Community resilience in Walkerton, Canada: Sixteen years post-outbreak

The implications of a public health emergency on a community may be devastating and long-term. The severity of the implications depends on the gravity of the emergency and the capacity of individuals and communities to respond to and recover from its effects. However, the long-term implications of emergencies are often excluded from disaster management research making it difficult to determine whether communities are truly able to achieve and maintain resilience post-crisis. This interdisciplinary, qualitative study examined the impacts of the May 2000 Escherichia coli outbreak in Walkerton, Canada sixteen years post-outbreak on the present-day resilience status of the community. Semi-structured interviews and focus groups were conducted with a purposeful sample of 29 Walkerton community members. The data were transcribed verbatim and coded using conventional content analysis to identify themes inductively. The study's findings reveal the importance of various elements of the social capital dimension in facilitating (i.e., capacity building, positive perspective) and hindering (i.e., ongoing health effects) the community's collective resilience status today both directly and indirectly. Some elements, including local economy, local government, rural community characteristics, preparedness, and reputation act as both facilitators and barriers to the social capital component of community resilience. The findings from this work are critical for designing preparedness and recovery programs for emergency situations, particularly in rural communities. They also suggest disaster management program plans and strategies for rural communities should encompass a proactive, long-term, community-centered approach integrating social capital.