Communicating risk and

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Communicating risk and uncertainty: t the role of metaphor and analogy David Spiegelhalter winton professor for the public understanding of risk, university of cambridge EFSA Meeting: 2012 With thanks to Mike Pearson

Running themes / ideology Quantified risks are constructed on the basis of current knowledge Inevitably also have (unquantified) uncertainty Any communication is a narrative/metaphor Spiegelhalter DJ, Short I and Pearson MP (2011) Visualisation of uncertainty about the future. Science 333, 1393-1400 Spiegelhalter DJ and Riesch H (2011) Don't know, can't know: embracing deeper uncertainties when analysing risks. Phil Trans Roy Soc A 369, 4730-4750

Some ideas for language for risk and uncertainty t Out of 1000 people like you.. In the country.. Possible futures Chance of being wrong.. How confident are you? About the same as.. How fast are you ageing?

1,000 people like you

Breast cancer screening controversy In the country..

400 people NOT eating a bacon sandwich each day

400 people eating a bacon sandwich each day

Possible futures metaphor

2011: Hurricane Irene

2011: NBC News for Hurricane Irene Possible futures metaphor

Chance of being wrong On Monday, I thought Obama would win the election. But I reckon there was a 14% But I reckon there was a 14% chance I would be wrong.

How confident are you?

M t h i i f ti t Match precision of reporting to expression of uncertainty, e.g.

Sandman s 4 conclusions 1.Don t just acknowledge the uncertainty, proclaim it 1. Proclaim how uncertain you are from I m taking a shot in the dark here to I m almost certain but there are still a few remaining doubts to clear up. 2. Distinguish your level of uncertainty now from the level of uncertainty earlier 1. Come across as human

About the same as.. Need great caution in risk comparisons But multiple comparisons can help But multiple comparisons can help tell a story

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Acute risks A Micromort is a 1-in-a-million illi chance of dying

Chronic risks

Life expectancy

13% increase on hazard per daily portion of read meat

Daily portion of red meat increases annual risk of death by 13% 40-year old man s lunch He expects to live another 40 years Similar 40-year old man s lunch He expects to live another 39 years

How fast are you ageing?

Life-expectancy reduced by 1 year = about 30 minutes off your life expectancy for each day with the habit = 1 Microlife

On average,1 microlife lost from

Conclusions Analogies and metaphors are powerful tools Need to be used carefully Multiple narratives/images Need dboth positive and negative framing Evaluate impact

1990: John Gummer beef is safe 1992: three cows in every 1,000 in Britain had BSE 1996: government admits link between BSE and the human form of the disease, new variant CJD

Summary of Sandman Explain pa that the risk is uncertain what you think the probabilities are, and how much confidence you have in your opinion what evidence you have to support your view, and what additional evidence you wish you had but don t what other experts think, the extent to which they agree or disagree, and the basis for any disagreement what you are doing to reduce your uncertainty, and when you might have more information.