title: In their own words: lessons learned from those exposed to anthrax.
abstract: OBJECTIVE
  We evaluated perceptions of workers at the US Postal Service Brentwood Processing and Distribution Center and US Senate employees regarding public health responses to the anthrax mailings of October 2001. We generated recommendations for improving responses to bioterrorism on the basis of the perceptions we recorded.
  
  
  METHODS
  Transcripts from focus groups conducted with Brentwood and US Senate employees were examined, and qualitative analysis identified common domains.
  
  
  RESULTS
  Brentwood focus groups consisted of 36 participants (97% African American and 19% hearing impaired). US Senate focus groups consisted of 7 participants (71% White and 0% hearing impaired). The focus groups revealed that participants' trust in public health agencies had eroded and that this erosion could threaten the effectiveness of communication during future public health emergencies. Among Brentwood participants, lack of trust involved the perception that unfair treatment on the basis of race/ethnicity and socioeconomic status had occurred; among US Senate participants, it derived from perceptions of inconsistent and disorganized messages.
  
  
  CONCLUSIONS
  Effective communication during a public health emergency depends on the provision of clear messages and close involvement of the affected community. Diverse populations may require individualized approaches to ensure that messages are delivered appropriately. Special attention should be given to those who face barriers to traditional modes of communication.
authors.affiliation: George Washington University Department of Emergency Medicine, 2150 Pennsylvania Ave, NW, Washington, DC, 20037, USA. jblanchard@mfa.gwu.edu
authors.forename: Janice C
authors.initials: JC
authors.lastname: Blanchard
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Haywood
authors.forename: Bradley D
authors.initials: BD
authors.lastname: Stein
authors.forename: Terri L
authors.initials: TL
authors.lastname: Tanielian
authors.forename: Michael
authors.initials: M
authors.lastname: Stoto
authors.forename: Nicole
authors.initials: N
authors.lastname: Lurie
mesh_terms: D001741:Black or African American / Q000523:psychology; D000881:Anthrax / Q000517:prevention & control / Q000523:psychology*; D001294:Attitude to Health; D023482:Bioterrorism / Q000517:prevention & control / Q000523:psychology*; D003144:Communication Barriers; D015709:Correspondence as Topic; D018864:Cultural Diversity; D004219:District of Columbia; D004630:Emergencies; D035082:Federal Government; D005260:Female; D017144:Focus Groups; D006801:Humans; D033181:Information Dissemination / Q000379:methods; D008297:Male; D020380:Needs Assessment; D016273:Occupational Exposure / Q000517:prevention & control; D016272:Occupational Health; D019986:Persons with Hearing Disabilities / Q000523:psychology; D011177:Postal Service; D011287:Prejudice; D011634:Public Health / Q000592:standards; D036301:Qualitative Research; D012923:Social Class; D035502:Trust; D014611:Vaccination / Q000592:standards; D044465:White People / Q000523:psychology
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