Health and Healthcare Systems

Pandemics and the psychology of uncertainty

MRSA (Methicillin-resistant Staphylococcus aureus) bacteria strain is seen in a petri dish containing agar jelly for bacterial culture in a microbiological laboratory in Berlin March 1, 2008. MRSA is a drug-resistant "superbug", which can cause deadly infections.    REUTERS/Fabrizio Bensch (GERMANY) - GM1E43209QY01

'Costly, altruistic individual choices may ultimately prove crucial for limiting the impact of a pandemic' Image: REUTERS/Fabrizio Bensch

Molly Crockett
Assistant Professor of Psychology, Yale University
Andreas Kappes
Lecturer, City University, London
Anne-Marie Nußberger
PhD student, Oxford University
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Many of the most serious global threats today involve a high degree of uncertainty: will the next flu outbreak turn into a pandemic? By how many degrees will global temperatures increase this century? Limiting the damage of such threats hinges on human choices, like the decision to get vaccinated or cut back on energy use. But we humans are famously bad at making decisions in already uncertain conditions. How can unpredictable global threats be communicated to most effectively guide our decision-making?

Take the threat of a pandemic virus rapidly spreading around the globe. Pandemics have killed millions in the past and it’s likely another will eventually come – we just don’t know when. In the early stages of a pandemic, people would be asked to take actions to help limit its spread, unpleasant actions like getting a vaccine or giving up travel plans. How could the director-general of the World Health Organization, health ministers and medical professionals around the world motivate people to take costly but necessary actions to help limit the spread of the disease?

Past research suggests people are notoriously unwilling to make sacrifices for others when the benefits are uncertain. In the case of pandemics, this means people would be especially unlikely to spend time going to a clinic or cancel a vacation because it’s not guaranteed that such steps would help stop the spread of disease. Thus, the uncertainty inherent to infectious diseases provides the ideal conditions for their spread: risk-seeking decisions in social situations.

Our work, conducted as part of the Oxford Martin Programme on Collective Responsibility for Infectious Disease, shows that when people have to make decisions that might harm others, they tend to act as if things will work out just fine.

In some of our studies, for instance, we asked hundreds of people whether they would stay home from work when infected with the “African Flu” (a fictional disease), which would be costly for their career but would help limit the spread of disease. Sometimes, we highlighted that it was uncertain whether they would infect a co-worker if they went to work. This uncertainty made people less willing to sacrifice and stay home. Consistent with previous studies on uncertainty, people said they were willing to risk hurting someone else for their own benefit when the harm was not certain to occur.

Luckily, it turns out there is another, more effective way to communicate uncertain threats like infectious disease. When uncertainty about human welfare is emphasized – for example, how much others might suffer from an infection – people strive to prevent the worst-case scenario.

In our studies, when we highlighted the chance that going to work might infect either somebody young and healthy for whom the infection would be no problem or an elderly person for whom the infection could be very serious, our participants said they were more willing to sacrifice and stay home. In other words, directing people’s attention to the uncertain impact of their actions on the well-being of others made them more willing to take on costs to prevent others from potential harm.

Have you read?

These findings highlight how journalists, global leaders and healthcare professionals can more effectively communicate the nature of uncertain but potentially devastating threats like pandemics. Often, when we talk about pandemics, we focus on whether or not one will occur in the near future and whether we are prepared to cope. The Economist, for example, recently remarked that “whether the world can forestall the next, unknown pandemic threat is uncertain”.

Our research suggests this approach may be counterproductive when it comes to motivating the costly, altruistic individual choices that may ultimately prove crucial for limiting the impact of a pandemic. Humans tend to put their self-interest first when it’s uncertain if doing so will cause harm.

But when the human costs of selfishness are made salient, people are more willing to forgo the personal and prioritize social interests, even amidst uncertainty. We think communicators should instead emphasize how selfish responses to global threats risk endangering the most vulnerable among us, such as babies, pregnant women and the elderly. Focusing uncertainty on how our actions might impact others – for example, how much they might suffer – can inoculate us against selfishness.

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Health and Healthcare SystemsGlobal Risks
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