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Whose fears count? Legitimacy, trust and viral outbreak responses after COVID-19

Journal content Created on 22 Jul 2026 PLOS Medicine

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PLOS Medicine, Public Library of Science

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by Rebecca F. Grais

COVID-19 transformed viral outbreak response from a predominantly public health challenge into a political and security concern. Recent responses to Ebola, mpox, and other emerging infections suggest that preparedness is increasingly shaped by whose fears are prioritized in decision-making. The challenge is ensuring that competing perceptions of risk are managed in ways that are perceived as legitimate, fair, and inclusive. In this Editorial, Rebecca Grais outlines how COVID-19 transformed viral outbreak responses from a predominantly public health challenge into a political and security concern, highlighting the challenges of ensuring that competing perceptions of risk are managed in ways that are perceived as legitimate, fair, and inclusive.

Rebecca F. Grais

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