June 2001

Grant Results


From 1998 to 1999, Pyramid Communications, Seattle, conducted media outreach effort promoting an efficient and effective public health system. The effort centered around the nationwide release of the movie, A Civil Action.

The book on which the movie was based focused on a lawsuit brought by families in Woburn, Mass., for environmental pollution allegedly linked to a cluster of cancers in the community. The movie, while focusing on the plaintiffs' lawyer's story, also focused on the environmental health risks, not the public health system as a whole.

This project addressed concerns within RWJF's Turning Point program — a national program to promote the reorganization of state and local public health agencies — that the film's extensive media coverage would neglect the issue of broader, system-wide efforts to change public health agencies.

The attention created by this film presented an opportunity to educate the media about the modern threats to public health.

Key Results

  • Working with staff at the Turning Point national program office, Pyramid conducted extensive research in four areas of public health:
    • Tuberculosis.
    • Hepatitis A.
    • E. coli.
    • Waterborne disease.

    They compiled statistics in four states selected as key to this effort — Virginia, Illinois, Oklahoma, and Louisiana.

    Pyramid researched general public health statistics nationally through the:
    • Centers for Disease Control and Prevention (CDC).
    • The Association of State and Territorial Health Officials (ASTHO).
    • The Agency for Toxic Substances and Disease Registry (ATSDR), part of the U.S. Department of Health and Human Services (DHHS).

    Pyramid also identified experts in the public health field to speak about each of the four health areas in the four states.
  • Pyramid developed an outreach packet (press kit) that included:
    • A cover letter.
    • A public health background piece.
    • A list of key messages and talking points for Turning Point representatives and reporters.
    • A series of op-ed pieces.
    • An action guide (designed to be useful beyond the Civil Action campaign).
    • A glossy ad for placement in newspapers and newsletters.
    • Letters to the editor tailored for specific audiences and publications in all 14 Turning Point states.
    • Press materials and state-specific examples of the four targeted states describing real-life cases of public health incidents occurring within the past four years.

    After identifying target media outlets in print, radio, and television, Pyramid distributed press kits to approximately 500 reporters and faxed an abbreviated version of the packet to 500 more. A press release was placed on HealthWire, a specialized news source used by Business Wire, a large, national source for news release dissemination.

    Although 1,000 reporters were provided with the press kits, few indicated a wish to feature this angle exclusively and many expressed only mild interest in the op-ed piece.

    Many reporters and radio personalities said they would keep the press kit on file for future stories. The Turning Point projects found the outreach packets useful for work with their state coalitions. (See the Bibliography for media coverage.)
  • Finding a high level of skepticism among public health officials about media interest in public health and a reluctance to take a proactive approach to the media, Pyramid recommended:
    • A media or presentation-skills training program to help Turning Point grantees become more comfortable in a proactive relationship with reporters.
    • The strengthening of relationships between state public health agencies and Turning Point grantees.

RWJF supported the project with a grant of $74,786 between December 1998 and January 1999.

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Project to Promote the Public Health System with the Media


Pyramid Communications (Seattle,  WA)

  • Amount: $ 74,786
    Dates: December 1998 to January 1999
    ID#:  036240


John Hoyt
(206) 374-7788

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(Current as of date of this report; as provided by grantee organization; not verified by RWJF; items not available from RWJF.)

News Conferences and Briefings

News Conference organized January 27, 1999, in Norfolk, Va., by the National Association of County and City Health Officials (NACCHO), a Norfolk Turning Point partner, on exploring the public health system and the efforts being undertaken in Prince William, Va., to avoid tragedies (such as Woburn, Mass.) in the community. Attendees included members of the Prince William Partnership for Health, as well as local government and health officials.

Press Kits and News Releases

A press kit (outreach packet) was mailed to 500 reporters (and abbreviated versions to 500 other journalists) that included the following materials: cover letter; public health background information; list of key messages and talking points; op-ed pieces (both national and specialized); an action guide (handbook for community activists); a glossy ad; state-specific examples of public health incidents that had occurred within the past 4 years; and a series of letters to the editor (tailored for specific audiences and publications in the 14 Turning Point states).

Press release placed on HealthWire, a specialized news source for Business Wire.

Print Coverage

"Movie Used to Promote Public Health," in The Trenton Times, (Trenton, N.J.), January 9, 1999.

"New Ways to Boost Health: Grant of $20,000 Fills in Gaps," in Potomac News, January 28, 1999.

"Turning Point: Health Talk," front page photo and caption, in Manassas Journal Messenger (Manassas, Va.), January 28, 1999.

"Public Health Issues Need Holistic Approach," editorial in Manassas Journal Messenger, January 31, 1999.

"'Civil Action': Could It Happen Again?" in Billings Gazette, Billings, Mont., February 2, 1999.

Radio Coverage

"Sunday Edition," interview with Neil Hann, Turning Point spokesperson and director of the Office of Public Health Innovation (which coordinates the Oklahoma Turning Point Initiative) and Dr. Mike Crutcher, State Epidemiologist, Oklahoma State Department of Health, KTOK-AM, ABC Radio, Oklahoma City, Okla., Sunday, January 17, 1999.

"Tony Macrini Show," a live interview with Valerie Stallings, spokesperson for the Norfolk Turning Point partnership, WNIS-AM, CBS Radio, Norfolk, Va., Tuesday, January 19, 1999.

"Heart of the Matter," a taped interview with Bobbie Berkowitz, Turning Point National Director, National Public Radio (NPR), National Syndicate, Wednesday, January 20, 1999.

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Report prepared by: Jan Hempel
Reviewed by: David Kales
Reviewed by: Molly McKaughan
Program Officer: Paul A. Tarini