{"id":12125,"date":"2022-08-28T19:10:42","date_gmt":"2022-08-28T09:10:42","guid":{"rendered":"https:\/\/rationalemagazine.com\/?p=12125"},"modified":"2022-08-28T19:12:20","modified_gmt":"2022-08-28T09:12:20","slug":"misinformation-the-common-thread-between-pandemics","status":"publish","type":"post","link":"https:\/\/rationalemagazine.com\/index.php\/2022\/08\/28\/misinformation-the-common-thread-between-pandemics\/","title":{"rendered":"Misinformation: The common thread between pandemics"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Since health officials confirmed the first COVID-19 cases, <\/span><a href=\"https:\/\/apnews.com\/article\/coronavirus-pandemic-misinformation-health-433991ea434e12ccfdf97b5db415310d\"><span style=\"font-weight: 400;\">misinformation<\/span><\/a><span style=\"font-weight: 400;\"> has spread just as quickly as the virus. <\/span><a href=\"https:\/\/theconversation.com\/big-tech-has-a-vaccine-misinformation-problem-heres-what-a-social-media-expert-recommends-164987\"><span style=\"font-weight: 400;\">Social media<\/span><\/a><span style=\"font-weight: 400;\"> may have made the amount, variety and speed of misinformation seem unprecedented, but COVID-19 isn\u2019t the first pandemic where false and harmful information has set back public health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Misinformation altered how people trusted their governments and doctors during the <\/span><a href=\"https:\/\/www.publicaffairsbooks.com\/titles\/laura-spinney\/pale-rider\/9781610397681\/\"><span style=\"font-weight: 400;\">1918 influenza pandemic<\/span><\/a><span style=\"font-weight: 400;\">. It fueled the <\/span><a href=\"https:\/\/www.publicaffairsbooks.com\/titles\/laura-spinney\/pale-rider\/9781610397681\/\"><span style=\"font-weight: 400;\">19th century smallpox anti-vaccine movements<\/span><\/a><span style=\"font-weight: 400;\"> through some of the same arguments as those currently used against the COVID-19 vaccine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What sets the COVID-19 pandemic apart, however, is the sheer magnitude of damaging disinformation put in circulation around the world. Data shows that regions and countries where disinformation thrived experienced more lethal pandemic waves despite vaccine availability.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the U.S., for example, <\/span><a href=\"https:\/\/bfi.uchicago.edu\/working-paper\/2020-44\/\"><span style=\"font-weight: 400;\">viewership of a Fox News program<\/span><\/a><span style=\"font-weight: 400;\"> that downplayed the pandemic is associated with increased COVID-19 cases and deaths. Similarly <\/span><a href=\"https:\/\/doi.org\/10.3389%2Ffpubh.2021.813941\"><span style=\"font-weight: 400;\">in Romania<\/span><\/a><span style=\"font-weight: 400;\">, disinformation is a contributing factor to the <\/span><a href=\"https:\/\/www.cnn.com\/2021\/11\/22\/europe\/romania-covid-19-vaccine-skepticism-intl-cmd\/index.html\"><span style=\"font-weight: 400;\">country\u2019s disastrous fourth<\/span><\/a><span style=\"font-weight: 400;\"> wave of COVID-19.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The problem of misinformation has been so widespread that it has its own word: <\/span><a href=\"https:\/\/www.merriam-webster.com\/words-at-play\/words-were-watching-infodemic-meaning\"><span style=\"font-weight: 400;\">\u2018infodemic\u2019<\/span><\/a><span style=\"font-weight: 400;\">, a portmanteau of \u2018information\u2019 and \u2018epidemic\u2019. Coined by journalist David Rothkopf during the 2003 SARS outbreak, it describes a situation where \u201ca few facts, mixed with fear, speculation and rumor, are amplified and relayed swiftly worldwide by modern information technologies.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Infodemics can affect economies, politics, national security and public health. The COVID-19 infodemic became such a problem that the Royal Society and the British Academy released an October 2020 report noting its significant impact on vaccine deployment, endorsing legislation that prosecutes those who spread misinformation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a researcher who studies HIV and lived through the AIDS pandemic, I felt a sense of d\u00e9j\u00e0 vu as COVID-19 disinformation spread. In the 40 years since the emergence of AIDS, society has learned how to cope with the disease with more effective diagnostics, treatments and preventive strategies, transforming AIDS from a lethal condition to a chronic disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, there are striking parallels between the HIV\/AIDS and COVID-19 pandemics that show the dire consequences disinformation can have on both patients and society as a whole.<\/span><\/p>\n<h3><b>Denying the existence of a virus or a pandemic<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">There are people who <\/span><a href=\"https:\/\/www.cnn.com\/2020\/12\/08\/health\/us-coronavirus-tuesday\/index.html\"><span style=\"font-weight: 400;\">deny the existence of COVID-19<\/span><\/a><span style=\"font-weight: 400;\">. There are <\/span><a href=\"https:\/\/www.reuters.com\/article\/factcheck-covid-rna\/fact-check-sars-cov-2-has-been-isolated-and-its-complete-genome-has-been-sequenced-idUSL1N2LS27P\"><span style=\"font-weight: 400;\">abundant claims<\/span><\/a><span style=\"font-weight: 400;\"> on social media that the virus that causes COVID-19 has never been isolated, or it is insufficiently characterized. Others do not contest the existence of COVID-19, but <\/span><a href=\"https:\/\/www.reuters.com\/article\/uk-factcheck-coronavirus-common-cold-idUSKBN2142MC\"><span style=\"font-weight: 400;\">ignore the severe consequences of infection<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In general, these groups tend to also <\/span><a href=\"https:\/\/theconversation.com\/germ-theory-denialism-is-alive-and-well-and-taking-the-nuance-out-of-scientific-debate-163408\"><span style=\"font-weight: 400;\">deny germ theory<\/span><\/a><span style=\"font-weight: 400;\">, claiming that infectious diseases are not caused by pathogens like viruses and bacteria. Instead, they <\/span><a href=\"https:\/\/www.popsci.com\/health\/germ-theory-terrain-theory\/\"><span style=\"font-weight: 400;\">promote the idea<\/span><\/a><span style=\"font-weight: 400;\"> that pathogens don\u2019t cause disease, but rather are a consequence of it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Likewise, some denied the role of the HIV virus in AIDS infection. AIDS denialist Peter Duesberg was one person who disseminated this misinformation, which had been <\/span><a href=\"https:\/\/doi.org\/10.1126\/science.7992043\"><span style=\"font-weight: 400;\">refuted by the scientific community at large<\/span><\/a><span style=\"font-weight: 400;\">. But his erroneous claim still reached the then president of the Republic of South Africa, Thabo Mbeki, who banned the use of lifesaving antiretrovirals in public hospitals. This decision resulted in the <\/span><a href=\"https:\/\/www.hsph.harvard.edu\/news\/magazine\/spr09aids\/\"><span style=\"font-weight: 400;\">deaths of over 330,000 people<\/span><\/a><span style=\"font-weight: 400;\"> from HIV\/AIDS between 2000 and 2005.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mbeki\u2019s decision was considered so damaging that scientists and physicians worldwide signed the <\/span><a href=\"https:\/\/doi.org\/10.1038\/35017662\"><span style=\"font-weight: 400;\">Durban Declaration<\/span><\/a><span style=\"font-weight: 400;\">, reiterating that HIV indeed causes AIDS and urging Mbeki to reconsider his decision. While the government did <\/span><a href=\"https:\/\/www.theguardian.com\/world\/2006\/oct\/28\/southafrica.aids\"><span style=\"font-weight: 400;\">reverse the ban<\/span><\/a><span style=\"font-weight: 400;\"> after strong international political pressure, the damage had been done.<\/span><\/p>\n<h3><b>Gain of function claims<\/b><\/h3>\n<p><a href=\"https:\/\/theconversation.com\/why-gain-of-function-research-matters-162493\"><span style=\"font-weight: 400;\">Gain of function experiments<\/span><\/a><span style=\"font-weight: 400;\"> involve manipulating a pathogen to understand what contributes to its ability to cause disease. At the same time, such experiments can give pathogens new abilities, such as making viruses more transmissible or more dangerous to humans. Conspiracy theorists have <\/span><a href=\"https:\/\/doi.org\/10.1038\/d41586-021-02903-x\"><span style=\"font-weight: 400;\">made claims<\/span><\/a><span style=\"font-weight: 400;\"> that the COVID-19 virus resulted from alterations to a bat version of the virus that gave it the ability to replicate in human cells.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But these claims ignore several key <\/span><a href=\"https:\/\/doi.org\/10.1016%2Fj.cell.2021.08.017\"><span style=\"font-weight: 400;\">facts about the COVID-19 virus<\/span><\/a><span style=\"font-weight: 400;\">, including that all coronaviruses from bats can infect humans without additional adaptation. The mutations that increased the transmissibility of COVID-19 occurred after it started circulating in people, resulting in even more infectious variants.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">HIV also saw <\/span><a href=\"https:\/\/doi.org\/10.1097%2F01.qai.0000209897.59384.52\"><span style=\"font-weight: 400;\">conspiracy theories<\/span><\/a><span style=\"font-weight: 400;\"> claiming that it was created in a lab for genocide. But research has shown that HIV also naturally evolved from an animals. African non-human primates are natural hosts to a vast group of viruses collectively called <\/span><a href=\"https:\/\/doi.org\/10.1007\/s11904-009-0034-8\"><span style=\"font-weight: 400;\">simian immunodeficiency viruses (SIV)<\/span><\/a><span style=\"font-weight: 400;\">. Despite their high rates of SIV infection in the wild, these primate hosts typically don\u2019t experience symptoms or progress to AIDS. Throughout the evolutionary history of SIV, <\/span><a href=\"https:\/\/doi.org\/10.1126\/science.1080657\"><span style=\"font-weight: 400;\">jumping to a new host species<\/span><\/a><span style=\"font-weight: 400;\"> involved naturally occurring genetic changes over the course of thousands of years.<\/span><\/p>\n<h3><b>Miracle cures<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">During a public health crisis, researchers and health officials are learning about a disease in real time. While missteps are expected, these can be perceived by the public as hesitation, incompetence or failure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As researchers looked for possible COVID-19 treatments, others were offering their own unproven drugs. <\/span><a href=\"https:\/\/doi.org\/10.1056\/nejmoa2023184\"><span style=\"font-weight: 400;\">Multiple treatments<\/span><\/a><span style=\"font-weight: 400;\"> for COVID-19, including ivermectin and hydroxychloroquine, <\/span><a href=\"https:\/\/doi.org\/10.1016%2Fj.cmi.2022.01.008\"><span style=\"font-weight: 400;\">were tested and abandoned<\/span><\/a><span style=\"font-weight: 400;\">. But not before large amounts of time, effort and money were spent on disproving claims that these were supposed miracle treatments.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1056\/NEJM200106073442306\"><span style=\"font-weight: 400;\">Similarly for HIV<\/span><\/a><span style=\"font-weight: 400;\">, frustration and anxiety from a continued lack of available treatments amid rising deaths led to fraudulent cures, with price tags of tens of thousands of dollars.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even though treatment delays and changing guidelines are a natural process of learning about a new diseases as it unfolds, they can open the door to disinformation and <\/span><a href=\"https:\/\/www.latimes.com\/opinion\/story\/2022-01-20\/unvaccinated-covid-patients-healthcare-workers-turnover-burnout\"><span style=\"font-weight: 400;\">generate distrust in doctors<\/span><\/a><span style=\"font-weight: 400;\"> even as they care for infected patients.<\/span><\/p>\n<h3><b>Preventing misinfodemics<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The next pandemic is not a question of if but when and where it will occur. Just as important as devising ways to detect emerging viruses is developing strategies to address the misinfodemics that will follow them. The recent <\/span><a href=\"https:\/\/www.npr.org\/sections\/goatsandsoda\/2022\/08\/05\/1115859376\/clearing-up-some-of-the-myths-that-have-popped-up-about-monkeypox\"><span style=\"font-weight: 400;\">monkeypox outbreak<\/span><\/a><span style=\"font-weight: 400;\"> has already seen similar spread of mis- and disinformation about its source and spread.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As author <\/span><a href=\"https:\/\/www.worldcat.org\/title\/autumn-of-the-patriarch\/oclc\/878792383\"><span style=\"font-weight: 400;\">Gabriel Garcia Marquez<\/span><\/a><span style=\"font-weight: 400;\"> once said, \u201cA lie is more comfortable than doubt, more useful than love, more lasting than truth.\u201d Countering misinformation is difficult, because there are <\/span><a href=\"https:\/\/doi.org\/10.1038\/s44159-021-00006-y\"><span style=\"font-weight: 400;\">reasons other than ignorance<\/span><\/a><span style=\"font-weight: 400;\"> for why someone believes in a falsehood.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In those cases, presenting the facts may not be enough, and may sometimes even result in someone doubling down on a false belief. But focusing on urgent scientific and medical needs to the exclusion of rapidly addressing misinformation can derail pandemic control. Strategies that take misinformation into account can help other pandemic control measures be more successful.<\/span><\/p>\n<p><b><i>This article was originally published in <\/i><\/b><a href=\"https:\/\/theconversation.com\/misinformation-is-a-common-thread-between-the-covid-19-and-hiv-aids-pandemics-with-deadly-consequences-187968\"><b>The Conversation<\/b><\/a><b><i>. It is republished under Creative Commons.<\/i><\/b><\/p>\n<p><em><strong>Photo by <a href=\"https:\/\/unsplash.com\/photos\/U7rwm4WmIPA\">\u00d6mer Y\u0131ld\u0131z<\/a> on Unsplash.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Since health officials confirmed the first COVID-19 cases, misinformation has spread just as quickly as the virus. Social media may<\/p>\n","protected":false},"author":570,"featured_media":12126,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[65],"tags":[321,354,365],"coauthors":[450],"class_list":["post-12125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science-health","tag-conspiracy-theories","tag-covid","tag-misinformation"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/posts\/12125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/users\/570"}],"replies":[{"embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/comments?post=12125"}],"version-history":[{"count":2,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/posts\/12125\/revisions"}],"predecessor-version":[{"id":12130,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/posts\/12125\/revisions\/12130"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/media\/12126"}],"wp:attachment":[{"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/media?parent=12125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/categories?post=12125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/tags?post=12125"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/rationalemagazine.com\/index.php\/wp-json\/wp\/v2\/coauthors?post=12125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}