVID-​19

Rejection of scientific knowledge

COVID-​19 as a product of modern technology

COVID-​19 as a hoax

Factors which facilitated the spread of conspiracy theories during the pandemic

Case study: resistance to wearing masks in the US. The science of transmission and prevention

Wearing face masks as a public health measure

Resistance to mask wearing

Risk implications

Comment

7 Hindsight

Risk issue: allocating blame for misfortune

Inquiries, blame and the COVID-​19 pandemic. Anticipating the inquiries, deflecting blame

Emerging inquires

The World Health Organization inquiry

Inquiries in the UK

Australia

Comment

Case study: The Ischgl and Paznaun Valley inquiry

Pressure for an inquiry

The setting up and operation of the inquiry

Findings. The timeline of the spread of the virus

What went wrong and whose fault was it?

Risk implications

Comment

8 Conclusion

The challenge of dealing with a novel disease

Unpacking risk: probability and outcomes

Public trust and risk communication

Providing opportunities for pandemic narratives

Leaving space for conspiracy theories

Inquiries and hindsight: the time for reckoning

References

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Andy Alaszewski

Notes on the author ix

.....

There was another factor in the willingness to accept COVID-​19 as a flu-​like disease. It appealed to and served the interests of right-​wing populist politicians such as the US President, Donald Trump, the UK Prime Minister, Boris Johnson and the Brazilian President, Jair Bolsonaro. These populist leaders had an interest in representing COVD-​19 as flu-​like so they could avoid unpopular actions such restricting social and economic activity.

In the US, the flu/​herd immunity frame played a central part in the policy debate. At the start of 2020 there was consensus amongst US policy makers that the virus was flu-​like and not a high risk. This consensus shifted in March 2020 as the reality of the high level of infection and lethal nature of the disease became evident. In the summer of 2020 as the US Presidential election approached, experts continued to emphasise the dangerousness of COVID-​19 but President Trump and his inner advisers returned to their initial framing and minimising of the risks.

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