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Figuur 4. Aandacht voor Mexicaanse griep in percentage per week voor dagbladen, televisie en sociale media

Figuur 4. Aandacht voor Mexicaanse griep in percentage per week voor dagbladen, televisie en sociale media

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De berichtgeving rondom de uitbraak van de Mexicaanse griep in het voorjaar van 2009 was intensief en verontrustend: de Mexicaanse griep zou zich kunnen ontwikkelen tot een gevaarlijke pandemie met veel (dodelijke) slachtoffers, ook in Nederland. Vergelijkingen met de Spaanse Griep en dagenlang nieuws over de wereldwijde verspreiding van het virus...

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Why do similar countries facing the same threat respond differently? To throw light on this question, this article analyses Dutch and Danish vaccinations against the 2009 H1N1 ‘swine’ influenza pandemic (most-similar cases with different outcomes). Policy-making in the cases intersected the politics of crisis management (including risk management and disaster management), pharmaceuticals and epidemic response. Uncertainty and urgency were basic conditions and reduced the potential for evidence-based policy. Public health specialists, elected leaders, and organizations in the economy and society contributed to each national response. Related literatures show that such decision-making can turn on politicians' blame avoidance (A1) or demonstrations of value to swing voters (A2), stakeholders seeking gains (B), or experts following national standards (i.e. norms) for appropriate response (C). While each of these four logics is in evidence to some degree, differences in norms used by national experts advising their governments on pandemic responses best answer the question in the extant cases.