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September 9, 2021: remarks on fighting the covid-⁠19 pandemic, about this speech.

September 09, 2021

As the Delta variant of the Covid-19 virus spreads and cases and deaths increase in the United States, President Joe Biden announces new efforts to fight the pandemic. He outlines six broad areas of action--implementing new vaccination requirements, protecting the vaccinated with booster shots, keeping children safe and schools open, increasing testing and masking, protecting our economic recovery, and improving care of those who do get Covid-19. 

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THE PRESIDENT: Good evening, my fellow Americans. I want to talk to you about where we are in the battle against COVID-19, the progress we’ve made, and the work we have left to do.

And it starts with understanding this: Even as the Delta variant 19 [sic] has—COVID-19—has been hitting this country hard, we have the tools to combat the virus, if we can come together as a country and use those tools.

If we raise our vaccination rate, protect ourselves and others with masking and expanded testing, and identify people who are infected, we can and we will turn the tide on COVID-19.

It will take a lot of hard work, and it’s going to take some time. Many of us are frustrated with the nearly 80 million Americans who are still not vaccinated, even though the vaccine is safe, effective, and free.

You might be confused about what is true and what is false about COVID-19. So before I outline the new steps to fight COVID-19 that I’m going to be announcing tonight, let me give you some clear information about where we stand.

First, we have cons—we have made considerable progress

in battling COVID-19. When I became President, about 2 million Americans were fully vaccinated. Today, over 175 million Americans have that protection. 

Before I took office, we hadn’t ordered enough vaccine for every American. Just weeks in office, we did. The week before I took office, on January 20th of this year, over 25,000 Americans died that week from COVID-19. Last week, that grim weekly toll was down 70 percent.

And in the three months before I took office, our economy was faltering, creating just 50,000 jobs a month. We’re now averaging 700,000 new jobs a month in the past three months.

This progress is real. But while America is in much better shape than it was seven months ago when I took office, I need to tell you a second fact.

We’re in a tough stretch, and it could last for a while. The highly contagious Delta variant that I began to warn America about back in July spread in late summer like it did in other countries before us.

While the vaccines provide strong protections for the vaccinated, we read about, we hear about, and we see the stories of hospitalized people, people on their death beds, among the unvaccinated over these past few weeks. 

This is a pandemic of the unvaccinated. And it’s caused by the fact that despite America having an unprecedented and successful vaccination program, despite the fact that for almost five months free vaccines have been available in 80,000 different locations, we still have nearly 80 million Americans who have failed to get the shot. 

And to make matters worse, there are elected officials actively working to undermine the fight against COVID-19. Instead of encouraging people to get vaccinated and mask up, they’re ordering mobile morgues for the unvaccinated dying from COVID in their communities. This is totally unacceptable.

Third, if you wonder how all this adds up, here’s the math: The vast majority of Americans are doing the right thing. Nearly three quarters of the eligible have gotten at least one shot, but one quarter has not gotten any. That’s nearly 80 million Americans not vaccinated. And in a country as large as ours, that’s 25 percent minority. That 25 percent can cause a lot of damage—and they are.

The unvaccinated overcrowd our hospitals, are overrunning the emergency rooms and intensive care units, leaving no room for someone with a heart attack, or pancreitis [pancreatitis], or cancer.

And fourth, I want to emphasize that the vaccines provide very strong protection from severe illness from COVID-19. I know there’s a lot of confusion and misinformation. But the world’s leading scientists confirm that if you are fully vaccinated, your risk of severe illness from COVID-19 is very low. 

In fact, based on available data from the summer, only one of out of every 160,000 fully vaccinated Americans was hospitalized for COVID per day.

These are the facts. 

So here’s where we stand: The path ahead, even with the Delta variant, is not nearly as bad as last winter. But what makes it incredibly more frustrating is that we have the tools to combat COVID-19, and a distinct minority of Americans –supported by a distinct minority of elected officials—are keeping us from turning the corner. These pandemic politics, as I refer to, are making people sick, causing unvaccinated people to die. 

We cannot allow these actions to stand in the way of protecting the large majority of Americans who have done their part and want to get back to life as normal. 

As your President, I’m announcing tonight a new plan to require more Americans to be vaccinated, to combat those blocking public health. 

My plan also increases testing, protects our economy, and will make our kids safer in schools. It consists of six broad areas of action and many specific measures in each that—and each of those actions that you can read more about at WhiteHouse.gov. WhiteHouse.gov.

The measures—these are going to take time to have full impact. But if we implement them, I believe and the scientists indicate, that in the months ahead we can reduce the number of unvaccinated Americans, decrease hospitalizations and deaths, and allow our children to go to school safely and keep our economy strong by keeping businesses open.

First, we must increase vaccinations among the unvaccinated with new vaccination requirements. Of the nearly 80 million eligible Americans who have not gotten vaccinated, many said they were waiting for approval from the Food and Drug Administration—the FDA. Well, last month, the FDA granted that approval.

So, the time for waiting is over. This summer, we made progress through the combination of vaccine requirements and incentives, as well as the FDA approval. Four million more people got their first shot in August than they did in July. 

But we need to do more. This is not about freedom or personal choice. It’s about protecting yourself and those around you—the people you work with, the people you care about, the people you love.

My job as President is to protect all Americans. 

So, tonight, I’m announcing that the Department of Labor is developing an emergency rule to require all employers with 100 or more employees, that together employ over 80 million workers, to ensure their workforces are fully vaccinated or show a negative test at least once a week.

Some of the biggest companies are already requiring this: United Airlines, Disney, Tysons Food, and even Fox News.

The bottom line: We’re going to protect vaccinated workers from unvaccinated co-workers. We’re going to reduce the spread of COVID-19 by increasing the share of the workforce that is vaccinated in businesses all across America.

My plan will extend the vaccination requirements that I previously issued in the healthcare field. Already, I’ve announced, we’ll be requiring vaccinations that all nursing home workers who treat patients on Medicare and Medicaid, because I have that federal authority.

Tonight, I’m using that same authority to expand that to cover those who work in hospitals, home healthcare facilities, or other medical facilities–a total of 17 million healthcare workers.

If you’re seeking care at a health facility, you should be able to know that the people treating you are vaccinated. Simple. Straightforward. Period.

Next, I will sign an executive order that will now require all executive branch federal employees to be vaccinated—all. And I’ve signed another executive order that will require federal contractors to do the same.

If you want to work with the federal government and do business with us, get vaccinated. If you want to do business with the federal government, vaccinate your workforce. 

And tonight, I’m removing one of the last remaining obstacles that make it difficult for you to get vaccinated.

The Department of Labor will require employers with 100 or more workers to give those workers paid time off to get vaccinated. No one should lose pay in order to get vaccinated or take a loved one to get vaccinated.

Today, in total, the vaccine requirements in my plan will affect about 100 million Americans—two thirds of all workers. 

And for other sectors, I issue this appeal: To those of you running large entertainment venues—from sports arenas to concert venues to movie theaters—please require folks to get vaccinated or show a negative test as a condition of entry.

And to the nation’s family physicians, pediatricians, GPs—general practitioners—you’re the most trusted medical voice to your patients. You may be the one person who can get someone to change their mind about being vaccinated. 

Tonight, I’m asking each of you to reach out to your unvaccinated patients over the next two weeks and make a personal appeal to them to get the shot. America needs your personal involvement in this critical effort.

And my message to unvaccinated Americans is this: What more is there to wait for? What more do you need to see? We’ve made vaccinations free, safe, and convenient.

The vaccine has FDA approval. Over 200 million Americans have gotten at least one shot. 

We’ve been patient, but our patience is wearing thin. And your refusal has cost all of us. So, please, do the right thing. But just don’t take it from me; listen to the voices of unvaccinated Americans who are lying in hospital beds, taking their final breaths, saying, “If only I had gotten vaccinated.” “If only.”

It’s a tragedy. Please don’t let it become yours.

The second piece of my plan is continuing to protect the vaccinated.

For the vast majority of you who have gotten vaccinated, I understand your anger at those who haven’t gotten vaccinated. I understand the anxiety about getting a “breakthrough” case.

But as the science makes clear, if you’re fully vaccinated, you’re highly protected from severe illness, even if you get COVID-19. 

In fact, recent data indicates there is only one confirmed positive case per 5,000 fully vaccinated Americans per day.

You’re as safe as possible, and we’re doing everything we can to keep it that way—keep it that way, keep you safe.

That’s where boosters come in—the shots that give you even more protection than after your second shot.

Now, I know there’s been some confusion about boosters. So, let me be clear: Last month, our top government doctors announced an initial plan for booster shots for vaccinated Americans. They believe that a booster is likely to provide the highest level of protection yet.

Of course, the decision of which booster shots to give, when to start them, and who will give them, will be left completely to the scientists at the FDA and the Centers for Disease Control.

But while we wait, we’ve done our part. We’ve bought enough boosters—enough booster shots—and the distribution system is ready to administer them.

As soon as they are authorized, those eligible will be able to get a booster right away in tens of thousands of site across the—sites across the country for most Americans, at your nearby drug store, and for free. 

The third piece of my plan is keeping—and maybe the most important—is keeping our children safe and our schools open. For any parent, it doesn’t matter how low the risk of any illness or accident is when it comes to your child or grandchild. Trust me, I know. 

So, let me speak to you directly. Let me speak to you directly to help ease some of your worries.

It comes down to two separate categories: children ages 12 and older who are eligible for a vaccine now, and children ages 11 and under who are not are yet eligible.

The safest thing for your child 12 and older is to get them vaccinated. They get vaccinated for a lot of things. That’s it. Get them vaccinated.

As with adults, almost all the serious COVID-19 cases we’re seeing among adolescents are in unvaccinated 12- to 17-year-olds—an age group that lags behind in vaccination rates.

So, parents, please get your teenager vaccinated.

What about children under the age of 12 who can’t get vaccinated yet? Well, the best way for a parent to protect their child under the age of 12 starts at home. Every parent, every teen sibling, every caregiver around them should be vaccinated. 

Children have four times higher chance of getting hospitalized if they live in a state with low vaccination rates rather than the states with high vaccination rates. 

Now, if you’re a parent of a young child, you’re wondering when will it be—when will it be—the vaccine available for them. I strongly support an independent scientific review for vaccine uses for children under 12. We can’t take shortcuts with that scientific work. 

But I’ve made it clear I will do everything within my power to support the FDA with any resource it needs to continue to do this as safely and as quickly as possible, and our nation’s top doctors are committed to keeping the public at large updated on the process so parents can plan.

Now to the schools. We know that if schools follow the science and implement the safety measures—like testing, masking, adequate ventilation systems that we provided the money for, social distancing, and vaccinations—then children can be safe from COVID-19 in schools.

Today, about 90 percent of school staff and teachers are vaccinated. We should get that to 100 percent. My administration has already acquired teachers at the schools run by the Defense Department—because I have the authority as President in the federal system—the Defense Department and the Interior Department—to get vaccinated. That’s authority I possess. 

Tonight, I’m announcing that we’ll require all of nearly 300,000 educators in the federal paid program, Head Start program, must be vaccinated as well to protect your youngest—our youngest—most precious Americans and give parents the comfort.

And tonight, I’m calling on all governors to require vaccination for all teachers and staff. Some already have done so, but we need more to step up. 

Vaccination requirements in schools are nothing new. They work. They’re overwhelmingly supported by educators and their unions. And to all school officials trying to do the right thing by our children: I’ll always be on your side. 

Let me be blunt. My plan also takes on elected officials and states that are undermining you and these lifesaving actions. Right now, local school officials are trying to keep children safe in a pandemic while their governor picks a fight with them and even threatens their salaries or their jobs. Talk about bullying in schools. If they’ll not help—if these governors won’t help us beat the pandemic, I’ll use my power as President to get them out of the way. 

The Department of Education has already begun to take legal action against states undermining protection that local school officials have ordered. Any teacher or school official whose pay is withheld for doing the right thing, we will have that pay restored by the federal government 100 percent. I promise you I will have your back. 

The fourth piece of my plan is increasing testing and masking. From the start, America has failed to do enough COVID-19 testing. In order to better detect and control the Delta variant, I’m taking steps tonight to make testing more available, more affordable, and more convenient. I’ll use the Defense Production Act to increase production of rapid tests, including those that you can use at home. 

While that production is ramping up, my administration has worked with top retailers, like Walmart, Amazon, and Kroger’s, and tonight we’re announcing that, no later than next week, each of these outlets will start to sell at-home rapid test kits at cost for the next three months. This is an immediate price reduction for at-home test kits for up to 35 percent reduction.

We’ll also expand—expand free testing at 10,000 pharmacies around the country. And we’ll commit—we’re committing $2 billion to purchase nearly 300 million rapid tests for distribution to community health centers, food banks, schools, so that every American, no matter their income, can access free and convenient tests. This is important to everyone, particularly for a parent or a child—with a child not old enough to be vaccinated. You’ll be able to test them at home and test those around them.

In addition to testing, we know masking helps stop the spread of COVID-19. That’s why when I came into office, I required masks for all federal buildings and on federal lands, on airlines, and other modes of transportation. 

Today—tonight, I’m announcing that the Transportation Safety Administration—the TSA—will double the fines on travelers that refuse to mask. If you break the rules, be prepared to pay. 

And, by the way, show some respect. The anger you see on television toward flight attendants and others doing their job is wrong; it’s ugly. 

The fifth piece of my plan is protecting our economic recovery. Because of our vaccination program and the American Rescue Plan, which we passed early in my administration, we’ve had record job creation for a new administration, economic growth unmatched in 40 years. We cannot let unvaccinated do this progress—undo it, turn it back. 

So tonight, I’m announcing additional steps to strengthen our economic recovery. We’ll be expanding COVID-19 Economic Injury Disaster Loan programs. That’s a program that’s going to allow small businesses to borrow up to $2 million from the current $500,000 to keep going if COVID-19 impacts on their sales. 

These low-interest, long-term loans require no repayment for two years and be can used to hire and retain workers, purchase inventory, or even pay down higher cost debt racked up since the pandemic began. I’ll also be taking additional steps to help small businesses stay afloat during the pandemic. 

Sixth, we’re going to continue to improve the care of those who do get COVID-19. In early July, I announced the deployment of surge response teams. These are teams comprised of experts from the Department of Health and Human Services, the CDC, the Defense Department, and the Federal Emergency Management Agency—FEMA—to areas in the country that need help to stem the spread of COVID-19. 

Since then, the federal government has deployed nearly 1,000 staff, including doctors, nurses, paramedics, into 18 states. Today, I’m announcing that the Defense Department will double the number of military health teams that they’ll deploy to help their fellow Americans in hospitals around the country. 

Additionally, we’re increasing the availability of new medicines recommended by real doctors, not conspir-—conspiracy theorists. The monoclonal antibody treatments have been shown to reduce the risk of hospitalization by up to 70 percent for unvaccinated people at risk of developing sefe-—severe disease. 

We’ve already distributed 1.4 million courses of these treatments to save lives and reduce the strain on hospitals. Tonight, I’m announcing we will increase the average pace of shipment across the country of free monoclonal antibody treatments by another 50 percent.

Before I close, let me say this: Communities of color are disproportionately impacted by this virus. And as we continue to battle COVID-19, we will ensure that equity continues to be at the center of our response. We’ll ensure that everyone is reached. My first responsibility as President is to protect the American people and make sure we have enough vaccine for every American, including enough boosters for every American who’s approved to get one. 

We also know this virus transcends borders. That’s why, even as we execute this plan at home, we need to continue fighting the virus overseas, continue to be the arsenal of vaccines. 

We’re proud to have donated nearly 140 million vaccines over 90 countries, more than all other countries combined, including Europe, China, and Russia combined. That’s American leadership on a global stage, and that’s just the beginning.

We’ve also now started to ship another 500 million COVID vaccines—Pfizer vaccines—purchased to donate to 100 lower-income countries in need of vaccines. And I’ll be announcing additional steps to help the rest of the world later this month.

As I recently released the key parts of my pandemic preparedness plan so that America isn’t caught flat-footed when a new pandemic comes again—as it will—next month, I’m also going to release the plan in greater detail.

So let me close with this: We have so-—we’ve made so much progress during the past seven months of this pandemic. The recent increases in vaccinations in August already are having an impact in some states where case counts are dropping in recent days. Even so, we remain at a critical moment, a critical time. We have the tools. Now we just have to finish the job with truth, with science, with confidence, and together as one nation.

Look, we’re the United States of America. There’s nothing—not a single thing—we’re unable to do if we do it together. So let’s stay together.

God bless you all and all those who continue to serve on the frontlines of this pandemic. And may God protect our troops.

Get vaccinated.

More Joe Biden speeches

Reversing the Inequality Pandemic: Speech by World Bank Group President David Malpass

World Bank Group President David Malpass

Speech at Frankfurt School of Finance and Management

You can watch the replay of the event  here

Introduction

Thank you, Jens. And thanks to Frankfurt School and the Bundesbank for hosting me virtually. I look forward to engaging with you and taking questions from students, who will be future business leaders in a post-COVID world. I’m here to set the stage ahead of the IMF and World Bank Group’s Annual Meetings, which will focus primarily on COVID and debt, and will also engage partners in urgent discussions on human capital, climate change, and digital development.

Before I begin, I would be remiss not to mention that this is the first time that the positioning speech for the World Bank Group Annual Meetings is being held in continental Europe. Germany is a major anchor for the World Bank Group and the rest of Europe; it is IBRD’s fourth largest shareholder, and the fourth largest contributor to IDA, and Chancellor Merkel has always been a strong supporter of World Bank Group priorities, including tackling debt and COVID, as well as action on global public goods. I understand that these priorities are also the focus of Germany’s EU Presidency, which runs through the end of 2020.

As Jens said, the COVID-19 pandemic is a crisis like no other. Its toll has been massive and people in the poorest countries are likely to suffer the most and the longest. The pandemic has taken lives and disrupted livelihoods in every corner of the globe. It has knocked more economies into simultaneous recession than at any time since 1870. And it could lead to the first wave of a lost decade burdened by weak growth, a collapse in many health and education systems, and excessive debt.

The pandemic has already changed our world decisively and forced upon the world a painful transformation. It has changed everything : the way we work, the extent to which we travel, and the manner in which we communicate, teach, and learn. It has rapidly elevated some industries—especially the technology sector—while pushing others toward obsolescence.

Our approach has been comprehensive—focused on saving lives, protecting the poor and vulnerable, ensuring sustainable business growth, and rebuilding in better ways. Today, I’m going to focus on four urgent aspects of this work: first, the need to redouble efforts to alleviate poverty and inequality ; second, the associated loss of human capital and what must be done to restore it; third, the urgent need to help the poorest countries make their government debt more transparent and permanently reduce their debt burdens, two necessary steps to attract effective investment; and finally, how we can cooperate to facilitate the changes needed for an inclusive and resilient recovery .

Topic 1: Poverty and Inequality

First, on poverty and inequality, COVID-19 has dealt an unprecedented setback to the worldwide effort to end extreme poverty, raise median incomes and create shared prosperity.

Jens has referred to the World Bank’s new poverty projections, which suggest that by 2021 an additional 110 to 150 million people will have fallen into extreme poverty, living on less than $1.90 per day. This means that the pandemic and global recession may push over 1.4% of the world’s population into extreme poverty.

The current crisis is a sharp contrast from the recession of 2008, which focused much of its damage on financial assets and hit advanced economies harder than developing countries. This time, the economic downturn is broader, much deeper, and has hit informal sector workers and the poor, especially women and children, harder than those with higher incomes or assets.

One reason for the differential impact is the advanced economies’ sweeping expansion of government spending programs. Rich countries have had the resources to protect their citizens to an extent many developing countries have not. Another is central bank asset purchases. The scale of such purchases is unprecedented and has successfully propped up global financial markets. This benefits the well-to-do and those with guaranteed pensions, especially in the rich world, but it is not clear, either in textbook theory or in practice, how 0% interest rates and ever-expanding government asset and liability balances will translate into new jobs, profitable small businesses, or rising median income—key steps in reversing inequality.

Poorer economies have fewer macro-economic tools and stabilizers and suffer from weaker health care systems and social safety nets. For them, there are no fast ways to reverse the sudden reduction in their sales to consumers in advanced economies or the almost overnight collapse in tourism and remittances from family members working abroad. It’s clear that sustainable recoveries will require growth that benefits all people—and not just those in positions of power. In an interconnected world, where people are more informed than ever before, this pandemic of inequality—with rising poverty and declining median incomes—will increasingly be a threat to the maintenance of social order and political stability, and even to the defense of democracy.

Topic 2: Human Capital

Second, on human capital, developing countries were making significant progress before COVID-19—and, notably, starting to close gender gaps. Human capital is what drives sustainable economic growth and poverty reduction. It consists of the knowledge, skills, and quality of health that people gain over their lives. It is associated with higher earnings for people, higher income for countries, and stronger cohesion in societies.

Since the outbreak, however, more than 1.6 billion children in developing countries have been out of school because of COVID-19, implying a potential loss of as much as $10 trillion in lifetime earnings for these students. Gender-based violence is on the rise, and child mortality is also likely to increase in coming years: our early estimates suggest a potential increase of up to 45% in child mortality because of health-service shortfalls and reductions in access to food.

These setbacks imply a long-term hit to productivity, income growth and social cohesion—which is why we’re doing everything we can to bolster health and education in developing countries. In the area of health, the World Bank Group worked with our Board in March to establish a fast-track COVID response that has delivered emergency support to 111 countries so far. Most projects are now in advanced stages of disbursement for the purchase of COVID-related health supplies, such as masks and emergency room equipment.

Our goal was to take broad, fast action early and to provide large net positive flows to the world’s poorest countries. We are making good progress toward our announced 15-month target of $160 billion in surge financing, much of it to the poorest countries and to private sectors for trade finance and working capital. Over $50 billion of that support takes the form of grants or low-rate, long-maturity loans, providing key resources to maintain or expand health care systems and social safety nets. Both are likely to play a key near-term role in survival and health for millions of families.

We are also taking action to help developing countries with COVID vaccines and therapeutics. I announced last week that, by extending and expanding our fast-track approach to address the COVID emergency, we plan to make available up to $12 billion to countries for the purchase and deployment of COVID-19 vaccines once the vaccines have been approved by multiple stringent regulatory agencies around the world. This additional financing will be to low- and middle-income developing countries that don’t have adequate access and will help them alter the course of the pandemic for their people. The approach draws on the World Bank’s significant expertise in supporting public health and vaccination programs and will signal to markets that developing countries will have multiple ways to purchase approved vaccines and will have significant purchasing power.

Our private sector arm—the International Finance Corporation, or IFC—is also investing heavily in vaccine manufacturers through its $4 billion Global Health Platform. The aim is to encourage ramped-up production of COVID-19 vaccines and therapeutics in advanced and developing economies alike—and to ensure that emerging markets gain access to available doses. IFC is also working with the vaccine partnership—CEPI—to map COVID-19 vaccine manufacturing capacity, focusing especially on potential bottlenecks.

To mitigate the impact of the pandemic on education, the Bank is working to help countries reopen primary and secondary schools safely and quickly. Out of school, children tend to backslide in their educational skills; and for children in the poorest countries, physical attendance in school is an important source of food and security, not just the reading and math that provide a critical ladder out of poverty. The Bank is working in 65 countries to implement remote-learning strategies, combining online resources with radio, TV, and social networks, and printed materials for the most vulnerable. We are also partnering with UNICEF and UNESCO on school-reopening frameworks.

In Nigeria, for example, we provided $500 million in new funding for the Adolescent Girls Initiative for Learning and Empowerment (AGILE), which aims to improve secondary education opportunities among girls. The project is expected to benefit more than 6 million girls, using TV, radio, and remote-learning tools.

Topic 3: Debt Burdens

My third urgent topic is debt. A combination of factors has led to a wave of excessive debt in countries where there is no margin for error. Global financial markets are dominated by low interest rates, creating a reach-for-yield fervor that invites excess. This is reinforced by an imbalance in the global debt system that puts sovereign debt in a unique category that favors creditors over the people in the borrowing country—there’s not a sovereign bankruptcy process that allows for partial payment and reduction of claims. As a result, people, even the world’s poorest and most destitute, are required to pay their government’s debts as long as creditors pursue claims—even so-called “vulture” creditors who acquire the distressed claims on secondary markets, exploit litigation, penalty interest clauses and court judgments to ratchet up the value of the claims, and use attachment of assets and payments to enforce debt service. In the worst cases, it’s the modern equivalent of debtor’s prison.

Further, the political incentive and opportunity for government officials to borrow heavily has increased. Their careers benefit from the availability of long-maturity debt because the repayment cycle is often well after the political cycle. This undermines accountability for debt, making transparency much more important than in the past.

An added factor in the current wave of debt is the rapid growth of new official lenders, especially several of China’s well-capitalized creditors. They’ve expanded their portfolios dramatically and are not fully participating in the debt rescheduling processes that were developed to soften previous waves of debt.

To take a first step toward debt relief for the poorest countries, at the World Bank’s Spring Meetings in March, I, along with Kristalina Georgieva of the IMF, proposed a moratorium on debt payments by the poorest countries. It was partly a response to COVID and the need for countries to have fiscal space, and also a recognition that a debt crisis was underway for the poorest countries. With endorsement by the G20, G7 and Paris Club, the Debt Service Suspension Initiative, or DSSI, took effect on May 1. It enabled a fast and coordinated response to provide additional fiscal space for the poorest countries in the world. As of mid-September, 43 countries were benefiting from an estimated $5 billion in debt-service suspension from official bilateral creditors, complementing the scaled-up emergency financing provided by the World Bank and IMF. The DSSI has also enabled us to make significant progress on debt transparency, which will help borrowing countries and their creditors make more informed borrowing and investment decisions. This year’s edition of the World Bank’s International Debt Statistics, to be released next Monday, October 12, will provide more detailed and more disaggregated data on sovereign debt than ever before in its nearly 70-year history.

Many more steps are needed on debt relief. One avenue is to broaden and extend the current debt initiative so that there is time to work out a more permanent solution. The World Bank and the IMF have called on the G20 to extend the DSSI’s relief through the end of 2021, and we are highlighting the need for G20 governments to urge the participation of all their private and bilateral public sector creditors in the DSSI. Private creditors and non-participating bilateral creditors should not be allowed to free-ride on the debt relief of others, and at the expense of the world’s poor.

Debt service suspension is an important stopgap, but it is not enough. First, too many of the creditors are not participating, leaving the debt relief too shallow to meet the fiscal needs of the inequality pandemic around us. Second, debt payments are simply being deferred, not reduced. It doesn’t produce light at the end of the debt tunnel. This is particularly apparent in today’s low-for-long financing environment. The normal time value of money simply isn’t working, so the creditors’ offer of a deferral of payments with a compounding of interest often means that the burden of debt goes up with time, not down. The historical use of net present value equations in debt restructurings has to be scrutinized for fairness to the people in the debtor countries.

The risk is that it will take years or decades for the poorest countries to convince creditors to reduce their debt burdens enough to help restart growth and investment. Given the depth of the pandemic, I believe we need to move with urgency to provide a meaningful reduction in the stock of debt for countries in debt distress. Under the current system, however, each country, no matter how poor, may have to fight it out with each creditor. Creditors are usually better financed with the highest paid lawyers representing them, often in U.S. and UK courts that make debt restructurings difficult. It is surely possible that these countries—two of the biggest contributors to development—can do more to reconcile their public policies toward the poorest countries and their laws protecting the rights of creditors to demand repayments from these countries.

Several steps are needed. First, as I mentioned, full participation in the moratorium by all official bilateral and commercial creditors, to buy time. Second, full transparency of the terms of the existing and new debt and debt-like commitments of the governments of the poorest countries. Both creditors and debtors should embrace this transparency, but neither has done enough in this regard. Third, using this fuller transparency, we need a careful analysis of a country’s long-term debt sustainability to identify sovereign debt levels that would be sustainable and consistent with growth and poverty reduction. This degree of transparency and analysis would also be strongly beneficial for the public commitments of developed countries, such as outlay projections for public pension funds. Fourth, we need new tools to push forward with the reduction of the stock of debt for the poorest countries. The World Bank and IMF are proposing to the Development Committee a joint action plan by the end of 2020 for debt reduction for IDA countries in unsustainable debt situations.

Looking more broadly, since the arrival of COVID-19, the challenge of high debt burdens has expanded to endanger the solvency of many businesses. The Bank for International Settlements has estimated that 50% of businesses do not have enough cash to pay their debt-servicing costs over the coming year.

Rising corporate debt distress has the potential to put otherwise viable firms out of business, exacerbating job losses, depressing entrepreneurship, and slowing growth prospects well into the future. The World Bank and IFC are both working with our client countries to address this issue, helping them bolster and improve insolvency frameworks while shoring up the working capital of systemically important businesses.

Topic 4: Fostering an Inclusive and Resilient Recovery

My fourth topic is on fostering an inclusive and resilient recovery. COVID-19 has demonstrated—with deadly effect—that national borders offer little protection against some calamities. It has underscored the deep connections between economic systems, human health, and global well-being. It has concentrated our minds on building systems that will better protect all countries the next time, especially our poorest and most vulnerable citizens.

It is critical that countries work toward their climate and environmental goals. A high priority for the world is to lower the carbon emissions from electricity generation, meaning the termination of new coal- and oil-dependent power generation projects and the wind-down of existing high-carbon generators. Many of the largest emitters—in the developing world but, I must say, also in the developed world—are still not making sufficient progress in this area.

Amid the pandemic, the World Bank Group has remained the largest multilateral financier of climate action. Over the last five years, we have provided $83 billion in climate-related investments. Our work has helped 120 million people in over 50 countries gain access to weather data and early-warning systems crucial to saving lives in disasters. We have added a total of 34 gigawatts of renewable energy into grids to help communities, businesses and economies thrive. I’m happy to say that, in Fiscal Year 2020, my first full year as President, the World Bank Group made more climate-related investments than at any time in its history.

We intend to step up that work over the next five years. We are helping countries put an economic value on biodiversity—including forests, land, and water resources—so they can better manage these natural assets. We are helping them assess how climate risks affect women and others who are already vulnerable.

We are also working with governments to eliminate or redirect environmentally harmful fuel subsidies and to reduce trade barriers for food and medical supplies. Global progress in this area, however, has remained slow. COVID-19 spending packages could have a decisive effect on promoting more low-carbon energy sources and facilitating a stronger, more resilient recovery.

And on the economy itself, recognizing the severity of the downturn and the likely longevity, a key step in a sustainable recovery will be for economies and people to allow change and embrace it. Countries will need to allow capital, labor, skills, and innovation to shift to a different, post-COVID business environment. This puts a premium on workers and businesses using their skills and innovations in new ways in a commercial environment that is likely to rely more on electronic connections than travel and handshakes.

To speed recovery, countries will need to find a better balance between, on the one hand, maintaining core public and private sector businesses and, on the other, recognizing that many businesses won’t survive the downturn. In many cases, support efforts will be more effective if they aid families rather than propping up pre-COVID business structures.

The business environment needs change and improvement to build a faster, more sustainable recovery. A key part of this process of change is for the ownership and repurposing of distressed assets to be resolved as quickly as possible. This will likely entail a combination of faster bankruptcy proceedings, new legal avenues for settling small claims, and other out-of-court alternatives such as arbitration. These are important building blocks for effective contracts and capital allocation, but only a few developing countries have them in place. The severity of the downturn makes the prompt streamlining and transparency of commercial law as vital for recovery as the availability of new debt and equity capital.

None of these steps will be enough, and the reality is that aid, even from the most generous donors, can’t make ends meet. Just to reverse COVID’s likely increase in extreme poverty in 2020 would require $70 billion per year ($2 per day times 100 million people). That’s well beyond the World Bank Group’s financial capacity or any of the development agencies. My view is that sustainable solutions can only come by embracing change—through innovation, new uses for existing assets, workers and job skills, a reset on excessive debt burdens, and governance systems that create a stable rule of law while also embracing change.

In conclusion, I raised the urgency of addressing poverty, inequality, human capital, debt reduction, climate change, and economic adaptability as elements in ensuring a resilient recovery. This once-in-a-century crisis has demonstrated why history doesn’t exactly repeat itself—because humankind does learn from its mistakes. The pandemic so far has not triggered the devastating side effects of earlier crashes—neither hyperinflation, nor deflation, nor widespread famine. Even though the loss of income and the inequality of the impact have been worse than in most past crises, the global economic response, so far, has been much bigger than we might have expected at the start of this crisis.

The development response will need to be extended and intensified, both in terms of the health emergency and the efforts to help countries find effective support systems and recovery plans. Greater cooperation will enable us to share knowledge and develop and apply effective solutions far more swiftly. It will enable innovators to develop a vaccine that beats the virus and restores people’s confidence in the future. Working through all channels, my hope—and my belief—is that we can shorten the downturn and build a strong foundation for a more durable model of prosperity—one that can lift all countries and all people.

Thank you very much.

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The White House 1600 Pennsylvania Ave NW Washington, DC 20500

Remarks by President   Biden on Fighting the COVID- ⁠ 19   Pandemic

4:31 P.M. EDT

THE PRESIDENT:  Good afternoon.  I’d like to make an important announcement today in our work to get every American vaccinated and protected from the Delta virus — the Delta variant of COVID-19.

I just got a lengthy briefing from my COVID team, and here’s the lattest [sic] — the latest data that confirms we’re still in a pandemic of the unvaccinated.

While we’re starting to see initial signs that cases may be declining in a few places, cases are still rising, especially among the unvaccinated.  There are still 85 million Americans who are eligible to get vaccinated who remain unvaccinated and at real risk.

Across the country, virtually all of the COVID-19 hospitalizations and deaths continue to be among the unvaccinated.  In Alabama, more than 90 percent of the current hospitalizations are among the unvaccinated.  In Texas, 95 percent of those in hospitals are unvaccinated.  Right now, it’s worse in states where overall vaccination rates are low. 

But let me be clear: Even in states where the vaccination rate is high, the unvaccinated in those states are also at risk and — and we’re seeing cases rise as a result. 

Quite frankly, it’s a tragedy.  There are people who are dying and who will die who didn’t have to. 

So, please, if you haven’t gotten vaccinated, do it now.  Do it now.  It could save your life, and it could save the lives of those you love.

You know, and the good news is that more people are getting vaccinated.  Overall, weekly new vaccinations are up more than 80 percent from where they were a month ago.

While it can take up to six weeks to get fully protected after your first shot, this increased level of vaccination is going to provide results in the weeks ahead.

Just remember, we have two key — and two key ways of protecting ourselves against COVID-19.  One: safe, free, and effective vaccines.  And two: masks.  Vaccines are the best defense, but masks are extremely helpful as well.

And for those who aren’t eligible for the vaccine yet — children under the age of 12 — masks are the best available protection for them and the adults around them.  That’s why we need to make sure children are wearing masks in school.

Before I talk about the news related to vaccines, let me say a few words about masks and our children. 

Unfortunately, as we’ve seen throughout this pandemic, some politicians are trying to turn public safety measures — that is, children wearing masks in school — into political disputes for their own political gain.  Some are even trying to take power away from local educators by banning masks in school.  They’re setting a dangerous tone.

For example, last week, at a schoolboard meeting in Tennessee, protestors threatened doctors and nurses who were testifying, making the case for masking children in schools. 

The intimidation and the threats we’re seeing across the country are wrong.  They’re unacceptable.

And I’ve said before, this isn’t about politics.  It’s about keeping our children safe.  This is about taking on the virus together, united.

I’ve made it clear that I will stand with those who are trying to do the right thing.

Last week, I called school superintendents in Florida and Arizona to thank them for doing the right thing and requiring masks in their schools.  One of them said, “We teach science, so we follow the science.”  The other said they have a guiding principle: “Students first.”  I couldn’t agree with more than –I just couldn’t agree more with what they both said.

And that’s why, today, I am directing the Secretary of Education — an educator himself — to take additional steps to protect our children.  This includes using all of his oversight authorities and legal actions, if appropriate, against governors

who are trying to block and intimidate local school officials and educators.

As I’ve said before, if you aren’t going to fight COVID-19, at least get out of the way of everyone else who is trying.  You know, we’re not going to sit by as governors try to block and intimidate educators protecting our children.

For example, if a governor wants to cut the pay of a hardworking education leader who requires masks in the classroom, the money from the American Rescue Plan can be used to pay that person’s salary — 100 percent.

I’m going to say a lot more about children and schools next week.  But as we head into the school year, remember this: The Centers for Disease Control and Prevention — the CDC — says masks are critical, especially for those who are not yet vaccinated, like our children under the age of 12. 

So, let’s put politics aside.

Let’s follow the educators and the scientists who know a lot more about how to teach our children and keep them safe

than any politician. 

This administration is always going to take the side of our children.

Next, I want to talk to those who — of you who can get vaccinated but you haven’t.  The Delta variant is twice as transmissible as the Alpha variant.  It’s dangerous, and it continues to spread.  Vaccines are the key to stopping it, and we’re making progress.

Today, more than 90 percent of seniors have at least had one shot, and 70 percent of people over the age 12 have gotten their first shot as well.  That’s good news, but we need to go faster.

That’s why I’m taking steps on vaccination requirements where I can.  Already, I’ve outlined vaccine requirements.  We’re going reach millions of Americans: federal workers and contractors; medical staff caring for our veterans at VA hospitals; and our active-duty military, reservists, and National Guard.

Today, I’m announcing a new step.  If you work in a nursing home and serve people on Medicare or Medicaid, you will also be required to get vaccinated. 

More than 130,000 residents in nursing homes have sa- — have sadly, over the period of this virus, passed away.

At the same time, vaccination rates among nursing home staff significantly trail the rest of the country.  The studies show that highly vaccinated nursing home staffs is associated with at least 30 percent less COVID-19 cases among long-term care residents. 

With this announcement, I’m using the power of the federal government, as a payer of healthcare costs, to ensure we reduce those risks to our most vulnerable seniors.

These steps are all about keeping people safe and out of harm’s way.

If you walk into a government office building, you should know that federal workers are doing everything possible to keep you safe.

If you’re a veteran seeking care at a VA hospital, you should not be at a greater risk walking into the hospital than you were outside the hospital.

And now, if you visit, live, or work in a nursing home, you should not be at a high risk for contracting COVID from unvaccinated employees.

While I’m mindful that my authority at the federal level is limited, I’m going to continue to look for ways to keep people safe and increase vaccination rates.

And I’m pleased to see the private sector stepping up as well.

In the last week, AT&T, Amtrak, McDonalds — they all announced vaccine requirements.

I recently met with a group of business and education leaders — from United Airlines, to Kaiser Permanente, to Howard University — who are also doing the same thing.

Over 200 health systems, more than 50 in the past two weeks, have announced vaccine requirements.  Colleges and universities are requiring more than 5 million students to be vaccinated as they return to classes this fall.

All of this makes a difference.

The Wall Street Journal reported the share of job postings stating that new hires must be vaccinated has nearly doubled in the past month.

Governors and mayors in California, Maryland, Massachusetts, New York, Oregon, and Washington have all announced vaccination requirements. 

So let’s be clear: Vaccination requirements have been around for decades.  Students, healthcare professionals, our troops are typically required to receive vaccines to prevent everything from polio to smallpox to measles to mumps to rubella.

In fact, the reason most people in America don’t worry about polio, smallpox, measles, mumps, and rubella today is because of vaccines.  It only makes sense to require a vaccine that stops the spread of COVID-19.

And it’s time for others to step up.  Employers have more power today to end this pandemic than they have ever had before.  My message is simple: Do the right thing for your employees, consumers, and your businesses.

Let’s remember: The key tool to keeping our economy going strong is to get people vaccinated and at work.

I know that I’ll have your back — they should know I’ll have their back, as I have the back of the states trying to do the right thing as well.

For example, yesterday, I instructed the Federal Emergency Management Agency –- FEMA –- to extend full reimbursement through the end of the year to state developments — to state deployments of National Guard in support of COVID-19 response.

Nearly 18,000 National Guard members are supporting our response nationwide, from caring for patients, to administering vaccines, to running testing sites, to distributing supplies.

As the states continue to recover from the economic toll left by COVID-19, the full reimbursement of National Guard services during this pandemic will be another tool that will help them shore up their budgets, meet the needs of their communities, and continue our ec- — our economic recovery. 

These are the latest steps we’re taking to get more people vaccinated.

Next, I want to speak to you all — all of you who are vaccinated.  How should you be thinking about the moment we’re in?

First, know that you’re highly protected against severe illness and death from COVID-19.  Only a small fraction of people going to the hospital today are those who have been vaccinated.

But we have a responsibility to give the maximum amount of protection — all of you the maximum amount.

Earlier today, our medical experts announced a plan for booster shots to every fully vaccinated American — adult American.  You know, this shot will boost your immune response.  It will increase your protection from COVID-19.  And it’s the best way to protect ourselves from new variants that could arise.

The plan is for every az- — every adult to get a booster shot eight months after you got your second shot.

Pending approval from the Food and Drug Administration and the CDC’s Committee of outside experts, we’ll be ready to start these booster — this booster program during the week of September 20, in which time anyone fully vaccinated on or before January 20 will be eligible to get a booster shot.

So that means that if you got your second shot on February 15th, you’re eligible to get your booster shot on October 15th.  If you got your second shot on March 15th, go for your booster starting on November 15th.  And so on.

Just remember, as a simple rule — rule: Eight months after your second shot, get a booster shot.

And these booster shots are free.  We’d be able to get the booster shots at any one of the approximately 80,000 vaccination locations nationwide. 

It will be easy.  Just show your vaccination card and you’ll get a booster.  No other ID.  No insurance.  No state residency requirement.

My administration has been planning for this possibility and this scenario for months.  We purchased enough vaccine and vaccine supplies so that when your eight-month mark comes up, you’ll be ready to get your vaccination free — that booster shot free.  And we have it available.

It will make you safer and for longer.  And it will help us end the pandemic faster. 

Now, I know there are some world leaders who say Americans shouldn’t get a third shot until other countries got their first shots.  I disagree.  We can take care of America and help the world at the same time. 

In June and July, America administered 50 million shots here in the United States and we donated 100 million shots to other countries.  That means that America has donated more vaccine to other countries than every other country in the world combined.

During the coming months of fall and early winter, we expect to give out another — about 100 thousand [million] boosters, and the United States will donate more than 200 million additional doses to other countries.

This will keep us on our way to meeting our pledge of more than 600 million vaccine donations — over half a billion.

And I said — as I said before, we’re going to be the arsenal of vaccines to beat this pandemic as we were the arsenal of democracy to win World War Two.

So, let me conclude with this: The threat of the Delta virus remains real.  But we are prepared.  We have the tools.  We can do this.

To all those of who are unvaccinated: Please get vaccinated for yourself and for your loved ones, your neighborhood and for your community.

And to the rest of America, this is no time to let our guard down.  We just need to finish the job with science, with facts, and with confidence. 

And together, as the United States of America, we’ll get this done. 

God bless you all.  And may God protect our troops.  Thank you. 

4:47 P.M. EDT

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• Published: 01 February 2022

Persuasive narrative during the COVID-19 pandemic: Norwegian Prime Minister Erna Solberg’s posts on Facebook

• Sanjana Arora   ORCID: orcid.org/0000-0003-0107-7061 1 ,
• Jonas Debesay 2 &
• Hande Eslen-Ziya   ORCID: orcid.org/0000-0001-7113-6771 1  

Humanities and Social Sciences Communications volume  9 , Article number:  35 ( 2022 ) Cite this article

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• Cultural and media studies
• Politics and international relations

This article explores the Facebook posts of Norway’s Prime Minister Erna Solberg to highlight the key features of her crisis communication during the COVID-19 pandemic. It draws on data from Solberg’s Facebook posts from February 27, 2020 to February 9, 2021 (i.e., starting from the day when the first case of COVID-19 was recorded in Norway until the time of data collection for this study). Out of her 271 posts, 157 of them were about COVID-19 and were chosen for analysis. The analyses identified five major themes: (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers. Drawing inspiration from Boin, Stern and Sundelius’, work on persuasive narratives, this study shows the ways that Solberg’s posts about COVID-19 exhibit all five identified frame functions. In addition, the findings add contextual nuances to the frame functions through the theme of ‘Responsibilization and togetherness’, which are reflected through references to Norwegianness and the cultural concept and practice of dugnad . This study adds to our knowledge about how persuasive narratives are incorporated into the social media communication strategies of leaders and highlights the usefulness of this framework for studying ongoing and future crises.

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Introduction

The economic and social disruption caused by the COVID-19 pandemic is having major impacts on people’s livelihoods and their health. As of 18 April 2021, there have been 140,322,903 confirmed cases of SARS-CoV-2 infections and 3,003,794 deaths (WHO, 2021 ), making the COVID-19 pandemic an unprecedented global health crisis of the century. As countries across the world grapple with mitigating the risks associated with the pandemic, communication—an essential component of planning, response, and recovery during crisis (Houston et al., 2014 )—has been one of the integral parts of the crisis management (Reddy and Gupta, 2020 ). Crisis communication highlights legitimation strategies, but also indicates how government institutions themselves make sense of crises (Brandt and Wörlein, 2020 ). Moreover, crises such as the COVID-19 pandemic can disrupt the socio-political order of societies, leaving a cognitive void in the minds of the public that can be filled with fear and uncertainty (Boin et al., 2016 ). In Norway, COVID-19 has been called a fear-driven pandemic that is based on alarming information of long-term illness and disability that is out of politicians control (Vogt and Pahle, 2020 ). Having control over the dramaturgy of political communication is thus central to effective leadership and crisis management (Boin et al., 2016 ). Effective communication can help societies handle uncertainty and promote adherence to behaviour change while fostering hope among the citizens (Finset et al., 2020 ).

The COVID-19 pandemic continues to rapidly evolve, and social media plays a pivotal role in meeting the communication needs of the public during such crisis (Van Dijck, 2013 ). As social media use increases during crises, leaders and public officials may utilise this platform to communicate, which in return helps reduce public panic and builds trust (Kavanaugh et al., 2012 ). As a result of the cultural and symbolic value of social media in contemporary times (Jenzen et al., 2021 ), the communication of public leaders in the midst of uncertainty and fear facilitates interpersonal and group interaction. Research has shown that, when compared to the traditional media platforms, social media platforms are used by leaders and elected officials to communicate, inform, and engage with their citizens (Golbeck et al., 2010 ). They use social media to spread messages farther and faster than it would be possible with traditional media (Sutton et al., 2013 ). What leaders post on social media can give insights into their communication and leadership strategies during crises. Understanding how leaders communicate with the public during crises will not only provide us with the knowledge about their governance styles but will also guide us to their meaning-making in times of uncertainty. Based on this assumption we will be studying the Facebook posts of Norwegian Prime Minister Erna Solberg, with the aim to highlight the key features of her communication. In doing so, we will take an exploratory rather than confirmatory perspective (Boudreau et al., 2001 ).

Solberg, member of the Conservative Party and in power since 2013, was defeated by the centre-left as this paper was being revised. Solberg has had a long career in politics, becoming a deputy representative to the Bergen City Council in 1979 when she was 18 years old. She was elected to the Parliament in 1989 where she was the youngest member of her party group (Notaker and Tvedt, 2021 ). Solberg’s tough stance on issues such as immigration earned her the nickname of ‘Jern-Erna’ [Iron Erna] (Reuters, 2013 ). However, upon her appointment as Prime Minister, Solberg displayed a ‘softer side’ by caring about voters’ jobs, health, and schools (Notaker and Tvedt, 2021 ).

The first Norwegian COVID-19 patient was diagnosed on February 26, 2020. While the initial spread of infection was relatively slow, cases increased quickly by March 12 th , after winter break for schools ended and many Norwegians returned from skiing holidays in Northern Italy (Dagsavisen, 2020 ). On March 12, the Norwegian Directorate of Health (NDH) adopted comprehensive measures to prevent the spread, which included closing day care centres, schools, and educational institutions. The measures also included a ban on cultural events, closed swimming gyms and pools, a halt to all service provisions that involved being less than one meter away from another person, and prohibiting visits to recreational cabins Footnote 1 , among others. Behavioural measures such as recommendations to keep physical distance, encourage handwashing, quarantine, stay home when ill, work from home, and avoid public transportation were also included. Following the lockdown, Norway became the first European country to announce that the situation was under control due to low levels of hospitalizations and mortalities (Christensen and Lægreid, 2020 ). In Norway, as of March 22, 2021, there have been over eighty thousand confirmed cases of coronavirus infection and more than six hundred deaths due to COVID-19. Norway has had far fewer COVID-19 cases, deaths, and hospitalizations per capita than most other countries in Western Europe or the United States (Christensen and Lægreid, 2020 ). Compared to its Scandinavian neighbours Denmark and Sweden, the proportion of cases of infections and deaths have been much lower (WHO, 2021 ), despite the three countries sharing similar social welfare and healthcare systems. Recently, a report submitted by the Corona Committee in Norway also concluded that the overall handling of the crisis by the government has been good. Not only has the number of infections and deaths in Norway been much lower than most countries in Europe, but the healthcare services have also remained stable, and society has remained relatively open (Lund, 2021 ). It is probable that good governance and responsible leadership demonstrated by the Norwegian cabinet and Prime Minister Erna Solberg contributed to this success.

In Norway, there is considerably less focus on individualization of candidates in political parties as compared to for instance the US, since the electoral system in Norway is based on proportional representation (Karlsen and Enjolras, 2016 ). Despite this, with the presence of digital and social media, there has been increasing focus on the individual candidates, leading to ‘decentralising personalisation’ (Karlsen and Enjolras, 2016 ; Balmas et al., 2014 ). Given this context, Erna Solberg’s Facebook account during the COVID-19 pandemic serves as an intermediary platform between the government’s role and her own personal profile as the Prime Minister who has been handling the COVID-19 crisis. Solberg has used Facebook more actively than other outlets like Twitter and has more followers on Facebook than any other platform. The proportion of Facebook users in Norway vis-a-vis other social media platform is also the highest (for example, 84% of people use Facebook compared to 22% who use Twitter who use Twitter) (Werliin and Kokholm, 2016 ). Facebook thus serves as an important platform for public leaders in Norway during crises, and therefore, by analysing Solberg’s Facebook posts, we aim to demonstrate the key features of her communication strategy during the COVID-19 crisis.

Background on crisis and crisis communication

Crisis is defined as a rare, and significant public situation creating undesirable consequences (Coombs, 2015 ; Gruber et al., 2015 ). In most cases it is ‘an unpredictable event that threatens important expectancies of stakeholders and can seriously impact an organization’s performance and generate negative outcomes’ (Coombs, 2015 : p. 3). Crisis communication on the other hand is referred as the strategies used to lessen the uncertainties during crisis via the dissemination and exchange of information (Collins et al., 2016 ). Effective crisis communication establishes reliability and maintains public trust. It should be frequent, consistent and involve compassionate messages conveyed in an inspired and transformational communication style. It is essential that public officials and leaders when communicating crisis relevant information be efficient and informative. Past research has shown the importance of repetition of the consistent interaction to help the message reach the recipients clearly and increase compliance behaviour in cases of crisis (Stephens et al., 2013 ). Inconsistent messages on the other hand were found to cause misperception and confusion, leading to a non-compliant behaviour by the recipients. The content of the message as well as its tone is also an important indicator of whether the recipients will comply or not (Sutton et al., 2013 ). Sources of crisis communication, such as leaders and public health officials, are perceived to be reliable and trustworthy when they exhibit concern and care (Heath and O’ Hair, 2010 ). In addition, they can be more effective in building relationship with the public, if they consider the cultural factors that play a role in their communicating about risks (Aldoory, 2010 ).

Boin et al. ( 2016 ) argue that crisis communication is one of the key challenges, which leaders face during a crisis situation. During crisis communication, leaders are required to frame ‘meaning’ of the crisis in order to shape how public perceives the risks, consequences and how they respond to the measures being taken. Developing a persuasive narrative in communication is thus integral to succesful framing of the crisis and for a strategic leadership. The construction of a successful persuasive narrative requires five frame functions: namely that the narrative will offer a credible explanation of what happened, it will provide guidance, instil hope, show empathy, and suggest that leaders are in control (Boin et al., 2016 ). In doing so, leaders aid the public’s understanding of the facts associated with crisis while sumltaneously acknolwedging and appealing to collective emotions. In incorporating these frame functions, leaders are posed with various choices and decision-making such as how they choose to or not choose to dramatise the situation, the language that they use and how they appeal to the colleactive emotions and stress.

As digital media technologies became popular resources for getting and spreading information, public officials and leaders also increasingly started using them as domains during the crises. In fact, for some scholars the use of social media while enabling mutual interaction between the leaders and recipients has altered the field of crisis communication altogether. For instance, it was found that as social media enables constant and effective communication, it was used more regularly than traditional media outlets during crisis (Kim and Liu, 2012 ). Similarly, Utz et al. ( 2013 ) discussed how for effective crisis communication strategy, the use of media channels, social media—Twitter, and Facebook—versus traditional— newspapers—was more critical than the type of the crisis. Moreover, Schultz et al. ( 2011 ) concluded that when compared to traditional media networks, crisis communication received less negative response when social media was used. Hence, it is not to our surprise that public officials nowadays are turning to social media platforms for communicating with the masses during crisis. They not only use these tools to communicate about crisis but also request information from the public. This was the case during the COVID-19 pandemic crisis where social media was employed by political leaders across the globe to mediate the communication of information about the pandemic as well as for reaching out to their citizens. This paper by focusing on the Norwegian case and more specifically on the Norwegian Prime Minister’s Facebook use during the time of COVID-19 pandemic aims to explore the use of social media platforms by political leaders during crisis. Our goal is to better understand how political leaders adapt social media technologies in their communication strategies during crises.

Our data that covers Erna Solberg’s Facebook posts between February 27, 2020, and February 10, 2021 (a total of 271 posts) were extracted from Footnote 2 into an Excel sheet. A total of 114 posts were removed as they were not related to COVID-19 leaving us 157 posts for further analysis. To aid the coding process, we noted the variables presented in Table 1 . These are: date, number of interactions, number, and type of reactions (e.g., angry, sad, like, etc.), URLs of links shared, and a description of the content of the posts that was later used in the qualitative analysis. We also noted if the posts were made during any particularly critical period (e.g., before, during or after new restrictive measures were introduced). The content of the posts and the number of likes and other reactions derived from this data should be considered a ‘snapshot’ of Solberg’s posts as they appeared at the time of data collection (Brügger, 2013 ), as it is possible that some posts have been subsequently removed, or that the numbers and types of reactions to the posts have changed by the publication date

The data was analysed through thematic analysis (Braun and Clarke, 2006 ): in the first step, we read all posts and generated the first set of codes. Next, we combined all the similar codes while labelling them in clusters and organised them into analytical themes/categories (see Fig. 1 ). The authors then discussed and reviewed these analytical themes and merged them into aggregate/conceptual themes. Lastly, we reviewed the aggregate themes through the lens of the five frame functions of persuasive narrative and identified commonalities and differences. We have included some posts under each theme to illustrate our analytical process and illuminate the themes (Sandelowski, 1994 ). All posts presented here were translated from Norwegian to English by the authors.

Schematic formulation of a theme from the categories captured in posts.

Our analysis resulted in five themes: (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers. In reviewing our findings from the framework of Boin et al. ( 2016 ), we found that all five frame functions of persuasive narrative were embedded in Solberg’s posts and aligned with our themes. Below we discuss our themes with reference to frame functions of Boin et al. ( 2016 ) for a persuasive narrative and in doing so, add contextual nuances to each theme.

Promoting responsibility and togetherness: we are in this together

Analysis of Solberg’s posts revealed a strong message of responsibility and togetherness. In almost all shares, she not only emphasized solidarity but also called for courage and responsibility. This Facebook post, shared soon after comprehensive shut-down measures were introduced, shows how important, for Solberg, was Norwegian solidarity expressed as ‘we’ (March 12, 2020):

Dear everyone. In times of crisis, we understand how dependent we are on each other. What unites us is more important than what separates us. This is not the time for ‘I’. This is the time for ‘we’.

Lunn et al. ( 2020 ) note that citizens are isolated during government induced or self-imposed quarantines: appeals to collective action and a spirit of ‘we-are-in-it-together’ are important ways to ensure compliance with quarantine and hence curb the rate of infection. Leaders in countries such New Zealand, UK, Brazil have also been found to have used a similar narrative emphasizing patriotic duty, love of country, and coming together as one, to mobilise community action (Dada et al., 2021 ).

Her posts were also imbued with appreciation and expression of gratitude towards healthcare workers and those who follow rules. For example, after introduction of the ban to travel to cabins and after the government’s decision to extend regulations until after Easter, Solberg posted the following on April 4, 2020, receiving a high number of likes:

I feel proud when I see how we handle this together. Many thanks to everyone who follows the advice from the health authorities. Many thanks to everyone in the health service who works hard and perseveres. Many thanks to all Norwegians for the patience, love and solidarity we now show each other

The use of the word ‘I’ and how it was being used in reference to ‘feel[ing] proud’, we argue, highlights the ‘positioning of self’ by Solberg. Davies and Harré ( 1990 ) claim that development of the notion of ‘positioning’ is a contribution to the understanding of personhood, and how speakers choose to position their personal identity vis-a-vis their discontinuous personal diversity (such as being the Prime Minister, politician, Norwegian citizen, etc.). In such posts, whether intentionally or unintentionally, we also see the discursive practices through which Solberg allocates meaning to her position as a Prime Minister by emphasising that she feels proud upon seeing those who follow advice. At the same time, her emphasis on ‘we’, as in how ‘ we handle this together’, places her as a member of the Norwegian masses.

Moreover, such references to togetherness and solidarity also reflect attempts to utilise the existing nationalistic cultural repertoire of the Norwegian concept of dugnad . For example, on New Year’s Day following the Gjerdrum community disaster (a sudden and unexpected mudslide that destroyed several residential houses) and rise in the number of infections during the holiday period (2125 reported cases on December 29, 2020), Solberg posted the following post:

[…] During the year we have put behind us, Norway has lined up for the big dugnad . People have put their interests and dreams on hold to protect the elderly and the risk groups. It has saved lives. I am deeply grateful, proud and touched, for the way the Norwegian people have handled the biggest challenge for our society since World War II. We lined up for each other when it mattered most…

Dugnad in Norwegian is voluntary work that is performed as a collective effort (Moss and Sandbakken, 2021 ). Nilsen and Skarpenes ( 2020 ) discuss how the concept of dugnad is embedded in a moral repertoire of the socially responsible citizen that is indicative of a specifically Norwegian welfare mentality and conclude that dugnad is imperative for the sustainability and resilience of the Norwegian welfare model. Before the pandemic, Simon and Mobekk ( 2019 ) argued that the concept of dugnad is central to Norwegian culture, inculcating prosocial and cooperative behaviour, and thereby plays a role in Norway being one of the most egalitarian democracies and having high levels of equality and reciprocity. In the context of COVID-19, social anthropologist Thomas Hylland Eriksen ( 2020 ) pointed out that one reason for the success of the Norwegian approach was the mobilisation of broader society to fight COVID-19, driven by the notion of dugnad . Similarly, Moss and Sandbakken ( 2021 ) analysed data from press conferences and interviews with members of the public and found that many participants mentioned liking how the government talked of ‘a spirit of dugnad ’ ( dugnadsånd ), appealing to shared voluntary work rather than strict rules. The authors posit that in a pandemic it is crucial to create and use meta-narratives that are a good fit with the context in order to aid meaning-making and increase compliance. The use of dugnad as a cultural repertoire has, however, met with criticism from some scholars, who argue that ‘a word associated with solidarity, unity, and voluntary work obscures the forced nature of the measures’ (Tjora, 2020 ) and shifts the onus for finding solutions onto individual citizens or groups (Nilsen and Skarpenes, 2020 ; Hungnes, 2016 ).

Despite the criticism of imbibing such cultural repertoire, the alignment of the key values of Norwegian society with the core message of encouraging collective action is essential for a crisis narrative to be politically effective (Boin et al., 2016 ). Furthermore, the theme of ‘Promoting responsibility and togetherness’ shows the context specific nature of crisis communication narrative in the case of COVID-19 in Norway and therefore adds to the components for a persuasive narrative.

Coping: everything will be fine

Solberg’s Footnote 3 posts also carried messages that address the consequences of coping with COVID-19, namely self-isolation, and loneliness. For instance, her posts guided followers in dealing with loneliness and maintaining general physical and mental health. The Norwegian government, like that of many other countries, had introduced measures such as mandatory quarantine and social distancing rules to manage the spread of the virus. Studies have shown that home confinement during COVID-19 has negatively affected the emotional state of individuals due to depression and anxiety and has led to or increased a sedentary lifestyle (Sang et al., 2020 ). Thus, emphasis on the well-being of the population during COVID-19 is important for effective crisis management (WHO, 2020a ) because increased well-being would reinforce its coping abilities during illness and hardships. As these are not the direct effects of the COVID-19 infection, but a result of the contagion containment measures imposed on citizens by the government, we observe Solberg taking responsibility and providing solutions to help. In doing so, she appears sensitive and caring towards the public.

Christensen and Lægreid ( 2020 ) attribute the ‘high-performing’ handling of the pandemic in Norway to the initial focus on suppression, followed by a control strategy. The authors further examine the ideas that having successful communication with the public, a collaborative and pragmatic decision-making style, the country’s resourcefulness, and high trust of government all contributed to the relative success in Norway. Adopting the correct and effective strategy indeed heavily influences the outcomes of crises. However, to fill the ‘cognitive void’ that the public might be experiencing, leaders need to manage the meaning-making process and ensure legitimacy of their actions (Boin et al., 2016 ). Solberg and the other ministers played an important role in communicating with citizens and the media through daily media briefings together with the NDH (Norwegian Directorate of Health) and NIPH (Norwegian Institute of Public Health) (Christensen and Lægreid, 2020 )

Solberg emphasized the impact of loneliness, for example, during one of the first holiday periods during the pandemic when comprehensive shut-down measures were introduced, she wrote:

Many people may feel lonely during holidays such as Easter, and the corona crisis exacerbates this. Therefore, I would like to encourage everyone to call someone you know is alone at Easter. The little things can mean a lot. Happy Easter!

A study by Blix et al. ( 2021 ) on the topic of mental health in the Norwegian population during the COVID-19 pandemic found that a substantial proportion of the population experienced significant psychological distress in the early phases. More than one out of four reported ongoing psychological distress over the threshold for clinically significant symptoms. Two other categories of individuals (those recently exposed to violence and those with pre-existing mental health problems) were found to be at special risk but worrying about the consequences of the pandemic was also found to contribute negatively to mental health. In this regard, Shah et al. ( 2020 ) argued that several nations have failed to address the mental health aspect among the public, as far more effort is being focused on understanding the epidemiology, clinical features, transmission patterns, and management of COVID-19. Solberg’s open discussion about mental health during the pandemic implies a situation-specific and data-driven strategy of managing the less visible effects of the pandemic and show insight in anticipating future needs (Han et al., 2020 ).

Moreover, Solberg’s posts also subtly utilised the Norwegian concept of friluftsliv , which translates as ‘free air life,’ a philosophy of outdoor living and connection with nature (Henderson and Vikander 2007 ). Friluftsliv is associated with grand narratives of Norwegian national identity depicting outdoor adventures, foraging, and a deep connection to nature (Jørgensen-Vittersø, 2021 ). For example, with the re-opening of DNT [Den Norske Turistforening] cabins in mid-2020, Solberg in her post on June 11 emphasized the importance of being outdoors in fresh air:

We need to use our bodies and get out into the light and fresh air. It is important for both physical and mental health! I hope many have a good and active Norwegian holiday this year!

In these posts, Solberg also shared pictures of herself being outdoors. In such ways, Solberg appeared to be offering not only guidance for coping with the challenges and consequences of living during the pandemic, but also emphasizing one characteristic of the Norwegian culture, which they are proud of—spending time in nature. Be it advice to spend time in nature, or to keep social distance or self-isolation, we consider that Solberg’s approach to coping aligns with the frame function of ‘offering guidance’. During a crisis, leaders have a window of opportunity during which they can communicate a frame to not only make sense of the crisis but also to provide guidance and to portray themselves as attentive and concerned about the challenging circumstances faced by the public (Boin et al., 2016 ). By depicting herself as attuned to the emotions experienced by her followers during the pandemic and by utilising the moment to suggest ways of coping, Solberg’s communication encapsulates the frame function of offering guidance for a persuasive narrative.

Being in control amidst uncertainty

In her posts, Solberg presented a narrative of being in control amidst uncertainty, which aligns with two of the frame functions of Boin et al. ( 2016 ), namely offering a credible explanation and suggesting that leaders are in control. In times of a crisis, it is important that leaders do not downplay the gravity of the situation or claim unrealistically optimistic scenarios (Boin et al., 2016 ). We see that Solberg maintained a balance by providing a detailed explanation of her actions and the reasons behind the restrictive measures taken. At the same time, she acknowledged the uncertainty inherent in the ever-changing crisis and demonstrated her concern. According to Lunn et al. ( 2020 ), in situations characterised by uncertainty and fear, responsible leaders need to signal that they are in control of the situation, which can be demonstrated by making decisions with confidence and honesty. Moreover, it is also essential that leaders do not make promises that are impossible or unrealistic, because doing that can impede the persuasiveness of their narrative by affecting their credibility later (Boin et al., 2016 ). In Solberg’s posts, we see that she displays confidence but also the reality of uncertainty and concern, which is a sign of effective leadership and shows ‘bounded optimism’ (Brassey and Kruyt, 2020 ). The following post where she writes about her worries and concerns followed by advice is a good example of credibility and control:

I am worried. Right now, we have ongoing outbreaks in Bergen, Oslo, Trondheim and Hammerfest… We know that vigorous work is being done intensively in these municipalities with infection detection and other measures. Although Norway has relatively low infection rates, we also register here at home that the number of hospital admissions and the number of infected have increased recently. We now have the highest number of hospitalized patients with COVID-19 since May… We also see that the infection has begun to spread to older age groups. And there is a significant risk that the numbers will continue to rise as we see in Europe. That is why we have today announced new national austerity measures next week. We can still reverse the trend here at home…

A demonstration of concern from role models has been shown to have a role in persuading the public to adhere to recommendations (Simon and Mobekk, 2019 ). Tannenbaum et al. ( 2015 ) note that fear is easier to handle when it is acknowledged, which relates to the idea of ‘citizens being anxious enough to take the advice from the authorities to heart and optimistic enough as to feel that their actions make a difference’ (Petersen, 2020 ). Inculcating ‘optimistic anxiety’ (Tannenbaum et al., 2015 ) is therefore an important feature of crisis communication narratives.

Another important nuance that emerges from Solberg’s posts is her comparisons to other countries to draw attention to the seriousness of the situation. For example, on November 5, 2020, Solberg made the following post announcing new national measures, which received over 5000 likes:

My message to the Norwegian people is: Stay at home as much as possible. Have the least possible social contact with others. It is absolutely necessary to avoid a new shutdown. Norway is at the beginning of the second wave of infection… The virus is spreading rapidly and all counties now have outbreaks. The government is therefore introducing new national infection control measures… If the current rate of infection continues, the number of inpatients in intensive care units will increase sharply in the coming weeks. This will lead to less intensive capacity for other seriously ill people. We are now where the Netherlands was at the beginning of September. A very rapid increase in infection in the Netherlands quickly led to more patients in the intensive care unit… Other European countries have similar experiences. There is therefore a heavy seriousness about the situation. And we must take responsibility together

By giving detailed reasoning behind measures being taken amidst uncertainty, Solberg exhibits both confidence and honesty in her narratives (Lunn et al., 2020 ). Another key feature that emerges from the post above is the emphasis on the risks of an increase in infection, and the possibility of a new lockdown and overburdening of intensive care capacity, thereby reflecting a more strongly persuasive intent. Such emphasis on the risks is different from other posts where Solberg exhibits control and optimism much more strongly. This adaption from a communicative stance to a more persuasive one could result from not only the perceived severity of the situation, but also the perceived risks of pandemic fatigue. Pandemic fatigue has been defined by the WHO as a lack of motivation to adhere to recommended protective behaviours (WHO, 2020b ). According to surveys conducted in different countries, most people have been shown to possess adequate knowledge of COVID-19 and the precautions required to keep safe, yet factors like emotions and context have been found to have greater impact on behaviours than knowledge (Gavi the Vaccine Alliance, 2020 ). A study of different ways of communicating healthcare messages suggested that believability of the messages and the recipients’ reactions to them can be influenced by the persuasive intent (Wang and Shen, 2019 ). Koh et al. ( 2020 ) also discuss the importance of devising effective and successful communications for a sustained period without message fatigue setting in, which includes concern for the way the communication is framed. Overall, we see that Solberg’s posts provide a rationale with portrayal of the government being in control of managing the crisis.

Fostering hope and return to normalcy

Solberg’s posts also emphasized the hopeful aspects of the crisis by appealing to followers to look forward to a return to everyday life, and new educational and economic prospects, despite the difficult current circumstances. This theme aligns with the frame of ‘instilling hope’ as per frame functions for a persuasive narrative by Boin et al. ( 2016 ). During a crisis, more than ever, effective leaders embody the hopes and fears of the society under threat, and therefore they should strive to inculcate optimism of a better future (Boin et al., 2016 ). Previous research has documented that in times of turmoil, followers especially look up to leadership that serves as a beacon of hope for and faith in a positive future, more than they do in times of prosperity (Stam et al., 2018 ; Shamir et al., 1993 ). According to Boin et al., leadership during crisis always has a moral dimension. On January 10, 2021, by which time Norway had witnessed over 50000 cases of infection and over 400 deaths as well as the Gjerdrum disaster, Solberg made the following post:

Dear everyone. This year I hope we can take our dreams back. After a year of pandemic and fear. Then I look forward to seeing creativity unleashed…

Another post that emphasized the optimism for educational prospects was made on April 15, 2020, and drew over 5000 likes:

Today is the last deadline to apply to a vocational school, college or university. I understand that it can feel strange to apply for an education this autumn while the educational institutions keep their campuses closed. Maybe someone also thinks the idea of moving from home to a new city seems extra scary these days. To you I want to say that everyday life will return. Therefore, my appeal to you who want to study: do not put your life on hold, but apply for education this year!

Lessons from previous crises tell us that leaders need to pay attention to the fear of the ongoing threat, as well as sadness and grief, and to provide hope to mitigate social disruption (Maak et al., 2021 ). Here, we see that Solberg’s is attempting to convey hope while also acknowledging the challenges and impact of COVID-19. In doing so, the messages also emphasise self-efficacy and trust in the government. Hope and resilience are closely aligned constructs, as they both include a tendency towards maintaining an optimistic outlook in the face of adversity (Duggal et al., 2016 ). Thus, fostering hope during crisis can help the community cope with the consequences of the crisis. Moreover, by using emotional appeals, leaders can influence attitudes and behaviours as well as induce compassion (Ghio et al., 2020 ).

The theme of fostering hope in Solberg’s posts was found to be particularly emphasized during and before national holidays or important events. Her posts often utilised humour to foster positivity, particularly during critical periods such as during or after implementation of stricter COVID-19 measures. For example, a day after it was announced that infection-reduction measures would continue throughout Christmas, Solberg shared a snipped of her response to a question asked in a press conference and posted:

Can Santa actually come to visit this year?

Creating human moments and hope is a sign of compassionate leadership and helps to establish the relational foundation for widespread support for pandemic control measures (Maak et al., 2021 ). Also, by utilising humour, Solberg adapts the tone of her messages, a tactic that has been found to significantly affect audiences’ attitudes and behaviours, help people manage their emotions, and strengthen support for pandemic measures (Lee and Basnyat, 2013 )

Relating with followers

The last theme is about the posts in which Solberg relates to the public by providing personal information, acknowledging, and relating with the difficult circumstances, and using humour or a private tone in her posts. For example, the post below was made just before Easter and it received more than 13000 likes, making it to be the third-most liked post of Solberg related to COVID-19 during this period.

It will be a different Easter this year. Let’s make the best of it. We can play fun board games with our loved ones, read the book we never have time to read, listen to an audiobook or explore the local area. The last few weeks have been challenging for all of us, but we want to get through this… Sindre and I have recharged with board games and wish you all a very happy Easter!

Empathy is an important component of the persuasive narrative, especially during crises when the decisions made by authorities to mitigate, and control can also have consequences for people’s lives. For crisis communication to be effective, the information provided to the public should not be too factual or portray leaders as distant from the citizens (Shen, 2010 ; Lunn et al., 2020 ). By demonstrating concern and acknowledging the impact of crises, leaders can empathise with the public (Shen, 2010 ; Lunn et al., 2020 ). We see Solberg personifying the challenges of COVID-19 by referring to how the times have been challenging for ‘all of us’. According to Boin et al. ( 2016 ), a leader’s personification of suffering is instrumental in showing empathy because the public is then able to relate to them.

Further, previously in a study by Larsson ( 2015 ) about Norwegian party leaders on Facebook during the 2013 ‘short campaign’, it was found that personal content referencing private life is increasingly employed by Norwegian party leaders. Enli and Rosenberg ( 2018 ) investigated voters’ evaluations of politicians as authentic or ‘real,’ and Solberg was found to be one of the most perceived authentic politicians. Enli ( 2014 ) had earlier suggested that Erna Solberg’s public profile as predictable, anti-elitist and imperfect constructs her authenticity.

A similar example of relatability with followers during the pandemic was the instance when she forgot the rule of not shaking hands during public meetups and press conferences. After the event, she wrote:

It is important that we can have some humour in a difficult time Even a prime minister can forget, but now it is important that we all remember to follow the advice of the health authorities…

She also used an engaging communicative style when interacting with her followers:

Then the holiday is over… a different summer, a little cold, weekly meetings in the Government’s Corona Committee on video, beautiful nature experiences from Norway and a lot of rain. Let me share a wonderful little meeting with a lynx on the lawn on Varaldsøy… Have you had a nice summer?

Thus, Solberg embeds references to her private life, which also helps to personify the messages in her posts and thus relate with the public. In addition, by relating with the public on an everyday basis and through the acknowledgment of shared challenges during crisis, Solberg’s narrative also appears empathetic. Our theme of ‘Relating to the public’ thus encapsulates frame function of ‘showing empathy’ for developing a persuasive narrative, as per Boin et al. ( 2016 ).

Concluding remarks

This paper was an attempt to explore the Facebook posts of Norway’s Prime Minister Erna Solberg to highlight the key features of her crisis communication during the COVID-19 pandemic. By drawing on data from Solberg’s Facebook posts during the pandemic our analyses identified five major themes, (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers, where we went in detail explanation by using frame functions of a persuasive narrative by Boin et al. ( 2016 ). We furthermore discussed the specific Norwegian contextual nuances to the frame functions. These were the theme ‘Responsibilization and togetherness’, presented via the references to Norwegianness and the cultural concept and practice of dugnad . Hence, our paper showed how during crisis persuasive narratives are incorporated into the social media communication strategies of political leaders.

The paper also showed how persuasive narratives are delivered through praising the public’s efforts, promoting togetherness, caring about the public’s well-being, displaying optimism and confidence in the government’s measures. It elaborated on how crisis management on social media was done via the use of humour and personal information. Humour was used as a tool to engage with the public and help them relate and comply to the COVID-19 restrictions. Hence, Solberg used Facebook to capitalise on a wide-reaching social medium (Hallahan, 2010 ). While the communication of leaders during crises helps to fill the cognitive void, the use of social media helps build societal resilience by improving awareness and encouraging preparedness (Boin et al., 2016 )

Even so, the success of a persuasive narrative is to a great extent dependant on the credibility of its proponents (Boin et al., 2016 ). The reputation of the leader and the organisation that they represent plays a key role in framing a successful persuasive narrative. In general, Norwegians have more trust in each other and their institutions than most other countries (Skirbekk and Grimen, 2012 ). A survey conducted by the Norwegian Citizen’s Panel [Norsk Medborgerpanel] in March 2020 found that trust in government, in the health authorities, in parliament, and in national and local politicians had increased, as did trust in the Prime Minister during the pandemic (Dahl, 2020 ). Clearly, Solberg seems to have benefitted from the trust capital in Norwegian society with her Facebook communications during a crisis. More recently, Erna Solberg has received heavy criticism for breach of COVID-19 restrictions during a family trip to Geilo for her 60th birthday (The Guardian, 2021a ). Following which, Erna Solberg, has been investigated by police and fined (The Guardian, 2021b ). Thus, while her Facebook posts exhibiting components of a persuasive narrative received popularity, her actions have nevertheless been subjected to scrutiny and criticisms in mainstream media (Larsen, 2021 ). According to Boin et al. ( 2016 : p. 72), the retainment of confidence of the public is essential for the communication strategies to be effective. Therefore, such media criticism might undermine the credibility of Solberg and her cabinet, leading to less credible and politically ineffective narratives. On the other hand, past performances, and reputation also play an important role in increasing leaders’ personal credibility in the face of crisis (Boin et al., 2016 ). Consequently, Solberg’s long career in politics and her reputation of caring about the citizens as previously discussed, could buffer the recent impact on her credibility. Moreover, communication during and after a crisis affects long-term impressions (Coombs, 2007 ). With the personification of politics in Norway or ‘decentralising personalization’ (Balmas et al., 2014 ), the criticisms paved at Erna, however, reflect more of a personal crisis than a national crisis. And while we do not analyse Solberg’s posts beyond 9 th Feb. 2021 i.e., after Solberg spoke about the Geilo trip incident on her Facebook account, we see that she follows similar strategy in handling this personal crisis as the national crisis of COVID-19, through use of a persuasive narrative. Future studies can therefore focus on how Solberg and other political leaders utilise the strategy of persuasive narrative in management of personal crisis in nexus with national crisis such as that of COVID-19.

Further, we concur with Christensen and Lægreid ( 2020 ) who write that the ‘political leadership has succeeded well in connecting governance capacity and legitimacy using the argument that Norway had sufficient resources to deal with the crisis. While the health resource capacity and preparedness of Norway inarguably contributes to the outcomes of the crisis, communicating a successful persuasive narrative with credibility is integral to gaining legitimacy and filling the cognitive void (Boin et al., 2016 ). Erna Solberg’s use of persuasive narrative in Facebook posts, seems therefore to have been effective in the management of the COVID-19 pandemic, but her latest unfortunate incident goes to show how politicians’ management of crises is tenuous and highly dependent on public trust.

Our study adds to the significance and knowledge of how persuasive narratives are incorporated into the communication strategy of leaders on a social media platform and highlights the usefulness of this framework for studies about ongoing and future crises. By using data from social media, our findings also add to the understanding of the increased personification of politics and how leaders utilise this personification to communicate government measures and engage with the public during a crisis. Future research can further explore how public leaders and health authorities’ frame crises situations, actions, issues, and responsibility to dramatise and reinforce key ideas (Hallahan, 1999 ). Such insights can pave way for understanding public’s shaping of risk perceptions and compliance to behavioural measures during crises such as the COVID-19 pandemic.

Data availability

The dataset analysed during the current study is available through the public profile of Erna Solberg on Facebook: https://www.facebook.com/ernasolberg/ . This dataset was derived from Crowd Tangle which can be accessed through request at https://www.crowdtangle.com/ .

Known as ‘hyttetur’, cabin trips are deeply rooted in Norwegian culture and way of life

Crowdtangle extracts both historical and current data of post contents and metadata such as the date the post was made, number of likes, other reactions and shares. Information about how to access raw material included in this study can be found in the data availability statement at the end of the article.

‘Everything will be fine’ [ Alt blir bra ] was one of the campaigns that spread because of the COVID-19 crisis in Norway depicting pictures of a rainbow.

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This article is published as part of the research project ‘Fighting Pandemics with Enhanced Risk Communication: Messages, Compliance and Vulnerability During the COVID-19 Outbreak (PAN-FIGHT)’, which is financed by the Norwegian Research Council (Project number: 312767).

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Arora, S., Debesay, J. & Eslen-Ziya, H. Persuasive narrative during the COVID-19 pandemic: Norwegian Prime Minister Erna Solberg’s posts on Facebook. Humanit Soc Sci Commun 9 , 35 (2022). https://doi.org/10.1057/s41599-022-01051-5

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How Is America Still This Bad at Talking About the Pandemic?

America’s leaders could stand to learn four lessons on how to communicate about COVID.

With cases decreasing, well more than 65 percent of the eligible population inoculated with effective vaccines, and new COVID therapeutics coming to market, the United States is in very different circumstances than it was in early 2020. Life is currently feeling a little more stable, the future a good deal more clear.

But one thing about the pandemic has remained largely unchanged: Political and scientific leaders are still struggling to communicate recommendations to the American public. Are mask mandates warranted at work and school? First we were told no; then, yes; now the answer, for good reasons this time, is changing again. Are fourth mRNA shots necessary for the most vulnerable? First the CDC said no; then, to get one five months after the third dose; and now the waiting period has been reduced to three months.

The Omicron surge that the country is now exiting may not be our last of this pandemic, and SARS-CoV-2 will surely not be the last virus to cause a pandemic . If we are to get through whatever lies ahead without more unnecessary mass death, we need to reflect on how pandemic communication has fallen short and how the country can get better at it. Over the past six months, I have planned and led a small faculty seminar at the Harvard T. H. Chan School of Public Health on the pandemic, the press, and public policy. I’ve gleaned four lessons about transmitting clear, practical information in changing circumstances. Our leaders would be wise to heed them.

1. The conventional wisdom about avoiding ambiguity and uncertainty is wrong.

A former local public-health official told me last year that aides to the elected official for whom they worked had advised them that the key to pandemic communications was to “keep it simple; never say ‘on the other hand.’” This may (or may not) be good practice in an election campaign, but it has proved both common and exceedingly bad counsel in a pandemic, when officials frequently need to offer guidance from a position of uncertainty.

In March 2020, for example, public-health officials needed to tell people whether they should avoid contact with suspect surfaces and whether they needed to wear masks outside clinical settings. In an excess of caution and based on experience with other pathogens, the CDC advised Americans to wipe things down. But when it came to masks, the agency seemed to abandon that precautionary approach. The situation was complicated: The best masks were in terribly short supply and urgently needed by the health-care system. Rather than receiving an explanation of the situation and advice to improvise cloth masks, the public was told to forgo masks altogether because they were unnecessary.

Read: How to talk about the coronavirus

Public-health officials’ failure to trust Americans with the truth was not sophisticated or even practical. When the advice was belatedly revised in a manner that revealed it had always been faulty, an erosion of trust began and has only accelerated over the ensuing two years.

Moreover, this mistake has been repeated again and again in new contexts. Last summer, for instance, advice was given to take off your mask outside, only to be sort of retracted for fear that people would not wear them in crowds, or inside, especially as Delta struck. Throughout the past year, there has been far too much reluctance to offer varying advice to the vaccinated and unvaccinated, and to the very young and very old.

Officials (and the press responsible for critiquing and distilling their advice) need to be more candid about uncertainty, more open about asking people to mitigate risks temporarily until our knowledge increases, more willing to vary guidance for different groups without worrying that this constitutes “mixed messaging.” In the short run, such an approach may be challenged as weakness, but in the long run it will be revealed as building credibility, trust, and thus strength.

2. In a pervasive crisis, science must adjust to politics.

Over and over in the pandemic, public-health officials have been both surprised and disappointed to find out that concerns they consider “political” have trumped scientific knowledge. Not only their surprise but even a measure of their disappointment is worth reconsidering.

This is not to say that public health should be held hostage to conspiracy theories or sheer mendacity, as was sometimes the case in the first year of the pandemic, when President Donald Trump was promoting quack cures and stubbornly resisting masking. But if “Follow the science” was once a watchword of public-health resistance, it later came to sometimes embody naivete. In a well-functioning system, science is not oppositional to politics, but neither does it supersede politics . Both are essential in a democratic society; they must coexist.

Jay Varma: Not every question has a scientific answer

When a public-health concern becomes a pervasive national crisis, under any leadership, it is inevitable—and actually proper—that what may be narrowly in the interest of optimal medical outcomes will be weighed against impacts on the economy, equity, educational imperatives, national security, and even national morale. In our democratic system, that weighing is left to our elected officials. Those officials have a duty to arm themselves with the best public-health advice, and public-health experts are obligated to make sure that both leaders and the public have access to that advice, whether the politicians wish to know it or not.

In retrospect, the United States might have been wise to impose fewer restrictions on elementary and secondary schools over the past two academic years—not because school closures didn’t help stop the spread of the virus, but because the educational and economic losses from widespread remote schooling might have outweighed the gains in reduced cases. The question is clearly more than scientific.

Top officeholders and scientists alike can do a better job of accommodating each other. On the one hand, political leaders would do well to remember that many of the most senior officials in relevant agencies, even those with appropriate professional training, have likely been selected (by them!) for political reasons, and may or may not be the most expert in a particular situation. It can be a grave error, particularly in a place like the White House, to make the leap from “We have our own doctors” to “We have the best doctors.”

Matthew Algeo: Presidential physicians don’t always tell the public the full story

On the other hand, scientists (and even amateur epidemiologists) would do well to formulate their advice to political executives with empathy for their perspective. This does not mean shading the truth or telling someone what you think they want to hear, but it does mean safeguarding a leader’s credibility and acknowledging the political or practical constraints they face. It also means understanding that, once decisions are made, as President John F. Kennedy reportedly observed, leaders must live with them while advisers can move on to other advice. President Joe Biden, for instance, has too often found himself personally announcing conclusions that were not yet certain and guidance that was likely to soon change.

3. Speak the same language the public does.

Communication is difficult when people are not speaking the same language . In the pandemic, we have seen this play out in two major ways. First: Scientists use words they think their listeners understand, only to find out much later that they don’t. Some researchers concluded early on that SARS-CoV-2 was what they term “airborne.” When many people responded by limiting the big change in their behavior to standing six feet apart, the scientists were enormously frustrated. That’s because by “airborne,” they didn’t mean merely that the virus was borne through air, but that it was aerosolized, and thus highly contagious, especially indoors . They wanted the public to stop interacting closely, especially indoors and unmasked. Recognizing earlier that the scientific and colloquial understandings of airborne didn’t match in this context would have made a difference, at least in messaging and possibly in consequences.

Read: Nine pandemic words that almost no one gets right

Second: Only a distinct minority of the population has a firm grasp of statistics, but many scientists communicate as if everyone does. In addition to emphasizing the rarity of vaccine side effects or the significant protection offered by the shots, officials must give the public a lens through which to understand the exceptions some of them are sure to encounter in their daily lives.

If a particular finding, for instance, applies to 99 percent of Americans, scientists and public officials need to acknowledge—clearly, candidly, right up front—that more than 3 million people will have a different experience from that norm. To duck this reality is to risk the sheer number of counterexamples seeming to “disprove” the valid conclusion. This is especially important in communicating to and through the press.

4. Never forget the heroes.

The darkest early days of the pandemic were redeemed somewhat by the national rallying around health-care professionals, first responders, and other essential workers. That focus on the heroes among us underlined the fact that, in a pandemic, we are fundamentally in the fight together, and the virus is our common enemy.

Leaders made a crucial communications mistake in not extending this lesson to the rollout of the vaccines, which were the result of both the genius and the hard and astoundingly fast work of another set of heroes. Greater celebration, beginning in late 2020, of these innovators, inventors, and even manufacturers could, I think, have made widespread division over the vaccines less likely and less pervasive.

From the January/February 2021 issue: How science beat the virus

It would, for instance, have helped if the editors of Time magazine had felt compelled to name the inventors of the mRNA vaccines as the 2021 “People of the Year,” rather than deeming them runners-up to Elon Musk. Glorifying pharmaceutical companies may be a stretch, but why not loudly praise the workers who churned out the “Warp Speed” vaccines as modern-day Rosie the Riveters?

In the absence of these sorts of celebrations, the division over vaccines remains the greatest failure of the U.S. experience of the pandemic. More than a quarter of a million deaths were likely directly preventable by available vaccination. Undervaccination contributed to the horrible strength of the Delta and Omicron waves, lingering economic pain, and remote schooling, which might also have been avoided. Next time, the communication breakdown may or may not center on vaccines. But we’d all be much better off if we didn’t have a breakdown at all.

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What Students Are Saying About Living Through a Pandemic

Teenage comments in response to our recent writing prompts, and an invitation to join the ongoing conversation.

By The Learning Network

The rapidly-developing coronavirus crisis is dominating global headlines and altering life as we know it. Many schools worldwide have closed. In the United States alone, 55 million students are rapidly adjusting to learning and socializing remotely, spending more time with family, and sacrificing comfort and convenience for the greater good.

For this week’s roundup of student comments on our writing prompts , it was only fitting to ask teenagers to react to various dimensions of this unprecedented situation: how the coronavirus outbreak is affecting their daily lives, how we can all help one another during the crisis and what thoughts or stories the term “social distancing” conjures for them.

Every week, we shout out new schools who have commented on our writing prompts. This week, perhaps because of many districts’ move to remote online learning, we had nearly 90 new classes join us from around the world. Welcome to the conversation to students from:

Academy of St. Elizabeth; Abilene, Tex.; Alabama; Anna High School, Tex.; Arlington, Va.; Austria-Hungary; Baltimore, Md.; Bellingham, Wash.; Ben Lippen School; Bloomington, Ind.; Branham High School, San Jose, Calif.; Boston; Buffalo High School, Wyo.; Camdenton, Mo.; Cincinnati, Ohio; Collierville, Tenn.; Dawson High School, Tex.; Denmark; Desert Vista High School; Doylestown, Penn.; Dublin, Calif.; Dunkirk, N.Y. ; Eleanor Murray Fallon Middle School; Elmhurst, Ill.; Fairfax, Va.; Framingham, Mass.; Frederick, Md.; Hartford, Conn.; Jefferson, N.J.; Kantonschule Uster, Switzerland; Laconia, N.H.; Las Vegas; Lashon Academy; Lebanon, N.H.; Ledyard High School; Leuzinger High School; Livonia, Mich.; Manistee Middle School; Miami, Fla.; Melrose High School; Milton Hershey School, Hershey, Penn.; Milwaukee; Montreal; Naguabo, Puerto Rico; Nebraska; Nessacus Regional Middle School; New Rochelle, N.Y.; Newport, Ky.; Newton, Mass.; North Stanly High School; Oakland, Calif.; Papillion Middle School; Polaris Expeditionary Learning School; Pomona, Calif.; Portsmouth, N.H.; Pueblo, Colo.; Reading, Mass.; Redmond Wash.; Richland, Wash.; Richmond Hill Ontario; Ridgeley, W.Va.; Rockford, Mich.; Rovereto, Italy; Salem, Mass.; Scottsdale, Ariz.; Seattle, Wash.; Sequoyah School Pasadena; Shackelford Junior High, Arlington, Tex.; South El Monte High School; Sugar Grove, Ill.; St. Louis, Mo.; Timberview High School; Topsfield, Mass.; Valley Stream North High School; Vienna, Va.; Waupun, Wis.; Wauwatosa, Wis.; Wenatchee, Wash.; Westborough Mass.; White Oak Middle School, Ohio; and Winter Park High School.

We’re so glad to have you here! Now, on to this week’s comments.

Please note: Student comments have been lightly edited for length, but otherwise appear as they were originally submitted.

How Is the Coronavirus Outbreak Affecting Your Life?

The coronavirus has changed how we work, play and learn : Schools are closing, sports leagues have been canceled, and many people have been asked to work from home.

We asked students how their lives have changed since the onset of this pandemic. They told us about all the things they miss, what it’s like to learn online, and how they’re dealing with the uncertainty. But, they also pointed out the things that have brought them joy and peace amid the chaos.

Life as we know it, upended

Yesterday my school district announced that our school would be closed until May 5. Upon receiving the email, I immediately contacted my friends to share our responses. To most of my friends and me, this news was no surprise. Already finishing week one of quarantine, I find myself in a state of pessimism in regards to life in the midst of a pandemic. My days have blurred into Google Classroom assignments, hobby seeking, aimless searching on Netflix, and on exceptionally boring days, existential contemplation.

The dichotomy of chance freedom from school and yet the discombobulated feelings of helplessness and loneliness plague my time home alone. My parents are yet working and as an only child, I try my best to stay sane with blasting music and shows. Other times I call my friends to pass the time doing school assignments. Even then, schoolwork seems increasingly pointless.

With most of my classes being APs, the recent CollegeBoard update for the 2020 AP exams was a blow to my educational motivation. I am naturally a driven, passionate learner with intense intellectual curiosity. But in the midst of this chaos, I can’t help feeling like all the assignments from my classes are just busywork. I manage to stay afloat, keeping in mind that everyone is doing their best. Despite no ostensible end in sight, I hope this quarantine brings out the best in me, in society, and in nature.

— Brenda Kim, Valencia High School

The struggles (and joys) of distance learning

Although we do have online school now, it is not the same. Working from home is worse as I don’t care to admit, my work habits from home are not the best. I am easily able to procrastinate at home and having class in bed is not the best idea. Plus, I can no longer get the one on one help teachers provide if needed.

— larisa, california

The coronavirus affected me because now having to do school virtually is kinda hard because I don’t have much of a good wi-fi, and its nerve-racking to know about what we’re gonna do about the tests we have to take in order to pass because I do care about graduating, and going to next grade in order to keep going to finally graduate school and get my diploma I just hope this virus doesn’t affect anything else besides school.

— julien phillips, texas

I personally have to do 2-3 hours of work a day instead of the usual 8 hours (including homework), and it feels more tiring somehow. I’m in the comfort of my home all the time, but have to do this for a few hours, and it feels much more monotonous than 8 hours in a classroom, and that’s what everybody has been doing for a lot of their life.

But in that sense, it also feels a lot calmer not being around people constantly, having anxiety and autism. The people in classrooms are insane. It didn’t affect my life negatively by much, but it really makes me think. If the school system were like this in the near future, I think it would be much more sustainable, in many ways.

— Alexen, Lawrence, Massachusetts

I never understood how much social interaction I experienced at school until the end of the first week of my self quarantine. I had been trapped in my house with my family for about 5 days at that point, when my AP Language and Composition class had a Zoom conference. I had done them for other classes so I wasn’t exactly excited for the opportunity. It was just another zoom lecture.

As it turned out, it wasn’t a lecture, it was a conversation. It was a discussion about our last current events assignment that I didn’t know I desperately needed. The conversation was explosive. Differing opinions flew left and right, people brought their cats to join in the fun, family members popped in and out of the frames, and the controlled chaos felt incredible. I relished in the opportunity to argue and challenge their opinions. I didn’t even realize how isolated I was feeling until I was able to talk to them in a creative and intellectual setting once again.

— Yaffa Segal, New Rochelle High School

Finding new ways to socialize

Finding new ways to stay social has been essential, and recently, my friends and I all drove our cars to a large parking lot, parked more than 6 feet apart from each other, sat in our trunks, talked and enjoyed each other’s company for over an hour and a half. This was crucial in keeping our sanity. We missed each other and being in the presence of people other than our family; however, we were sure to maintain our distance and continue social distancing. We did not touch anything new and we stayed more than 6 feet apart from each other speaking about the adjustments we have been making and the ways we have been coping with all of the changes we are experiencing.

— Carly Rieger, New Rochelle High School

…[T]his “corona-cation” has given me a lot of time to reflect, and while I haven’t seen my friends in person for a week and half, I feel closer to them than ever. We’ve FaceTimed almost every day and we play some of our favorite group games; Psych and PhotoRoulette are two apps I highly recommend to have fun from the comfort of everyone’s homes.

Because my mom has a weak immune system, I’ve been quarantined since the moment my school closed, so social distancing has been a little more than 6 feet for me. However, my friends did make me a care package filled with my favorite candy and a puzzle which my family completed in a week.

— Jessica Griffin, Glenbard West HS Glen Ellyn, IL

Mourning canceled events

To say that this virus has completely changed my day to day living would just be an understatement. I went from having things to do from 7:20am to 8:45pm every week day to absolutely nothing. The whole month of March was going to be booked as well. I had activities such as the Wilmington Marathon that I work at and the Masters Swim meet that I was going to volunteer for. Then I had a club swim meet but everything got canceled. Everything that I was looking forward to just came to a halt and nothing is going to be postponed, just canceled.

— Ellen Phillips, Hoggard

As a High School senior, this quarantine has seemed to just chop off the fun part of our senior year. We had made it so far, and were so close to getting to experience all of the exciting events and traditions set aside for seniors. This includes our graduation, prom (which is a seniors only event at my school), senior picnic, theme weeks, and much more.

— Cesar, Los Angeles

Like many other students involved in their school theatre programs, I was severely affected by the closing of schools due the growing pandemic. My theatre company had been rehearsing our play for months and in an instant, we were no longer allowed to work on our show. The Texas UIL One-Act Play Contest was postponed because of the coronavirus, and while it is a reasonable action, it left an army of theatre students with nothing to do but vent through memes, TikTok, and other forms of social media. These coping mechanisms helped me, as well as my fellow company members, process the reality that after all the hard work we put in, we may never get to perform for an audience.

— Ryan C, Dawson High School

Living with mental, emotional and financial strain

The coronavirus is having a pretty significant impact on me. Physically, it’s reducing my daily physical activity to the point where the most exercise I get is walking around my house and dancing around my room to songs that make me feel like I’m not in the middle of a pandemic. Emotionally, it has also been very straining. My mom is a substitute teacher and she is out of work for the rest of the school year with no pay. I myself am missing my closest friends a lot right now, and feel lonely often.

— Sela Jasim, Branham High School

I struggle a lot with mental health. I have had depression and ptsd, as well as anxiety for years. Seeing people outside of my family is what keeps me sane, especially those closest to me. Having to FaceTime my therapist is weird and scary. Things are so different now, and I’m slowly losing motivation. My thoughts recently have been “don’t think about it” when I think of how long this could possibly last. I am scared for my grandparents, who live across the country. I feel like I haven’t spent enough time with them and I’m losing my chance. Everything is weird. I can’t find a better way to describe it without being negative. This is a really strange time and I don’t like it. I’m trying my hardest to stay positive but that has never been one of my strong suits.

— Caileigh Robinson, Bellingham, Washington

My mom is a nurse so she has to face the virus, in fact today she is at work, her unit is also the unit that will be taking care of coronavirus patients. My whole family is very afraid that she will get very sick.

— Maddie H., Maryland

Appreciating the good

Although we are going through a horrific time filled with all kinds of uncertainty, we are given the opportunity to spend more time with our loved family and learn more about ourselves to a broader extent while also strengthening our mental mindset. I can’t stress the amount of frustration I have to return to class and my everyday routine however, I’ve learned to become stronger mentality while also becoming creative on how I live my life without being surrounded by tons of people everyday.

— anthony naranjo, Los Angeles

Although I could list all the negatives that come with Covid-19, being a junior in high school, this quarantine has been a really nice calm break from a life that seemed to never stop. A break from 35 hour school weeks along with 15 hours worth of work, being able to sit down and do hobbies I missed is something I am really appreciating.

— Ella Fredrikson, Glenbard West, Glen Ellyn, IL

An upside to these past weeks of quarantine is being able to see my usually busy family more, especially my father. I’ve had more talks and laughs with my family the last few days than I’ve had in the past couple of months, which helped lighten such a stressful time in my opinion.

— Marlin Flores, Classical High School

Several months before the outbreak my mom randomly asked me what would I study if I could choose anything, not for a grade, not for any credit. Now, because of corona, I am learning Greek with my father! He can’t travel for work now and doesn’t attend meetings as frequently, so he is at home too.

— Lily, Seoul, Korea

How Can We Help One Another During the Coronavirus Outbreak?

In a series of recent Times articles , authors wrote about the need for solidarity and generosity in this time of fear and anxiety and the need for Americans to make sacrifices to ensure their safety and that of others in their community.

So we asked students what they and their friends, family and community could do to help and look out for one another during the coronavirus outbreak. Here is what they said:

Help your neighbors, especially the sick and elderly.

There are so many things we can do to help each other during this pandemic. Use gloves when you go shopping or are in public, masks if you think that it would be best for you, those who have more wiggle room financially can help out others who don’t have that same wiggle room financially and who are now struggling, buy groceries for those who can’t afford it or are at risk if they were to go out in public. Donate if you can, and help the elderly or those who desperately need it, and for goodness sake wash your hands and (for all that need to hear the reminder) SOCIAL DISTANCING IS A FRIEND. Social distancing is proven to help drastically, so please, social distance.

— Dakodah, Camdenton, MO

As a person, we have the ability to help our friends, families, elders, people with illnesses in our community and people with high risks of getting the virus. We can accomplish this by simply observing who may need help with shopping, for groceries or clothes, with yard work, or any kind of outside work that is done where there are rooms full of people, such as going to the bank. As a younger person and a person with a low risk of getting the virus, I have the capability to walk to places and go in and out of buildings with a smaller chance of getting the virus as compared to one of my elder neighbors. My friends and I can go around the neighborhood and see who needs help during this hard time, whether I have to give them money or food to help them out.

— Adrianna P, New York

Many elderly people in my vicinity suffer from chronic conditions and illnesses and there are others who often live alone. Going to the grocery store or the pharmacy can also be hassle for many. Due to the recent pandemic, people are stocking up necessities however, some people are not being practical and overstock, not leaving anything for others. Fights are breaking out in grocery stores and this is a dangerous situation to put the elderly in.

— Sydney, B

In our American society we tend to be very individualistic. This pandemic has truly proved that point as people do not care for other but themselves. During this time we should consider not only ourselves but the people in need, which are the elderly and young children. Instead of hoarding all the food share some with a neighbor or an old person that doesn’t quite have the ability to run around store to store grabbing what they can. Make sure when you feel ill or if a family member feels ill to stay contained in your home. If this is not an option you could always take your ideas to social media, posting ways to stay clean and making sure we support the people who need it.

— Marley Gutierrez, Pomona, CA

Stay connected.

We could help one another just by the simple ways of: texting your friends every now and then and keep them in check and give them positive reinforcements; call your far away family and report to them on how you are doing and make sure that they are doing OK as well; help elders that are not safe to go out by running errands for them.

— Xammy Yang, California

It’s really important for everyone to stay in contact with others. Be open to talking to people you don’t necessarily talk to all the time just so you can fulfill your own social requirements. It’s also important to listen to others and take into account their feelings. We are all in a time of stress and anxiety about the unknown and we have to just go with the flow and wait it out. I’m stressed about possibly missing milestones in my life, like prom and graduation, but there are others suffering. We all just need to be prepared, stay healthy, and reach out to others.

— Elysia P., Glenbard West HS, Glen Ellyn, IL

Stay apart.

The most important thing one can do during this time of uncertainty is to protect oneself, that is how one can protect others. By practicing social distancing, the risk of spreading germs or disease is reduced. From within one’s home, much can be done. Keeping in touch with close friends and family, donating money and food to those in need and not hoarding or stockpiling too much are all things one could do to support one’s community. Every little thing counts.

— Francheska M-Q, Valley Stream North

Honestly, as boring as it sounds, staying home is the best way we can help against the coronavirus. The second best in my opinion would be spreading the word and encouraging others to wash their hands often and to not go in large groups. Our number one priority should be protecting the elderly and people more vulnerable to getting the disease, or more likely for it to be fatal. If I were to get the virus, my chances of death would be very low, but I would be most worried about accidentally passing on the virus to an elderly person who might not be so lucky. Staying home, clean, and avoiding large groups is the safest and best way for us to help in efforts against the coronavirus.

— Christian Cammack, Hoggard High School In Wilmington, NC

Stay informed.

During this time of crisis, seeking accurate information should remain people’s main focus. Reading articles from trusted sources such as the CDC and New York Times rather than sensationalized media that spreads false rumors for attention will improve reactions to this scary situation because it has the potential to reduce panic and allow people to find ways proven to slow the spread of the virus.

— Argelina J., NY

Donate to those in need.

We can help one another during the virus break by doing online donations to people who need it the most, not taking supplies that you know you don’t need, and/or offering online support for those who have relatives that have the virus and want someone to talk to. We, as a community, can keep distance and update each other on the constant updating news.

— Marisa Mohan<3, NY

… donate food to food banks or homeless shelters. Food is even more of a necessity right now, so it is crucial that everyone has what they need because some people get their food from school or from work, which isn’t available at the moment. Finally, even if we feel we’re healthy and we’re not afraid to get the Coronavirus, it is very vital to participate in social distancing because it will help society overall.

— Bridget McBride, Glenbard West HS, Glen Ellyn, IL

Encourage positivity.

In my opinion, we should all do our best to help and encourage each other with healthy habits and staying positive. Too many people are worried about the coronavirus. What will happen because of this is more stress and anxiety. In turn, this leads to people stocking up on products and taking resources from other people who need them. As long as we all contribute and help one another, we will be able to keep things under control.

— Mieko, CA

Learn lessons for future preparedness.

I believe that this horrible trouble we are all put into is teaching our younger generations such as me, to be prepared when these unexpected events happen. We can help the elders and take care of them because if we don’t prepare next time then we will struggle to survive if the coronavirus becomes a long term thing. This situation is also bringing our communities together, or at least teaching us to. We can learn to share resources that maybe we have to much of. Just a couple days ago, my grandma had ran out of cleaning supplies and she didn’t have a working car at the time. My family and I decided to give her some of our extra supplies since we stocked up on so much. I believe that we can definitely use this time to help our minds grow and learn new things.

— Becky Alonso, CA

Things we shouldn’t do

“Desperate times call for desperate measures.” -Hippocrates This quote describes my opinion of the COVID-19 crisis. Our communities must make sacrifices in order to overcome the trials we are facing. Instead of describing what we should do, I am going to shortly convey examples of what our local communities shouldn’t do. We shouldn’t panic. Panic causes the nervous system to spark and will create unsettling emotions that will produce nothing helpful for the situation at hand. We shouldn’t buy abundant amounts of resources unless instructed to. Please be considerate towards these people because they probably are struggling a lot more than you at the moment. We should be mindful of others. I am not saying we have to interact with everyone (DO NOT DO THAT), but I am saying we should be kind when we do interact.

— Adrianna Waterford, Bloomington, IN

What Story Could This Image Tell?

In our Picture Prompt, “ Social Distancing, ” we asked students to write memoirs and poems inspired by the illustration above, or tell a short story from the perspective of one of the people pictured. In prose and poetry, they expressed a range of responses to the pandemic , from fear, panic and anxiety to resilience and hope.

Creative short stories

From the perspective of the Binocular guy:

I thought social distancing would be great, no one would bother me or interrupt my work. But actually doing it makes me realize that those things, those pains in my neck that would annoy me, are the things I miss the most. I miss the smell of Phyllis’s choking perfume. I miss Michael pacing around the office. I miss the way that Pam would bite her pen when she was focusing. I miss people. Now that I’m alone in my apartment, I hunger for human interaction. I have taken to staring out the window at people walking past and imagining the conversations they have. Oh how I wish to be a part of them, but I can’t risk going outside. I thought my window would cure my loneliness, but it has only made it worse. Social distancing has hurt me more than any virus could.

— Andrew B., Abilene

It’s another day in the city. Car horns honking, people scurrying over town, and there I am. No, not that person or the other. In the upper left corner. Do you see me? Yes, you found me! The only creature not on a screen. I have never understood why they sit there and look at their own devices. I enjoy sitting on the roof and looking at others. People watching is my favorite, but the only thing that most people are watching is a tiny screen. Everyone is wrapped up in their circumstances. Sick in bed with their computer, walking down the stairs with a device. But I’ll be here, waiting for someone to notice me — just the dog on the rooftop.

— Hope Heinrichs, Hoggard High School in Wilmington, NC

Opening to short story for the homeless man:

It’s so cold out today. My blanket is the only that is keeping me partially warm. Before today, my HELP sign got me a few dimes. That way I could buy some food. But today, the streets are empty. The only people passing by either have masks covering their face or run past me with their hands full of food and supplies. I wonder what’s going on?

— Ariel S., Los Angeles

Cold: That’s all he feels as he’s reclining on a random door.

Scared: That’s what he wants to avoid feeling as he sees people coughing around him.

Alone: That’s what he is as he wanders from place to place, looking for somewhere to spend the night.

Worried: That the door’s owner might make him leave his only sanctuary.

Pity: That’s the emotion he evokes on the few that are brave enough to wander the streets.

Remorse: That’s the emotion that the passersby show when they refuse to stop to help.

Cold: That’s all he feels as he realizes that he has no one.

— Laura Arbona, Hoggard High School in Wilmington, NC

Memoirs in the time of coronavirus

Trapped. The walls are closing in. Someone coughs from outside, I immediately close the blinds and clorox the window. The television is on loud. The person on the other end of the line of dad’s phone is obviously deaf because dad is yelling into our end. In line for the computer, I have been waiting for two hours.

— Allison Coble, Hoggard High School

It all began with just one human. After days there where more and more infected people and everything started to be different. We all thought it isn’t that bad and China is the only one who suffers but we were absolutely wrong … Now there are too much cities which are in quarantine and there are about 16 thousand deaths. I’m scared. And I can#t do anything than staying at home and pray. I often watch videos and try to distract myself. When people ask me what has changed I can say: Everything. The human has changed. The human attitude has changed. Just everything. It’s not surprising for me if you can’t find toilet paper or water. The people are going crazy because of this virus. They know that they can be in danger fast if they just make one false decision. In this time we all have our anxiety. Either we are scared of being infected or we are scared that a loved one is infected.

— jana.hhg, Germany

This pic remind to me that we live in this period. Under from the outbreak of pandemic’s coronavirus, we stop to go out in order to avoid each social contact. So, we stay our home every day, all day. Most of the people stop working regularly and they work from home. The schools and other utilities are closed down and remain still open grocery stores and services for essential products. The whole world is in quarantine. Our effort to be uninfected is captured from this pic.

— Joanna, Greece

This photo shows that even in a time where socializing is not advising, humans are naturally social and are still coexisting in this time of distancing. The way the artist drew this made me feel a sense of separation but also togetherness at the same time, which is similar to the way I feel now. We’re all living our different lives with different situations and yet, we’re all somewhat connected.

— Ella Shynett, Hoggard High School in Wilmington, NC

Its Day 3 of quarantine and its starting to hit. This picture shows us how people are pretty much keeping as much distance away from people as possible. They’re still living their lives normally, just alone. But at my house it’s anything but normal. Every time I touch a light switch, my mom swoops in and wipes it down with a Clorox wipe. When I have to itch my nose, my mom screams at me. But I know deep down she’s just trying to keep me and my sister safe from the virus. She mainly wants to protect my grandma, who is very vulnerable at this time. Its gonna take some time to adjust to this type of living, not seeing friends in person for weeks, or just going to starbucks. But I know that it will all pass in no time and we can go back to living our normal lives. I actually can’t wait for school to start for once.

— Dean, Glenbard West Highschool

Stuck inside with nothing to do I’m really bored can’t think of anything at all :/. All I can do is homework woohoo Cant see my friends all I can do is call Trying to get it all done before its due With this virus I sadly can’t even go to the mall Thinking of you and you and you Can’t wait to go back to school and walk the fourth grade hall!

— Isabella V Grade 4, Jefferson Township, NJ

Poem by The Lady Running With Toilet Paper:

TP TP Why do people have to hoard it It’s the coronavirus, not diarrhea Don’t’ jack up the prices, I can’t afford it One pack, that’s it It’s all I could find To those hoarding the toilet paper You make me lose my hope in mankind

As I rush down the vacant street I pass by some stores Some open, some closed As I scramble past the doors No one seems to be coughing But I can feel it in the air A dull creeping paranoia Assembling into a scare

Up the stairs I make sure to not touch anything Don’t forget to use your elbows Don’t touch the key ring In through the door, drop the TP, wash my hands Wipe down the counter, wipe down the door Make sure to cancel any plans

Sit in solitude Turn on the TV and watch the news All I’m able to think is, “Oh god we’re screwed!”

— Ellinor Jonasson, Minnesota

Is social distancing impractical, when we live at such close proximity, drink tea with the neighbors, or buy food from the Deli,

You could choose to be stubborn, and get frustrated from being indoors, or you could be compliant, And watch the birds soar,

In the end it’s our choice where we decide to look, The dirty wall to the left, or the canvas on the right,

— Saharsh Satheesh, Collierville High School, Tennessee

• CORONAVIRUS COVERAGE

A guide to overcoming COVID-19 misinformation

False information about the pandemic is rampant, but seasoned defenders of climate science can offer tips for how to fight it.

If any group understands the toll misinformation can take on the public understanding of science, it’s climate scientists. For years, they have been trying to convey the findings from a ceaseless stream of studies showing the world is warming, while combating misinterpretations and outright fake news. A similar infodemic—a surplus of information both legitimate and misinformed—now plagues the COVID-19 outbreak.

In the internet era, when research papers are readily available, everyone can become an expert on COVID-19 or climate change. But pundits can also cherry-pick the data that matches their beliefs and seem to speak with authority. These types of personalities appear in traditional media such as television, but their work truly thrives on social and video-streaming platforms. Part of the reason is social media remains largely unregulated, and the attention—the “likes” and engagement—we receive on a post can incentivize us to share.

“It feels like we’ve been living in a world of misinformation for a few decades, but the amplification and reach is out of this world with new platforms,” says Sarah Evanega , the director of Cornell University’s Alliance for Science , an organization dedicated to correcting misconceptions.

And this is also a time of intense partisanship, when people tend to look to their political leaders to help them decide how to think about issues, including science. This reliance on political leanings can make people susceptible to unscientific arguments.

People ignoring COVID-19 closure signs at an outdoor gym in Venice, California, March 31, 2020.

“People say, Well, Europe is opening schools, so why aren’t we opening schools?” or they compare COVID-19 to the flu , says John Cook , a communications expert at George Mason University who studies climate change misinformation. “Those kinds of analogies are very simplistic and misleading.”

For many people, climate change and COVID-19 feel remote, so these seemingly invisible threats create a psychological distance. This can cause people to undervalue the potential danger and make the solutions seem worse than the problem itself.

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“We’re told the solutions are worse than the impacts: ‘Destroy the economy, turn the country socialist,’” says Katharine Hayhoe , a climate scientist at Texas Tech University. “These are the things people say to avoid climate action, and of course that’s not true at all."

Misinformation may feel overwhelming, but there are ways to fight it, say those who study its pervasive reach. By recognizing what it looks like and where it comes from, experts say we can help set the facts straight.

Setting the stage

Worldwide, scientists have published tens of thousands of studies on COVID-19 this year at a breakneck pace. While not experiencing as dramatic an uptick, studies of climate change increased exponentially from 1951 until the end of the millennium , doubling in number every 11 years. This pattern has accelerated this century as the dangers from climate disasters become more apparent.

A protester at an anti-lockdown rally in Huntington Beach, California, April 17, 2020.

But to disseminate information about COVID-19 to public authorities as rapidly as possible, scientific journals are under pressure to rush the careful vetting normally required to publish new science.

“We have published [studies] within a week of submission,” says Jennifer Zeis , the director of communications at the New England Journal of Medicine . “This is unusual—we’re not a breaking news organization, and this is a big stretch for our resources.”

Under COVID-19, this push for life-saving information also led to a flurry of articles appearing on what are known as preprint servers. These online platforms allow researchers to share their work almost as soon as the experiments are done, unlike academic publications that are more exclusive and require a time-consuming review process from a would-be author’s scientific peers.

(Related: News can be confusing. Here’s how to teach kids to be expert fact-checkers.)

“A tremendous amount of important science [on COVID-19] has appeared. It has been quite unprecedented,” says John Inglis , cofounder of medRxiv, the largest medical preprint server. “Obviously, some of it is wrong.”

Pronounced “med archive,” this particular preprint server has been flooded with new research about SARS-CoV-2. In January, the site posted 390 papers on various subjects, but by May, that number had jumped to 2,200, most about COVID-19.

MedRxiv employs a screening process to make sure a submitted research paper includes results, and is not an editorial or unsubstantiated hypothesis. The site then runs a plagiarism check and examines whether the paper makes a harmful claim. But, Inglis says, this process doesn’t determine whether the study is accurate, reliable, or prone to misinterpretation.

Inglis views preprint servers as a natural part of the scientific process, but he says their audience has likely expanded beyond just academics as COVID-19 has sparked lay interest. In May, medRxiv had 10 million page views and around six million downloads. That means people who are not experts can access the papers, interpret them in ways that fit with their existing beliefs, and then share their opinions with others.

“Preprint is not evil and peer review is not perfect. It’s all very gray,” says Ivan Oransky , a medical journalism lecturer at New York University and the co-founder of Retraction Watch , a news database dedicated to highlighting when studies are retracted or corrected.

Out of around 50,000 coronavirus papers and preprints published since January about SARS-CoV-2 and COVID-19, Retraction Watch has tracked 36 retracted COVID-19 papers , but Oransky notes it usually takes around three years for a study to be corrected.

He offers one piece of advice for how to consume COVID-19 news: Don’t rely on a single study to provide the whole truth, but rather form judgments after a series of studies coalesce around a consensus.

Fighting an uphill political battle

One of the biggest predictors of whether someone is likely to disavow climate change or COVID-19 is political affiliation. Cook’s research has shown that political leaders can significantly influence a person’s attitude about climate change, and he suspects the same is true for COVID-19.

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For example, a number of polls and think tank research show an overwhelming majority of Democrats are more likely to take COVID-19 seriously, wear masks, and social distance, while a minority of Republicans are likely to do the same. This political polarization was an “avoidable tragedy,” Cook says, pointing to President Donald Trump’s early and persistent dismissal of wearing masks and social distancing as major factors driving today’s partisan divide.

“When our tribal leaders send us cues, the tribe tends to move in that direction,” Cook says. “Leadership matters.”

In an early April analysis of COVID-19 misinformation , researchers at Oxford University found that while the majority of fake news about the pandemic is spread by average social media users, top politicians or celebrities receive more attention and engagement on their posts.

“A single non-expert with a large platform, whether they’re a celebrity or a political figure, can have a disproportionate effect on the population,” Evanega says.

(Related: Why misinformation about COVID-19’s origins keeps going viral)

On social media, people are focused on how much their friends and followers are going to ‘like’ their posts—the amount of positive social reinforcement they are going to get—rather than accuracy. David Rand , Massachusetts Institute of Technology

That’s been especially true for COVID-19. In a study published in September, Evanega and her team analyzed a database of 38 million pieces of English-language content published between January 1 and May 26. They found just over a million news articles that either spread or reported on misinformation related to the pandemic.

The most popular misinformation centered on miracle cures—drugs with no proven clinical benefit that are nonetheless touted as effective. Notably, her team also found that the president was the primary individual driver of misinformation, showing up in 38 percent of those misleading articles, and the biggest spikes in misinformation came when he made pronouncements about COVID-19 remedies.

Even when politicians are not spreading misinformation, people can struggle to discern what is real. In a study published in late June in Psychological Science , scientists recruited 1,700 adults to track what influenced their likelihood to share COVID-19 misinformation on social media.

Two groups were presented with headlines perpetuating false information about the pandemic. The first group was asked how likely they were to share the news, while the second group was asked to determine the headline’s accuracy. Comparing the two groups, 32 percent more participants were willing to share a misinformed headline than they were to rate it as accurate.

However, in a second experiment, study participants were asked to judge whether a headline was accurate before sharing it. Researchers found that this small nudge to think critically made study participants three times more likely to spot misinformation.

“On social media, people are focused on how much their friends and followers are going to ‘like’ their posts—the amount of positive social reinforcement they are going to get—rather than accuracy,” says David Rand , one of the report’s authors and a researcher at the Massachusetts Institute of Technology who studies the decision-making behind the spread of misinformation.

A path forward

To combat scientific misinformation, Cook recently developed the prototype for a game that explains different misinformation tactics. By exposing players to what misinformation looks like, they’re taught to think critically and can better identify misinformation later on.

This strategy works in a lab, he says, but he’s unconvinced that misinformation can be combated on a global scale.

“I’m a bit of a pessimistic person by nature, but having worked in climate denial for 15 years now and seen and heard horrible things, I’m seeing those same dynamics play in with COVID in 2020,” he says. “COVID denial is climate denial on fast forward.”

(Related: A "herd mentality" can’t stop the COVID-19 pandemic. Neither can a weak vaccine.)

Hayhoe is slightly more optimistic and continues to actively communicate her climate research at talks and on social media. In 2018, she gave a TED Talk —that’s now been viewed 3.6 million times—about communicating climate science to people who are skeptical of science. She believes productive conversations are possible.

First and foremost, she says, “there has to be mutual respect.” Both sides must find common ground—“something we can agree on”—that helps move toward a positive solution .

“The COVID-19 pandemic is a real dire demonstration of how misinformation has real world and immediate consequences on public health,” Evanega adds. “It really is a matter of life and death.”

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Learning in times of COVID-19: Students’, Families’, and Educators’ Perspectives

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• v.12(5); 2020 May

COVID-19 Pandemic: Knowledge and Perceptions of the Public and Healthcare Professionals

Priyanka a parikh.

1 Department of Pediatrics, Pramukhswami Medical College, Karamsad, IND

Binoy V Shah

Ajay g phatak.

2 Central Research Services, Bhaikaka University, Karamsad, IND

Amruta C Vadnerkar

3 Department of Public Health, Child Health Foundation, Gandhidham, IND

Shraddha Uttekar

4 Department of Public Health, International Pediatric Association, Gandhidham, IND

Naveen Thacker

5 Department of Pediatrics, Deep Children Hospital, Gandhidham, IND

Somashekhar M Nimbalkar

Background and objective

The recent pandemic due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a major concern for the people and governments across the world due to its impact on individuals as well as on public health. The infectiousness and the quick spread across the world make it an important event in everyone’s life, often evoking fear. Our study aims at assessing the overall knowledge and perceptions, and identifying the trusted sources of information for both the general public and healthcare personnel.

Materials and methods

This is a questionnaire-based survey taken by a total of 1,246 respondents, out of which 744 belonged to the healthcare personnel and 502 were laypersons/general public. There were two different questionnaires for both groups. The questions were framed using information from the World Health Organization (WHO), UpToDate, Indian Council of Medical Research (ICMR), Center for Disease Control (CDC), National Institute of Health (NIH), and New England Journal of Medicine (NEJM) website resources. The questions assessed awareness, attitude, and possible practices towards ensuring safety for themselves as well as breaking the chain of transmission. A convenient sampling method was used for data collection. Descriptive statistics [mean(SD), frequency(%)] were used to portray the characteristics of the participants as well as their awareness, sources of information, attitudes, and practices related to SARS-CoV-2.

The majority (94.3%) of the respondents were Indians. About 80% of the healthcare professionals and 82% of the general public were worried about being infected. Various websites such as ICMR, WHO, CDC, etc., were a major source of information for the healthcare professional while the general public relied on television. Almost 98% of healthcare professionals and 97% of the general public, respectively, identified ‘Difficulty in breathing” as the main symptom. More than 90% of the respondents in both groups knew and practiced different precautionary measures. A minority of the respondents (28.9% of healthcare professionals and 26.5% of the general public) knew that there was no known cure yet. Almost all respondents from both the groups agreed on seeking medical help if breathing difficulty is involved and self-quarantine if required.

Most healthcare professionals and the general public that we surveyed were well informed about SARS-CoV-2 and have been taking adequate measures in preventing the spread of the same. There is a high trust of the public in the government. There are common trusted sources of information and these need to be optimally utilized to spread accurate information.

Introduction

In December 2019, the 2019 novel coronavirus disease (COVID-19) caused by novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in China, followed by a rapid spread all over the world. On March 11, 2020, the World Health Organization (WHO) raised its pandemic alert. As of April 11, 2020, COVID-19 had caused over 95,269 deaths in 189 countries and overseas territories or communities [ 1 ].

In a connected world, fake news and rumor-mongering are common due to a surge in the use of the internet and social media. A confused comprehension in an emerging communicable disease of which even the experts have inadequate knowledge can lead to fear and chaos, even excessive panic, which has the probability to aggravate the disease epidemic [ 2 ]. During the SARS epidemic from 2002 to 2004, there were misconceptions and hence excessive panic in the general public concerning SARS. This led them to be resistant to comply with suggested preventive measures such as avoiding public transportation, going to a hospital when sick, etc. This contributed to the rapid spread of SARS and resulted in a more serious epidemic situation [ 3 ]. A similar experience occurred during the Ebola outbreak in 2009 in Africa. These experiences underscore the vital role of engaging with the general public and healthcare professionals and the importance of monitoring their perception of disease epidemic control, which may affect the compliance of community to the precautionary strategies. Understanding related factors affecting and influencing people to undertake precautionary behavior may also help decision-makers take appropriate measures to promote individual or community health. Hence, it is crucial to understand people’s risk perception and identify their trusted sources of information to effectively communicate and frame key messages in response to the emerging disease [ 4 ].

Since it is the novel coronavirus, its epidemiological features are not well known and new studies and publications will take anywhere from a month to a year making it important to know and understand the level of knowledge and preparedness of the healthcare personnel in terms of the managing the virus affected patients. Today healthcare professionals managing COVID-19 across the world are in an unprecedented situation, having to make tough decisions and working under extreme pressures. Decisions include equitable distribution of scant resources among the needy patients, balancing their own physical and mental healthcare needs along with those of the patients, aligning their desire and duty to patients with those to family and friends, and providing care for all unwell patients with constrained or inadequate resources. This may cause some to experience moral distress or mental health problems [ 5 ].

Effective communication is a priority in WHO’s COVID-19 roadmap; accurate and salient messages will enhance trust and enable the public to make informed choices based on recommendations [ 6 ].

As the outbreak intensified, social media has taken on new and increased importance with the large-scale implementation of social distancing, quarantine measures, and lockdown of complete cities. Social media platforms have become a way to enable homebound people to survive isolation and seek help, co-ordinate donations, entertain, and socialize with each other.

Social media platforms arguably support the conditions necessary for attitude change by exposing individuals to correct, accurate, health-promoting messages from healthcare professionals

In order to investigate community responses to SARS-CoV-2, we conducted this online survey among the general public and healthcare professionals to identify awareness of SARS-CoV-2 (perceived burden and risk), trusted sources of information, awareness of preventative measures and support for governmental policies and trust in authority to handle SARS-CoV-2 outbreak and put forward policy recommendations in case of similar future conditions.

We performed a cross-sectional survey of a convenient sample of respondents. The ethical approval for the study was taken from the Institutional Ethics Committee - 2, HM Patel Centre for Medical Care and Education, Karamsad via letter IEC/ HMPCMCE/ 2019 / Ex. 07/ dated March 23, 2020. All participants were above 18 years of age conveniently selected from the public at large by reaching out to the general public and healthcare professionals by the authors. The participants were largely from India. The consent of the participants was taken at the beginning of the survey. Two different self-administered questionnaires were used. The one for non-medical personnel (general public) is shown in Table ​ Table1, 1 , while the one for medical and paramedical personnel is shown in Table ​ Table2 2 .

WHO, World Health Organization

The questions were framed using information from the WHO, UpToDate, Indian Council of Medical Research (ICMR), Center for Disease Control (CDC), National Institute of Health (NIH), and New England Journal of Medicine (NEJM) website resources as updated till March 19, 2020. They were validated consensually by experts from the Department of Pediatrics, Pulmonary Medicine, Public Health, and General Internal Medicine. The COVID-19 questions for healthcare professionals, i.e., medical and paramedical personnel were applicable to consultants, residents, interns, medical students, physiotherapists, physiotherapy students, nurses, nursing students, dentists, etc. The questionnaire was administered in English with the help of Google forms, which is a cloud-based data management tool used for designing and developing web-based questionnaires and available free. A link to the online surveys was sent out to them via e-mails and different social media platforms, namely WhatsApp, Facebook, LinkedIn, and Instagram messages, hence without any geographical barrier. The data collection was started on the March 23, 2020 and was continued up till March 27, 2020 midnight. The dates are important as on 22 March there was a self-imposed Janata Curfew in response to Prime Minister of India’s call while from the midnight of March 24, 2020, there was a nationwide lockdown across India. The data was automatically collected in the form of a google sheet and the collected data was being exported automatically to google sheets (similar to Microsoft Excel).

Descriptive statistics [mean (SD), frequency (%)] were used to portray the characteristics of the participants as well as their awareness, sources of information, attitudes, and practices related to SARS-CoV-2. Due to large sample sizes in the healthcare professional group as well as the general public group, exploratory visual comparisons were presented without typical statistical tests of significance.

A total of 744 health and allied professionals and 502 persons from people at large consented and completed the survey. A majority (94.3%) of the participants were Indian residents with insignificant responses from outside India. It is presumed that the majority of the respondents are of Indian residents but the possibility of a handful of them being non-Indians cannot be ruled out because we did not collect demographic data. A comparison of awareness about SARS-CoV-2 between the general public and healthcare professionals is shown in Table ​ Table3 3 .

The gender distribution was equal in the healthcare professionals group, whereas it was more male-dominated in the general public group (49.7% vs 56.4% males). The respondents were younger in the healthcare professionals group as compared to the general public group [mean (SD) age: 29.55 (12.53) vs 32.16 (13.32) years].

The majority of the participants from the healthcare professionals group [594 (80%)] and the general public group [410 (82%)] were worried about getting SARS-CoV-2 infection. Those who were not worried expressed justified reasons (mainly precautions) for their attitude. Online resources, television, peer group discussions, and scientific literature constituted the main sources of information in the healthcare professionals group, whereas television, social networking sites, and newspapers/magazines constituted the main sources of information in the general population group. Participants in both groups reported WHO and official Indian Government websites (ICMR, Ministry of Health and Family Welfare (MOHFW)) as the most trusted online resources.

Most of the healthcare professionals reported that they had accessed videos by WHO/other sources [514 (69%)], read scientific articles [407 (54.7%)], and attended online lectures [242 (32.5%)] related to SARS-CoV-2.

Most healthcare professionals [727(98%)] as well as the general public [486(97%)] identified “difficulty in breathing” as the main symptom of SARS-CoV-2 infection along with cough and fever. Respondents from both the groups were aware of precautionary measures such as hand washing/sanitizer, wearing masks, social distancing, covering mouth while sneezing, and self-quarantine. Majority of the participants (62.7% in the general public and 71.8% in healthcare professionals) were aware of the infection period and the asymptomatic period (91% in the general public and 94.3% in healthcare professionals), but there appeared to be some confusion regarding curative treatment and vaccine availability in both the groups. Most participants rightly endorsed medical masks for healthcare workers, symptomatic patients, and persons who are coughing/sneezing. However, an appreciable proportion of healthcare professionals [303(40.7%)], as well as respondents from the general public [253(50.4%)], wrongly endorsed medical masks for healthy persons to protect themselves. 

Most healthcare professionals [648(87.1%)] expressed their trust in the ICMR task force on SARS-CoV-2. Similar feelings were echoed by the general public [426(85%)] in trusting the current government. 

Half of the general public respondents showed eagerness for the SARS-CoV-2 test without difficulty in breathing. A similar trend was observed among health professionals. Almost all respondents from the general public (98%) and the healthcare professionals (100%) endorsed seeking medical help if the breathing difficulty was involved.

Slightly more healthcare professionals reported regular influenza vaccination as compared to the general public [175(23.5%) vs 76(15.1%)]. Almost all the respondents agreed for self-isolation if needed. The majority of the respondents reported that they were washing the hands more frequently and knew the correct way of handwashing.

We present here a study of the awareness of SARS-CoV-2 among healthcare professionals and the general public with a comparison of many features among them. It is heartening to note that the knowledge with respect to SARS-CoV-2 is relatively high among the respondents.

There are, however, various limitations of the study and these are inherent due to the circumstances in which this survey was done. The study was begun on March 23, 2020, one day after Janata Curfew in India as requested by the Prime Minister and one day before the lockdown on March 24, 2020 [ 7 ]. The survey was filled during the days of the lockdown when the respondents had a lot of time on their hands and were probably active on social media as well as watching the television news. Hence, it is quite relevant that many individuals have their information from these two sources, making it important to ensure that accurate information through verified channels and healthcare professionals are presented and broadcasted to the people. This also points towards the importance of the right people being active on social media so that they can communicate the scientifically validated information to the masses.

The curfew and the lockdown ensured that the seriousness of the disease was impressed upon by the highest offices in the country, which is reflected in people taking good precautionary measures to protect themselves from the disease as well as break the chain of transmission. The cases in India have hence not risen to a very high number as rapidly as expected/projected, which also probably indicates that the message was well conveyed and well perceived. As this is a survey that was filled remotely, we need to be cautious in drawing strong conclusions.

Another limitation of the study is that the questionnaire was in the form of google forms and the language of conduct was English. This implies that the people who did not have access to the internet and were not literate were unable to be a part of this survey. But as the source of information for all the general public remains similar (television is ubiquitous in India), we can infer that they would have a similar response. We base this inference as the main sources of information of the public at large were newspapers, television, and WhatsApp despite having access to websites and other online sources. In villages, often the literate readout regional newspapers and news received on mobiles to the rest of the family/friends to ensure dissemination of information.

It is now known that the basic reproductive number (R0) of coronavirus is more in healthcare professionals as compared to the lay public and hence the relative indifference or "no worries" approach of healthcare professionals towards getting infected by SARS-CoV-2 is a concern. In the scenario where adequate personal protective equipment (PPE) may not be available to the healthcare facilities in India due to increased global demand, it is important that healthcare workers know their risk for being infected. In a recent study in Mumbai, 79% of the healthcare professionals were aware of the various PPE required with only 54.5% of them being aware of isolation procedures needed for SARS-CoV-2 infected patients [ 8 ]. The numbers for paramedical staff were also lower. India imports raw materials for PPE production from China and South Korea. Due to the shortage of materials and low rate of supply, the availability has taken a massive hit resulting in an acute shortage in the market. It is highly likely that many healthcare professionals will not use appropriate PPE, will get infected, and further spread infections to patients [ 9 - 11 ]. The Bhilwara cohort in Rajasthan is an example of how a healthcare professional needs to protect against infection since he/she is likely to transmit it to others [ 12 ]. Another example in Mumbai is Saifee hospital, which was shut down due to an infected healthcare professional who continued to work and passed on the infection to many during the asymptomatic phase. The SARS-CoV-2 disease presents a unique organism that can be spread for at least five days before developing symptoms and up to 37 days after presentation [ 13 , 14 ]. Given its high infectivity, it is a recipe for disaster if healthcare personnel gets it. We have not collected demographic information from the participants and hence it is possible that many of them work in situations where they may not anticipate getting infected. The previous few months have shown how surgeons, orthopedicians, dentists, etc., who typically do not deal with infectious diseases are getting infected by coronavirus [ 15 , 16 ]. In this scenario, it is worrying that only 80% of healthcare professionals were worried while the public was slightly more worried (82%).

The difference in the source of information for healthcare professionals and the general public is stark when we compare information garnered through social media. Social media at 78.3% is the second-highest source for the general public, while the healthcare professionals give it a measly 1%. Since social media is prone to fake news, it is heartening that healthcare professionals are not learning from it. However, the reliance of the general public on social media indicates that healthcare professionals, professional organizations, and government officers need to invest a significant proportion of their time and resources to be active on social media to disseminate correct news. The shots heard round the world rapid-response network is an example that needs to be followed [ 17 ]. In another example, we have Dr. Roberto Burioni who has successfully given accurate data on social media. If more healthcare professionals were to enrich social media, it would be a useful platform for the public [ 18 , 19 ]. While many government officials are active on Twitter in India, the platform that is commonly used in India is WhatsApp, Telegram, Instagram, and TikTok and these are dynamic and keep changing. WhatsApp in the middle of this pandemic reduced the forwarding to just one person for a message that had been forwarded five times from the previous number of forwarding to five people (which was unlimited initially) [ 20 ]. It indicates the importance of this platform across the world for the spreading of messages. The healthcare professionals rated scientific journals at just about 40.9%. It may be due to the low availability of high-quality evidence or poor access that many healthcare professionals in India have to scientific journals, which are mostly published out of developed countries [ 21 ]. In a pandemic situation, this disparity in access can be catastrophic and hence most journals have provided open access to all coronavirus-related publications. Healthcare professionals accessed websites such as WHO, Medscape, MOHFW, CDC, Worldometers, covid19.com , ICMR, UpToDate, and PubMed, for reliable information, which is an indicator of their faith in health organizations across the world. Interestingly though at a low 29.3%, much of the general public accessed similar websites such as WHO, MOHFW, CDC, and ICMR. At the time that the survey was administered, online webinars via zoom or other applications were just beginning in India to educate clinicians searching for answers. This is not reflected in our current study due to many of the responses being filled before the same or the respondents not being part of these audiences. The study authors have attended many of these meetings conducted by the Indian Academy of Pediatrics, etc., and this information is made available via email or WhatsApp messages. In a changing world, both healthcare professionals and the general public need to have reliable and accurate sources of information.

The severity of illness was well identified by all who were surveyed as being difficulty in breathing. Another heartening aspect was that precautionary measures were well known to both the groups of participants with appropriate hand washing techniques, avoidance of public gatherings, and covering of the mouth while coughing and sneezing as the top three precautionary measures. During the first week of March in India, all the telephone and cellular caller tunes were changed to advisories of how to prevent coronavirus disease and when to seek medical help, which included the above messages apart from appeals on television, etc [ 22 ].

There was less knowledge related to treatment and vaccine among both healthcare professionals and the general public, which was a disappointing finding for healthcare professionals as they were expected to be aware of this. The same could be said of the knowledge of the infectivity period and duration of being asymptomatic after infection. There was a good knowledge of the usage of masks among the general public and healthcare professionals except for the usage of medical masks for healthy people to protect themselves. The ICMR and other bodies have issued guidelines on the usage of masks and this seems to have been disseminated widely [ 23 ]. There was also a low insistence on the need for testing those without respiratory difficulty. In a scenario where testing resources are limited, this is an appropriate response but since it is possible to have the infection without respiratory difficulty, especially early on, this disinterest in getting tested, especially in healthcare personnel is worrisome when there is enough evidence of spread from asymptomatic and mildly symptomatic persons. It is also likely that this response may be due to the fact during the time that this questionnaire was administered, the total cases rose from 400+ to about 800+ and the testing strategy of ICMR was limited to those with contact or travel to SARS-CoV-2-affected areas [ 24 ].

Since writing this manuscript, except for a single source event of a religious gathering in Delhi, which caused the doubling of cases to increase from about seven days to 4.1 days, it is reasonable to conclude that adequate knowledge exists among the general public. We can only hope that this would be enough to ensure that lockdown to reduce transmission and flatten the curve will be successful [ 25 - 28 ].

Conclusions

The COVID-19 pandemic has affected the world in various ways. The deficiency of information, the need for accurate information, and the rapidity of its dissemination are important, as this pandemic requires the cooperation of entire populations. The rapid survey that we conducted had a good response and we show that healthcare professionals and the general public were quite well informed about the coronavirus. They are aware of the measures needed to be taken to reduce the spread of the disease. The knowledge present allows the authors to speculate that the lockdown in India would be effective. The public receives a large amount of information from social media such as WhatsApp and the medical fraternity and government need to develop strategies to ensure that accurate information needs to spread in these fora. The public awareness is quite high and it is important that the knowledge of communication channels be known and be kept at the topmost priority throughout the pandemic.

Acknowledgments

We are thankful to Dr. Mili Shah for language check of our manuscript.

The content published in Cureus is the result of clinical experience and/or research by independent individuals or organizations. Cureus is not responsible for the scientific accuracy or reliability of data or conclusions published herein. All content published within Cureus is intended only for educational, research and reference purposes. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional. Do not disregard or avoid professional medical advice due to content published within Cureus.

The authors have declared that no competing interests exist.

Human Ethics

Consent was obtained by all participants in this study. INSTITUTIONAL ETHICS COMMITTEE ‐ 2 H M PATEL CENTRE FOR MEDICAL CARE AND EDUCATION, KARAMSAD [ECR/1123/Inst/GJ/2018] issued approval IEC/ HMPCMCE/ 2019 / Ex. 07/. The following is part of the text of the approval letter indicating approval for the study. "Your research proposal ‘Response of the public and health care providers to a pandemic of a new virus’ was submitted for review and approval by committee members under Exempt Review. As it involves collection of data using anonymous online questionnaire with maintenance of privacy and confidentiality, it qualified for an Exempt from Full Committee Review. The matter was reviewed by Committee Members and decided to review it under ‘Exempt from full committee’ review. After review and subsequent clarification by you, the project is approved by IEC in its present form. As the online form has information and consent section, which needs to be read and accepted by the respondents before answering the study questions, committee waivers the need for any other consent for data collection."

Animal Ethics

Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue.

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