Central European Journal of Medicine

, Volume 1, Issue 1, pp 69–80 | Cite as

Communicating risks of foodborne diseases

  • Tanja M. Wildemann
Review Article


Foodborne diseases contribute substantially to the overall burden of disease, including hospitalizations, economic loss, and death. Nonetheless, in contrast to food safety experts, the public usually perceives foodborne diseases as low risk, which highlights the differences in the perception of the risk. Many studies have shown that risk perception is a complex concept determined by a variety factors. Among the factors associated with increased concern are high media attention and an impact on children.

Risk communication is a new concept aimed at the providing meaningful, relevant, and accurate information. The purpose is to increase knowledge and enable the recipients to make informed choices. The process of risk communication is complicated by the many contributors, including experts, lay people, risk managers, media, and other stakeholders. It is a two-way process that requires respecting and listening to the contributors. The risk message and its originator are crucial components that account for the success of risk communication.

Communication campaigns aim at raising awareness of hygienic food preparation at home, changing risk behavior, and reducing the number of foodborne infections. By considering the determinants of risk perception and the rules for communicating effectively, risk communication can help preventing foodborne infections and improve public health.


Risk communication risk perception foodborne diseases 


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  1. [1]
    D. Byrne: “Irrational fears or legitimate concerns — Risk perception in perspective”, In: Speech at Risk perception: Science, Public Debate and Policy making conference, Brussels, 4 December 2003, (unpublished).Google Scholar
  2. [2]
    J. Hansen, L. Holm, L. Frewer, P. Robinson and P. Sandøe: “Beyond the knowledge deficit: recent research into lay and expert attitudes to food risks”, Appetite, Vol. 41, (2003), pp. 111–121.PubMedCrossRefGoogle Scholar
  3. [3]
    P. Sparks and R. Shepherd: “Public Perceptions of food-related hazards: Individual and social dimensions”, Food Qual. Prefer., Vol. 5, (1994), pp. 185–194.CrossRefGoogle Scholar
  4. [4]
    P.S. Mead, L. Slutsker, V. Dietz, L.F. McCaig, J.S. Bresee, C. Shapiro, P.M. Griffin and R.V. Tauxe: “Food-related illness and death in the United States”, Emerg. Infect. Dis., Vol. 5, (1999), pp. 607–625.PubMedCrossRefGoogle Scholar
  5. [5]
    M.A. Cañete: “Speech”, on EU conference Risk perception: Science, public debate and policy making, Brussels 4–5 December 2003, (unpublished).Google Scholar
  6. [6]
    The Royal Society: “Risk assessment: a study group report”, 1983, p. 94.Google Scholar
  7. [7]
    D.M. Dosman, W.L. Adamowicz and S.E. Hrudey: “Socioeconomic determinants of health-and food safety-related risk perceptions”, Risk Anal., Vol. 21, (2001), pp. 307–317.PubMedCrossRefGoogle Scholar
  8. [8]
    H. Schütz, P.M. Wiedemann and P.C.R. Gray: “Risk perception beyond the psychometric paradigm”, Arbeiten zur Risiko-Kommunikation, Vol. 78, (2000), Forschungszentrum Jüulich,
  9. [9]
    P.M. Sandman: “Risk communication: Facing public outrage”, EPA Journal, (1987), pp. 21-22.Google Scholar
  10. [10]
    D.A. Powell: “Food safety and the consumer — perils of poor risk communication”, Can. J. Anim. Sci., (2000), Vol. 80, pp. 393–404.CrossRefGoogle Scholar
  11. [11]
    J. Gordon: “Risk communication and foodborne illness: message sponsorship and attempts to stimulate perceptions of risk”, Risk Anal., Vol. 23, (2003), pp. 1287–1296.PubMedCrossRefGoogle Scholar
  12. [12]
    E. Aakko: “Risk communication, risk perception, and public health”, Wisc. Med. J., Vol. 103, (2004), pp. 25–28.Google Scholar
  13. [13]
    B. Fischhoff and J.S. Downs: “Communicating Foodborne Disease Risk”, Emerg. Infect. Dis., Vol. 3, (1997), pp. 489–495.PubMedCrossRefGoogle Scholar
  14. [14]
    O.P. Obermeier: Die Kunst der Risikokommunikation, Gerling Akademie Verlag, 1999, pp. 74-93.Google Scholar
  15. [15]
    FAO/WHO: “The application of risk communication to food standards and safety matters”, Report of a Joint FAO/WHO Expert Consultation’, Rome, 2–6 February 1998, FAO Food and Nutrition Paper 70.Google Scholar
  16. [16]
    A. af Wåhlberg and L. Sjöberg: “Risk perception and the media”, J. Risk Res., Vol. 3, (2000), pp. 31–50.CrossRefGoogle Scholar
  17. [17]
    L.J. Frewer, C. Howard, D. Hedderly and R. Shepherd: “What determines trust in information about food-related risks? Underlying psychological constructs”, Risk Anal., Vol. 16, (1998), pp. 473–486.CrossRefGoogle Scholar
  18. [18]
    S. Rosati, A. Saba: “The perception of risks associated with food-related hazards and the perceived reliability of sources of information”, Int. J. Food Sci. Tech., Vol. 39, (2004), pp. 491–500.CrossRefGoogle Scholar
  19. [19]
    R.J. Eiser, S. Miles and L.J. Frewer: “Trust, perceived risk and attitudes toward food technologies”, J. Appl. Soc. Psychol., Vol. 32, (2002), pp. 2423–2433.Google Scholar
  20. [20]
    K. Blaine and D. Powell: “Communication of food-related risks”, J. Agrobiotech. Manag. Econ., Vol. 4, (2001), pp. 179–185.Google Scholar
  21. [21]
    M. Korthals: “Ethics of di.erences in risk perception and views on food safety”, Food Protect. Tr., Vol. 24, (2004), pp. 498–503.Google Scholar
  22. [22]
    WHO: “Foodborne surveillance”,, (Last visited: 7 Dec 05).
  23. [23]
    D. Powell: “An Introduction to Risk Communication and the Perception of Risk”,, (Last visited: 7 Dec 05).
  24. [24]
    P.M. Sandman: “Explaining risk to non-experts: a communications challenge”, Emergency Preparedness Digest, (1987), pp. 25-29.Google Scholar
  25. [25]
    National Research Council: Improving Risk Communication, National Academy Press, Washington, D.C., 1989, pp. 26–32.Google Scholar
  26. [26]
    National Research Council: Improving Risk Communication, National Academy Press, Washington, D.C., 1989, p. 175.Google Scholar
  27. [27]
    R. Macfarlane: “Integrating the consumer interest in food safety: the role of science and other factors”, Food Policy, Vol. 27, (2002), pp. 65–80.CrossRefGoogle Scholar
  28. [28]
    W.E. Walker, P. Harremoes, J. Rotmans, J.P. van der Sluijs, M.B.A. van Asselt, P. Janssen and M.P. Krayer von Krauss: “Defining Uncertainty: A Conceptual Basis for Uncertainty Management in Model-Based Decision Support”, Integrated Assessment, Vol. 4, (2003), pp. 5–17.CrossRefGoogle Scholar
  29. [29]
    S. Miles and L.J. Frewer: “Public perception of scientific uncertainty in relation to food hazards”, J. Risk Res., Vol. 6, (2003), pp. 267–283.CrossRefGoogle Scholar
  30. [30]
    L.J. Frewer, S. Miles, M. Brennan, S. Kuznesof, M. Ness and C. Ritson: “Public preferences for informed choice under conditions of risk uncertainty”, Public Underst. Sci., Vol. 11, (2002), pp. 363–372.CrossRefGoogle Scholar
  31. [31]
    H-D, Werlein and K. Gerlach: “Enterohämorrhagische E. coli (EHEC)”,, (Last visited: 7 Dec 05).
  32. [32]
    V.T. Covello and F.H. Allen: Seven Cardinal Rules of Risk Communication. Pamphlet, U.S. E.P.A., Washington, DC, April 1988.Google Scholar
  33. [33]
    O. Renn: “Perception of risks”, Toxicol. Lett., Vol. 149, (2004), pp. 405–413.PubMedCrossRefGoogle Scholar
  34. [34]
    S. Miles, D.S. Braxton and L.J. Frewer: “Public perceptions about microbiological hazards in food”, Brit. Food J., Vol. 101, (1999), pp. 744–762.CrossRefGoogle Scholar
  35. [35]
    S. Miles and L.J. Frewer: “Investigating specific concerns about different food hazards”, Food Qual. Prefer., Vol. 12, (2001), pp. 47–61.CrossRefGoogle Scholar

Copyright information

© Central European Science Journals Warsaw and Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Tanja M. Wildemann
    • 1
  1. 1.BayreuthGermany

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