Global Health Security 2019 – Mosquito threats and community engagement

While we can embrace technology to track pathogens and diseases, engaging the community to be more aware of the risk and the ways to avoid them will be critical in reducing the public health burden across the globe. This was a key message repeated again and again throughout the sessions at the inaugural Global Health Security conference in Sydney.

The event around 800 delegates representing academia, local, national and international governmental and non-governmental organizations, public and animal health and security professionals, and the private sector. There were representatives from over 65 countries.

I had the opportunity to contribute in a couple of sessions, firstly the ‘Emerging Infectious Diseases in a Changing Global Environment’ workshop at the university of Sydney. This was co-presented by the Marie Bashir Institute for Infectious Diseases and Biosecurity and CREID – NHMRC Centre of Research Excellence in Emerging Infectious Disease. It was described as an “event is an opportunity for policy makers, public health and clinical researchers, veterinarians, scientists, and WHO representatives to come together and define the health security issues related to emerging infectious diseases (EIDs) and antimicrobial resistance (AMR) in the Asia-Pacific region.”

I spoke about mosquitoes in Australian cities and the challenges facing the management of issues associated with urban planning, constructed and rehabilitated wetlands, endemic mosquito-borne disease risk, and exotic mosquito threats. A little nervous having the Chief Medical Officer of Australia (Prof Brendan Murphy) in the front row, along with representatives of WHO and CDC but a wonderful opportunity to share my research and perspectives on these local issues.

The following day, I spoke in the “Challenges with Zoonotic Diseases” session alongside Elpidius Rukambile and Berihun Afera Tadele. An interesting session (chaired by Siobhan Mor) that, through the panel discussion, highlighted the importance of community engagement, as well as communications between policy makers and those “on the ground” in improving public health outcomes in the “one health” space.

I spoke about the issues surrounding exotic mosquito threats in Australia with a focus on the results of recent work on the far north coast of NSW. The work we did there highlighted the need for cooperation between all levels of government but also the critical importance of engaging the local community. Notwithstanding the effort required to go from property to property searching for introduced mosquitoes, such as Aedes aegypti or Aedes albopictus, understanding the role of the community in this response provided essential. Successful local eradication of any introduced mosquito will require assistance from the local community.

The abstract of my presentation is below:

Building capacity to address the unexpected challenges associated with the emerging threat of exotic mosquitoes in Australia

Webb C (1,2),  Doggett S (2), Piazza K (3), McNicoll D (3), Sly A (4), Neilson J (4), Dean A (5), Bethmont A (6).

1 University Of Sydney, Westmead NSW, Australia; 2 NSW Health Pathology, Westmead NSW, Australia; 3 Tweed Shire Council, Tweed Heads NSW, Australia; 4 Department of Agriculture and Water Resources, Canberra ACT, Australia; 5 University of Queensland, Brisbane QLD, Australia; 6 NSW Health, North Sydney NSW, Australia

Introduction. Ongoing evolution of trade pathways increases the risk of exotic mosquitoes, especially Aedes albopictus and pesticide resistant Ae. aegypti, establishing or expanding their range in Australia. This highlights the need for health authorities to develop strategic response plans considering different risk scenarios. Context and Aim. Key challenges to exotic mosquito response in Australian include capacity at local government level and community acceptance of measures. Several strategic initiatives were used to study these challenges in the NSW Northern Rivers region. Method. Field exercises were undertaken with representatives of 11 local and state authority stakeholders, surveying approximately 300 residential properties for potential mosquito habitats. A survey of community attitudes to mosquito threats and responses was also conducted, with over 700 responses collected. Findings. Surveys found almost 4,000 actual and potential container breeding sites, demonstrating potential for exotic mosquito establishment and subsequent need to manage local transmission risks of pathogens including dengue, chikungunya and Zika viruses. Surveys of community attitudes found significant community resistance to required mosquito control activities, indicating responses would be challenging and need strategic planning. Innovative contribution to policy and practice. Strategic response plans must address mosquito biology but also not underestimate the need for active community engagement.

Overall, it was a wonderful meeting. It was, however, unfortunate that I couldn’t spend as much time in sessions as I would have liked. There were plenty of tweets so check in on the hashtag #GHS2019. There is also the very important “The Sydney Statement on Global Health Security” to come out of the meeting, please check it out.

Were you at the meeting? What did you think? Join the conversation on Twitter.

 

 

A flood of festive season media coverage

Spring is gone and with the arrival of summer comes the mosquitoes. Calls from the media inevitably follow shortly after. I have no doubt many journalists, broadcasters and producers have my name in their diaries, circled brightly in red, on the first day of summer!

It is a fun part of my job to deal with the media. Its more than just getting a chance to talk about mosquitoes and their role in the local environment, it also provides an opportunity to do some important public health communications around the issues of mosquito bite prevention and management of mosquito-borne disease.

Scorchers, sun protection, and buzzing bloodsuckers

What got the ball rolling this year was a joint media briefing arranged by ausSMC. Alongside colleagues talking about heat waves, summer storms, sun protection and bushfire, I shared some tips on protecting yourself from mosquito bites and mosquito-borne disease this summer. It was interesting speaking alongside Professor Sanchia Aranda, CEO of Cancer Council Australia, and comparing the ways we promote safe and effective use of sunscreens and mosquito repellents. This was picked up on in additional media coverage. Overall, there was over 300 local and international articles following this media briefing!

The briefing provided an opportunity to fill a gap in public health communication I’ve identified (and tried to fill) in recent years. Health authorities are pretty good at providing advice on choosing mosquito repellents but less so on using them effectively. Ensuring repellents are actually used effectively is the best way to increase the protection of the community against mosquito-borne disease.

In early December we held our “Sydney Ideas: Mosquitoes in the City” event at Westmead. This was a great opportunity to speak to the community and the well attended event prompted some broader interest in the work of presenters.

It was a pleasure being able to visit the studios of ABC Radio National with Prof Tony Capon, Professor of Planetary Health at the University of Sydney, to discuss with Philip Adams how urbanisation and a changing climate may influence local mosquito populations and mosquito-borne disease risk. I’m working more and more with Tony so nice to share the opportunity to talk about this initiative with him on national radio. You can listen back here. This work is strongly linked to the theme of the “Mosquitoes in the City” event and there is clearly much to learn regarding the place of mosquitoes, wetlands, wildlife and mosquito-borne disease at the fringes of our metropolitan regions under the influence of a changing climate and the ways urban design responds to the threat.

 

Why me? I wish mozzies would bite my friends instead!

There was another boost in interest resulting from a spot on ABC News 24 Weekend Breakfast. The accompanying online article explaining why mosquitoes are more likely to bite some people more than others then sparked considerable interest! What followed was a bunch of radio and television interviews.

There was also a follow up article at News.com.au and this was also picked up on “Kids News” who republished a modified version of the story together with some suggestions for classroom learning exercises. Nice.

There were two different experiences with ABC News. The appearance on Weekend Breakfast was great. I’ve done segments with Andrew Geoghegan and Miriam Corowa before, have always been impressed with their knowledge and interest. I really enjoy the relaxed feel on the show. Was also a pleasure working with Dale Drinkwater, the producer, who put together the segment and accompanying article.

A couple of days later I appeared on News Breakfast with Virginia Trioli. As the program is produced out of Melbourne, I had to do a live cross from the Sydney studios. I always find these interviews a little uncomfortable as I’m tucked away in a small, dark recording booth staring down a camera and hoping my ear piece doesn’t fall out! I’m sure there is an art to these but I’m not sure I’ve mastered that just yet.

Are you a mozzie magnet? There's a reason: https://t.co/phqishya6c pic.twitter.com/e6Yw0sJy5c

— News Breakfast (@BreakfastNews) December 4, 2017

 

Entomologist @Mozziebites explains why some people are "mosquito magnets" pic.twitter.com/HZFr1JFPaa

— ABC News (@abcnews) December 3, 2017

Once the mozzies start biting…

With the warm weather arriving and everyone’s minds turning to summer, there is always a flood of festive season-related media stories. Once the mozzie stories started popping up, many more media outlets starting running segments.

There were also warnings about the health threats of mosquitoes over the festive season from local health authorities.

I had the chance to visit many radio and television studios to conduct interviews, this time it was the first opportunity to visit the Macquarie Radio (home to 2UE and 2GB) for what turned out to be a relatively long (by commercial radio standards) interview with Tim Webster on Talking Lifestyle/2UE including a few callers asking about mosquito repellents, disease risk and what the “purpose” of mosquitoes actually is! Listen back via the Holiday and Home podcast.

Taking talkback can be tricky. I’m fortunate enough to have had an opportunity to do this reasonably routinely. I appreciate the opportunity to get a feel for what the community wants to know about mosquitoes, we should be taking these things into account when designing fact sheets and other communication material. There is no point in simply systematically repeating what has come before.

Live TV can also be tricky. I also had the chance to do segments on Channel Nine’s Today and Today Extra programs. These are always fun and I do find it fascinating to see how the behind-the-scenes production of these shows get put together.

As summer starts to heat up, so too does the swarms of our least favourite insects… Mosquitoes. These creatures leave an unlucky few covered in itchy red bites, while others go unscathed. We asked Dr Cameron Webb to bust some of the common myths for us. @Mozziebites #9Today pic.twitter.com/QexMKSVFfl

— The Today Show (@TheTodayShow) December 8, 2017

We're being warned a bumper mosquito season could lead to a spike in deadly and debilitating diseases. #9Today pic.twitter.com/kXIj2SWqgn

— The Today Show (@TheTodayShow) December 17, 2017

Even the local newspaper, the Parramatta Sun, ran a nice story with great shot of me among the mangroves of the Parramatta River. It is also fun dragging photographers out into the wetlands. This time a fun shot of me from a different perspective other than simply standing beside a mosquito trap!

There was certainly plenty of “buzz” (or should that be “hum”) about mosquitoes over recent weeks. Great to see other articles pop up by fellow science communicators as well as the occasionally celebrity. There can never be too many ways to get the message out!

The mosquito coil conversation

At the point where I thought everyone was getting sick of mosquitoes, my latest article on the safe and effective use of mosquito coils was published at The Conversation (as well as being republished by ABC News). To date there have been about 90,000 clicks on the article, highlighting just how interested people are in the topic.

There were a bunch of other interview requests on the back of this including ABC Sydney, ABC Brisbane and ABC Adelaide. You can listen back to my chat with James Valentine on ABC Nationwide Afternoons here.

It isn’t always easy managing media requests

To finish up, I think it is important to share some of the reality of wrangling all these media requests. Most importantly, it takes time. It takes time to prepare and it takes much more time to actually do these activities.

For live television appearances, that often only last a few moments, you’re typically asked to arrive at the studios 30-40min prior to scheduled interview. Notwithstanding the travel time back and forth from studios (often very early in the morning), this means the interruption to the day isn’t insignificant. There was one day that I participated in two different teleconferences while in transit to and between interviews at ABC in Ultimo and Channel Nine in Willoughby!

The other thing is that sometimes you’ll get bumped. I was scheduled to chat on a live television program that requested I bring along a cage of live mosquitoes. This is generally not a problem but it does take time, especially when I have to actually collect field caught mosquitoes especially for this purpose. Unfortunately, the segment got bumped on one day, rescheduled for the next and then bumped again for a second time.

It would be easy to get really upset in these circumstances but it is a reality of dealing with the media. Don’t take it personally as these things are mostly out of your control. If you’re keen to engage with the media, this is just one of the many challenges you’ll need to learn to manage.

Spot any other cool mozzie media things? Join the conversation on Twitter or Facebook!

 

Putting a value on science communication

For many scientists, communicating the ideas that underpin their areas of expertise to the public and policy makers is critical. Sharing the findings of research could make a difference to people’s lives, even if it is just to increase their appreciate of science and the world around them. But how do we value the communication of science by scientists?

Scientists often bemoan the lack of acknowledgment of their scientific communications and community engagement efforts. There is little doubt that these “outreach” activities receive far less “academic credit” than publication in high impact journals.

Writing for “popular science” outlets is often perceived to be a career negative. While some argue there needs to be capacity for the community engagement efforts of scientists to be acknowledged in the assessment of academic accomplishment, others argue against it. Regardless of your motivations, if you’re going to engage in science communication, it is best to make the most of your activities but even when your research goes vial, how can you put a value on this?

How can you value your science communications in a way that may be recognised for employment, promotion, grant applications etc?

One of my recent articles for The Conversation, why mosquitoes seem to bite some people more, went a little bit viral. Almost 1.3 million people clicked on that article. Would I swap it for an article in Nature (or any other scholarly publication with a high impact factor) that only 20 people read? Probably as it would make a far more valuable contribution to my career…but would it have the same potential to change people’s awareness and behaviour in avoiding mosquito bites? Probably not.

I’ve written before about the importance of social media in getting the public health messages informed by my research out to the public. A blog post I wrote about the shortcomings of mosquito repellent wrist bands in protecting people against mosquito bites is the most read post on my blog. Since first published, the article “Do mosquito repellent wrist bands work?” has been read by around 47,000 people. The original paper, published in a journal without an impact factor, may have been read by only dozens of people if I hadn’t written about it on my blog.

I’m increasingly asked to provide evidence of “engagement” or “translation” activities associated with my research. This is particularly the case for my activities with Centre for infectious Disease and Microbiology Public Health where translating research for improved public health outcomes is a key objective. Those outcomes have generally been focused on providing informed guidance to local authorities on infectious disease surveillance, diagnosis and treatment.

What about community engagement?

I wanted to share how I’ve been trying to value my science communication activities in recent years. My general approach to this is to document as much detail as possible about individual activities, try to quantify the reach of activities (as much as possible) and to try to use my experience with these activities into what could be best described as my “core” activities.

In the same way you may incorporate a new laboratory technique or statistical analysis into your research, why not incorporate your science communication activities similarly?

Every summer I find myself standing in the mangroves talking to a camera (while being bitten by mosquitoes)

Media activities

In the summer past, I’ve been interviewed about 50 times on research findings, disease outbreaks and topical issues associated with mosquitoes and mosquito-borne disease. This level of activity clearly holds the potential to engage the wider community with important public health messages as well as (hopefully) improve their understanding of local scientists and their research.

While keeping a track of the interviews and their details (date, topic, journalist, outlet etc) is handy, it is also possible to go beyond that to record audience reach and assign a relative value. This is where you’ll need the help of your institute’s media and communications unit. They should be able to obtain reports from media monitoring organisations that keep track of details (interview summary points and duration, audience size, estimated value) associated with media activities.

For example, on 16 January 2015 I did a live cross to Channel 7’s Sunrise program. The interview ran for just over 3 minutes, issues about mosquito-borne disease risk and personal protection measures were covered, it had an estimated audience of over 500,000 and was valued at around $200,000.

Over the course of a year (or perhaps a research project), it is possible to assign both a financial and engagement value? For me, the media activities over the 2014-2015 summer had an estimate audience of around 8 million and value of over $600,000. This extra level of detail adds so much extra weight to the value of science communications activities.

Mosquito Bites is the bulletin of the Mosquito Control Association of Australia. Distributed to members throughout Australia and many other countries, it provides information on the operational aspects of mosquito and mosquito-borne disease management.

Popular science writing

I regularly contribute articles to non-scholarly publications, these include newsletters, bulletins and magazines produced by local community groups, industry bodies and scientific associations. As well as recording the specific details about each article, it is also possible to record circulation as a measure of engagement.

If you need to add a financial value to these articles, why not consider what the current rates are for freelance journalists? They seem to be around $0.40-1.00 per word, that makes any (non-scholarly journal) writing associated with research projects as an “in kind” contribution valued at around $500-600? Planning on writing an article associated with an upcoming research project, why not include this extra value as an “in kind” contribution?

I regularly write for The Conversation. The website provides excellent data on the readership of individual articles (including with respect to other contributors from your institution) in addition to republication and social network sharing. Most of my articles receive around 6,000-8,000 reads but many have also reached around 20,000. Again, this is typically substantially greater exposure than received by my articles in scholarly journals. Recording this additional information would help make a handy argument that non-academic writing holds value, especially when arguing about research translation.

Output from @mozziebites Twitter Analytics for February 2015 showing data on impressions and engagement with my Tweets during the month.

Social media activity

Got a Twitter account or Facebook page? It is obviously great to keep track of your follower numbers, retweets, likes and shares of tweets and posts. It is a way to demonstrate engagement with the community. I started tracking my activity on Twitter early on. I was partly interested in whether people would engage with tweets about mozzies but I also wanted to demonstrate to my “bosses” that using social media for “work purposes” had some benefits in line with the public health objectives of my research activities. There was also a very nice paper published in 2012 that provided a framework for assessing the engagement of health authorities with social media and I wanted to gather similar data.

For Twitter users, you can access data on your own account via Twitter Analytics. It provides plenty of useful information, especially engagements (i.e. total number of times a user interacted with a Tweet, including retweets, replies, follows, favorites, links, cards, hashtags, embedded media, username, profile photo, or Tweet expansion), impressions (i.e. times a user is served a Tweet in timeline or search results) and link clicks (i.e. clicks on a URL in the Tweet). This kind of data can help demonstrate the extent to which the online community is interacting with your own social media activity.

It will also help if you engage with your institution on social media. Help promote their activities and those of your colleagues and collaborators. In turn they’ll help raise your profile too.

Speaking at public events provides opportunities to meet a wide cross section of the community….even celebrities such as Jimmy Giggle at the ABC community event at Parramatta Park, April 2014.

Community presentations

Every year i speak at a range of community events. In the past year or so I’ve spoken at such diverse events as Sydney Olympic Park Authority’s Life in the Park, Australian Skeptics in the Pub, Cumberland Birds Observer’s Cub meeting, Oatley Flora and Fauna Conservation Society meeting and Pint of Science. This provides an opportunity to speak to a wide cross section of the community but is also an opportunity to document experience in communicating to different audiences.

As well as keeping track of these speaking engagements (date, title, location, hosting organisation), I also try to record the number of attendees and most of the time I make a note of questions asked. This, again, is a way to document engagement/translation of research. It can also form a foundation for how you may shape research, it has particularly been the case for me reviewing the way we share public health information relating to the promotion of insect repellent use.

Communications and publications

Finally, think about ways you can parlay your experience with science communication into output that’s recognised by your organisation or institute. Why not write a perspectives piece, commentary or letter to the editor? I’m regularly seeing articles popping up in peer reviewed journals explaining the benefits of using social media, why not target a journal within your field that may not have covered the topic. You only need to see the metrics on this paper, ‘An Introduction to Social Media for Scientists‘, to realise that there is plenty of interest and having an extra journal article under your belt won’t hurt either.

Similarly, if you’re being asked to speak at conferences and workshops on your use of social media and/or science communication strategies, make sure you’re recording all those details too.

To conclude, there may not (yet) be a magic number to assign to your science communications activity in the same way impact factors and altmetrics help measure the success of traditional academic output. However, that doesn’t mean you cannot record a bunch of “metrics” associated with science communications, both online and off, that will hopefully better place you for that next job offer or promotion.

What do you think? How do you document your scientific communications activities? Join the conversation on Twitter.