Abstract

AbstractInfectious diseases, such as methicillin‐resistant Staphylococcus aureus and avian influenza, have recently been high on the agenda of policy makers and the public. Although hygiene and biosecurity are preferred options for disease management, policy makers have become increasingly aware of the critical role that communication assumes in protecting people during outbreaks and epidemics. This article makes the case for a language‐based approach to understanding the public perception of disease. Health language research carried out by the authors, based on metaphor analysis and corpus linguistics, has shown that concepts of journeys, pathways, thresholds, boundaries and barriers have emerged as principal framing devices used by stakeholders to advocate a hygiene based risk and disease management. These framings provide a common ground for debate, but lead to quite different perceptions and practices. This in turn might be a barrier to global disease management in a modern world.

Highlights

  • Emerging diseases Human history is intimately connected with the history of disease

  • The systems to deal with disease outbreaks are at best fragile, and even diseases for which there are established and effective means of treatment and containment such as tuberculosis, bubonic plague, leprosy and ebola, are able to make inroads into vulnerable populations, especially where urbanised poor people are under-protected by public health measures - a situation that might be exacerbated by climate change (Biello 2008)

  • In terms of hospital cleanliness and farm biosecurity, reflects the integral role this plays in policies implemented to deal with the risk of emerging infectious diseases

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Summary

Introduction

Emerging diseases Human history is intimately connected with the history of disease. It has been suggested that the course of human events, the shapes and histories of nations and the outcome of world wars depend on how disease is managed (McNeil 1977; Oldstone 2000). Brown & Crawford (2009) identify how, in press and policy discourse the risk of developing MRSA is coming to be formulated in terms of the characteristics of the client – their being very young, very old or otherwise frail or immunocompromised.

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