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An Uncertain Risk: The World Health Organization's Account of H1N1

  • Sudeepa Abeysinghe (a1)
Argument
Argument

Scientific uncertainty is fundamental to the management of contemporary global risks. In 2009, the World Health Organization (WHO) declared the start of the H1N1 Influenza Pandemic. This declaration signified the risk posed by the spread of the H1N1 virus, and in turn precipitated a range of actions by global public health actors. This article analyzes the WHO's public representation of risk and examines the centrality of scientific uncertainty in the case of H1N1. It argues that the WHO's risk narrative reflected the context of scientific uncertainty in which it was working. The WHO argued that it was attempting to remain faithful to the scientific evidence, and the uncertain nature of the threat. However, as a result, the WHO's public risk narrative was neither consistent nor socially robust, leading to the eventual contestation of the WHO's position by other global public health actors, most notably the Council of Europe. This illustrates both the significance of scientific uncertainty in the investigation of risk, and the difficulty for risk managing institutions in effectively acting in the face of this uncertainty.

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WHO Press Briefings cited hereafter are accessible at <http://www.who.int/mediacentre/multimedia/swineflupressbriefings/en/index.html>; (last accessed March 13, 2014).
Abeysinghe Sudeepa. 2013. “When the Spread of Disease Becomes a Global Event: The Classification of Pandemics.” Social Studies of Science 43 (6):905926
Alaszewski Andy. 2003. “Risk, Trust and Health.” Health, Risk & Society 5 (3):235239.
Atlas Ronald M. and Reppy Judith. 2005. “Globalizing Biosecurity.” Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science 3 (1):5160.
Baker Michael, and Fidler David P.. 2006. “Global Public Health Surveillance under New International Health Regulations.” Emerging Infectious Diseases 12 (7):10581065.
Bashford Alison. 2006. “Global Biopolitics and the History of World Health.” History of the Human Sciences 19 (1):6788.
Bauman Zygmunt. 1999. Post-Modernity and Its Discontents. Cambridge: Polity Press.
Beck Ulrich. 1992. Risk Society: Towards a New Modernity. London: Sage.
Beck Ulrich. 1999. World Risk Society. Cambridge: Polity Press.
Ben Embarek Peter K. 2009. WHO Press Briefing, May 4. World Health Organization.
Best Joel. 2001. Damned Lies and Statistics: Untangling Numbers from the Media, Politicians, and Activists. Berkeley: University of California Press.
Briand Sylvie. 2009. WHO Press Briefing, May 8. World Health Organization.
Caduff Carlo. 2012. “The Semiotics of Security: Infectious Disease Research and the Biopolitics of Informational Bodies in the United States.” Cultural Anthropology 27 (2):333357
Calain Philippe. 2007. “Exploring the International Arena of Global Public Health Surveillance.” Health Policy and Planning 22 (1):212.
Chan Margaret. 2009. WHO Press Briefing, June 11. World Health Organization.
Cohen Jon, and Enserink Martin. 2009. “After Delays, WHO Agrees: The 2009 H1N1 Pandemic Has Begun.” Science 324 (5934):14961497.
Cooper Melinda. 2006. “Pre-empting Emergence: The Biological Turn in the War on Terror.” Theory, Culture & Society 23 (4):113135.
Council of Europe PACE Meeting. 2010. Questions and Debate. March 29. The Council of Europe. http://www.assembly.coe.int/CommitteeDocs/2010/20122329 (last accessed June 20, 2010).
Davis Mark. 2011. “Living ‘Post-Pandemic’ and Responding to Influenza.” The Australian Sociological Association Conference, November 28 - December 1. Newcastle, TASA.
Dean Mitchell. 2010. Governmentally: Power and Rule in Modern Society. London: Sage.
Dehner George. 2012. Influenza: A Century of Science and Public Health Response. Pittsburgh: University of Pittsburgh Press.
Dreyer Marion, and Renn Ortwin, eds. 2009. Food Safety Governance. Integrating Science, Precaution and Public Involvement. Heidelberg and New York: Springer.
Flynn Paul. 2010a. Memorandum: The Handling of the H1N1 Pandemic: More Transparency Needed. The Council of Europe, March 23. http://www.assembly.coe.int/CommitteeDocs/2010/20122329_MemorandumPandemic_E.htm (last accessed June 20, 2010).
Flynn Paul. 2010b. Speech – Paul Flynn, Rapporteur. The Council of Europe, March 29. mms://coenews.int.vod/100329_w01_w.wnv (last accessed June 20, 2010).
Flynn Paul. 2010c. The Handling of the H1N1 Pandemic: More Transparency Needed. The Council of Europe [Doc no. 12283 – Passed by the Council of Europe, June 24].
Fogarty Andrea, Holland Kate, Imison Michelle, Blood R. Warwick, Chapman Simon, and Holding Simon. 2011. “Communicating Uncertainty – How Australian Television Reported H1N1 Risk in 2009: A Content Analysis.” BMC Public Health 11 (1):181.
Fukuda Keiji. 2009a. WHO Press Briefing, April 26. World Health Organization.
Fukuda Keiji. 2009b. WHO Press Briefing, April 29a. World Health Organization.
Fukuda Keiji. 2009d. WHO Press Briefing, May 6. World Health Organization.
Fukuda Keiji. 2009e. WHO Press Briefing, May 7. World Health Organization.
Fukuda Keiji. 2009f. WHO Press Briefing, May 11. World Health Organization.
Fukuda Keiji. 2009g. WHO Press Briefing, May 14. World Health Organization.
Fukuda Keiji. 2009h. WHO Press Briefing, May 22. World Health Organization.
Fukuda Keiji. 2009i. WHO Press Briefing, June 9. World Health Organization.
Funtowicz Silvio, and Ravetz Jerome. 1993. “The Emergence of Post-Normal Science.” In Science, Politics and Morality: Scientific Uncertainty and Decision Making, edited by Schomberg Rene von, 85123. Dordrecht: Kluwer.
Funtowicz Silvio, and Ravetz Jerome. 1994, “Uncertainty, Complexity and Post-Normal Science.” Environmental Toxicology and Chemistry 13 (12):18811885.
Giddens Anthony. 1991. Modernity and Self-Identity: Self and Society in the Late Modern Age. Cambridge: Polity Press.
Giddens Anthony. 1999. “Risk and Responsibility.” Modern Law Review 62 (1):110.
Giles-Vernick Tamara, and Craddock Susan, eds. 2010. Influenza and Public Health: Learning from Past Pandemics. London: Earthscan.
Gollier Christian, and Treich Nicolas. 2003. “Decision-Making under Scientific Uncertainty: The Economics of the Precautionary Principle.” Journal of Risk and Uncertainty 27 (1):77103.
Hacking Ian. 1999. The Taming of Chance. Cambridge: Cambridge University Press.
Hindess Barry. 1973. The Use of Official Statistics in Sociology: A Critique of Positivism and Ethnomethodology. London: McMillan Press.
International Health Regulations (IHR). 2011. Report of the Review Committee on the Functioning of the International Health Regulations (2005) in Relation to Pandemic (H1N1) 2009. Geneva: WHO.
Jasanoff Sheila. 2004a. “The Idiom of Co-Production.” In States of Knowledge: The Co-Production of Science and Social Order, edited by Jasanoff Sheila, 112. London: Routledge.
Jasanoff Sheila. 2004b. “Ordering Knowledge, Ordering Society.” In States of Knowledge: The Co-Production of Science and Social Order, edited by Jasanoff Sheila, 1345. London: Routledge.
Keil Roger, and Ali Harris. 2007. “Governing the Sick City: Urban Governance in the Age of Emerging Infectious Disease.” Antipode 39 (5):846873
Keil Ulrich. 2010. Introductory Statement by Prof. Dr. Ulrich Keil. The Council of Europe, January 26. http://www.coe.int/t/DC/Files/PA_session/jan_2010 (last accessed June 20, 2010).
Kuhn Thomas S. 1970. The Structure of Scientific Revolutions. Chicago: University of Chicago Press.
Latour Bruno. 1998. “Essays on Science and Society: From the World of Science to the World of Research?Science 280 (5361):208209.
Lazzari Stefano, and Stohr Klaus. 2004. “Avian Influenza and Influenza Pandemics.” Bulletin of the World Health Organisation 82 (4):242–242A.
Levidow Les. 2001. “Precautionary Uncertainty: Regulating GM Crops in Europe.” Social Studies of Science 31:842874.
Liess William, and Hrudey Steve E.. 2003. “Risk Management and Precaution: Insights in the Cautious use of Evidence.” Environmental Health Perspective 111 (13):15771581.
Luhmann Niklas. 2002. Risk: A Sociological Theory. New Brunswick NJ: Transaction Publishers.
Mack Eric. 2007. “The World Health Organization's New International Health Regulations: Incursions on State Sovereignty and Ill-Fated Response to Global Health Issues.” Chicago Journal of International Law 7 (1):365377.
MacPhail Theresa. 2010. “A Predictable Unpredictability: The 2009 H1N1 Pandemic and the Concept of ‘Strategic Uncertainty’ within Global Public Health.” Behemoth. A Journal on Civilisation 3:58–7.
Marshall Brent K., and Picou J. Steven. 2008. “Postnormal Science, Precautionary Principle, and Worst Cases: The Challenge of Twenty-First Century Catastrophes.” Sociological Inquiry 78 (2):230247.
Martinez Lindsay. 2000. “Global Infectious Disease Surveillance.” International Journal of Infectious Diseases 4 (4):222228
Miller Clark A. 2004. “Climate Science and the Making of a Global Political Order.” In States of Knowledge: The Co-Production of Science and Social Order, edited by Jasanoff Sheila, 4666. London: Routledge.
Nerlich Brigette, and Koteyko Nelya. 2012. “Crying Wolf? Biosecurity and Metacommunication in the Context of the 2009 Swine Flu Pandemic.” Health and Place 18 (4):710717.
Nowotny Helga. 2003. “Democratising Expertise and Socially Robust Knowledge.” Science and Public Policy 30 (3):151156.
Nowotny Helga, Scott Peter, and Gibbons Michael. 2001. Re-Thinking Science: Knowledge and the Public in an Age of Uncertainty. Malden: Polity Press.
Ravetz Jerome. 2004. “The Post-Normal Science of Precaution.” Futures 36 (3):347357.
Renn Ortwin, and Elliott E. Donald. 2011. “Chemicals.” In The Reality of Precaution. Comparing Risk Regulation in the United States and Europe, edited by Wiener Jonathon B., Rogers Michael D., Hammitt James K., and Sand Peter H., 197202. London: Earthscan.
Rivasi Michele. 2010. Speech – Michele Rivasi. The Council of Europe, March 29. mms://coenews.int.vod/100329_w01_w.wnv (last accessed June 2, 2010).
Ryan Mike. 2009. WHO Press Briefing, May 2. World Health Organization.
Shackley Simon and Wynne Brian. 1996. “Representing Uncertainty in Global Climate Change Science and Policy: Boundary-Ordering Devices and Authority.” Science, Technology & Human Values 21 (3):275302.
Shrader-Frechette Kristin. 1993. “Probabilistic Uncertainty and Technological Risks.” In Science, Politics and Morality: Scientific Uncertainty and Decision Making, edited by Schomberg Rene von, 4360. Dordrecht: Kluwer.
Solantra Tuomo. 2001. “Post-Normal Science and the Global Climate Change Issue.” Climatic Change 50 (4):395404.
Stebbing Margaret. 2009. “Avoiding the Trust Deficit: Public Engagement, Values, the Precautionary Principle and the Future of Nanotechnology.” Journal of Bioethical Inquiry 6 (1):3748.
Tausczik Yla, Faasse Kate, Pennebaker Jay W., and Petrie Keith J.. 2012. “Public Anxiety and Information Seeking Following the H1N1 Outbreak: Blogs, Newspaper Articles, and Wikipedia Visits.” Health Communication 27 (2):179185.
Turnpenny John, Jones Mavis, and Lorenzoni Irene. 2011. “Where Now for Post-Normal Science? A Critical Review of Its Development, Definitions, and Uses.” Science, Technology & Human Values 36 (3):287306
Wagner-Egger Pascal, Bangerter Adrian, Gilles Ingrid, Green Eva, Rigaud David, Krings Franciska, Staerkle Chriasian, and Clamence Alain. 2011. “Lay Perceptions of Collectives at the Outbreak of the H1N1 Epidemic: Heroes, Villains and Victims.” Public Understanding of Science 20 (4):461476.
Warren Adam, Bell Morag, and Budd Lucy. 2010. “Airports, Localities and Disease: Representations of Global Travel during the H1N1 Pandemic.” Health and Place 16 (4):727735.
Watson Rory, 2010. “WHO Is Accused of ‘Crying Wolf’ over Swine Flu Pandemic.” British Medical Journal 340.
Webby Richard J., and Webster Robert G.. 2003. “Are We Ready for Pandemic Influenza?Science 302 (5660):15191522.
Webster Robert G. 1997. “Predictions for Future Human Influenza Pandemic.” Journal of Infectious Diseases 176:514519.
Weingart Peter. 2011. “How Robust Is ‘Socially Robust Knowledge’?” In Knowledge and Democracy: A 21st Century Perspective, edited by Stehr Nico, 143158. Piscataway NJ: Transaction Publishers.
WHO 2011. Strengthening Response to Pandemics and Other Public-Health Emergencies. Report of the Review Committee on the Functioning of the International Health Regulations (2005) and on Pandemic Influenza (H1N1) 2009. Geneva: WHO
Wilson Kaumanan, Brownstein John S., and Fidler David P.. 2010. “Strengthening the International Health Regulations: Lessons from the H1N1 Pandemic.” Health Policy and Planning 25 (6):505509.
Wodarg Wolfgang. 2010. Hearing on “The Handling of the H1N1 Pandemic”: More Transparency Needed?” The Council of Europe, January 26. http://www.coe.int/t/DC/Files/PA_session/jan_2010 (last accessed June 20, 2010).
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