Sunday, August 30, 2020

WHO's Tedros Adhanom Ghebreyesus Spoke for Public Health in a Positive Way During His Coronavirus Briefing

Coronavirus, CDC image
Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization briefed the press on August 27, 2020 about the COVID-19 (novel coronavirus) crisis. In his opening remarks, Ghebreyesus tried to reframe the touchy issue into a pure public health problem. 

We all know that the COVID-19 response has become highly politicized, to the extent that public health officials who offer basic scientific information have received death threats. Ghebreyesus reset the debate by placing the COVID-19 pandemic into the context of public health successes. Although the briefing’s topic was COVID-19, Ghebreyesus did not mention the pandemic until the latter portion of the speech.

Instead, he began by talking about polio! Here are his first three paragraphs:

“Good morning, good afternoon and good evening.

“Tuesday was a great day in global health – the certification of the eradication of wild poliovirus in Africa.

“This remarkable effort was started by Rotary International in the 1980s, and advanced by Nelson Mandela in 1996, with the launch of a campaign to 'Kick Polio Out of Africa'. At the time, polio paralyzed 75,000 children every year.”  

“Good morning, good afternoon and good evening” reminded everyone that the World Health Organization protects everyone in every time zone. That is, his first briefing item included (1) “Tuesday was a great day in global health,” and, (2) “the certification of the eradication of wild poliovirus in Africa.” That accomplished two purposes: he (1) announced a public health success, while he (2) showed that global public health efforts can, indeed, eradicate disease. But he had said nothing so far about the coronavirus.

Ghebreyesus talked for several minutes about the international cooperation that helped the world to knock polio out of Africa. This led him to the theme of solidarity:

“The end of wild poliovirus in Africa is a momentous achievement that demonstrates what’s possible when we come together in a spirit of solidarity.”

After reminding his audience that polio continued to afflict Afghanistan and Pakistan, did Ghebreyesus then move directly to talk about the coronavirus? No, he did not. Instead, he talked about victories over sleeping sickness, a terrible disease that afflicts large part of equatorial Africa:

“Polio is not the only disease against which we are making progress.

“Yesterday we also celebrated the end of sleeping sickness in Togo as a public health problem.

“I would like to use this opportunity to congratulate the people and government of Togo and their partners on this achievement.”

He continued to note that several other countries are planning to document that they have also eliminated sleeping sickness. Once again, the speaker showed that public health efforts can bring tremendous benefits to the public and the cooperation and partnership are necessary to achieve those benefits:

“This is incredible progress against the disease which was considered impossible to eliminate just 20 years ago.”

So, he started his COVID-19 briefing by talking about two unrelated public health issues. Then, and only then, Ghebreyesus turned to the coronavirus. He called for the world to adopt the same sense of partnership that had helped to bring polio and sleeping sickness under control:

“Globally, we need the same spirit of solidarity and partnership that are helping to end polio and sleeping sickness to end the COVID-19 pandemic.

“As societies open up, many are starting to see a resurgence of transmission.”  

After noting that certain kinds of gatherings often spread the coronavirus, he mentioned, on an encouraging note, that the Hajj pilgrimage had continued with social distancing, and that people were organizing sporting events and festivals. He said that this could be done safely under certain conditions:

“There are ways these events can be held safely, with a risk-based approach that takes the measures necessary to keep people safe.

“These measures should be communicated clearly and regularly.

“We humans are social beings. It’s natural and normal that we want to come together for all sorts of reasons.

“There are many ways we can be physically apart, but remain socially connected.”
 

The speaker pointed out that social separation during the pandemic caused emotional stress, which led him to discuss the mental health as a public health issue. Concluding, he announced that he was forming a group to evaluate the world-wide response to the COVID-19 pandemic.

Without saying so outright, Ghebreyesus addressed the scattered, uncooperative response of many countries – including, we all know, the United States of America – as a result of which COVID-19 is causing problems far beyond what was originally forecast. His tone, however, was relentlessly positive. Instead of criticizing uncooperative nations, he praised nations that had pursued public health. He pointed out that cooperative nations working together had made great public health strides. He assured the audience that nations could reopen essential activities safely if they followed public health guidelines. He preempted the criticism of people who think the public health experts prevent them from worshiping or attending sporting events.

Uncooperative nations, especially those that have so-called populist governments, have not responded to being criticized. If anything, they and their supporters dig in their heels and become more stubborn. Instead of scolding those nations and their leaders, the Director-General emphasized the positive, hoping to inspire rather than attack. I don’t know if he will succeed – his speech was not well-publicized in the United States – but he took an interesting persuasive approach.

Let’s wish him good fortune. Our lives may depend on it.


Theoretical note: I, and several much more prominent researchers, have written that epideictic speech – speech that praises and blames – can be persuasive. Click on “William D. Harpine’s Publications” above to see my academic publications on the topic.

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