Building trust during crises by engaging with existing distrust

It has often been argued that trust cannot be built during crises. While this line of thinking recognizes the importance of building trust before or after crises, it negates the possibility of building trust during a crisis. This paper offers two scenarios to argue for the possibilities of building...

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Main Authors: Tarun Kattumana, Heidi J. Larson
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570243/full
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author Tarun Kattumana
Tarun Kattumana
Heidi J. Larson
Heidi J. Larson
author_facet Tarun Kattumana
Tarun Kattumana
Heidi J. Larson
Heidi J. Larson
author_sort Tarun Kattumana
collection DOAJ
description It has often been argued that trust cannot be built during crises. While this line of thinking recognizes the importance of building trust before or after crises, it negates the possibility of building trust during a crisis. This paper offers two scenarios to argue for the possibilities of building trust during crises by engaging with existing distrust, with special reference to examples during the COVID-19 pandemic. The first considers distrust towards vaccines and public health interventions among Black Americans that was addressed through interventions that partnered with trusted third parties during the COVID-19 pandemic. The second discusses the Indian transgender community where trust networks built between public health organizations and activists groups was mobilized to engage with existing distrust during the COVID-19 pandemic. Despite the success of these interventions, this perspective paper ends by clarifying that engaging with distrust does not have to result in achieving public health goals with a brief considerations of two cases: the polio vaccine boycott in Nigeria (2003) and medical populism in the United States during the COVID-19 pandemic. These examples highlight that if existing distrust toward the medical system is not addressed, then space is created during crises-periods for distrust to be mobilized in ways that compromise public health goals.
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spelling doaj-art-3d1f24cc10c44cfdbd5e7774e35fcd7f2025-08-20T02:56:44ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15702431570243Building trust during crises by engaging with existing distrustTarun Kattumana0Tarun Kattumana1Heidi J. Larson2Heidi J. Larson3Husserl Archives and Center for Phenomenology and Continental Philosophy, Institute for Philosophy, KU Leuven, Leuven, BelgiumAccess-To-Medicines Research Centre, KU Leuven, Leuven, BelgiumDepartment of Infectious Disease Dynamics, London School of Hygiene & Tropical Medicine, London, United KingdomInstitute for Health Metrics & Evaluation, University of Washington, Seattle, WA, United StatesIt has often been argued that trust cannot be built during crises. While this line of thinking recognizes the importance of building trust before or after crises, it negates the possibility of building trust during a crisis. This paper offers two scenarios to argue for the possibilities of building trust during crises by engaging with existing distrust, with special reference to examples during the COVID-19 pandemic. The first considers distrust towards vaccines and public health interventions among Black Americans that was addressed through interventions that partnered with trusted third parties during the COVID-19 pandemic. The second discusses the Indian transgender community where trust networks built between public health organizations and activists groups was mobilized to engage with existing distrust during the COVID-19 pandemic. Despite the success of these interventions, this perspective paper ends by clarifying that engaging with distrust does not have to result in achieving public health goals with a brief considerations of two cases: the polio vaccine boycott in Nigeria (2003) and medical populism in the United States during the COVID-19 pandemic. These examples highlight that if existing distrust toward the medical system is not addressed, then space is created during crises-periods for distrust to be mobilized in ways that compromise public health goals.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570243/fulltrustdistrustcrisisCOVID-19 pandemicvaccine hesitancymedical populism
spellingShingle Tarun Kattumana
Tarun Kattumana
Heidi J. Larson
Heidi J. Larson
Building trust during crises by engaging with existing distrust
Frontiers in Public Health
trust
distrust
crisis
COVID-19 pandemic
vaccine hesitancy
medical populism
title Building trust during crises by engaging with existing distrust
title_full Building trust during crises by engaging with existing distrust
title_fullStr Building trust during crises by engaging with existing distrust
title_full_unstemmed Building trust during crises by engaging with existing distrust
title_short Building trust during crises by engaging with existing distrust
title_sort building trust during crises by engaging with existing distrust
topic trust
distrust
crisis
COVID-19 pandemic
vaccine hesitancy
medical populism
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570243/full
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