PANIC INSTEAD OF EMPATHY:
The 1988 Elsta tragedy was the first case of mass HIV infection
in the USSR, with 75 children and 4 women infected in a children's
hospital due to the reuse of a single syringe. In autumn, the central
TV program "Vremya" reported on the outbreak, which met with
the principles of truthfulness. However, the broadcast had severe
and unforeseen consequences.
Materials about tragedies often attract increased attention from the audience. In the situation with Elista, for the first time in the USSR, journalists spoke about the real threat of HIV, fulfilling their duty,
but they did it too directly, without mitigation, without preparing
people for shocking information.
Investigations into the situation revealed a systemic problem
of Soviet medicine — a shortage of disposable syringes and a lack
of basic sanitary standards. However, television focused on the fact
of infection, not on its cause. As a result, instead of condemning medical negligence, society saw children as "AIDS carriers."
The truth about the outbreak instantly created discrimination. Residents with posters reached out to the hospital of Elista:
"AIDS lives here", "Let's wash the Homeland of AIDS".
The victims and their families faced social isolation, job dismissals,
and the rejectionby relatives. The parents of the infected
were bullied. There were cases of suicide attempts. Children,
victims of a medical error,became social outcasts.
According to a 1989 survey, 13% were in favor of "eliminating"
the infected, and 24% were in favor of their complete isolation.
Journalists faced a classic conflict of professional ethics: truthfulness against minimisation of harm. The publication saved thousands
of lives: the government launched the creation of AIDS centers throughout the USSR and established the production of disposable syringes,
but at the same time destroyed the lives of specific families.
This story shows that the ethical choice is not limited to the equation
"to report or to remain silent." It's a choice of how to inform.
In such a situation, journalists should focus not on the shocking wording
of the fact, but on its context and explanation. Instead of an isolated
report about the number of cases, it was important to immediately
identify the causes of what was happening and emphasize that this was not a spontaneous threat, but a systemic problem within the medical institution. An expert assessment on the central TV program,
with the participation of a specialist who could explain the mechanism
of infection and reduce anxiety, could play a significant role. Delayed publication of key details would also be a more cautious strategy, with priority given to containment of the situation and informing about
security measures rather than immediately spreading potentially frightening information.
A journalist should be able to predict the consequences of their words.
A real professional priority in an ethically difficult situation is not
to absolutize one principle, but to find a balance that allows one
to tell the truth without turning it into a weapon against those
it is formed to protect. Elista’s tragedy showed that the truth without context is more dangerous than lies. Publicity saved the country from
an epidemic, but destroyed the lives of 75 children as individuals.
At the same time, there is an opposing view in the professional
community, according to which it is not the open reporting of facts
that harms journalism, but rather their omission or distortion.
As part of our work on this topic, we spoke with Yulia Strelets,
a special correspondent for the news department at the St. Petersburg
TASS News Bureau, who shared her perspective on the relationship between truthfulness, harm, and professional limitations
in the editorial process:
"If we tell the truth and provide as much factual information
as possible, there is usually no harm. We report on causes
and effects of events without making value judgments, just presenting the facts. If an official has stolen something, we write about it directly.
The problems arise when information is withheld or distorted. In this case,journalism's core mission — to reflect reality — is undermined.
However, the absence of pre-censorship does not mean that there
are no restrictions. In journalism, there has always been a filter
for information. Today, this filter takes the form of self-censorship,
which is the awareness of legal and ethical boundaries.
This is not a ban, but a professional measure of responsibility".
Yulia Strelets,
a special correspondent for the news department at the St. Petersburg TASS News Bureau