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1981
Volume 17, Issue 1
  • ISSN: 2040-199X
  • E-ISSN: 1751-7974

Abstract

Before COVID-19-dominated news media, the world was gripped by another public health emergency: Ebola. Infectious disease outbreaks and their ability to cross borders capture media and public interest. The United States recorded its first Ebola diagnosis and fatality in 2014 when a traveller from Liberia arrived in Dallas. This was immediately followed by chaotic and prominent news coverage that disrupted effective public health communication about the disease. Researchers previously found that the media’s framing of such health emergencies can influence public policy and public perception and response. However, little is known about what narrative techniques US media employed in their Ebola coverage. In this framing analysis, the authors uncovered six dominant frames: foreign vs. local intervention; reliance on western experts; harmful characterizations of illness; illusions of control; misrepresentations of Africa and patient privacy norms. Findings hold implications for journalists who cover public health emergencies.

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2025-06-09
2026-04-12

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References

  1. Aarøe, L. (2011), ‘Investigating frame strength: The case of episodic and thematic frames’, Political Communication, 28:2, pp. 20726, https://doi.org/10.1080/10584609.2011.568041.
    [Google Scholar]
  2. Anon. (2024), ‘Directly reach and engage any audience with the New York Times’, The New York Times, https://advertising.nytimes.com/audience-and-insights/. Accessed 30 May 2024.
    [Google Scholar]
  3. Arceneaux, P. (2022), ‘The Africa the media showed us: A visual content analysis of the 2014 Ebola epidemic’, Journal of African Media Studies, 14:3, pp. 42137, https://doi.org/10.1386/jams_00086_1.
    [Google Scholar]
  4. Arwady, M. A., Bawo, L., Hunter, J. C., Massaquoi, M., Matanock, A., Dahn, B. and Cock, K. M. de (2015), ‘Evolution of Ebola virus disease from exotic infection to global health priority, Liberia, mid-2014’, Emerging Infectious Diseases, 21:4, pp. 57884, https://doi.org/10.3201/eid2104.141940.
    [Google Scholar]
  5. Asthana, A., Stewart, H. and Brooks, L. (2016), ‘Theresa May visits Scotland to press case for “special union”’, The Guardian, 15 July, pp. 45.
    [Google Scholar]
  6. Ayisi, F. and Brylla, C. (2013), ‘The politics of representation and audience reception: Alternative visions of Africa’, Research in African Literatures, 44:2, pp. 12541, https://doi.org/10.2979/reseafrilite.44.2.125.
    [Google Scholar]
  7. Bancroft, A. (2001), ‘Globalisation and HIV/AIDS: Inequality and the boundaries of a symbolic epidemic’, Health, Risk & Society, 3:1, pp. 8998, https://doi.org/10.1080/13698570124195.
    [Google Scholar]
  8. Baresch, B., Hsu, S. H. and Reese, S. (2010), ‘The power of framing: New challenges for researching the structure of meaning in news’, in S. Allan (ed.), The Routledge Companion to News and Journalism, London: Routledge, pp. 63747.
    [Google Scholar]
  9. Botelho, G. and Wilson, J. (2014), ‘Thomas Eric Duncan: First Ebola death in the U.S.’, CNN Health, 8 October, https://www.cnn.com/2014/10/08/health/thomas-eric-duncan-ebola/index.html. Accessed 13 June 2024.
  10. Bowe, B. J., Fahmy, S. and Wanta, W. (2013), ‘Missing religion: Second level agenda setting and Islam in American newspapers’, International Communication Gazette, 75:7, pp. 63652, https://doi.org/10.1177/1748048513482544.
    [Google Scholar]
  11. Brewer, P. R., Graf, J. and Willnat, L. (2003), ‘Priming or framing: Media influence on attitudes toward foreign countries’, Gazette, 65:6, pp. 493508, https://doi.org/10.1177/0016549203065006005.
    [Google Scholar]
  12. Brown, D. K., Yoo, J. and Johnson, T. J. (2019), ‘Spreading Ebola panic: Newspaper and social media coverage of the 2014 Ebola health crisis’, Health Communication, 34:8, pp. 81117, https://doi.org/10.1080/10410236.2018.1437524.
    [Google Scholar]
  13. Chong, D. and Druckman, J. N. (2007), ‘Framing theory’, Annual Review of Political Science, 10:1, pp. 10326, https://doi.org/10.1146/annurev.polisci.10.072805.103054.
    [Google Scholar]
  14. Cock, K. M. de, Simone, P. M., Davison, V. and Slutsker, L. (2013), ‘The new global health’, Emerging Infectious Diseases, 19:8, pp. 119297, https://doi.org/10.3201/eid1908.130121.
    [Google Scholar]
  15. Cohen, B. (1963), The Press and Foreign Policy, Princeton, NJ: Princeton University Press.
    [Google Scholar]
  16. Coleman, R., Thorson, E. and Wilkins, L. (2011), ‘Testing the effect of framing and sourcing in health news stories’, Journal of Health Communication, 16:9, pp. 94154, https://doi.org/10.1080/10810730.2011.561918.
    [Google Scholar]
  17. Cooper, H. (2014), ‘U.S. aid effort in Liberia barely off the ground as Ebola rages’, New York Times, 2 October, https://www.nytimes.com/2014/10/03/us/us-effort-in-liberia-barely-gets-on-the-ground.html. Accessed 9 May 2015.
    [Google Scholar]
  18. Darmon, K., Fitzpatrick, K. and Bronstein, C. (2008), ‘Krafting the obesity message: A case study in framing and issues management’, Public Relations Review, 34:4, pp. 37379, https://doi.org/10.1016/j.pubrev.2008.07.002.
    [Google Scholar]
  19. Dorfman, L. and Krasnow, I. D. (2014), ‘Public health and media advocacy’, Annual Review of Public Health, 35, pp. 293306, https://doi.org/10.1146/annurev-publhealth-032013-182503.
    [Google Scholar]
  20. Dwyer, D. (2010), ‘U.S. ban on HIV-positive visitors, immigrants expires’, ABC News, 5 January, https://abcnews.go.com/Politics/united-states-ends-22-year-hiv-travel-ban/story?id=9482817. Accessed 30 May 2024.
  21. Entman, R. M. (1989), ‘How the media affect what people think: An information processing approach’, The Journal of Politics, 51:2, pp. 34770, https://doi.org/10.2307/2131346.
    [Google Scholar]
  22. Entman, R. M. (1993), ‘Framing: Toward clarification of a fractured paradigm’, Journal of Communication, 43:4, pp. 5158, https://doi.org/10.1111/j.1460-2466.1993.tb01304.x.
    [Google Scholar]
  23. Entman, R. M. (2007), ‘Framing bias: Media in the distribution of power’, Journal of Communication, 57:1, pp. 16373, https://doi.org/10.1111/j.1460-2466.2006.00336.x.
    [Google Scholar]
  24. Gerlach, N. A. (2016), ‘From outbreak to pandemic narrative: Reading newspaper coverage of the 2014 Ebola epidemic’, Canadian Journal of Communication, 41:4, pp. 61130, https://doi.org/10.22230/cjc.2016v41n4a3098.
    [Google Scholar]
  25. Gerlach, N. A. (2019), ‘Visualizing Ebola: Hazmat suit imagery, the press, and the production of biosecurity’, Canadian Journal of Communication, 44:2, pp. 191210, https://doi.org/10.22230/cjc.2019v44n2a3341.
    [Google Scholar]
  26. Gross, K. (2008), ‘Framing persuasive appeals: Episodic and thematic framing, emotional response, and policy opinion’, Political Psychology, 29:2, pp. 16992, https://doi.org/10.1111/j.1467-9221.2008.00622.x.
    [Google Scholar]
  27. Hassan, A. (2014), ‘Your Wednesday briefing’, The New York Times, 1 October, https://www.nytimes.com/2014/10/01/us/latest-news-ebola-netanyahu-hong-kong.html. Accessed 30 May 2024.
    [Google Scholar]
  28. Hodge, J. G., Penn, M. S., Ransom, M. and Jordan, J. E. (2015), ‘Domestic legal preparedness and response to Ebola’, Journal of Law, Medicine & Ethics, 43:Suppl 1, pp. 1518, https://doi.org/10.1111/jlme.12207.
    [Google Scholar]
  29. Iannarino, N. T., Veil, S. R. and Cotton, A. J. III (2015), ‘Bringing home the crisis: How US evening news framed the 2011 Japan nuclear crisis’, Journal of Contingencies and Crisis Management, 23:3, pp. 16981, https://doi.org/10.1111/1468-5973.12068.
    [Google Scholar]
  30. Ihekweazu, C. (2017), ‘Ebola in prime time: A content analysis of sensationalism and efficacy information in U.S. nightly news coverage of the Ebola outbreaks’, Health Communication, 32:6, pp. 74148, https://doi.org/10.1080/10410236.2016.1172287.
    [Google Scholar]
  31. Iyengar, S. and Simon, A. (1993), ‘News coverage of the gulf crisis and public opinion: A study of agenda-setting, priming, and framing’, Communication Research, 20:3, pp. 36583, https://doi.org/10.1177/009365093020003002.
    [Google Scholar]
  32. Jones, N. (2013), ‘Have we learned from history? A comparative critical assessment of the Independent Group’s coverage of the HIV/AIDS pandemic in South Africa in 2004 and 2011’, Critical Arts, 27:3, pp. 31131, https://doi.org/10.1080/02560046.2013.800666.
    [Google Scholar]
  33. Kothari, A. (2010), ‘The framing of the Darfur conflict in the New York Times: 2003–2006’, Journalism Studies, 11:2, pp. 20924, https://doi.org/10.1080/14616700903481978.
    [Google Scholar]
  34. Lee, S. T. and Basnyat, I. (2013), ‘From press release to news: Mapping the framing of the 2009 H1N1 A influenza pandemic’, Health Communication, 28:2, pp. 11932, https://doi.org/10.1080/10410236.2012.658550.
    [Google Scholar]
  35. Li, X. (2007), ‘Stages of a crisis and media frames and functions: US television coverage of the 9/11 incident during the first 24 hours’, Journal of Broadcasting & Electronic Media, 51:4, pp. 67087, https://doi.org/10.1080/08838150701626578.
    [Google Scholar]
  36. Luisi, M. L. R., Barker, J. and Geana, M. (2018), ‘American Ebola story: Frames in U.S. national newspapers’, Atlantic Journal of Communication, 26:5, pp. 26777, https://doi.org/10.1080/15456870.2018.1517764.
    [Google Scholar]
  37. Major, L. H. (2009), ‘Break it to me harshly: The effects of intersecting news frames in lung cancer and obesity coverage’,  Journal of Health Communication, 14:2, pp. 17488, https://doi.org/10.1080/10810730802659939.
    [Google Scholar]
  38. Mason, A. M., Wright, K. B. and Lambert, L. (2021), ‘Understanding the impacts of emerging infectious disease (EID) media exposure: The case of US Ebola virus disease (EVD)’, Journal of Communication in Healthcare, 14:1, pp. 3140, https://doi.org/10.1080/17538068.2021.1877603.
    [Google Scholar]
  39. McNeil Jr., D. G. (2014), ‘Nigeria’s actions seem to contain Ebola outbreak’, New York Times, 30 September, https://www.nytimes.com/2014/10/01/health/ebola-outbreak-in-nigeria-appears-to-be-over.html. Accessed 9 May 2015.
    [Google Scholar]
  40. Nauta, W. and Stavinoha, L. (2012), ‘Framing AIDS in times of global crisis: “Wasting” Africa yet again?’, Globalizations, 9:5, pp. 695711, https://doi.org/10.1080/14747731.2012.732436.
    [Google Scholar]
  41. Nossiter, A. (2014), ‘A hospital from hell, in a city swamped by Ebola’, New York Times, 1 October, https://www.nytimes.com/2014/10/02/world/africa/ebola-spreading-in-west-africa.html. Accessed 9 May 2024.
    [Google Scholar]
  42. Obeng-Odoom, F. (2013), ‘Africa’s failed economic development trajectory: A critique’, African Review of Economics and Finance, 4:2, pp. 15175, https://www.ajol.info/index.php/aref/article/view/91058. Accessed 27 May 2025.
    [Google Scholar]
  43. Ratzan, S. C. and Moritsugu, K. P. (2014), ‘Ebola crisis: Communication chaos we can avoid’, Journal of Health Communication, 19:11, pp. 121315, https://doi.org/10.1080/10810730.2014.977680.
    [Google Scholar]
  44. Ryan, C. (1991), Prime Time Activism: Media Strategies for Grassroots Organizing, Boston, MA: South End Press.
    [Google Scholar]
  45. Sandell, T., Sebar, B. and Harris, N. (2013), ‘Framing risk: Communication messages in the Australian and Swedish print media surrounding the 2009 H1N1 pandemic’, Scandinavian Journal of Public Health, 41:8, pp. 86065, https://doi.org/10.1177/1403494813498158.
    [Google Scholar]
  46. Shih, T., Wijaya, R. and Brossard, D. (2008), ‘Media coverage of public health epidemics: Linking framing and issue attention cycle toward an integrated theory of print news coverage of epidemics’, Mass Communication & Society, 11, pp. 14160, https://doi.org/10.1080/15205430701668121.
    [Google Scholar]
  47. Tankard Jr., J. W. (2001), ‘The empirical approach to the study of media framing’, in S. D. Reese and O. H. Gandy Jr. (eds), Framing Public Life: Perspectives on Media and Our Understanding of the Social World, Mahwah, NJ: Lawrence Erlbaum Associates, pp. 11121.
    [Google Scholar]
  48. Tierney, K., Bevc, C. and Kuligowski, E. (2006), ‘Metaphors matter: Disaster myths, media frames, and their consequences in Hurricane Katrina’, The Annals of the American Academy of Political and Social Science, 604:1, pp. 5781, https://doi.org/10.1177/0002716205285589.
    [Google Scholar]
  49. Trčková, D. (2015), ‘Representations of Ebola and its victims in liberal American newspapers’, Topics in Linguistics, 16:1, pp. 2941, https://doi.org/10.2478/topling-2015-0009.
    [Google Scholar]
  50. Tsikata, P. Y. (2014), ‘The historical and contemporary representation of Africa in global media flows: Can the continent speak back for itself on its own terms?’, Communicatio, 40:1, pp. 3448, https://doi.org/10.1080/02500167.2014.835530.
    [Google Scholar]
  51. Usher, N. (2018), ‘Breaking news production processes in US metropolitan newspapers: Immediacy and journalistic authority’, Journalism, 19:1, pp. 2136, https://doi.org/10.1177/1464884916689151.
    [Google Scholar]
  52. van der Meer, T. G. and Jin, Y. (2020), ‘Seeking formula for misinformation treatment in public health crises: The effects of corrective information type and source’, Health Communication, 35:5, pp. 56075, https://doi.org/10.1080/10410236.2019.1573295.
    [Google Scholar]
  53. Verma, G. (2009), ‘Analysis of the mass media coverage of the Gates Foundation grand challenges in global health initiative’, Journal of Medical Ethics, 35:3, pp. 16367, https://doi.org/10.1136/jme.2008.025353.
    [Google Scholar]
  54. Wald, M. L. and Mouawad, J. (2014), ‘Man in U.S. with Ebola had been screened to fly, but system is spotty’, New York Times, 1 October, https://www.nytimes.com/2014/10/02/us/man-in-us-with-ebola-had-been-screened-to-fly-but-system-is-spotty.html. Accessed 9 May 2015.
    [Google Scholar]
  55. Wasserman, H., Chuma, W., Bosch, T., Uzuegbunam, C. E. and Flynn, R. (2021), ‘South African newspaper coverage of COVID-19: A content analysis’, Journal of African Media Studies, 13:3, pp. 33350, https://doi.org/10.1386/jams_00052_1.
    [Google Scholar]
  56. Wenham, K., Harris, N. and Sebar, B. (2009), ‘Reflections of inequalities: The construction of HIV/AIDS in Africa in the Australian print media’, Health Sociology Review, 18:3, pp. 28496, https://doi.org/10.5172/hesr.2009.18.3.284.
    [Google Scholar]
  57. Wollnik, S. (2021), ‘The societal importance of journalistic health reporting on the COVID-19 pandemic in sub-Saharan Africa: Impressions from science and health journalism organizations’, Journal of African Media Studies, 13:2, pp. 13958, https://doi.org/10.1386/jams_00040_1.
    [Google Scholar]
  58. World Health Organization Official Website (2014), ‘Statement on the 1st meeting of the IHR Emergency Committee on the 2014 Ebola outbreak in West Africa’, WHO, 8 August, https://www.who.int/news/item/08-08-2014-statement-on-the-1st-meeting-of-the-ihr-emergency-committee-on-the-2014-ebola-outbreak-in-west-africa. Accessed 30 May 2024.
  59. Young, M. E., Norman, G. R. and Humphreys, K. R. (2008), ‘Medicine in the popular press: The influence of the media on perceptions of disease’, PLoS ONE, 3:10, https://doi.org/10.1371/journal.pone.0003552.
    [Google Scholar]
  60. Zebich-Knos, M. (2006), ‘Globalization of health policy: Intersecting the north-south divide and the diffusion of innovation’, The 47th Annual International Studies Association Annual Meeting, San Diego, CA, 22–25 March.
    [Google Scholar]
  61. Zhang, X., Bie, B. and Billings, A. C. (2017), ‘Newspaper Ebola articles differ from Twitter updates’, Newspaper Research Journal, 38:4, pp. 497511, https://doi.org/10.1177/0739532917739883.
    [Google Scholar]
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