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This study investigates how nonprofit organizations use hyperlinks embedded in tweets for strategic communication during global health crises. Within the 1,494 links included in tweets about Ebola, organizations shared owned and earned media, including news stories directly or indirectly referencing their work and positive mentions from others on social media. Links allowed organizations to raise awareness about Ebola in West Africa, promote their work, and highlight endorsements from news media and influential users. Raising awareness and building trust are key steps in becoming credible sources during highly uncertain crises. [ABSTRACT FROM AUTHOR]

Although Twitter chats and other forms of social media engagement events are idealized in the literature as opportunities for dialogic communication between organizations and individuals, less is known about how engagement is operationalized within these spaces. Using textual and content analysis, we conducted two studies to explore how health organizations engage with the public via Twitter chats during the Ebola and Zika outbreaks. In official records of Ebola chats, the organization addressed both hostile and neutral public questions that pressed for specification of disease characteristics and protocol. However, in a content analysis of all public tweets sent during a later Zika chat, we found that questions were privileged, and other tweet forms and themes were excluded from the participatory space. Specifically, public comments demonstrating expertise or extending the topic of the chat were not addressed by the organization. Our analysis provides insight into the implicit rules governing how organizations engage with the public online during a rapidly evolving health crisis. We argue that the question–response dyad is a form of ideal communication that suggests engagement but maintains organizational expertise. [ABSTRACT FROM PUBLISHER]

Trust in many government organizations is low, creating a challenging environment for communication during outbreaks of emerging infectious diseases, like Ebola. In a thematic analysis of 1,010 tweets and four Twitter chats during the 2014-2015 Ebola outbreak, we found that the Centers for Disease Control and Prevention emphasized organizational competence, extant protocol, and facts about transmission to manage public fear. We argue that an emphasis on certainty in a rapidly changing situation leaves organizations vulnerable to charges of unpreparedness or obfuscation. Our results also speak to the contested definition of engagement online, particularly during health crises. [ABSTRACT FROM AUTHOR]