A new study from the University of Miami Public Health Policy Lab and the AHF Global Public Health Institute sheds light on why public trust broke down during the COVID-19 pandemic—and what can be done to rebuild it before the next health emergency.

Drawing on interviews with government, academic, and private-sector leaders across Florida, the study found that distrust in public health grew due to a lack of transparency, political tensions, and inconsistent communication. At the same time, many Floridians felt that protecting the economy and individual rights were positioned in conflict with public health measures, fueling resistance to masks, business closures, and eventually, vaccines.

While the analysis focuses on Florida, its lessons are relevant nationwide, pointing to common challenges that hindered cooperation across the United States.

Participants identified five priority areas to rebuild trust and improve future responses:

• Transparency: Clear, accessible data and no censorship of health experts.
• Representation: Including the private sector in planning and decision-making.
• Communication: Consistent, calm, culturally relevant messaging delivered by trusted voices.
• Education: Stronger long-term science education to support informed choices.
• Balance: Protecting health while respecting economic realities and personal freedoms.

The authors stress that restoring trust does not mean abandoning science. Instead, it requires meeting communities where they are, respecting diverse values, and framing public health as something that safeguards—not limits—both autonomy and economic security.

Full text available here: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1686011/full

The University of Miami Public Health Policy Lab is dedicated to advancing an equitable world that is accountable for the health of all people. We seek to promote improved global health through three pillars: research, advocacy, and education for evidence-based solutions. The Policy Lab was established in 2022 by Professor and Chair Emeritus José Szapocznik, Ph.D., and since August 2024 is directed by Professor Ana Palacio, M.D., MPH.

The AHF Global Public Health Institute develops and advocates for evidence-based policy change to create a more equitable and effective global health architecture. With a focus on infectious diseases and health systems, our work addresses critical gaps in global health security, equity, governance, law, and finance. The AHF Global Public Health Institute is part of the AIDS Healthcare Foundation. Visit our website for more information: ahfinstitute.org

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