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Mass hysteria, or “epidemic hysteria,” is a social psychiatric condition in which physiological symptoms of an illness spread through a community even though there is no physical, organic basis for those symptoms. Outbreaks of mass hysteria generally begin as a small number of members within a community begin to present with either real or perceived signs and symptoms of an illness. As other community members witness people exhibiting these symptoms, they begin to become acutely anxious and fearful until, convinced they are suffering from the same illness as the others, they start to present with the same symptoms. This often-overlooked aspect of disaster management can complicate efforts to inform or educate the public, and can lead sufferers to react to disasters in unpredictable and often dramatic ways, potentially affecting healthcare, risk communication, decision making, and resource allocation.

Diagnosis and Symptoms

Diagnoses of epidemic hysteria are often reached by excluding all possible physical causes for the symptoms. Sufferers generally present with similar vague, transient symptoms after seeing or hearing about them; sudden onset of acute stress, fear, and anxiety; and the lack of a plausible organic explanation for symptoms. They differ significantly from other types of hysteria which, though the result of anxiety and stress, lack the social transmission of sensory-motor symptoms.

The physical symptoms of mass hysteria can be difficult to rationalize and can complicate efforts to respond to public health emergencies of all kinds. In cases of suspected outbreaks of food-borne illness, for example, it is not uncommon for unaffected community members to present with symptoms of food poisoning even if they have not come in contact with the suspected source of the infection. Instead, hearing about or seeing others who are suffering is enough to trigger anxiety and, subsequently, physical symptoms. Similarly, the threat of a pandemic outbreak of H1N1 influenza during the 2009–10 school year contributed to an acute increase in the number of people seeking hospital treatment for the disease, whether they had it or not. The mere suspicion of a case of H1N1 was enough to close entire school districts and send concerned parents streaming into emergency rooms and clinics, rapidly overwhelming their capacity to provide care and forcing public health officials to ask the public to stay home unless acutely and urgently ill.

Mass Media and the Rumor Mill

Instances of mass hysteria such as these can often be traced to inadequate, incorrect, or poorly timed messages about hazards and their associated risks; therefore, the potential for mass hysteria should be considered when crafting messages for the public. Though the media can be an excellent partner in disaster management, media outlets often contribute to a cycle that accelerates and intensifies the public dissemination of information, accurate or otherwise. An illustrative example is the hysteria that led to massive efforts to prepare for the Year 2000 (Y2K) rollover, which the media promised would result in a litany of doomsday scenarios, but ultimately amounted to little more than a large inconvenience for computer programmers. While the Y2K scare did stimulate personal and community preparedness initiatives, it siphoned resources from other areas of disaster preparedness with incalculable effects.

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