Healthcare’s crucial tool is trust

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OPINION: To prevent the Ebola outbreak from escalating further, the relevant actors — from health workers to government officials — must win back people’s trust. Fortunately, as neighbouring Rwanda has proven, this is possible.

Doctors and nurses have traditionally been among the most trusted people in society. According to the Wellcome Global Monitor, the largest-ever survey of public attitudes toward science and health, that remains true: more than 70% of survey participants reported that they trust scientists, doctors and nurses. But their responses also indicate that there is no room for complacency.

The results have been devastating. The number of measles cases reported in France increased sixfold in 2018: three people died, and many more were left with life-altering health problems. Falling immunisation rates in some areas of the United States and the Philippines also produced measles epidemics in those countries in 2018 and 2019.

Treatment centres have been attacked, leaving health workers dead and injured. Meanwhile, the epidemic’s death toll has continued to rise. But, in the ensuing years, government and international partners worked with citizens to rebuild trust. Their efforts worked: Wellcome Global Monitor shows that 99% of people in Rwanda now recognise that vaccines are effective and important, and 97% have confidence in their health system overall — more than in any other country.

 

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