Strengthening Risk Communication and Community Engagement in Public Health Emergencies: A Public Health Framework with Biological Science Insights for Trust, Misinformation Management, and Community Resilience

Authors

DOI:

https://doi.org/10.62497/irabcs.235

Keywords:

risk communication, community engagement, public health emergency, biological science, disease transmission, vaccination, infodemic management, trust, health literacy, emergency preparedness, COVID-19, Ebola

Abstract

Background: Public health emergencies are biological and social events. Outbreaks and humanitarian health crises are shaped by pathogen transmission, incubation periods, host susceptibility, immune protection, environmental exposure, and health-system capacity, but they cannot be controlled by biomedical measures alone. Clear risk communication and genuine community engagement are required so that people understand biological hazards, trust response institutions, and participate in protective public health action.

Aim: This paper reviews and synthesizes evidence on risk communication and community engagement (RCCE) and proposes a practical public health framework that gives a light biological-science touch to outbreak communication, including transmission, vaccination, immunity, and disease-control behavior.

Methods: A structured narrative review approach was used to synthesize foundational and recent peer-reviewed literature on risk perception, crisis and emergency risk communication, community participation, Ebola response, COVID-19 response, vaccine confidence, health literacy, infodemic management, and biological concepts relevant to public health emergencies, including pathogen spread, immune protection, and outbreak-control measures. Fifty DOI-supported sources were selected and organized through thematic synthesis.

Results: The synthesis identified six recurrent public health RCCE domains: trust and credibility; early transparent messaging; two-way community participation; culturally appropriate and health-literate communication; social listening and misinformation management; and institutionalization of RCCE in preparedness systems. Across these domains, a biological translation lens is needed so that scientific concepts such as modes of transmission, exposure risk, vaccination, variants, and immunity are converted into simple, culturally appropriate, and actionable community messages.

Conclusion: RCCE should be treated as a core public health emergency-response capacity rather than a supporting activity. A professional RCCE system requires trained personnel, community partnerships before crises, real-time rumor tracking, inclusive message design, local feedback loops, transparent acknowledgement of uncertainty, and the ability to translate biological evidence into trusted public health action. Monitoring indicators should therefore be linked to behavioral, trust, equity, and disease-control outcomes.

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References

Abramowitz, S. A., McLean, K. E., McKune, S. L., Bardosh, K. L., Fallah, M., Monger, J., Tehoungue, K., & Omidian, P. A. (2015). Community-centered responses to Ebola in urban Liberia: The view from below. PLOS Neglected Tropical Diseases, 9(4), e0003706. https://doi.org/10.1371/journal.pntd.0003706

Attree, P., French, B., Milton, B., Povall, S., Whitehead, M., & Popay, J. (2011). The experience of community engagement for individuals: A rapid review of evidence. Health and Social Care in the Community, 19(3), 250-260. https://doi.org/10.1111/j.1365-2524.2010.00976.x

Bedson, J., Jalloh, M. F., Pedi, D., Bah, S., Owen, K., Oniba, A., Sangarie, M., et al. (2020). Community engagement in outbreak response: Lessons from the 2014-2016 Ebola outbreak in Sierra Leone. BMJ Global Health, 5(8), e002145. https://doi.org/10.1136/bmjgh-2019-002145

Betsch, C., Schmid, P., Heinemeier, D., Korn, L., Holtmann, C., & Bohm, R. (2018). Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLOS ONE, 13(12), e0208601. https://doi.org/10.1371/journal.pone.0208601

Bish, A., & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: A review. British Journal of Health Psychology, 15(4), 797-824. https://doi.org/10.1348/135910710X485826

Blair, R. A., Morse, B. S., & Tsai, L. L. (2017). Public health and public trust: Survey evidence from the Ebola Virus Disease epidemic in Liberia. Social Science & Medicine, 172, 89-97. https://doi.org/10.1016/j.socscimed.2016.11.016

Bode, L., & Vraga, E. K. (2015). In related news, that was wrong: The correction of misinformation through related stories functionality in social media. Journal of Communication, 65(4), 619-638. https://doi.org/10.1111/jcom.12166

Chew, C., & Eysenbach, G. (2010). Pandemics in the age of Twitter: Content analysis of tweets during the 2009 H1N1 outbreak. PLOS ONE, 5(11), e14118. https://doi.org/10.1371/journal.pone.0014118

Cinelli, M., Quattrociocchi, W., Galeazzi, A., Valensise, C. M., Brugnoli, E., Schmidt, A. L., Zola, P., Zollo, F., & Scala, A. (2020). The COVID-19 social media infodemic. Scientific Reports, 10, 16598. https://doi.org/10.1038/s41598-020-73510-5

Cyril, S., Smith, B. J., Possamai-Inesedy, A., & Renzaho, A. M. N. (2015). Exploring the role of community engagement in improving the health of disadvantaged populations: A systematic review. Global Health Action, 8(1), 29842. https://doi.org/10.3402/gha.v8.29842

Dhillon, R. S., & Kelly, J. D. (2015). Community trust and the Ebola endgame. New England Journal of Medicine, 373(9), 787-789. https://doi.org/10.1056/NEJMp1508413

Dick, L., Moodie, J., & Greiner, A. L. (2022). Are we ready? Operationalising risk communication and community engagement programming for public health emergencies. BMJ Global Health, 7(3), e008486. https://doi.org/10.1136/bmjgh-2022-008486

Eysenbach, G. (2020). How to fight an infodemic: The four pillars of infodemic management. Journal of Medical Internet Research, 22(6), e21820. https://doi.org/10.2196/21820

Fischhoff, B. (1995). Risk perception and communication unplugged: Twenty years of process. Risk Analysis, 15(2), 137-145. https://doi.org/10.1111/j.1539-6924.1995.tb00308.x

Freeman, D., Loe, B. S., Chadwick, A., Vaccari, C., Waite, F., Rosebrock, L., Petit, A., et al. (2022). COVID-19 vaccine hesitancy in the UK: The Oxford coronavirus explanations, attitudes, and narratives survey (OCEANS) II. Psychological Medicine, 52(14), 3127-3141. https://doi.org/10.1017/S0033291720005188

Gillespie, A. M., Obregon, R., El Asawi, R., Richey, C., Manoncourt, E., Joshi, K., Naqvi, S., et al. (2016). Social mobilization and community engagement central to the Ebola response in West Africa: Lessons for future public health emergencies. Global Health: Science and Practice, 4(4), 626-646. https://doi.org/10.9745/GHSP-D-16-00226

Gilmore, B., Ndejjo, R., Tchetchia, A., de Claro, V., Mago, E., Lopes, C., & Bhattacharyya, S. (2020). Community engagement for COVID-19 prevention and control: A rapid evidence synthesis. BMJ Global Health, 5(10), e003188. https://doi.org/10.1136/bmjgh-2020-003188

Gilmore, B., Gerlach, N., Friedman, E., Decker, E., Abubakar, A., & Taki, F. (2022). Community engagement to support COVID-19 vaccine uptake: A living systematic review protocol. BMJ Open, 12, e063057. https://doi.org/10.1136/bmjopen-2022-063057

Glik, D. C. (2007). Risk communication for public health emergencies. Annual Review of Public Health, 28, 33-54. https://doi.org/10.1146/annurev.publhealth.28.021406.144123

Islam, M. S., Sarkar, T., Khan, S. H., Kamal, A. H. M., Hasan, S. M. M., Kabir, A., Yeasmin, D., et al. (2020). COVID-19-related infodemic and its impact on public health: A global social media analysis. American Journal of Tropical Medicine and Hygiene, 103(4), 1621-1629. https://doi.org/10.4269/ajtmh.20-0812

Jagosh, J., Macaulay, A. C., Pluye, P., Salsberg, J., Bush, P. L., Henderson, J., Sirett, E., et al. (2012). Uncovering the benefits of participatory research: Implications of a realist review for health research and practice. Milbank Quarterly, 90(2), 311-346. https://doi.org/10.1111/j.1468-0009.2012.00665.x

Kasperson, R. E., Renn, O., Slovic, P., Brown, H. S., Emel, J., Goble, R., Kasperson, J. X., & Ratick, S. (1988). The social amplification of risk: A conceptual framework. Risk Analysis, 8(2), 177-187. https://doi.org/10.1111/j.1539-6924.1988.tb01168.x

Kutalek, R., Wang, S., Fallah, M., Wesseh, C. S., & Gilbert, J. (2015). Ebola interventions: Listen to communities. The Lancet Global Health, 3(3), e131. https://doi.org/10.1016/S2214-109X(15)70010-0

Larson, H. J., Jarrett, C., Eckersberger, E., Smith, D. M. D., & Paterson, P. (2014). Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007-2012. Vaccine, 32(19), 2150-2159. https://doi.org/10.1016/j.vaccine.2014.01.081

Laverack, G., & Manoncourt, E. (2016). Key experiences of community engagement and social mobilization in the Ebola response. Global Health Promotion, 23(1), 79-82. https://doi.org/10.1177/1757975915606674

Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2021). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27(2), 225-228. https://doi.org/10.1038/s41591-020-1124-9

Lewandowsky, S., Ecker, U. K. H., Seifert, C. M., Schwarz, N., & Cook, J. (2012). Misinformation and its correction: Continued influence and successful debiasing. Psychological Science in the Public Interest, 13(3), 106-131. https://doi.org/10.1177/1529100612451018

Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K., & Larson, H. J. (2021). Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nature Human Behaviour, 5(3), 337-348. https://doi.org/10.1038/s41562-021-01056-1

MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164. https://doi.org/10.1016/j.vaccine.2015.04.036

Marston, C., Renedo, A., & Miles, S. (2020). Community participation is crucial in a pandemic. The Lancet, 395(10238), 1676-1678. https://doi.org/10.1016/S0140-6736(20)31054-0

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259

O'Mara-Eves, A., Brunton, G., McDaid, D., Oliver, S., Kavanagh, J., Jamal, F., Matosevic, T., Harden, A., & Thomas, J. (2015). The effectiveness of community engagement in public health interventions for disadvantaged groups: A meta-analysis. BMC Public Health, 15, 129. https://doi.org/10.1186/s12889-015-1352-y

Pennycook, G., McPhetres, J., Zhang, Y., Lu, J. G., & Rand, D. G. (2020). Fighting COVID-19 misinformation on social media: Experimental evidence for a scalable accuracy-nudge intervention. Psychological Science, 31(7), 770-780. https://doi.org/10.1177/0956797620939054

Peters, R. G., Covello, V. T., & McCallum, D. B. (1997). The determinants of trust and credibility in environmental risk communication: An empirical study. Risk Analysis, 17(1), 43-54. https://doi.org/10.1111/j.1539-6924.1997.tb00842.x

Reynolds, B., & Quinn Crouse, S. (2008). Effective communication during an influenza pandemic: The value of using a crisis and emergency risk communication framework. Health Promotion Practice, 9(4 Suppl), 13S-17S. https://doi.org/10.1177/1524839908325267

Reynolds, B., & Seeger, M. W. (2005). Crisis and emergency risk communication as an integrative model. Journal of Health Communication, 10(1), 43-55. https://doi.org/10.1080/10810730590904571

Rifkin, S. B. (2014). Examining the links between community participation and health outcomes: A review of the literature. Health Policy and Planning, 29(suppl_2), ii98-ii106. https://doi.org/10.1093/heapol/czu076

Roozenbeek, J., Schneider, C. R., Dryhurst, S., Kerr, J., Freeman, A. L. J., Recchia, G., van der Bles, A. M., & van der Linden, S. (2020). Susceptibility to misinformation about COVID-19 around the world. Royal Society Open Science, 7(10), 201199. https://doi.org/10.1098/rsos.201199

Rubin, G. J., Amlot, R., Page, L., & Wessely, S. (2009). Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: Cross sectional telephone survey. BMJ, 339, b2651. https://doi.org/10.1136/bmj.b2651

Samhouri, D., Aynsley, T. R., Hanna, P., Oweis, A., Ghazal, A., & Abubakar, A. (2024). Risk communication and community engagement capacity in the Eastern Mediterranean Region: A call for action. BMJ Global Health, 7(Suppl 3), e008652. https://doi.org/10.1136/bmjgh-2022-008652

Seeger, M. W. (2006). Best practices in crisis communication: An expert panel process. Journal of Applied Communication Research, 34(3), 232-244. https://doi.org/10.1080/00909880600769944

Slovic, P. (1987). Perception of risk. Science, 236(4799), 280-285. https://doi.org/10.1126/science.3563507

Sorensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, 80. https://doi.org/10.1186/1471-2458-12-80

Tambo, E., Djuikoue, I. C., Tazemda, G. K., Fotsing, M. F., & Zhou, X. N. (2021). Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis. Global Health Journal, 5(1), 44-50. https://doi.org/10.1016/j.glohj.2021.02.009

Tangcharoensathien, V., Calleja, N., Nguyen, T., Purnat, T., D'Agostino, M., Garcia-Saiso, S., Landry, M., et al. (2020). Framework for managing the COVID-19 infodemic: Methods and results of an online, crowdsourced WHO technical consultation. Journal of Medical Internet Research, 22(6), e19659. https://doi.org/10.2196/19659

Toppenberg-Pejcic, D., Noyes, J., Allen, T., Alexander, N., Vanderford, M., & Gamhewage, G. (2019). Emergency risk communication: Lessons learned from a rapid review of recent gray literature on Ebola, Zika, and yellow fever. Health Communication, 34(4), 437-455. https://doi.org/10.1080/10410236.2017.1405488

Vaughan, E., & Tinker, T. (2009). Effective health risk communication about pandemic influenza for vulnerable populations. American Journal of Public Health, 99(S2), S324-S332. https://doi.org/10.2105/AJPH.2009.162537

Vinck, P., Pham, P. N., Bindu, K. K., Bedford, J., & Nilles, E. J. (2019). Institutional trust and misinformation in the response to the 2018-19 Ebola outbreak in North Kivu, DR Congo: A population-based survey. The Lancet Infectious Diseases, 19(5), 529-536. https://doi.org/10.1016/S1473-3099(19)30063-5

Vraga, E. K., & Bode, L. (2020). Correction as a solution for health misinformation on social media. American Journal of Public Health, 110(S3), S278-S280. https://doi.org/10.2105/AJPH.2020.305916

Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100(S1), S40-S46. https://doi.org/10.2105/AJPH.2009.184036

Published

06/30/2026

Issue

Section

Review Articles

How to Cite

1.
Patient AR, Khattak A. Strengthening Risk Communication and Community Engagement in Public Health Emergencies: A Public Health Framework with Biological Science Insights for Trust, Misinformation Management, and Community Resilience. Innov Res Appl Biol Chem Sci [Internet]. 2026 Jun. 30 [cited 2026 Jul. 4];4(1). Available from: https://irjpl.org/irabcs/article/view/235

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