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Editorial: Let people make own risk assessments

Chuck

Moderator
http://www.eagletribune.com/puopinion/local_story_206001947.html?keyword=topstory

Published: July 25, 2009 12:20 am

Editorial: Let people make own risk assessments

People deserve to know when a disease declared a pandemic threatens their health, or that of their loved ones.

Unfortunately, that has not been the case with the H1N1 virus, commonly known as swine flu.

It is true, thankfully, that swine flu has not become the public health catastrophe that was originally feared. Most people infected by it have recovered, and it has so far not affected a significant percentage of the population.

Still, those who are frail, elderly or with compromised immune systems are clearly at greater risk than those in the general population. And the stance of state and local officials ? that the general public does not necessarily need to know when a case of swine flu is confirmed, is troubling.

It is, understandably, more than troubling to Danielle DeLisle of North Andover, whose daughter, Cassandra Dupont, 13, is now fighting for her life in a Boston hospital. Cassie has other significant health problems ? she has a liver disease that required a liver transplant when she was 7. She also suffers from asthma and pulmonary hypertension, or high blood pressure in her lungs. She is now the third case of swine flu in the town.

But nobody knew about the first two cases until this past week. They were contracted by a student at the Academy of Notre Dame in Tyngsborough and by an elderly resident. Both have since recovered.

Local health officials contend that neither of those cases posed a risk to public health because the patients were isolated after the diagnosis. Dr. Thomas Trowbridge, chairman of the local Board of Health, said town officials were simply following the recommendations of the state Department of Public Health when they didn't report those cases to the public.

Why would the state make such a recommendation? Is it because they fear people will fly into a panic?

That kind of parental, patronizing attitude toward citizens is far too prevalent, and it is time for it to stop. If a disease is of such global concern that the World Health Organization declares it a "pandemic", then local health officials should be informing the public when cases are present in their communities.

People should be presented with the available information and allowed to decide for themselves how to respond to it.

Indeed, while both the student and the elderly resident were isolated after their condition was confirmed, the student contracted the virus over the April vacation week.

As DeLisle observed, in outraged wonderment, "Who knows who came in contact with that kid (before the diagnosis)? If a child gets it, it should be public knowledge."

Swine flu is not a lethal threat to most people, nor is it running rampant through the Merrimack Valley. But it does put people at risk.

Public health policy should allow people to decide for themselves how much risk they are willing to assume.
 
Re: Editorial: Let people make own risk assessments

..........town officials were simply following the recommendations of the state Department of Public Health when they didn't report those cases to the public.

Why would the state make such a recommendation? Is it because they fear people will fly into a panic?

That kind of parental, patronizing attitude toward citizens is far too prevalent, and it is time for it to stop. If a disease is of such global concern that the World Health Organization declares it a "pandemic", then local health officials should be informing the public when cases are present in their communities.

People should be presented with the available information and allowed to decide for themselves how to respond to it.

........., "Who knows who came in contact with that kid (before the diagnosis)? If a child gets it, it should be public knowledge."

Swine flu is not a lethal threat to most ........ But it does put people at risk.

Public health policy should allow people to decide for themselves how much risk they are willing to assume.

Very good article.

Any disease that has such potential to be severe for people at risk (including normal pregnancy) should include an obligation to notify.

Are they afraid of panic or profit losses from people curtailing their obsessive shopping?

.
 
Re: Editorial: Let people make own risk assessments

I agree, maybe Associated Press, or Reuters, or NY Times, or Washington Post should have that small town paper article bumped to them. Anyone know a good reporter/
medical writer ???
 
Re: Editorial: Let people make own risk assessments

There are at least a couple of old-timer FT members who are major news network writers. :D

.
 
Re: Editorial: Let people make own risk assessments

don't leave people alone in their risk-assessments.

they tend to rely on personal experience, relatives, friends
rather than statistics.
 
Re: Editorial: Let people make own risk assessments

It really bothers me when they report serious conditions/deaths with the 'underlying problems' addition at the end. Some of us have friends and family, as well as ourselves who suffer from these conditions. Do they think that only healthy people read these reports? It's not very reassuring. It's like "It's okay, don't worry they were sick already". Ugh.
 
Re: Editorial: Let people make own risk assessments

That kind of parental, patronizing attitude toward citizens is far too prevalent, and it is time for it to stop. If a disease is of such global concern that the World Health Organization declares it a "pandemic", then local health officials should be informing the public when cases are present in their communities.

People should be presented with the available information and allowed to decide for themselves how to respond to it.

This editorial captures the crux of trust.

If the officials do not trust the public to make good decisions on true information, they should anticipate the public will not trust them as the dangers increase. Supporting the message of this editorial may be the single most important key to mitigation in the next 3 to 6 months.
Thornton MD
 
Re: Editorial: Let people make own risk assessments

This is almost like the liability of AIDs patients to tell their partners about their condition. Some of them are facing criminal charges for their negligence, so why are we allowing public health authorties to commit negligence with regard to this threat?

I think it has to do with keeping the economic engine going at any cost.

They used to call it slavery, but we don't have that anymore. ;)

.
 
Re: Editorial: Let people make own risk assessments

This article doesn't make any sense. We already know there is a pandemic and the government talks about it every day. People already know the risk.

Is the author suggesting that we get rid of all the medical privacy laws, then announce on a loud speaker the name and address of anyone who catches a disease?
 
Re: Editorial: Let people make own risk assessments

This article doesn't make any sense. We already know there is a pandemic and the government talks about it every day. People already know the risk.

Is the author suggesting that we get rid of all the medical privacy laws, then announce on a loud speaker the name and address of anyone who catches a disease?

No. But our newspapers could post an article when there is a local case and what town within the county the case is in.
 
Re: Editorial: Let people make own risk assessments

This is an excellent editorial and I couldn't agree with it more.

I strongly disagree with the paternalistic approach that has been taken at the National, State and Local levels. I am an adult and need the truthful information from organizations at these levels.

It is never a good idea to lock up the information from those who most need it. I would like to make informed health decisions for my family. The Internet has become a source that I value.

I am entitled to know what is going on.
 
Re: Editorial: Let people make own risk assessments

It is imperative that the public health authorities around the world routinely release all health information. This includes all data: deaths, infections, sequences, etc.

This is the first pandemic from a novel animal based influenza in the digital age.

Mobile phone cameras, internet, satellites, 24 hour news cycles.

What might have been tolerated as "risk communication" previously will not be tolerated now by the citizens of the world.

Please tell us everything. Anything less is eugenist.

Please do not do this to us.

Please do not do this to yourselves.


http://www.youtube.com/watch?v=x71jgMx0Mxc
 
Re: Editorial: Let people make own risk assessments

I am surprised of your surprise.

After at least ten years of ''WARS'' on something, media establishment has understand well the lesson: if you want to survive, let ''THEM'' to guide you through the ''LINE''.

How many ''LIES'' since 2001 have been administerd to public through all kind of media?

Many thousands of lives have been wasted in several part of the world, and the media establishment found the silence the best recipe to an increased worried public.

I am sorry: too late to ask both the media establishment and national authorities to tell the truth about a particular issue (IE: pandemic influenza, economic recession, civil unrests, climate changes, wars...)

To ask them to change is not enough.

The freedom must be conquered.
 
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