Jul 252020
 

As if on cue! Following my recent CFI article “The Truth About Covid Parties” and Squaring the Strange podcast episode on ‘covid parties,’ titled “Tonight We’re Gonna Party Like It’s Covid 1999” there’s a news article suggesting they’ve been confirmed!

A July 10 WOAI/KABB news story from San Antonio, Texas headlined “‘I thought this was a hoax’: Patient in their 30s dies after attending COVID party,” begins: “A patient in their 30s died from the coronavirus after attending what is known as a ‘COVID party,’ according to health care officials. Chief Medical Officer of Methodist Healthcare Dr. Jane Appleby said the idea of these parties is to see if the virus is real….According to Appleby, the patient became critically ill and had a heartbreaking statement moments before death.”

Sounds pretty grim, and for more details on this covid party death we can watch an accompanying video statement by Dr. Appleby: “I don’t want to be an alarmist, and we’re just trying to share some real-world examples to help our community realize that this virus is very serious and can spread easily. I heard a heartbreaking story this week: We cared for a thirty-year-old patient at Methodist Hospital who told their nurse that they’d attended a ‘covid party.’ This is a party held by somebody diagnosed with the covid virus and the thought is that people get together and to see if the virus is real and if anyone gets infected. Just before the patient died, they looked at their nurse and said, ‘I think I made a mistake. I thought this was a hoax, but it’s not.’ This is just one example of a potentially avoidable death of a member of our community and I can’t imagine the loss of the family.”

This is not breaking news but instead classic folklore (a friend-of-a-friend or FOAF) tale presented in news media as fact. The news story and headline presents the comment “I thought this was a hoax,” implicitly attributed to Dr. Appleby. But if you actually read past the headline and watch the video, she’s quoting what she was told that an anonymous patient told his (or her) anonymous nurse—just before the patient’s death. It’s an anonymous third-hand story with nary a verifiable name or claim to be found.

The “deathbed conversion” is a classic legend trope, and the explicitly-worded rebuttal (to those who might doubt that the virus exists) is both convenient and suspicious. It’s also interesting that covid-19 and covid parties are being conflated in the journalism. According to Dr. Appleby’s anonymous informant, the goal of the party is not specifically to intentionally spread the virus (which is the explicit goal of alleged covid parties) but instead “to see if the virus is real and if anyone gets infected.” In other words the topic is less whether the “covid parties” referenced in the headline are a “hoax,” but whether the covid-19 virus (SARS-CoV-2) is itself a hoax.

It is not, and frankly it’s hard to imagine anyone who genuinely thinks that the virus is fictional and doesn’t exist. Many people believe that the extent of the pandemic has been exaggerated for political purposes by the news media and others, and other people think that the virus is less severe than often claimed, perhaps only as bad as the flu. But who in the world would think that the virus itself is a “hoax”? The answer, according to Dr. Appleby, is the patient she refers to and unnamed others who allegedly threw a party thinking that the outcome would somehow settle the question.

Dr. Appleby’s story could, of course, be true, and it’s possible that in the coming days and weeks we will learn the name of the patient who died from attending a covid party (and/or the nurse who heard the patient’s dying regrets). Note that there’s no need to offer any identifying information about the patient, thus violating HIPAA rules. The nurse who (allegedly) had the first-person discussion could come forward to discuss the incident without violating any patient confidentiality agreements. More likely, however, this is a news story reporting a rumor as fact, and if anything it reinforces, not undermines, the idea that covid parties are largely or wholly fictional.

 
Jul 222020
 

Recent rumors and news reports have circulated claiming that COVID-19 is being spread intentionally in clandestine “covid parties.” In mid-March, Kentucky governor Andy Beshear made national headlines when he stated that part of the rise in coronavirus infections in his state was due to parties in which people tried their best to get sick. 

“We are battling for the health and even the lives of our parents and our grandparents. Don’t be so callous as to intentionally go to something and expose yourself to something that can kill other people. We ought to be much better than that,” he said in a news conference. News media widely carried the story, including CNN and NPR. A press release stated that authorities were “receiving reports of Covid-19 parties occurring in our community, where non-infected people mingle with an infected person in an effort to catch the virus.”

Confirmation that the parties were not only real but spreading came in the form of reports from Washington state, where Walla Walla’s “Meghan DeBolt, director of the county’s Department of Community Health, told the Union-Bulletin that contact tracing has revealed that some people who have newly tested positive had attended parties with the idea that it might be better to get sick with the virus and get it over with,” DeBolt told The Seattle Times.  

And then just last week came news from Alabama that college students had recently organized covid parties “as a contest to see who would get the virus first, officials said. Tuscaloosa City Councilor Sonya McKinstry said students hosted the parties to intentionally infect each other with the new coronavirus, news outlets reported. McKinstry said party organizers purposely invited guests who tested positive for COVID-19. She said the students put money in a pot and whoever got COVID first would get the cash.”

So what’s going on? Is this a genuine public health threat? 

To answer the question we can look at it from different perspectives, including media literacy, critical thinking, and folklore. There are elements of journalism, rumor, conspiracy, anti-vaccination fears, and medical misinformation. 

A Closer Look

The idea of intentionally being exposed to a disease in order to become immune to it—assuming, of course, you survive it—has been around for centuries and is the premise behind inoculation and vaccination (in which small, inactive doses of a disease trigger the body to produce defenses). 

There’s an important difference, however: Vaccinations are given specifically to prevent diseases; the idea is that hopefully you won’t get the disease at all. But these covid parties are intended to make sure the person contracts the disease (for most adults it’s not clear why actually getting sick from a potentially lethal disease would be any better at one time instead of risking getting sick at another time in the future; there’s hardly a “convenient” time to be bedridden—and possibly hospitalized—for weeks).  

Part of it traces back to anti-vaccination fears, which are closely related to conspiracy theories about COVID-19 and other diseases. There was vehement resistance to the very first vaccine, created for smallpox in the late 1700s. When the public learned that the vaccine was created by taking pus from the wounds of infected cows and giving it to humans, they were disgusted by the idea; some even believed that the vaccination could actually turn people (especially children) into cows! In England, vaccination deniers formed an Anti-Vaccination League in 1853, followed by the Anti-compulsory Vaccination League in 1867. These groups claimed that the smallpox vaccine was dangerous, ineffective, and represented not only a conspiracy but an infringement on personal rights by the government and medical establishment (this may sound familiar).

Such fears over smallpox vaccination have been long since disproven—the vaccination was both safe and effective—but the distrust and fearmongering continue to this day. Before vaccines were available, some parents held “pox parties” in which kids were encouraged to play with others who had chicken pox, measles, and other childhood diseases. They were especially popular in the 1970s and 1980s, though are today often promoted by anti-vaccination groups. 

Events in which people are deliberately exposed to diseases in place of vaccinations are a bad idea for several reasons, including as noted that the whole point of getting a vaccine is that you don’t get sick in the first place.

Of course, vaccination—like any medical intervention, drug, or therapy—isn’t perfect and doesn’t offer absolute protection. Some people who are fully vaccinated will still get the disease (albeit with typically milder symptoms and for a shorter duration), and some people who don’t get vaccinated won’t get the disease anyway (for any number of reasons, ranging from a strong immune system to simply not being exposed to a contagious person). But overall, on a population level, the scientific evidence is clear and convincing that vaccines are safe and effective. In the case of COVID-19, there is as yet no available vaccine, so there’s no safe way to expose someone to the coronavirus that doesn’t endanger their health. 

A Bad Idea…

It’s also important to remember that—unlike common cold or influenza—there seems to be lingering damage to the body long after apparent recovery from COVID-19. In stark contrast to Trump’s recent claim that “99% of infections” are “totally harmless” (a statement universally disputed by medical experts), though it’s true that statistically most people recover after surviving a bout with the disease, many report debilitating aftereffects. 

As an article in Forbes noted, “rapid recovery has not been the experience of thousands—perhaps tens of thousands—of patients worldwide who’ve been classified as ‘mild cases.’ Many struggle for months with lingering Covid-19 symptoms that can be debilitating. They exhibit shortness of breath, extreme fatigue, intermittent fevers, cough, concentration issues, chest pressure, headaches, and heart palpitations, among other symptoms.” A study of 1,622 “mildly symptomatic” Covid-19 patients found that “Nearly 88% of patients reported persistent intense fatigue, while almost three out of four had continued shortness of breath. Other enduring symptoms included, among other things, chest pressure (45% of patients), headache and muscle ache (40% and 36%, respectively), elevated pulse (30%), and dizziness (29%). Perhaps the most startling finding was that 85% of the surveyed patients considered themselves healthy prior to getting Covid-19. One or more months after getting the disease, only 6% consider themselves healthy.”

It would be one thing if COVID-19 patients could expect to endure a week or two of bedridden misery and then bounce back to where they were, fully recovered and newly immune. But that’s not the case; though most of those infected eventually survive the disease, the following months of aches, fatigue, and shortness of breath are unlikely to be worth it. Far better to protect yourself than to deliberately infect yourself. 

…That Probably Doesn’t Work Anyway

In any event, “covid parties” are unlikely to be effective anyway, for logistical reasons. Assuming you have a willing and potentially infectious patient (who’s not bedridden or in a hospital), it’s impossible for non-doctors to establish the person’s viral load—that is, the amount of contagious particles in a given volume of an infected person’s fluids (such as saliva or sneeze droplets). 

The basics of transmission are pretty well understood, and universal for upper respiratory infections: coughing, sneezing, and so on. Once droplets are expelled from the patient, they can enter other people by various routes: most easily by inhalation, but also indirectly through a person touching an item (say, a doorknob or elevator button) and then carrying that to their mouth, nose, or eyes. There are other ways as well, such as food contamination (sneezing on a salad bar, for example). 

A viral load varies from person to person, and how far along they are in the disease symptoms. But researchers don’t yet fully understand the mechanisms of COVID-19 infection. Sunlight kills the virus and air currents disperse it, making outdoor contact safer than indoor exposure. The recommended social distance metric of six feet isn’t a magic number, but merely an educated guess about how close people can be and minimize the risk. That doesn’t mean that you can’t catch it from someone twenty feet away (or someone who’s now long gone), and that doesn’t mean that you’re certain to catch it if you’re closer, or even kissing. There are many, many variables involved, including health of the patient, the amount of virus the person is exposed to, for how long, and so on. The point is that even under controlled, laboratory conditions, there’s little certainty about COVD-19’s transmissibility and thus health officials will err on the side of caution. 

Anti-vaccination groups—not known for their respect of medicine, its findings, or the recommendations derived therefrom—typically resort to unproven, ad hoc infection measures, such as merely being in the same room as an infected person, or in some cases sharing lollipops for example. Most people, anti-vaxx or not, aren’t eager to eat food that strangers have coughed or sneezed on. 

Not only does being around a sick person not guarantee you’ll get sick, but of course the person may not even have COVID-19 in the first place. Many respiratory diseases can have similar symptoms; if you or your child has a cold, they’re probably infected by a rhinovirus, not a coronavirus, so you’re not doing anyone any favors by giving them a cold or flu—and not conferring any immunity to COVID-19, which was the whole point. It is a direct violation of the first rule of medicine: “First, do no harm.” 

Whether any “covid parties” were actually held, there were many accidental ones in which people became infected (and in some cases died) from attending a party with an infected person. This fact should not, however, be taken as evidence that covid parties are an effective way to catch the virus; instead, it’s a case of selection bias. The cases in which people came down with the virus after parties are ones which are of course reported in news media; parties in which people gathered during the pandemic and no one became infected (for any number of reasons, including that no one present had the virus or that precautions including wearing masks and social distancing were taken, and so on) are non-events and therefore not newsworthy or notable. There’s simply no way to know with any certainty what the chances are of any given person contracting the disease. When you add in well-documented confounding factors such as asymptomatic carriers and vagaries of testing (including incomplete testing, false positives and false negatives, and so on), the whole premise of such parties is dubious. 

Statistics, Media Literacy, and ‘Bug Chasers’

So are the covid parties “real”? It’s hard to say, and depends on what you mean by “real.” There may be a few rare, isolated cases of people getting together to do that, but in any event it’s not common nor medically sanctioned. 

It’s also important to apply media literacy to the claims: News media routinely exaggerate and sensationalize claims such as these, eager to identify the latest dangerous “hidden trend” among the reckless for their audiences. 

For example in February 2003 Rolling Stone magazine published an article about “bug chasers,” men who try to become infected with HIV/AIDS by having unprotected sex with men known to be infected. An article titled “In Search of Death” claimed that trying to become infected with AIDS was a new craze sweeping the country. It featured an interview with an anonymous man, a 32-year-old New York City resident named “Carlos,” who claimed to be one of many thousands of people intentionally spreading the deadly disease. The article not only claimed that the practice was going on, but also that it was a significant contributor to the AIDS epidemic, with a startling 25% of all new HIV infections in gay men caused by bug chasing—that is, people who wanted to get the virus. 

Gay advocacy groups and AIDS activists were outraged at the sensationalistic reporting; GLAAD issued a statement that the piece “sends a dangerous, inaccurate message that is already being exploited by the anti-gay right.” A piece in the British Medical Journal set the record straight: “Rolling Stone says that its data came from an interview with Bob Cabaj, director of behavioral health services at San Francisco’s department of public health. But immediately after the piece was published, Cabaj asserted that he never mentioned any figures on the prevalence of bug chasing. In a letter to Rolling Stone, which was forwarded to the BMJ, Cabaj wrote: ‘I did not have data, as I explained to the [Rolling Stone] author, but was saying it was probably more common than people wanted to think.’ And in an interview with Newsweek Cabaj distanced himself even further from the widely quoted prevalence data: ‘I never said that [it was 25%]. And when the fact checker called me and asked me if I said that, I said no. I said no. This is unbelievable.’” 

2006 study in the journal AIDS Education and Prevention by Christian Grov and Jeffrey Parsons of internet profiles concluded that while there are probably people who actively seek out HIV infection, they are very rare and that “a sizeable portion [of those] were not intent on spreading HIV.” That is, some non-infected gay men may seek partners of a different serostatus (i.e., HIV-infected)—but when they do, the purpose is not to get infected with the virus, nor to spread it to others. 

From a folkloric perspective these rumors can be understood as disease legends. Diane Goldstein, in her book Once Upon a Virus: AIDS Legends and Vernacular Risk Perception, notes that “The construction of the infected individual as morally deficient… occurs with regularity in relation to epidemic diseases. The more virulent diseases become, the more likely it is that certain groups and individuals will be seen as responsible for the threat on community welfare.” Goldstein discusses various false rumors circulating about people who deliberately infected others with AIDS, such as “AIDS Mary” and “AIDS Harry” stories, as well as fears about AIDS-infected needles placed in telephone coin return slots (though such rumors often resurface, this latter version is unlikely to return any time soon).

The Non-Epidemic of Covid Parties

So what about the widely-reported recent covid parties in Kentucky, Washington, and Alabama? 

Well, evidence of the coronavirus parties that Kentucky governor Andy Beshear mentioned never materialized, and Beshear never provided any follow up information or details on what, exactly, he was referring to. 

The reports from Washington state turned out to be a mistake. As The New York Times reported, “officials retracted those comments and said the so-called Covid-19 parties may have been more innocent gatherings. Meghan DeBolt, the director of community health for Walla Walla County, said county officials were learning more about the cases that have emerged from the recent social gatherings. She said they were still hearing reports of parties where infected people were present but do not have evidence that the people who became ill after the gatherings had attended out of a desire to be exposed.” In other words, young people were recklessly gathering at parties—something happening all across the country and having nothing to do with covid parties. 

The Alabama covid party story was soon debunked as well. As a refreshingly skeptical Wired article noted: “Tuscaloosa fire chief Randy Smith told the city council that his department had heard about parties ‘where students or kids would come in with known positives.’ It sounded like just a rumor, Smith said, but ‘not only did the doctors’ offices help confirm it, but the state also confirmed they had the same information.’ You’ll notice immediately that Smith didn’t say anything about people trying to get sick, let alone betting on who could do it first. So why is everyone saying that’s what happened? The notion seems to have originated with McKinstry, who shared it with ABC News after the meeting. It’s not clear whether McKinstry had a source for this idea, and she did not reply to WIRED’s request for comment. The Alabama Department of Health responded with a statement that it ‘has not been able to verify such parties have taken place.’ It’s not even clear that the fire chief had it right about kids going to parties while knowing they were sick.”

“Covid parties” made the news again in mid-July, when a doctor at a Texas hospital gave interviews to national news media that seemed to confirm the dire threat of the reckless events. A July 10 WOAI/KABB news story from San Antonio, Texas headlined “‘I thought this was a hoax’: Patient in their 30s dies after attending COVID party,” begins: “A patient in their 30s died from the coronavirus after attending what is known as a ‘COVID party,’ according to health care officials. Chief Medical Officer of Methodist Healthcare Dr. Jane Appleby said the idea of these parties is to see if the virus is real….According to Appleby, the patient became critically ill and had a heartbreaking statement moments before death.”

More details on this apparent “covid party death” appear in an accompanying video statement by Dr. Appleby: “I don’t want to be an alarmist, and we’re just trying to share some real-world examples to help our community realize that this virus is very serious and can spread easily. I heard a heartbreaking story this week: We cared for a thirty-year-old patient at Methodist Hospital who told their nurse that they’d attended a ‘covid party.’ This is a party held by somebody diagnosed with the covid virus and the thought is that people get together and to see if the virus is real and if anyone gets infected. Just before the patient died, they looked at their nurse and said, ‘I think I made a mistake. I thought this was a hoax, but it’s not.’ This is just one example of a potentially avoidable death of a member of our community and I can’t imagine the loss of the family.”

This is not breaking news but instead classic folklore (a friend-of-a-friend or FOAF) tale. The news story and headline presents the comment “I thought this was a hoax,” implicitly attributed to Dr. Appleby. But if you read past the headline and watch the video, she’s quoting what she was told that an anonymous patient told his (or her) anonymous nurse—just before the patient’s death. It’s an anonymous third-hand story with nary a verifiable name or claim to be found.

The “deathbed conversion” is a classic legend trope, and the explicitly-worded rebuttal (to those who might doubt that the virus exists) is both convenient and suspicious. It’s also interesting that covid-19 and covid parties are being conflated in the journalism. According to Dr. Appleby’s anonymous informant, the goal of the party is not specifically to intentionally spread the virus—as noted, the explicit goal of alleged covid parties—but instead “to see if the virus is real and if anyone gets infected.” In other words the topic is less whether the “covid parties” referenced in the headline are a “hoax,” but whether the covid-19 virus (SARS-CoV-2) is itself a hoax.

It’s hard to imagine anyone who genuinely thinks that the virus is fictional and doesn’t exist. Many people believe that the extent of the pandemic has been exaggerated for political purposes by the news media and others, and some think that the virus is less severe than often claimed, perhaps only as bad as the flu. But who in the world would think that the virus itself is a “hoax”? The answer, according to Dr. Appleby, is the patient she refers to and unnamed others who allegedly threw a party thinking that the outcome would somehow settle the question.

Dr. Appleby’s story could, of course, be true, and it’s possible that in the coming days and weeks we will learn the name of the patient who died from attending a covid party (and/or the nurse who heard the patient’s dying regrets). More likely, however, this is a news story reporting a rumor as fact, and if anything it reinforces, not undermines, the idea that covid parties are largely or wholly fictional.

The reports have all the typical ingredients of unfounded moral panic rumors: anonymous sources sharing stories and warnings online, soon legitimized by local officials (teachers, police, school districts, governors, etc.) who publicize the information out of an abundance of caution. Journalists eagerly run with a sensational story, and there’s little if any sober or skeptical follow-up. 

It’s only one of many concerns that cycle through news and social media on a regular basis. The alleged threats include poisoned Halloween candy, suicide-inducing online games, Satanists, caravans of diseased migrantsevil clowns, and many others. 

Covid parties, per se, are largely a media myth, but that doesn’t mean that someone, somewhere, may not be doing it or could do it. The question is not whether it’s possible, as all urban legends and rumors are inherently possible—and at least plausible enough to share. Hours after a hapless expert publicly avers that covid parties “don’t exist,” one could be arranged, thus “proving” the expert wrong. But the essence of the rumor is instead that clandestine covid parties are a Thing, being organized and sure to soon menace public health. In that regard there’s no evidence whatsoever of any covid parties.

In a world of 7.5 billion people—60% of whom are online—some tiny percentage of them will inevitably share common interests in strange, illegal, or destructive behaviors (ranging from murder for hire to sexual fetishes and even cannibalism). Of those, some small percent will get together in real life to enact them. The issue is less “Has this ever happened?” or “Could this happen?” but instead “Even if it has happened, is it a prevalent or significant threat that ordinary people should be concerned about, or take steps to prevent?” 

There are more than enough real threats and dangers associated with COVID-19; we don’t need to create new ones. Hoaxes, misinformation, and rumors can cause real harm during public health emergencies; as always, best inoculations against misinformation are critical thinking, media literacy, and skepticism.

We also devoted an episode of Squaring the Strange to the topic; you can listen HERE. 

 

A longer version of this article appeared on my CFI blog; you can find it HERE.

Jul 152020
 

The twin plagues of COVID-19 and racism have come to the fore globally over the past few months, and as with any such afflictions there’s a social desire to scapegoat, finding someone (or some group) to blame. Parallels between the pandemic and racism are not hard to find. Earlier this month George Clooney referred to racism as America’s “pandemic,” for which we must find a “vaccine.” Street protesters as well can be seen holding signs encouraging people to “Treat Racism Like COVID-19.” 

The two are analogous in some ways, prompting some anti-vaccination crusaders to compare themselves to pioneering Civil Rights leaders, seeing themselves as victims of social injustice who will no longer be silent. As MacKenzie Mays noted in a September 2019 piece for Politico: “A chorus of mostly white women sang the gospel song ‘We Shall Overcome’ in the California State Capitol, an anthem of the civil rights movement. Mothers rallied outside the governor’s office and marched through Capitol corridors chanting “No segregation, no discrimination, yes on education for all!’ Some wore T-shirts that read ‘Freedom Keepers.’ But this wasn’t about racial equality. In the nation’s most diverse state, protesters opposed to childhood vaccine mandates — many from affluent coastal areas — had co-opted the civil rights mantle from the 1960s, insisting that their plight is comparable to what African Americans have suffered from segregationist policies. Assemblywoman Sydney Kamlager-Dove said, ‘The whole conversation around vaccinations is actually one about privilege and opportunity. It’s a personal choice. It’s a luxury to be able to have a conversation about medical exemptions and about whether or not you think your child should be vaccinated.” However passionate Jenny McCarthy is, she’s no Rosa Parks. 

Racism and Anti-Vaccination

René F. Najera, editor of the College of Physicians of Philadelphia’s History of Vaccines website, recently examined the cross-pollination of racism and anti-vaccination efforts, highlighting an incident that came to the attention of the California Asian Pacific Islander Legislative Caucus (APILC), which “denounced racist online postings from anti-vaccine people. One of those people is Rob Schneider, an actor and comedian who at one time had a television series on Netflix. This is not Mr. Schneider’s first foray into the cultural discussion on vaccination … The posts denounced by APILC includes Mr. Schneider’s comparison of Richard Pan, MD, to Mao Zedong, founder of the People’s Republic of China and author of several atrocities within China and the expansion of Communism around China’s sphere of influence in the post-World War 2 era. Dr. Pan is a child of Taiwanese immigrants to the United States. (This is apparently not the first time Mr. Schneider has engaged in questionable racial speech that some deem to be racist.) In another post denounced by APILC, ‘Christine Lee’ posted a photoshopped poster of members of the California Legislature who have Asian heritage. In the text of the posting, she asks several leading questions, such as ‘Notice anything else about them?’ after pointing out that they are ‘all doctors-turned-politicians.’ (The implication being that they are all of Asian descent?) The final posting being denounced is that of ‘Cathy S-R,’ a self-described ‘Doctor of Chiropractic, medical freedom supporter, informed consent, dog/cat lover.’ In her posting to Twitter, she asks Dr. Pan if he is an American citizen [and] then contradicts her initial insinuation about Dr. Pan’s citizenship by stating that Dr. Pan ‘[m]ake [his] country proud.’” 

It’s not just Asians, of course—though prejudice toward them has increased with their association with COVID-19 and its origin in Wuhan, China. University of Wisconsin-Eau Claire professor David Shih notes that “People of color have been long associated with disease and public health pandemics. In the United States alone, the history of racialization cannot be separated from the discourse of non-white bodily or mental illness … I would like to focus on black Americans, and the influential story told about them by a single man, Frederick L. Hoffman. Hoffman was an actuary for the Prudential Life Insurance Company when he published Race Traits and Tendencies of the American Negro (1896). The 330-page document argued that black people should not be insured because they were a greater risk for mortality compared to other racial groups. Their lower life expectancies were directly related, Hoffman explained, to inferior, inherited racial traits which promised their eventual extinction as a people. Flawed as it was and critiqued by no less than W.E.B. DuBois in its day, Hoffman’s diagnosis was widely adopted by the insurance industry and went on to shape public debate over the ‘Negro question’ … Blackness was, quite simply, a public health problem. One of the reasons why we are not talking about the anti-vaccination movement as white is because we talk about geography and social class instead. These demographic characteristics often stand in as proxies for race, which is more controversial.” 

Nevertheless, race does occasionally come to the fore. In The Kiss of Death: Contagion, Contamination, and Folklore, professor Andrea Kitta examines the characteristics of well-known “patient zeros and superspreaders” of various diseases, including Mary Mallon (“Typhoid Mary”), Amber Vinson (the Texas nurse who contracted Ebola in 2014), and Chong Pei Ling (SARS victim in 2003). Notably, “of the thirteen cases listed, only four are ‘white’” (p. 34). The perceived link between nonwhite skin and contagion is clear and helps form the basis for initiatives to close America’s borders. The fear of foreigners and immigrants bringing disease to the country was of course raised a few years ago when a Fox News contributor suggested without evidence that a migrant caravan from Honduras and Guatemala coming through Mexico carried leprosy, smallpox, and other dreaded diseases. This claim was quickly debunked. For more on COVID-19 racist conspiracies, see my previous article in this series. 

New Age, Holistic Healers, and Conspiracies

Conspiracy theories are common among alternative medicine proponents—who often portray themselves as marginalized medical professionals denied the imprimatur of mainstream medicine—and some bleed over into racism. One prominent proponent is Kelly Brogan, a “holistic psychiatrist” who has gathered a huge following online for her dangerous theories about COVID-19, made in interviews and a series of videos. 

Brogan invokes Jewish history and the Holocaust in her arguments against vaccination, “suggesting the possibility that the US government is planning to ‘link our passports with our vaccination records’ as a method of gaining ‘totalitarian governmental control not unlike the divide-and-conquer dehumanization agendas that preceded the Holocaust.’” Brogan, associated with Gwyneth Paltrow’s New Age company Goop, was found to have misstated her credentials. On her website, she claimed that she was board certified in psychiatry and psychosomatic medicine/consultation psychiatry, but a search of records found that she was not; after an investigation by The Daily Beast, Brogan quietly deleted the references to her certifications. 

On social media, Brogan has shared videos with titles such as “Vaccine Conspiracy or Racist Population Control Campaign,” a 2014 video from anti-vaccination activist Celesta McGovern reprising longstanding rumors about attempts to sterilize Africans. The claims were soon debunked on the Science-Based Medicine website but have continued to circulate widely. There are many examples of racism in medicine, but the campaign Brogan highlights is, ironically, not among them. 

Many other alternative medicine and holistic websites also promote anti-vaccination conspiracies. NaturalNews, Mike “The Health Ranger” Adams, and others, for example, have widely shared bogus “news” stories attempting to discredit mainstream science, with headlines such as “Tetanus vaccines found spiked with sterilization chemical to carry out race-based genocide against Africans.” It’s all thrown into a toxic stew of misinformation about the dangers of vaccines, GMOs, cell phones, you name it. 

Like all conspiracy theories, these rumors and stories have a superficial plausibility, and gain traction by tapping into deep-seated—and often legitimate—concerns and fears. There is of course a long and well-documented history of racism in medicine, from the Tuskegee Experiments beginning in the 1930s to disparate healthcare treatment. When two French doctors recently suggested that a tuberculosis vaccine should be tested on Africans to see if it could be effective against COVID-19, the comments were denounced as racist and relics of a colonial past by the head of the World Health Organization (WHO). “Shouldn’t we do this study in Africa, where there are no masks, no treatment, no resuscitation, a bit like some studies on AIDS, where among prostitutes, we try things, because they are exposed, and they don’t protect themselves?” asked physician Jean-Paul Mira. The WHO called the comments “appalling” and said that any WHO-led vaccine testing will follow the same standards regardless of where it’s done. 

Folklorist Patricia Turner, in her book I Heard It Through the Grapevine: Rumor in African-American Culture, observes that “African-American mistrust of governmental agencies is not without merit … Official disrespect for the bodies of African-Americans has a long history in this country” (p. 112). Medicalized racism is real, harmful, and a serious problem, but that doesn’t mean that any given wild conspiracy theory is true.

Brogan’s attempt to paint the medical establishment as racist is ironic given her own history of promoting conspiracy theorist David Icke—who claims among many other things that Barack Obama is a Reptilian (when not spewing racist tropes). As The New York Times noted, “Mr. Icke draws on ideas from the anti-Semitic pamphlet The Protocols of the Elders of Zion, argues that Holocaust denial should be taught in schools and that Jews are responsible for organizing anti-Semitic attacks, and calls the Talmud a racist document. In other writings, he has posited that a cabal of a child-sacrificing, bloodthirsty lizard people, many of whom are Jewish, are secretly running the world.” 

In a March 20, 2020, post, Brogan encouraged her followers to “listen through to the end [of an interview with Icke] to learn how to remain calm and manifest the impossible.” Regarding COVID-19, she states that in fact “there is potentially no such thing as the coronavirus.” Brogan seems to decry racism conspiracy when it serves her anti-vaccination purposes, and promote racism conspiracy—or at least those who do—when it suits her.

Anti-vaccination wellness influencers such as Brogan are also actively sharing conspiracy theories from far-right groups such as QAnon about COVID-19. A recent Mother Jones article found that “Some have fused wellness hoaxes and pseudoscientific homeopathic treatments with QAnon and other far-right conspiracies. One such notable influencer is Joseph Arena, a chiropractor who uses the title ‘Dr.’ and has more than 40,000 followers. Arena has pushed explicit QAnon theories about massive pedophile rings run by the deep state on his Instagram account and has directed his followers to pro-QAnon pages to find ‘the truth.’… Dr. Shiva Ayyadurai, a biology PhD [with] nearly 100,000 followers, pushes QAnon-styled conspiracies about “deep state” [including] that the coronavirus is a tool for the ‘deep state’ in ‘consolidating its Power using its protected class of Hollywood & Academic whores.’”

Plandemic 

The recent Plandemic video is laden with conspiracies and hints darkly at motivations in its attacks on Dr. Anthony Fauci and Bill Gates. For example, as to the claims made about Fauci in Plandemic, former New York police officer Mitch Danzig, notes in an article for The Jewish Journal that “The NIAID, under Fauci’s leadership since 1984, provides dozens of grants to labs researching infectious diseases. These grants weren’t awarded to work on COVID-19. Many were, however, awarded to perform work on SARS, which spread across the world in 2003. The NIAID also didn’t give the funds directly to the Wuhan Institute. The grants were given instead to the EcoHealth Alliance, which invests in health research globally that led to at least 20 research papers on pre-COVID-19 coronaviruses published over the past six years. The grant referenced in these breathless, innuendo-filled stories about Fauci also wasn’t the first awarded by the NIAID to the EcoHealth Alliance. The NIAID has been providing grants to EcoHealth Alliance to fund infectious disease research projects all over the world, including in Chinese institutes, since 2005. This ‘smoking gun’ that Fauci conspiracy theorists keep touting is about as big a ‘Nothing Burger’ as one can imagine. But it is about as demonstrative of the claim that Fauci is responsible for COVID-19 as pointing to a specific Jew being the president of CBS as ‘proof’ that the ‘Jews control the media.’ To say that these conspiracy theories about Gates and Fauci, which often are promoted by a cohort of anti-vaxxers as well as anti-Semites, are specious and baseless, is to be kind.” 

Anti-vaccination advocates are of course not alone in spreading medical misinformation for social and political purposes; anti-abortion groups have been known to spread false rumors about contraception being secretly given instead of tetanus vaccines to women in developing countries. 

The protests about race relations and reopening the country are also being shared and eagerly amplified for political purposes by America’s enemies. In a Washington Post piece, Ishaan Tharoor noted that along with American citizens watching the racial rioting and protests, “America’s putative foreign adversaries also are watching. ‘This incident is far from the first in a series of lawless conduct and unjustified violence from U.S. law enforcement,’ the Russian Foreign Ministry said in a statement, adding to the Kremlin’s long history of pointing to human rights abuses in the United States. ‘American police commit such high-profile crimes all too often.’ Officials in Iran did the same, calling out racial injustice in America. ‘If you’re dark-skinned walking in the US, you can’t be sure you’ll be alive in the next few minutes,’ read a tweet from an account associated with Ayatollah Ali Khamenei, Iran’s supreme leader, which was accompanied by a video that detailed the horrific history of slavery in the United States. And then there was China. Already locked in a spiraling geopolitical confrontation with Washington, officials in Beijing seized on the protests to push back against the Trump administration’s assertive messaging on Hong Kong, a city whose unique autonomy is being dramatically curtailed by China.” China in particular is especially sensitive to the widespread criticism of its early handling of the COVID-19 outbreak, and its leaders may feel a sense of schadenfreude in America’s troubles. 

Who’s spurring the racial protests? Conspiracies point to any number of people, including rich Jewish businessmen such as George Soros who are allegedly hiring fake protesters. (In fact, this has been debunked.) Who’s spreading COVID-19? Rich liberals such as Bill Gates, hoping to become even richer. (In fact, this also has been debunked.)

Not all alternative medicine proponents are anti-vaccine, of course, just as not all anti-vaccination activists are conspiracy theorists, right-wing, racist, or all three. However, it’s not surprising that a Venn diagram reveals considerable overlap among the worldviews. Conspiracy is inherent in anti-vaccination belief, because Big Pharma has allegedly invested untold fortunes in keeping the “truth” about vaccines from public knowledge.

People across the political spectrum believe conspiracy theories, and they all share a common worldview, one which is fundamentally distrustful of authority and anti-establishment. All pride themselves on being independent thinkers, a special breed of “woke” folk who are smart enough to separate themselves from the sheeple and not be swayed by what “They” want you to think. Theirs is a world in which world events are part of a Master Plan orchestrated by a Jewish cabal, the Illuminati, Bill Gates, Big Pharma, or whoever else. 

Racism, conspiracy thinking, and the rejection of science are all toxic problems, made worse when combined with the chaos and uncertainty of a pandemic. Fortunately, these are all learned behaviors that can be conquered. The best inoculations against misinformation are critical thinking, media literacy, and skepticism.

 

A longer version of this piece first appeared on the Center for Inquiry’s Coronavirus Resource Page; you can find it HERE. 

Jun 162020
 

The twin plagues of COVID-19 and racism have come to the fore globally over the past few months, and as with any such afflictions there’s a social desire to scapegoat, finding someone (or some group) to blame. Parallels between the pandemic and racism are not hard to find. Earlier this month George Clooney referred to racism as America’s “pandemic,” for which we must find a “vaccine.” Street protesters as well can be seen holding signs encouraging people to “Treat Racism Like COVID-19.” 

The two are analogous in some ways, prompting some anti-vaccination crusaders to compare themselves to pioneering Civil Rights leaders, seeing themselves as victims of social injustice who will no longer be silent. As MacKenzie Mays noted in a September 2019 piece for Politico: “A chorus of mostly white women sang the gospel song ‘We Shall Overcome’ in the California State Capitol, an anthem of the civil rights movement. Mothers rallied outside the governor’s office and marched through Capitol corridors chanting “No segregation, no discrimination, yes on education for all!’ Some wore T-shirts that read ‘Freedom Keepers.’ But this wasn’t about racial equality. In the nation’s most diverse state, protesters opposed to childhood vaccine mandates — many from affluent coastal areas — had co-opted the civil rights mantle from the 1960s, insisting that their plight is comparable to what African Americans have suffered from segregationist policies. Assemblywoman Sydney Kamlager-Dove said, ‘The whole conversation around vaccinations is actually one about privilege and opportunity. It’s a personal choice. It’s a luxury to be able to have a conversation about medical exemptions and about whether or not you think your child should be vaccinated.” However passionate Jenny McCarthy is, she’s no Rosa Parks. 

Racism and Anti-Vaccination

René F. Najera, editor of the College of Physicians of Philadelphia’s History of Vaccines website, recently examined the cross-pollination of racism and anti-vaccination efforts, highlighting an incident that came to the attention of the California Asian Pacific Islander Legislative Caucus (APILC), which “denounced racist online postings from anti-vaccine people. One of those people is Rob Schneider, an actor and comedian who at one time had a television series on Netflix. This is not Mr. Schneider’s first foray into the cultural discussion on vaccination … The posts denounced by APILC includes Mr. Schneider’s comparison of Richard Pan, MD, to Mao Zedong, founder of the People’s Republic of China and author of several atrocities within China and the expansion of Communism around China’s sphere of influence in the post-World War 2 era. Dr. Pan is a child of Taiwanese immigrants to the United States…. In another post denounced by APILC, ‘Christine Lee’ posted a photoshopped poster of members of the California Legislature who have Asian heritage. In the text of the posting, she asks several leading questions, such as ‘Notice anything else about them?’ after pointing out that they are ‘all doctors-turned-politicians.’ (The implication being that they are all of Asian descent?) The final posting being denounced is that of ‘Cathy S-R,’ a self-described ‘Doctor of Chiropractic, medical freedom supporter, informed consent, dog/cat lover.’ In her posting to Twitter, she asks Dr. Pan if he is an American citizen [and] then contradicts her initial insinuation about Dr. Pan’s citizenship by stating that Dr. Pan ‘[m]ake [his] country proud.’” 

It’s not just Asians, of course—though prejudice toward them has increased with their association with COVID-19 and its origin in Wuhan, China. University of Wisconsin-Eau Claire professor David Shih notes that “People of color have been long associated with disease and public health pandemics. In the United States alone, the history of racialization cannot be separated from the discourse of non-white bodily or mental illness … I would like to focus on black Americans, and the influential story told about them by a single man, Frederick L. Hoffman. Hoffman was an actuary for the Prudential Life Insurance Company when he published Race Traits and Tendencies of the American Negro (1896). The 330-page document argued that black people should not be insured because they were a greater risk for mortality compared to other racial groups. Their lower life expectancies were directly related, Hoffman explained, to inferior, inherited racial traits which promised their eventual extinction as a people. Flawed as it was and critiqued by no less than W.E.B. DuBois in its day, Hoffman’s diagnosis was widely adopted by the insurance industry and went on to shape public debate over the ‘Negro question’ … Blackness was, quite simply, a public health problem. One of the reasons why we are not talking about the anti-vaccination movement as white is because we talk about geography and social class instead. These demographic characteristics often stand in as proxies for race, which is more controversial.” 

Nevertheless, race does occasionally come to the fore. In The Kiss of Death: Contagion, Contamination, and Folklore, professor Andrea Kitta examines the characteristics of well-known “patient zeros and superspreaders” of various diseases, including Mary Mallon (“Typhoid Mary”), Amber Vinson (the Texas nurse who contracted Ebola in 2014), and Chong Pei Ling (SARS victim in 2003). Notably, “of the thirteen cases listed, only four are ‘white’” (p. 34). The perceived link between nonwhite skin and contagion is clear and helps form the basis for initiatives to close America’s borders. The fear of foreigners and immigrants bringing disease to the country was of course raised a few years ago when a Fox News contributor suggested without evidence that a migrant caravan from Honduras and Guatemala coming through Mexico carried leprosy, smallpox, and other dreaded diseases. This claim was quickly debunked. For more on COVID-19 racist conspiracies, see my previous article in this series. 

New Age, Holistic Healers, and Conspiracies

Conspiracy theories are common among alternative medicine proponents—who often portray themselves as marginalized medical professionals denied the imprimatur of mainstream medicine—and some bleed over into racism. One prominent proponent is Kelly Brogan, a “holistic psychiatrist” who has gathered a huge following online for her dangerous theories about COVID-19, made in interviews and a series of videos. 

Brogan invokes Jewish history and the Holocaust in her arguments against vaccination, “suggesting the possibility that the US government is planning to ‘link our passports with our vaccination records’ as a method of gaining ‘totalitarian governmental control not unlike the divide-and-conquer dehumanization agendas that preceded the Holocaust.’” Brogan, associated with Gwyneth Paltrow’s New Age company Goop, was found to have misstated her credentials. On her website, she claimed that she was board certified in psychiatry and psychosomatic medicine/consultation psychiatry, but a search of records found that she was not; after an investigation by The Daily Beast, Brogan quietly deleted the references to her certifications. 

On social media, Brogan has shared videos with titles such as “Vaccine Conspiracy or Racist Population Control Campaign,” a 2014 video from anti-vaccination activist Celesta McGovern reprising longstanding rumors about attempts to sterilize Africans. The claims were soon debunked on the Science-Based Medicine website but have continued to circulate widely. There are many examples of racism in medicine, but the campaign Brogan highlights is, ironically, not among them. 

Many other alternative medicine and holistic websites also promote anti-vaccination conspiracies. NaturalNews, Mike “The Health Ranger” Adams, and others, for example, have widely shared bogus “news” stories attempting to discredit mainstream science, with headlines such as “Tetanus vaccines found spiked with sterilization chemical to carry out race-based genocide against Africans.” It’s all thrown into a toxic stew of misinformation about the dangers of vaccines, GMOs, cell phones, you name it. 

Like all conspiracy theories, these rumors and stories have a superficial plausibility, and gain traction by tapping into deep-seated—and often legitimate—concerns and fears. There is of course a long and well-documented history of racism in medicine, from the Tuskegee Experiments beginning in the 1930s to disparate healthcare treatment. When two French doctors recently suggested that a tuberculosis vaccine should be tested on Africans to see if it could be effective against COVID-19, the comments were denounced as racist and relics of a colonial past by the head of the World Health Organization (WHO). “Shouldn’t we do this study in Africa, where there are no masks, no treatment, no resuscitation, a bit like some studies on AIDS, where among prostitutes, we try things, because they are exposed, and they don’t protect themselves?” asked physician Jean-Paul Mira. The WHO called the comments “appalling” and said that any WHO-led vaccine testing will follow the same standards regardless of where it’s done. 

Folklorist Patricia Turner, in her book I Heard It Through the Grapevine: Rumor in African-American Culture, observes that “African-American mistrust of governmental agencies is not without merit … Official disrespect for the bodies of African-Americans has a long history in this country” (p. 112). Medicalized racism is real, harmful, and a serious problem, but that doesn’t mean that any given wild conspiracy theory is true.

Brogan’s attempt to paint the medical establishment as racist is ironic given her own history of promoting conspiracy theorist David Icke—who claims among many other things that Barack Obama is a Reptilian (when not spewing racist tropes). As The New York Times noted, “Mr. Icke draws on ideas from the anti-Semitic pamphlet The Protocols of the Elders of Zion, argues that Holocaust denial should be taught in schools and that Jews are responsible for organizing anti-Semitic attacks, and calls the Talmud a racist document. In other writings, he has posited that a cabal of a child-sacrificing, bloodthirsty lizard people, many of whom are Jewish, are secretly running the world.” 

In a March 20, 2020, post, Brogan encouraged her followers to “listen through to the end [of an interview with Icke] to learn how to remain calm and manifest the impossible.” Regarding COVID-19, she states that in fact “there is potentially no such thing as the coronavirus.” Brogan seems to decry racism conspiracy when it serves her anti-vaccination purposes, and promote racism conspiracy—or at least those who do—when it suits her.

Anti-vaccination wellness influencers such as Brogan are also actively sharing conspiracy theories from far-right groups such as QAnon about COVID-19. A recent Mother Jones article found that “Some have fused wellness hoaxes and pseudoscientific homeopathic treatments with QAnon and other far-right conspiracies. One such notable influencer is Joseph Arena, a chiropractor who uses the title ‘Dr.’ and has more than 40,000 followers. Arena has pushed explicit QAnon theories about massive pedophile rings run by the deep state on his Instagram account and has directed his followers to pro-QAnon pages to find ‘the truth.’… Dr. Shiva Ayyadurai, a biology PhD [with] nearly 100,000 followers, pushes QAnon-styled conspiracies about “deep state” [including] that the coronavirus is a tool for the ‘deep state’ in ‘consolidating its Power using its protected class of Hollywood & Academic whores.’”

Plandemic 

The recent Plandemic video is laden with conspiracies and hints darkly at motivations in its attacks on Dr. Anthony Fauci and Bill Gates. For example, as to the claims made about Fauci in Plandemic, former New York police officer Mitch Danzig, notes in an article for The Jewish Journal that “The NIAID, under Fauci’s leadership since 1984, provides dozens of grants to labs researching infectious diseases. These grants weren’t awarded to work on COVID-19. Many were, however, awarded to perform work on SARS, which spread across the world in 2003. The NIAID also didn’t give the funds directly to the Wuhan Institute. The grants were given instead to the EcoHealth Alliance, which invests in health research globally that led to at least 20 research papers on pre-COVID-19 coronaviruses published over the past six years. The grant referenced in these breathless, innuendo-filled stories about Fauci also wasn’t the first awarded by the NIAID to the EcoHealth Alliance. The NIAID has been providing grants to EcoHealth Alliance to fund infectious disease research projects all over the world, including in Chinese institutes, since 2005. This ‘smoking gun’ that Fauci conspiracy theorists keep touting is about as big a ‘Nothing Burger’ as one can imagine. But it is about as demonstrative of the claim that Fauci is responsible for COVID-19 as pointing to a specific Jew being the president of CBS as ‘proof’ that the ‘Jews control the media.’ To say that these conspiracy theories about Gates and Fauci, which often are promoted by a cohort of anti-vaxxers as well as anti-Semites, are specious and baseless, is to be kind.” 

Anti-vaccination advocates are of course not alone in spreading medical misinformation for social and political purposes; anti-abortion groups have been known to spread false rumors about contraception being secretly given instead of tetanus vaccines to women in developing countries. 

The protests about race relations and reopening the country are also being shared and eagerly amplified for political purposes by America’s enemies. In a Washington Post piece, Ishaan Tharoor noted that along with American citizens watching the racial rioting and protests, “America’s putative foreign adversaries also are watching. ‘This incident is far from the first in a series of lawless conduct and unjustified violence from U.S. law enforcement,’ the Russian Foreign Ministry said in a statement, adding to the Kremlin’s long history of pointing to human rights abuses in the United States. ‘American police commit such high-profile crimes all too often.’ Officials in Iran did the same, calling out racial injustice in America. ‘If you’re dark-skinned walking in the US, you can’t be sure you’ll be alive in the next few minutes,’ read a tweet from an account associated with Ayatollah Ali Khamenei, Iran’s supreme leader, which was accompanied by a video that detailed the horrific history of slavery in the United States. And then there was China. Already locked in a spiraling geopolitical confrontation with Washington, officials in Beijing seized on the protests to push back against the Trump administration’s assertive messaging on Hong Kong, a city whose unique autonomy is being dramatically curtailed by China.” China in particular is especially sensitive to the widespread criticism of its early handling of the COVID-19 outbreak, and its leaders may feel a sense of schadenfreude in America’s troubles. 

Who’s spurring the racial protests? Conspiracies point to any number of people, including rich Jewish businessmen such as George Soros who are allegedly hiring fake protesters. (In fact, this has been debunked.) Who’s spreading COVID-19? Rich liberals such as Bill Gates, hoping to become even richer. (In fact, this also has been debunked.)

Not all alternative medicine proponents are anti-vaccine, of course, just as not all anti-vaccination activists are conspiracy theorists, right-wing, racist, or all three. However, it’s not surprising that a Venn diagram reveals considerable overlap among the worldviews. Conspiracy is inherent in anti-vaccination belief, because Big Pharma has allegedly invested untold fortunes in keeping the “truth” about vaccines from public knowledge—despite, of course, widespread knowledge of precisely such anti-vaccination claims. 

People across the political spectrum believe conspiracy theories, and they all share a common worldview, one which is fundamentally distrustful of authority and anti-establishment. All pride themselves on being independent thinkers, a special breed of “woke” folk who are smart enough to separate themselves from the sheeple and not be swayed by what “They” want you to think. Theirs is a world in which world events are part of a Master Plan orchestrated by a Jewish cabal, the Illuminati, Bill Gates, Big Pharma, or whoever else. 

Racism, conspiracy thinking, and the rejection of science are all toxic problems, made worse when combined with the chaos and uncertainty of a pandemic. Fortunately, these are all learned behaviors that can be conquered. The best inoculations against misinformation are critical thinking, media literacy, and skepticism.

 

This is the sixth in a series of original articles on the COVID-19 pandemic by the Center for Inquiry as part of its Coronavirus Resource Center, created to help the public address the crisis with evidence-based information. A different version of this article appeared there. 

You can find more on me and my work with a search for “Benjamin Radford” (not “Ben Radford”) on Vimeo, and please check out my podcast Squaring the Strange! 

 

Jun 062020
 

Last month, a YouTube video for an (apparently) upcoming documentary titled Plandemic was released by Mikki Willis (credited onscreen as “father/filmaker” [sic]). The video features a lengthy interview with virologist Judy Mikovits, who offers scattershot conspiracy-laden assertions about the “truth” behind the COVID-19 pandemic, prefaced by claims of having been framed for a crime (she was charged with theft in 2011) and accusations of government coverups going back decades involving various medical authorities, including Dr. Anthony Fauci. Willis’s voiceover gravely warns that “for exposing their deadly secrets, the minions of Big Pharma have waged war on Dr. Mikovits,” who in the film (and in her new best-selling book the video promotes) bravely reveals “the plague of corruption that places all human life in danger.”

Dozens of claims are made in the twenty-six-minute video, some of which are unverifiable—as conspiracy theories tend to be. But many statements made by Mikovits have been investigated and proven to be misleading or simply false.

Among its claims, the video suggests that a vaccine for the virus (which of course hasn’t been developed) will be mandatory; however, no one is forced to get medical treatment. If and when a vaccine is available, federal agents armed with automatic weapons in one hand and a syringe in the other aren’t going to be bursting through doors to forcibly vaccinate anyone—paranoid conspiracy fantasies to the contrary.

It’s now been several weeks since the video was widely shared on social media, and questions have been raised by reputable journalists for publications including The Washington Post and The Atlantic, as well as Politifact. For an expert and filmmaker who claim to have been censored and silenced (with social media platforms such as Facebook and YouTube removing the video for containing dangerous misinformation), Mikovits and Willis have been strangely silent about answering legitimate questions raised about their claims.

In an effort to clarify the matter, the Center for Inquiry reviewed the video and, in collaboration with researcher Dr. Paul Offit, composed a list of eight simple questions about claims made in the video. CFI contacted Mr. Willis, who agreed in writing to respond to our questions. The next day he was provided the questions below, thanked for his cooperation, and asked to reply.

1) The Plandemic video claims that face masks “activate” coronaviruses, including SARS-CoV-2; what scientific evidence do you have that the virus is more infectious for individuals wearing masks than for those not wearing masks?

2) The video promotes hydroxychloroquine as effective against the virus (despite elevated cardiac risks and several placebo-controlled studies finding no efficacy at all). Instead of being ignored or suppressed by the medical establishment, controlled clinical trials of the drug have been performed. What is the “thousands of pages of data” already demonstrating the drug’s safety and efficacy referred to in the video?

3) The video claims that vaccines increase the odds of getting the virus by 36 percent, referencing a study by Dr. Greg Wolff published in the journal Vaccine. But the study did not examine SARS-CoV-2, was found to have been flawed, and in any event didn’t find that vaccines increased the risk by 36 percent. In fact, that statistic doesn’t appear anywhere in the Wolff study. Can you explain this?

4) The video claims that during the COVID-19 outbreak, beaches should be opened to the public because “You’ve got … healing microbes in the ocean and the salt water.” However, considering that bacteria don’t kill viruses, how would “healing microbes” reduce or treat coronavirus infection?

5) The video claims that COVID-19 deaths are being inflated due to medical profiteering (supposed payments of $13,000 per diagnosed patient)—yet hospitals across the country are losing money (and support staff are being laid off) because lucrative elective procedures are being cancelled or delayed due to the pandemic. How do you explain this discrepancy?

6) The video claims that the plan is “to prevent the therapies until everyone is infected, then push the vaccines.” Yet no vaccines are available, and if everyone is infected then a vaccine wouldn’t be needed. If the pandemic were part of a scheme to sell a vaccine (or force it on the public), why wouldn’t it have been developed before the virus was released and before hundreds of thousands of potential customers (sure to pay anything to stay alive) had already died? Can you clarify your logic?

7) The video refers to censorship by news media and corporate scientists, claiming that “there is [sic] no dissenting voices allowed.” If that’s true, then how did Mikovits’s books get published? And, for example, how did Dr. Andrew Wakefield publish an article in the prestigious journal Lancet in 1998 claiming a (since-discredited) link between childhood vaccines and autism? After other researchers failed to replicate the findings, the study was retracted, but how could it have been published in the first place if the medical establishment effectively silences “dissenting voices” who challenge the “agreed-upon narrative”?

8) Plandemic repeatedly emphasizes the importance of independent thinking and considering different perspectives. Did you interview anyone who challenged Mikovits’s claims, and what research did you do as a filmmaker to independently verify her claims?

The Center for Inquiry waited several days for a response and then followed up with a query asking Willis to confirm he received the questions and would be offering answers as agreed to. It’s now been nearly a week, and no response has been forthcoming from anyone featured in (or representing) the video. This article will be updated when and if substantive answers are received.

If the claims made by Mikovits and Willis in Plandemic are based in truth and facts, you’d think they would be eager to offer evidence supporting their claims. What better way to turn the tables on scientists, skeptics, and journalists than to offer a referenced, fact-based, point-by-point rebuttal to critics who offer them a platform?

The video repeatedly emphasizes the importance of “considering different points of view” and asking questions, yet offers no other points of view that contradict or undermine Mikovits. Plandemic claims the medical community has a set narrative that refuses to answer opposing voices—and instead offers its own set narrative that refuses to answer opposing voices. Plandemic made many claims, most of which have been widely debunked. We have to wonder: Where are their responses? Why are they suddenly so quiet? Why are they afraid to answer questions? What do they have to hide?

May 152020
 

With all the recent news, here’s a timely passage from a recent article I wrote:

“One element of conspiracy thinking is that those who disagree are either stupid (gullible ‘sheeple’ who believe and parrot everything they see in the ‘mainstream media’) or simply lying (experts and journalists who know the truth but are intentionally misleading the public). This ‘If You Disagree with Me, Are You Stupid or Dishonest?’ worldview has little room for uncertainty or charity and misunderstands the situation. It’s not that epidemiologists and other health officials have all the data they need to make good decisions and projections about public health and are instead carefully considering ways to fake data to deceive the public. It’s that they don’t have all the data they need to make better predictions, and as more information comes in, the advice will get more accurate.”

You can read the piece HERE. 

 

You can find more on me and my work with a search for “Benjamin Radford” (not “Ben Radford”) on Vimeo, and please check out my podcast Squaring the Strange! 

Apr 292020
 

There’s a natural—almost Pavlovian—tendency to follow the news closely, especially during times of emergency such as wars, terrorism, and natural disasters. People are understandably desperate for information to keep their friends and family safe, and part of that is being informed about what’s going on. 

News and social media are awash with information about the COVID-19 pandemic. But not all the information is equally valid, useful, or important. Much of what’s shared on social media about COVID-19 is false, misleading, or speculative. That’s why it’s important to get information from reputable sources such as the Center for Inquiry (CFI), not random YouTube videos, health bloggers, conspiracy theorists, and so on.

It’s easy to become overwhelmed, and science-informed laypeople are likely suffering this information overload keenly, as we absorb the firehose of information from a wide variety of sources: from the White House to the CDC, and from conspiracy cranks to Goop contributors. It’s a never ending stream—often a flood—of information, and those charged with trying to sort it out are quickly inundated. As important as news is, there is such a thing as medical TMI.

We have a Goldilocks situation when it comes to COVID-19 material. There’s too little, too much, and just the right amount of information about the COVID-19 virus in the news and social media. This sounds paradoxical until we break down each type of information. 

Types of COVID-19 Information

In thinking about the COVID-19 outbreak and the deluge of opinion, rumor, and news out there, it’s helpful to parse out the different types of information. 

1) Information that’s true

This includes the most important, practical information—how to avoid it: Wash your hands, avoid crowds, don’t touch your face, sanitize surfaces, and so on. This type of information has been proven accurate and consistent since the outbreak began. This is of course the smallest category of information: mundane but vital. 

2) Information that’s false 

Information that’s false includes a wide variety of rumors, miracle cures, misinformation, and so on. The Center for Inquiry’s COVID-19 Resource Center has been set up precisely to help journalists and the public debunk this false information. The problem is made worse by the fact that Russian disinformation organizations—which have a long and proven history of sowing false and misleading information in social media around the world, and particularly in the United States—have seized on the COVID-19. 

As CNN reported recently, “Russian state media and pro-Kremlin outlets are waging a disinformation campaign about the coronavirus pandemic to sow ‘panic and fear’ in the West, EU officials have warned. … The European Union’s External Action Service, which researches and combats disinformation online, said in an internal report that since January 22 it had recorded nearly 80 cases of disinformation about the COVID-19 outbreak linked to pro-Kremlin media. ‘The overarching aim of Kremlin disinformation is to aggravate the public health crisis in Western countries, specifically by undermining public trust in national healthcare systems—thus preventing an effective response to the outbreak,’ according to the report. … The disinformation has targeted international audiences in English, Italian, Spanish, Arabic as well as Russian and other languages, the report states. European Commission spokesperson Peter Stano said the center has seen a ‘flurry’ of disinformation about the spread of novel coronavirus over the past weeks.” 

3) Speculation, opinion, and conjecture

In times of uncertainty, prediction and speculation are rampant. Dueling projections about the outbreak vary by orders of magnitude as experts and social media pundits alike share their speculation. Of course, epidemiological models are only as good as the data that goes into them and are based on many premises, variables, and numerous unknowns. 

Wanting to accurately know the future is of course a venerable tradition. But as a recent post on Medium written by an epidemiologist noted: “Here is a simple fact: every prediction you’ve read on the numbers of COVID-19 cases or deaths is almost certainly wrong. All models are wrong. Some models are useful. It is very easy to draw a graph using an exponential curve and tell everyone that there will be 10 million cases by next Friday. It is far harder to model infectious disease epidemics with any accuracy. Stop making graphs and putting them online. Stop reading the articles by well-meaning people who have no idea what they are doing. The real experts aren’t posting random Excel graphs on twitter, because they are working flat-out to try and get a handle on the epidemic.” 

4) Information that’s true but not helpful

Finally, there’s another, less-recognized category: information that is true but not helpful on an individual level, or what might be called “trivially true.” We usually think of false information being shared as harmful—and it certainly is—but trivially true information can also be harmful to public health. Even when it’s not directly harmful, it adds to the background of noise.

News media and social media are flooded with information and speculation that—even if accurate—is of little practical use to the average person. Much of the information is not helpful, useful, actionable, or applicable to daily life. It’s like in medicine and psychology what’s called “clinical significance”: the practical importance of a treatment effect—whether it has a real, genuine, palpable, and noticeable effect on daily life. A finding may be true, may be statistically significant, but be insignificant in the real world. A new medicine may reduce pain by 5 percent but nobody would create or market it because it’s not clinically significant; a 5 percent reduction in pain isn’t useful compared to other pain relievers with better efficacy. 

One example might include photos of empty store shelves widely shared on social media, depicting the run on supplies such as sanitizer and toilet paper. The information is both true and accurate; it’s not being faked or staged. But it’s not helpful, because it leads to panic buying, social contagion, and hoarding as people perceive a threat to their welfare and turn an artificial scarcity into a real one. 

Another example is Trump’s recent reference to the COVID-19 virus as “the China virus.” Ignoring the fact that diseases aren’t named for where they emerge, we can acknowledge that it’s technically accurate that, as Trump claimed, COVID-19 was first detected in China—and also that it’s not a relevant or useful detail. It doesn’t add to the discussion or help anyone’s understanding of what the disease is or how to deal with it. If anything, referring to it by other terms such as “the China virus” or “Wuhan flu” is likely to cause confusion and even foment racism.  

Before believing or sharing information on social media, ask yourself questions such as: Is it true? Is it from a reliable source? But there are other questions to ask: Even if it may be factually true, is it helpful or useful? Does it promote unity or encourage divisiveness? Are you sharing it because it contains practical information important to people’s health? Or are you sharing it just to have something to talk about, some vehicle to share your opinions about? The signal-to-noise ratio is already skewed against useful information, being drowned out by false information, speculation, opinion, and trivially true information.  

Social Media Distancing

While self-isolating from the disease (and those who might carry it) is vital to public health, there’s a less-discussed aspect: self-distancing from social media information on the virus, which is a form of social media hygiene. Six feet is enough distance in physical space, but doesn’t apply to cyberspace where viral misinformation spreads unchecked (until it hits this site).

The analogy between disease and misinformation is apt. Just as you can be a vector for a virus if you get and spread it, you can be a vector for misinformation and fear. But you can stop it by removing yourself from it. You don’t need hourly updates on most aspects of the pandemic. Most of what you see and read isn’t relevant to you. The idea is not to ignore important and useful information about the coronavirus; in fact, it’s exactly the opposite: to better distinguish the news from the noise, the relevant from the irrelevant. 

Doctors around the world have been photographed sharing signs that say “We’re at work for you. Please stay home for us.” That’s excellent advice, but we can take it further. While at home not becoming a vector for disease, also take steps not to become a vector for misinformation. After all, doing so can have just as much of an impact on public health. 

During a time when people are isolated, it’s cathartic to vent on social media. Humans are social creatures, and we find ways to connect even when we can’t physically. Especially during a time of international crisis, it’s easy to become outraged about one or another aspect of the pandemic. Everyone has opinions about what is (or isn’t) being done, what should (or shouldn’t) be done. Everyone’s entitled to those opinions, but they should be aware that those opinions expressed on social media have consequences and may well harm others, albeit unintentionally. Just as it feels good to physically hang out with other people (but may in fact be dangerous to them), it feels good to let off steam to others in your social circles (but may be dangerous to them). Your steam makes others in your feed get steamed too, and so on. Again, it’s the disease vector analogy. 

You don’t know who will end up seeing your posts and comments (such is the nature of “viral” posts and memes), and while you may think little of it, others may be more vulnerable. Just as people take steps to protect those with compromised immune systems, it may be wise to take similar steps to protect those with compromised psychological defenses on social media—those suffering from anxiety, depression, or other issues who are especially vulnerable at this time. 

This isn’t about self-censorship; there are many ways to reach out to others and share concerns and feelings in a careful and less public way through email, direct messaging, video calls, and even—gasp—good old fashioned letters. Like anything else, people can express feelings and concerns in measured, productive ways, ways that are more (or less) likely to harm others (referring to it as “COVID-19” instead of “the Chinese virus” is one example). 

Though the public loves to blame the news media for misinformation—and deservedly so—we are less keen to see the culprit in the mirror. Many people, especially on social media, fail to recognize that they have become de facto news outlets through the stories and posts they share. The news media helps spread myriad “fake news” stories—gleefully aided by ordinary people like us. We cannot control what news organizations (or anyone else) publishes or puts online. But we can—and indeed we have an obligation to—help stop the spread of misinformation in all its forms. 

It’s overwhelming; it’s too much. In psychology there’s what’s called the Locus of Control. It basically means the things which a person has control over: themselves, their immediate family, their pets, most aspects of their lives, and so on. It’s psychologically healthy to focus on those things you can do something about. You can’t do anything about how many deaths there are in China or Italy. You can’t do anything about whether or not medical masks are being manufactured and shipped quickly enough. But you can do something about bad information online. 

It can be as simple as not forwarding, liking, or sharing that dubious news story before checking the facts, especially if that story seems crafted to encourage social outrage. The Center for Inquiry can act as a clearinghouse for accurate information about the pandemic, but it’s up to each person to heed that advice. We can help separate the truth from the myths, but we can’t force people to believe the truth. Be safe, practice social and cyber distancing, and wash your hands. 

 

This is the first in a series of original articles on the COVID-19 pandemic by the Center for Inquiry as part of its COVID-19 Resource Center, created to help the public address the crisis with evidence-based information. Please check back periodically for updates and new information. 

Apr 262020
 

There have been many pandemics throughout history, but none have taken place during such a connected time—both geographically and via social media. There’s a tendency to follow the news closely during times of emergency; especially when separated during isolation and quarantines, people are understandably desperate for information to keep their friends and family safe.

 

Overreacting and Underreacting

While scientists, doctors, nurses, epidemiologists, and others struggle to contain the disease, many are spending their self-isolating time on social media, sharing everything from useful information to dangerous misinformation to idle speculation. One thing most people can agree on is that other people and institutions aren’t handling the crisis correctly.

There’s much debate about whether Americans and governments are underreacting or overreacting to the pandemic threat. This is of course a logical fallacy, because there are some 330 million Americans, and the answer is that some Americans are doing one or the other; most Americans, however, are doing neither.

As The New York Times noted, “contrarian political leaders, ethicists and ordinary Americans have bridled at what they saw as a tendency to dismiss the complex trade-offs that the measures collectively known as ‘social distancing’ entail. Besides the financial ramifications of such policies, their concerns touch on how society’s most marginalized groups may fare and on the effect of government-enforced curfews on democratic ideals. Their questions about the current approach are distinct from those raised by some conservative activists who have suggested the virus is a politically inspired hoax, or no worse than the flu. Even in the face of a mounting coronavirus death toll, and the widespread adoption of the social distancing approach, these critics say it is important to acknowledge all the consequences of decisions intended to mitigate the virus’s spread.”

Recently the governor of Georgia, Brian Kemp, joined much of the country in finally ordering citizens to stay at home to slow the spread of the disease, after suggesting that other states were unnecessarily overreacting to the threat. Kemp inexplicably claimed to have only recently learned that the virus can be spread by asymptomatic carriers—something widely known and reported by health officials for well over a month.

On social media, the issue of how and whether the threat is being exaggerated often breaks along political party lines, with conservatives seeing the danger as exaggerated or an outright hoax. There are countless examples of divisive rhetoric, and many are framing the pandemic in terms of class warfare (for example pitting the rich against the poor) or spinning the outbreak to suit other social and political agendas. It’s understandable, but not helpful. Pointing out that the wealthy universally have better access to health care than the poor is merely stating the obvious—like much pandemic information, true but unhelpful. It’s not going to prevent someone’s family member from catching the virus and not going to open schools or businesses any faster. This isn’t a time for what-about-ism or “they’re doing it too” replies; this is a time for unity and cooperation. Liberals, conservatives, independents, and everyone else would benefit from putting aside the blame-casting, demonizing rhetoric and unite against the real enemy: the COVID-19 virus that’s sickening and killing people across races and social strata.

At the same time, it’s important to recognize that the measures taken to slow the spread of the coronavirus in America and around the world—while necessary and effective—have taken a disproportionate toll on minorities. As Charles Blow wrote in The New York Times, “social distancing is a privilege …  this virus behaves like others, screeching like a heat-seeking missile toward the most vulnerable in society. And this happens not because it prefers them, but because they are more exposed, more fragile and more ill. What the vulnerable portion of society looks like varies from country to country, but in America, that vulnerability is highly intersected with race and poverty … . It is happening with poor people around the world, from New Delhi to Mexico City. If they go to work, they must often use crowded mass transportation, because low-wage workers can’t necessarily afford to own a car or call a cab.”

While each side likes to paint the other in extreme terms as under or overreacting, there’s plenty of common ground between these straw man positions. Most people are neither blithely and flagrantly ignoring medical advice (and the exceptions—such as widely maligned Spring Breakers on Florida beaches, some of whom have since been diagnosed with COVID-19—are newsworthy precisely because of their rarity) nor spending their days in masks and containment suits, terrified to go anywhere near others.

Idiots and Maniacs, Cassandras and Chicken Littles

People can take prudent precautions and still reasonably think or suspect that at least some of what’s going on in the world is an overreaction or underreaction. Policing other people’s opinions or shaming them because they’re taking the situation more (or less) seriously than we are is unhelpful. It’s like the classic George Carlin joke: “Anybody driving slower than you is an idiot, and anyone going faster than you is a maniac.”

Instead of seeing others as idiots and maniacs, panicky ninnies and oblivious fools, perhaps we can recognize that everyone is different. Some people are in poorer health than others; some people listen to misinformation more than others; and so on. People who were mocked online for wearing masks in public may be following their doctor’s orders; they may be sick or immunocompromised or have some other health issue that’s not apparent in the milliseconds we spend judging the situation before commenting. Or they may be ahead of the curve, with changing medical advice. Why not give them the benefit of the doubt and treat them as we’d like to be treated?

Whether people are underreacting or overreacting is a matter of opinion not fact. The truth is that we simply don’t know what will happen and how bad it will get. In many cases, we simply don’t have enough information to make accurate predictions, and when it comes to life and death topics such as disease outbreaks, the medical community wisely adopts a better-safe-than-sorry approach.

Both positions argue from a false certainty, a smugness that they know better than others do, that the Cassandras and Chicken Littles will get their comeuppance. Humans crave certainty, but science can’t offer it. Certainty is why psychic predictions such as Sylvia Browne’s (supposedly foretelling the outbreak, which I recently debunked) have such popular appeal. The same is true for conspiracy theories and religion: All offer certainty—the idea that whatever happens is being directed by hidden powers and all part of God’s plan (or the Illuminati’s schemes, take your pick).

Instead of bickering over how stupid or silly others are for however they’re reacting, it may be best to let them do their thing as long as it’s not hurting others. Polarization is a form of intolerance. Maybe this is a time to come together instead of mocking those who don’t share your opinions and fears. We all have different backgrounds and different tolerances for uncertainty.

This doesn’t mean that governments should be given license to do whatever they want, of course. Citizens differ on their opinions about everything the government does; there’s never universal agreement on anything (from gun control to education funding), and there’s no reason to assume that responses to COVID-19 would be any different. If you don’t like what measures state and federal governments are taking to stop the virus, welcome to the club. Some are of the opinion that too much is being done, while others think too little is being done. While the public noisily argue and finger point on social media, scientists around the world are working hard to develop better treatments and vaccines.

Before believing or sharing information on social media, ask yourself questions such as: Is it true? Is it from a reliable source? But also, is it helpful or useful? Does it promote unity or encourage divisiveness? Are you sharing it because it contains practical information important to people’s health? Or are you sharing it just to have something to talk about, some vehicle to share your opinions about? Be safe, practice social and cyber distancing, and wash your hands.

 

This article originally appeared as part of a series of original articles on the COVID-19 pandemic by the Center for Inquiry as part of its Coronavirus Resource Center, created to help the public address the crisis with evidence-based information. You can find it HERE. 

 

You can find more on me and my work with a search for “Benjamin Radford” (not “Ben Radford”) on Vimeo, and please check out my podcast Squaring the Strange! 

Apr 232020
 

My article examines uncertainties in covid-19 data, from infection to death rates. While some complain that pandemic predictions have been exaggerated for social or political gain, that’s not necessarily true; journalism always exaggerates dangers, highlighting dire predictions. But models are only as good as the data that goes into them, and collecting valid data on disease is inherently difficult. People act as if they have solid data underlying their opinions, but fail to recognize that we don’t have enough information to reach valid conclusion…

You can read Part 1 Here.

 

Certainty and the Unknown Knowns

The fact that our knowledge is incomplete doesn’t mean that we don’t know anything about the virus; quite the contrary, we have a pretty good handle on the basics including how it spreads, what it does to the body, and how the average person can minimize their risk. 

Humans crave certainty and binary answers, but science can’t offer it. The truth is that we simply don’t know what will happen or how bad it will get. For many aspects of COVID-19, we don’t have enough information to make accurate predictions. In a New York Times interview, one victim of the disease reflected on the measures being taken to stop the spread of the disease: “We could look back at this time in four months and say, ‘We did the right thing’—or we could say, ‘That was silly … or we might never know.’” 

There are simply too many variables, too many factors involved. Even hindsight won’t be 20/20 but instead be seen by many through a partisan prism. We can never know alternative history or what would have happened; it’s like the concern over the “Y2K bug” two decades ago. Was it all over nothing? We don’t know because steps were taken to address the problem. 

But uncertainty has been largely ignored by pundits and social media “experts” alike who routinely discuss and debate statistics while glossing over—or entirely ignoring—the fact that much of it is speculation and guesswork, unanchored by any hard data. It’s like hotly arguing over what exact time a great-aunt’s birthday party should be on July 4, when all she knows is that she was born sometime during the summer. 

So, if we don’t know, why do people think they know or act as if they know? 

Part of this is explained by what in psychology is known as the Dunning-Kruger effect: “in many areas of life, incompetent people do not recognize—scratch that, cannot recognize—just how incompetent they are … . Logic itself almost demands this lack of self-insight: For poor performers to recognize their ineptitude would require them to possess the very expertise they lack. To know how skilled or unskilled you are at using the rules of grammar, for instance, you must have a good working knowledge of those rules, an impossibility among the incompetent. Poor performers—and we are all poor performers at some things—fail to see the flaws in their thinking or the answers they lack.” 

Most people don’t know enough about epidemiology, statistics, or research design to have a good idea of how valid disease data and projections are. And of course, there’s no reason they would have any expertise in those fields, any more than the average person would be expected to have expertise in dentistry or theater. But the difference is that many people feel confident enough in their grasp of the data—or, often, confident enough in someone else’s grasp of the data, as reported via their preferred news source—to comment on it and endorse it (and often argue about it).  

Psychology of Uncertainty

Another factor is that people are uncomfortable admitting when they don’t know something or don’t have enough information to make a decision. If you’ve taken any standardized multiple-choice tests, you probably remember that some of the questions offered a tricky option, usually after three or four possibly correct specific answers. This is some version of “The answer cannot be determined from the information given.” This response (usually Option D) is designed in part to thwart guessing and to see when test-takers recognize that the question is insoluble or the premise incomplete. 

The principle applies widely in the real world. It’s difficult for many people—and especially experts, skeptics, and scientists—to admit they don’t know the answer to a question. Even if it’s outside our expertise, we often feel as if not knowing (or even not having a defensible opinion) is a sign of ignorance or failure. Real experts freely admit uncertainty about the data; Dr. Anthony Fauci has been candid about what he knows and what he doesn’t, responding for example when asked how many people could be carriers, “It’s somewhere between 25 and 50%. And trust me, that is an estimate. I don’t have any scientific data yet to say that. You know when we’ll get the scientific data? When we get those antibody tests out there.” 

Yet there are many examples in our everyday lives when we simply don’t have enough information to reach a logical or valid conclusion about a given question, and often we don’t recognize that fact. We routinely make decisions based on incomplete information, and unlike on standardized tests, in the real world of messy complexities there are not always clear-cut objectively verifiable answers to settle the matter. 

This is especially true online and in the context of a pandemic. Few people bother to chime in on social media discussions or threads to say that there’s not enough information given in the original post to reach a valid conclusion. People blithely share information and opinions without having the slightest clue as to whether it’s true or not. But recognizing that we don’t have enough information to reach a valid conclusion demonstrates a deeper and nuanced understanding of the issue. Noting that a premise needs more evidence or information to complete a logical argument and reach a valid conclusion is a form of critical thinking.

One element of conspiracy thinking is that those who disagree are either stupid (that is, gullible “sheeple” who believe and parrot everything they see in the news—usually specifically the “mainstream media” or “MSM”) or simply lying (experts and journalists across various media platforms who know the truth but are intentionally misleading the public for political or economic gain). This “If You Disagree with Me, Are You Stupid or Dishonest?” worldview has little room for uncertainty or charity and misunderstands the situation. 

The appropriate position to take on most coronavirus predictions is one of agnosticism. It’s not that epidemiologists and other health officials have all the data they need to make good decisions and projections about public health and are instead carefully considering ways to fake data to deceive the public and journalists. It’s that they don’t have all the data they need to make better predictions, and as more information comes in, the projections will get more accurate. The solution is not to vilify or demonize doctors and epidemiologists but instead to understand the limitations of science and the biases of news and social media.

 

This article first appeared at the Center for Inquiry Coronavirus Resource Page; please check it out for additional information. 

 

 

Apr 202020
 

My new article examines uncertainties in covid-19 data, from infection to death rates. While some complain that pandemic predictions have been exaggerated for social or political gain, that’s not necessarily true; journalism always exaggerates dangers, highlighting dire predictions. But models are only as good as the data that goes into them, and collecting valid data on disease is inherently difficult. People act as if they have solid data underlying their opinions, but fail to recognize that we don’t have enough information to reach valid conclusion…

 

There’s nothing quite like an international emergency—say, a global pandemic—to lay bare the gap between scientific models and the real world, between projections and speculations and what’s really going on in cities and hospitals around the world. 

A previous article discussed varieties of information about COVID-19, including information that’s true; information that’s false; information that’s trivially true (true but unhelpful); and speculation, opinion, and conjecture. Here we take a closer look at the role of uncertainty in uncertain times. 

Dueling Projections and Predictions

The record of wrong predictions about the coronavirus is long and grows by the hour. Around Valentine’s Day, the director of policy and emergency preparedness for the New Orleans health department, Sarah Babcock, said that Mardi Gras celebrations two weeks later should proceed, predicting that “The chance of us getting someone with coronavirus is low.” That projection was wrong, dead wrong: a month later the city would have one of the worst outbreaks of COVID-19 in the country, with correspondingly high death rates. Other projections have overestimated the scale of infections, hospitalizations, and/or deaths. 

It’s certainly true that many, if not most, news headlines about the virus are scary and alarmist; and that many, if not most, projections and predictions about COVID-19 are wrong to a greater or lesser degree. There’s a plague of binary thinking, and it’s circulating in many forms. One was addressed in the previous article: that of whether people are underreacting or overreacting to the virus threat. A related claim involves a quasi-conspiracy that news media and public health officials are deliberately inflating COVID-19 statistics. Some say it’s being done to make President Trump look incompetent at handling the pandemic; others say it’s being done on Trump’s behalf to justify coming draconian measures including Big Brother tracking. 

Many have suggested that media manipulation is to blame, claiming that numbers are being skewed by those with social or political agendas. There’s undoubtedly a grain of truth to that—after all, information has been weaponized for millennia—but there are more parsimonious (and less partisan) explanations for much of it, rooted in critical thinking and media literacy.

The Media Factors

In many cases, it’s not experts and researchers who skew information but instead news media who report on them. News and social media, by their nature, highlight the aberrant extremes. Propelled by human nature and algorithms, they selectively show the worst in society—the mass murders, the dangers, the cruelty, the outrages, and the disasters—and rarely profile the good. This is understandable, as bad things are inherently more newsworthy than good things.

To take one example, social media was recently flooded with photos of empty store shelves due to hoarding, and newscasts depict long lines at supermarkets. They’re real enough—but are they representative? Photos of fully stocked markets and calm shopping aren’t newsworthy or share-worthy, so they’re rarely seen (until recently when they in turn became unusual). The same happens when news media covers natural disasters; journalists (understandably) photograph and film the dozens of homes that were flooded or wrenched apart by a tornado, not the intact tens or hundreds of thousands of neighboring homes that were unscathed. This isn’t some conspiracy by the news media to emphasize the bad; it’s just the nature of journalism. But this often leads to a public who overestimates the terrible state of the world—and those in it—as well as fear and panic. 

Another problem are news stories (whether about dire predictions or promising new drugs or trends) that are reported and shared without sufficient context. An article in Health News Review discussed the problem of journalists stripping out important caveats: “Steven Woloshin, MD, co-director of the Center for Medicine and Media at The Dartmouth Institute, said journalists should view preprints [rough drafts of journal studies that have not been published nor peer-reviewed] as ‘a big red flag’ about the quality of evidence, similar to an animal study that doesn’t apply to humans or a clinical trial that lacks a control group. ‘I’m not saying the public doesn’t have the right to know this stuff,’ Woloshin said. ‘But these things are by definition preliminary. The bar should be really high’ for reporting them. In some cases, preprints have shown to be completely bogus … . Readers might not heed caveats about ‘early’ or ‘preliminary’ evidence, Woloshin said. ‘The problem is, once it gets out into the public it’s dangerous because people will assume it’s true or reliable.’”

One notable example of an unvetted COVID-19 news story circulating widely “sprung from a study that ran in a journal. The malaria medicine hydroxychloroquine, touted by President Trump as a potential ‘cure,’ gained traction based in part on a shaky study of just 42 patients in France. The study’s authors concluded that the drug, when used in combination with an antibiotic, decreased patients’ levels of the virus. However, the findings were deemed unreliable due to numerous methodological flaws. Patients were not randomized, and six who received the treatment were inappropriately dropped from the study.” Recently, a Brazilian study of the drug was stopped when some patients developed heart problems. 

Uncertainties in Models and Testing

In addition to media biases toward sensationalism and simplicity, experts and researchers often have limited information to work with, especially in predictions. There are many sources of error in the epidemiological data about COVID-19. Models are only as good as the information that goes into them; as they say: Garbage In, Garbage Out. This is not to suggest that all the data is garbage, of course, so it’s more a case of Incomplete Data In, Incomplete Data Out. As a recent article noted, “Models aren’t perfect. They can generate inaccurate predictions. They can generate highly uncertain predictions when the science is uncertain. And some models can be genuinely bad, producing useless and poorly supported predictions … .” But as to the complaint that the outbreak hasn’t been as bad as some earlier models predicted, “earlier projections showed what would happen if we didn’t adopt a strong response, while new projections show where our current path sends us. The downward revision doesn’t mean the models were bad; it means we did something.”

One example of the uncertainty of data is the number of COVID-19 deaths in New York City, one of the hardest-hit places. According to The New York Times, “the official death count numbers presented each day by the state are based on hospital data. Our most conservative understanding right now is that patients who have tested positive for the virus and die in hospitals are reflected in the state’s official death count.” 

All well and good, but “The city has a different measure: Any patient who has had a positive coronavirus test and then later dies—whether at home or in a hospital—is being counted as a coronavirus death, said Dr. Oxiris Barbot, the commissioner of the city’s Department of Health. A staggering number of people are dying at home with presumed cases of coronavirus, and it does not appear that the state has a clear mechanism for factoring those victims into official death tallies. Paramedics are not performing coronavirus tests on those they pronounce dead. Recent Fire Department policy says that death determinations on emergency calls should be made on scene rather than having paramedics take patients to nearby hospitals, where, in theory, health care workers could conduct post-mortem testing. We also don’t really know how each of the city’s dozens of hospitals and medical facilities are counting their dead. For example, if a patient who is presumed to have coronavirus is admitted to the hospital, but dies there before they can be tested, it is unclear how they might factor into the formal death tally. There aren’t really any mechanisms in place for having an immediate, efficient method to calculate the death toll during a pandemic. Normal procedures are usually abandoned quickly in such a crisis.”

People who die at home without having been tested of course won’t show up in the official numbers: “Counting the dead after most disasters—a plane crash, a hurricane, a gas explosion, a terror attack or a mass shooting, for example—is not complex. A virus raises a whole host of more complicated issues, according to Michael A.L. Balboni, who about a decade ago served as the head of the state’s public safety office. ‘A virus presents a unique set of circumstances for a cause of death, especially if the target is the elderly, because of the presence of comorbidities,’ he said—multiple conditions. For example, a person with COVID-19 may end up dying of a heart attack. ‘As the number of decedents increase,’ Mr. Balboni said, ‘so does the inaccuracy of determining a cause of death.’”

So while it might seem inconceivably Dickensian (or suspicious) to some that in 2020 quantifying something as seemingly straightforward as death is complicated, this is not evidence of deception or anyone “fudging the numbers” but instead an ordinary and predictable lack of uniform criteria and reporting standards. The international situation is even more uncertain; different countries have different guidelines, making comparisons difficult. Not all countries have the same criterion for who should be tested, for example, or even have adequate numbers of tests available. 

In fact, there’s evidence suggesting that if anything the official numbers are likely undercounting the true infections. Analysis of sewage in one metropolitan area in Massachusetts that officially has fewer than 500 confirmed cases revealed that there may be exponentially more undetected cases. 

Incomplete Testing

Some people have complained that everyone should be tested, suggesting that only rich are being tested for the virus. There’s a national shortage of tests, and in fact many in the public are being tested (about 1 percent of the public so far), but such complaints rather miss a larger point: Testing is of limited value to individuals.  

Testing should be done in a coordinated way, starting not with the general public but instead with the most seriously ill. Those patients should be quarantined until the tests come back, and if the result is positive, further measures should be taken including tracking down people who that patient may have come in contact with; in Wuhan, for example, contacts were asked to check their temperature twice a day and stay at home for two weeks. 

But testing people who may be perfectly healthy is a waste of very limited resources and testing kits; most of the world is asymptomatic for COVID-19. Screening the asymptomatic public is neither practical nor possible. Furthermore, though scientists are working on creating tests that yield faster and more accurate results, the ones so far have taken days. Because many people who carry the virus show no symptoms (or mild symptoms that mimic colds or even seasonal allergies), it’s entirely possible that a person could have been infected between the time they took the test and gotten a negative result back. So, it may have been true that a few days, or a week, earlier they hadn’t been infected, but they are now and don’t know it because they are asymptomatic or presymptomatic. The point is not that the tests are flawed or that people should be afraid, but instead that testing, by itself, is of little value to the patient because of these uncertainties. If anything, it could provide a false sense of security and put others at risk. 

As Dr. Paul Offit noted in a recent interview, testing for the virus is mainly of use to epidemiologists. “From the individual level, it doesn’t matter that much. If I have a respiratory infection, stay home. I don’t need to find out whether I have COVID-19 or not. Stay home. If somebody gets their test and they find out they have influenza, they’ll be relieved, as compared to if they have COVID-19, where they’re going to assume they’re going to die matter how old they are.” 

If you’re ill, on a practical level—unless you’re very sick or at increased risk, as mentioned above—it doesn’t really matter whether you have COVID-19 or not because a) there’s nothing you can do about it except wait it out, like any cold or flu; and b) you should take steps to protect others anyway. People should assume that they are infected and act as they would for any communicable disease: isolate, get rest, avoid unnecessary contact with others, wash hands, don’t touch your face, and so on. 

 

A version of this article appeared on the CFI Coronavirus Response Page, here.

Part 2 will be posted in a few days.

Apr 102020
 

In recent months there’s been plenty of rumors, myths, and misinformation about the newest coronavirus pandemic, Covid-19. I’ve written several pieces on the topic, tackling both intentional and accidental bogus information. Some of the most pernicious, of course, involves misinformation about healthcare decisions (such as fake cures), but there are others.

One of the most curious is the recent resurrection of a prediction by Sylvia Browne. In her 2008 book End of Days, Browne (who died in 2013) predicted that “In around [sic] 2020 a severe pneumonia-like illness will spread throughout the globe, attacking the lungs and the bronchial tubes and resisting all known treatments. Almost more baffling than the illness itself will be the fact that it will suddenly vanish as quickly as it arrived, attack again ten years later, and then disappear completely.”

This led to many on social media assuming that Browne had accurately predicted the Covid-19 outbreak, and no less a respected authority than Kim Kardashian shared such posts. One news writer asked, “Doesn’t it sound very similar to this novel coronavirus and the disease, Covid-19? Be it the nature of the illness, the year mentioned or the part about the resistance to treatments—the similarity with coronavirus is uncanny… Netizens are absolutely stumped with the reference of coronavirus outbreak in the book.”

While most of the commentary seems to take the proclamations about Browne’s prediction at face value, there were a few skeptics. The website Snopes did a short piece explaining the topic, giving it a rating of “Mixture” of truth and fact—which is rather generous as I’ll explain.

A Closer Look at Browne’s ‘Prediction’

Skeptics such as myself, Joe Nickell, Susan Gerbic, Massimo Polidoro, James Randi, and others have a long history of taking a closer look at psychic claims. Let’s revisit the passage in question: “In around 2020 [sic] a severe pneumonia-like illness will spread throughout the globe, attacking the lungs and the bronchial tubes and resisting all known treatments. Almost more baffling than the illness itself will be the fact that it will suddenly vanish as quickly as it arrived, attack again ten years later, and then disappear completely.”

There’s a lot packed into these two sentences, so let’s parse this out. First, we have an indefinite date range (“in around 2020”), which depends on how loosely you interpret the word “around”: Browne doesn’t write “In 2020,” which would narrow it down to one calendar year; she writes “in around” whose grammatically awkward construction suggests to the editor in me that she (or her editor) added the word “around” in a late draft to make it more general—a typical psychic technique. What “around 2020” means varies by subjective criterion, and could plausibly include a range of plus or minus three or more years: Most people would probably agree that 2017, 2018, 2019, 2021, 2022, and 2023 are “around” 2020. Using this range we see that Browne’s spread is over seven (or more) years—well over half a decade.

So what did Browne predict would happen sometime during those years? “A severe pneumonia-like illness.” Covid-19 is not “a severe pneumonia-like illness,” though it can in some cases lead to pneumonia. Most of those infected (about 80%) have mild symptoms and recover just fine, and the disease has a mortality rate of between 2% and 4%. There are two types of coronaviruses—Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome—that “can cause severe respiratory infections,” but Covid-19 is not among them; both SARS and MERS are far more deadly.

Where will it go, according to Browne? It “will spread throughout the globe, attacking the lungs and the bronchial tubes.” Covid-19 has now indeed spread throughout the globe, though the phrase “attacking the lungs and the bronchial tubes” isn’t a prediction but merely restates any “pneumonia-like illness.”

But Browne also offers another specific characteristic of this disease, that of “resisting all known treatments.” This also does not describe Covid-19, which doesn’t “resist all known treatments”; in fact doctors know exactly how to treat (though not effectively vaccinate or quarantine, which are very different measures) the disease, and it’s essentially the same for influenza or other similar respiratory infections. There’s nothing unique about Covid-19’s resistance to treatment.

In the second sentence she further describes the illness: “Almost more baffling than the illness itself will be the fact that it will suddenly vanish as quickly as it arrived, attack again ten years later, and then disappear completely.” This is false, at least as of now. Covid-19 has not “suddenly vanished as quickly as it arrived,” and even if it eventually does, its emergence pattern would have to be compared with other typical epidemiology data to know whether it’s “baffling.” Infectious diseases (especially ones such as respiratory illnesses) have predictable patterns, and modeling outbreaks is a whole branch of public health. Given a normal distribution (bell curve) of cases, it would not necessarily be “baffling” if the disease subsided as quickly as it arose. In fact what would be astonishing is if it did not; in other words if over the course of a week or two, the infection rates plummeted inexplicably as no new infections were reported at all. That would be an amazing psychic prediction. Furthermore note that the prediction couldn’t even be mostly validated until 2030, since it references a recurrence of the disease ten years later—a neat trick for a prediction made (or at least made public) nearly a quarter-century earlier. And as to whether it would “then disappear completely,” I suppose that could be determined true or false at some point around the end of time, so expect a follow-up piece from me then.

So we have a two-sentence prediction written in 2008 by a convicted felon with a long track record of failures. Half of the prediction (the second sentence) have demonstrably not happened. The other half of the prophecy describes an infectious respiratory illness that does not resemble Covid-19 in its particulars and that would happen within a few years of 2020. At best, maybe one-sixth of what she said is accurate, depending again on how much latitude you’re willing to give her in terms of dates and vague descriptions. Anyone who finds this prediction to be astonishingly accurate should contact me for information on a bridge I happen to have for sale. Keep in mind that in her books, television appearances, interviews, and elsewhere over the course of her career, Browne has made many thousands of predictions; the fact that this one happened to possibly, maybe, be partly right is meaningless. People love a mystery, and retrofitting vague predictions (whether from Browne, Nostradamus, or anyone else).

 

You can find more on me and my work with a search for “Benjamin Radford” (not “Ben Radford”) on Vimeo, and please check out my podcast Squaring the Strange! 

 

Apr 082020
 

As the world enters another month dealing with the deadly coronavirus that has dominated headlines, killed hundreds, and sickened thousands, misinformation is running rampant. For many, the medical and epidemiological aspects of the outbreak are the most important and salient elements, but there are other prisms through which we can examine this public health menace. 

There are many facets to this outbreak, including economic damage, cultural changes, and so on. However, my interest and background is in media literacy, psychology, and folklore (including rumor, legend, and conspiracy), and my focus here is a brief overview of some of the lore surrounding the current outbreak. Before I get into the folkloric aspects of the disease, let’s review the basics of what we know so far. 

First, the name is a bit misleading; it’s a coronavirus, not the coronavirus. Coronavirus is a category of viruses; this one is dubbed “Covid-19.” Two of the best known and most deadly other coronaviruses are SARS (Severe Acute Respiratory Syndrome, first identified in 2003) and MERS (Middle East Respiratory Syndrome, identified in 2012). 

The symptoms of Covid-19 are typical of influenza and include a cough, sometimes with a fever, shortness of breath, nausea, vomiting, and/or diarrhea. Most (about 80 percent) of infected patients recover within a week or two, like patients with a bad cold. The other 20 percent contract severe infections such as pneumonia, sometimes leading to death. The virus Covid-19 is spreading faster than either MERS or SARS, but it’s much less deadly than either of those. The death rate for Covid-19 is 2 percent, compared to 10 percent for SARS and 35 percent for MERS. There’s no vaccine, and because it’s not bacterial, antibiotics won’t help. 

The first case was reported in late December 2019 in Wuhan, China. About a month later the Health and Human Services Department declared a U.S. public health emergency. The average person is at very low risk, and Americans are at far greater risk of getting the flu—about 10 percent of the public gets it each year.

The information issues can be roughly broken down into three (at times overlapping) categories: 1) Lack of information; 2) Misinformation; and 3) Disinformation. 

Lack of Information

The lack of information stems from the fact that scientists are still learning about this specific virus. Much is known about it from information gathered so far (summarized above), but much remains to be learned. 

The lack of information has been complicated by a lack of transparency by the Chinese government, which has sought to stifle early alarms about it raised by doctors, including Li Wenliang, who recently died. As The New York Times reported:

On Friday, the doctor, the doctor, Li Wenliang, died after contracting the very illness he had told medical school classmates about in an online chat room, the coronavirus. He joined the more than 600 other Chinese who have died in an outbreak that has now spread across the globe. Dr. Li “had the misfortune to be infected during the fight against the novel coronavirus pneumonia epidemic, and all-out efforts to save him failed,” the Wuhan City Central Hospital said on Weibo, the Chinese social media service. Even before his death, Dr. Li had become a hero to many Chinese after word of his treatment at the hands of the authorities emerged. In early January, he was called in by both medical officials and the police, and forced to sign a statement denouncing his warning as an unfounded and illegal rumor. 

Chinese officials were slow to share information and admit the scope of the outbreak. This isn’t necessarily evidence of a conspiracy—governments are often loathe to admit bad news or potentially embarrassing or damaging information (recall that it took nearly a week for Iran to admit it had unintentionally shot down a passenger airliner over its skies in January)—but part of the Chinese government’s long standing policies of restricting news reporting and social media. Nonetheless, China’s actions have fueled anxiety and conspiracies; more on that presently. 

Misinformation

There are various types of misinformation, revolving around a handful of central concerns typical of disease rumors. In his book An Epidemic of Rumors: How Stories Shape Our Perceptions of Disease, Jon D. Lee notes:

People use certain sets of narratives to discuss the presence of illness, mediate their fears of it, come to terms with it, and otherwise incorporate its presence into their daily routines … Some of these narratives express a harsher, more paranoid view of reality than others, some are openly racist and xenophobic, and some are more concerned with issues of treatment and prevention than blame—but all revolve around a single emotion in all its many forms: fear. (169) 

As Lee mentions, one common aspect is xenophobia and contamination fears. Many reports, in news media but on social media especially, focus on the “other,” the dirty aberrant outsiders who “created” or spread the menace. Racism is a common theme in rumors and urban legends—what gross things “they” eat or do. As Prof. Andrea Kitta notes in her book The Kiss of Death: Contagion, Contamination, and Folklore

The intriguing part of disease legends is that, in addition to fear of illness, they express primarily a fear of outsiders … Patient zero [the assumed origin of the “new” disease] not only provides a scapegoat but also serves as an example to others: as long as people do not act in the same way as patient zero, they are safe. (27–28)

In the case of Covid-19, rumors have suggested that seemingly bizarre (to Americans anyway) eating habits of Chinese were to blame, specifically bats. One video circulated allegedly showing Chinese preparing bat soup, suggesting it was the cause of the outbreak, though it was later revealed to have been filmed in Palau, Micronesia. 

The idea of disease and death coming from “unclean” practices has a long history. One well known myth is that AIDS originated when someone (presumably an African man) had sex with a monkey or ape. This linked moralistic views of sexuality with the later spread of the disease, primarily among the homosexual community. More likely, however, chimps with simian immunodeficiency virus were killed and eaten for game meat, which is documented, which in turn transferred the virus to humans and spawned HIV (human immunodeficiency virus), which in turn causes AIDS. 

The fear of foreigners and immigrants bringing disease to the country was of course raised a few years ago when a Fox News contributor suggested without evidence that a migrant caravan from Honduras and Guatemala coming through Mexico carried leprosy, smallpox, and other dreaded diseases. This claim was quickly debunked

Disinformation and Conspiracies

Then there are the conspiracies, prominent among them the disease’s origin. Several are circulating, claiming for example that Covid-19 is in fact a bioweapon that has either been intentionally deployed or escaped/stolen from a secure top secret government lab. Some have claimed that it’s a plot (by the Bill and Melinda Gates Foundation or another NGO or Big Pharma) to sell vaccines—apparently unaware that there is no vaccine available at any price. 

This is a classic conspiracy trope, evoked to explain countless bad things, ranging from chupacabras to chemtrails and diseases. This is similar to urban legends and rumors in the African American community, claiming that AIDS was created by the American government to kill blacks, or that soft drinks and foods (Tropical Fantasy soda and Church’s Fried Chicken, for example) contained ingredients that sterilized the black community (for more on this, see Patricia Turner’s book I Heard It Through the Grapevine: Rumor in African-America Culture.) In Pakistan and India, public health workers have been attacked and even killed trying to give polio vaccinations, rumored to be part of an American plot.

Of course such conspiracies go back centuries. As William Naphy notes in his book Plagues, Poisons, and Potions: Plague Spreading Conspiracies in the Western Alps c. 1530-1640, people were accused of intentionally spreading the bubonic plague. Most people believed that the plague was a sign of God’s wrath, a pustular and particularly punitive punishment for the sin of straying from Biblical teachings. “Early theories saw causes in: astral conjunctions, the passing of comets; unusual weather conditions … noxious exhalations from the corpses on battlefields” and so on (vii). Naphy notes that “In 1577, Claude de Rubys, one of the city’s premier orators and a rabid anti-Protestant, had openly accused the city’s Huguenots of conspiring to destroy Catholics by giving them the plague” (174). Confessions, often obtained under torture, implicated low-paid foreigners who had been hired to help plague victims and disinfect their homes. 

Other folkloric versions of intentional disease spreading include urban legends of AIDS-infected needles placed in payphone coin return slots. Indeed, that rumor was part of an older and larger tradition; as folklorist Gillian Bennett notes in her book Bodies: Sex Violence, Disease, and Death in Contemporary Legend, in Europe and elsewhere “Stories proliferated about deliberately contaminated doorknobs, light switches, and sandboxes on playgrounds” (115).

How to Get, Prevent, or Cure It

Various theories have surfaced online suggesting ways to prevent the virus. They include avoiding spicy food (which doesn’t work); eating garlic (which also doesn’t work); and drinking bleach (which really, really doesn’t work). 

In addition, there’s also something called MMS, or “miracle mineral solution,” and the word miracle in the name should be a big red flag about its efficacy. The solution is 28 percent sodium chlorite mixed in distilled water, and there are reports that it’s being sold online for $900 per gallon (or if that’s a bit pricey, you can get a four-ounce bottle for about $30).

The FDA takes a dim view of this, noting that it 

has received many reports that these products, sold online as “treatments,” have made consumers sick. The FDA first warned consumers about the products in 2010. But they are still being promoted on social media and sold online by many independent distributors. The agency strongly urges consumers not to purchase or use these products. The products are known by various names, including Miracle or Master Mineral Solution, Miracle Mineral Supplement, MMS, Chlorine Dioxide Protocol, and Water Purification Solution. When mixed according to package directions, they become a strong chemical that is used as bleach. Some distributors are making false—and dangerous—claims that Miracle Mineral Supplement mixed with citric acid is an antimicrobial, antiviral, and antibacterial liquid that is a remedy for autism, cancer, HIV/AIDS, hepatitis, flu, and other conditions. 

It’s true that bleach can kill viruses—when used full strength on surfaces, not when diluted and ingested. They’re two very different things; confuse the two at your great peril. 

Folk remedies such as these are appealing because they are something that victims (and potential victims) can do—some tangible way they can take action and assume control over their own health and lives. Even if the treatment is unproven or may be just a rumor, at least they feel like they’re doing something.

There have been several false reports and rumors of outbreaks in local hospitals across the country, including in Los Angeles, Santa Clarita, and in Dallas County, Texas. In all those cases, false social media posts have needlessly alarmed the public—and in some cases spawned conspiracy theories. After all, some random, anonymous mom on Facebook shared a screen-captured Tweet from some other random person who had a friend of a friend with “insider information” about some anonymous person in a local hospital who’s dying with Covid-19—but there’s nothing in the news about it! Who are you going to believe? 

Then there’s Canadian rapper/YouTube cretin James Potok, who stood up near the end of his WestJet flight from Toronto to Jamaica and announced loudly to the 240 passengers that he had just come from Wuhan, China, and “I don’t feel too well.” He recorded it with a cell phone, planning to post it online as a funny publicity stunt. Flight attendants reseated him, and the plane returned to Toronto where police and medical professionals escorted him off the plane. Of course he tested negative and was promptly arrested.

When people are frightened by diseases, they cling to any information and often distrust official information. These fears are amplified by the fact that the virus is of course invisible to the eye, and the fears are fueled by ambiguity and uncertainty about who’s a threat. The incubation period for Covid-19 seems to be between two days and two weeks, during which time asymptomatic carriers could potentially infect others. The symptoms are common and indistinguishable from other viruses, except when confirmed with lab testing, which of course requires time, equipment, a doctor visit, and so on. Another factor is that people are very poor at assessing relative risk in general anyway (for example, fearing plane travel over statistically far more dangerous car travel). They often panic over alarmist media reports and underestimate their risk of more mundane threats.

The best medical advice for dealing with Covid-19: Thoroughly cook meat, wash your hands, and stay away from sick people … basically the same advice you get for avoiding any cold or airborne virus. Face masks don’t help much, unless you are putting them on people who are already sick and coughing. Most laypeople use the masks incorrectly anyway, and hoarding has led to a shortage for medical workers. 

Hoaxes, misinformation, and rumors can cause real harm during public health emergencies. When people are sick and desperately afraid of a scary disease, any information will be taken seriously by some people. False rumors can not only kill but can hinder public health efforts. The best advice is to keep threats in perspective, recognize the social functions of rumors, and heed advice from medical professionals instead of your friend’s friend on Twitter. 

Further Reading

An Epidemic of Rumors: How Stories Shape Our Perceptions of Disease, Jon D. Lee

Bodies: Sex Violence, Disease, and Death in Contemporary Legend, Gillian Bennett

I Heard It Through the Grapevine: Rumor in African-America Culture, Patricia Turner

Plagues, Poisons, and Potions: Plague Spreading Conspiracies in the Western Alps c. 1530-1640, William Naphy

The Global Grapevine: Why Rumors of Terrorism, Immigration, and Trade Matter, Gary Alan Fine and Bill Ellis

The Kiss of Death: Contagion, Contamination, and Folklore, Andrea Kitta

 

 

A longer version of this article appeared in my CFI blog; you can find it here. 

Apr 012020
 

There’s a natural—almost Pavlovian—tendency to follow the news closely, especially during times of emergency such as wars, terrorism, and natural disasters. People are understandably desperate for information to keep their friends and family safe, and part of that is being informed about what’s going on. 

News and social media are awash with information about the covid-19 pandemic. But not all the information is equally valid, useful, or important. It’s easy to become overwhelmed, and science-informed laypeople are likely suffering this information overload keenly, as we absorb the firehose of information from a wide variety of sources: from the White House to the CDC, and from conspiracy cranks to Goop contributors. It’s a never ending stream—often a flood—of information, and those charged with trying to sort it out are quickly inundated. As important as news is, there is such a thing as medical TMI.

We have a Goldilocks situation when it comes to covid-19 material. There’s too little, too much, and just the right amount of information about the covid-19 virus in the news and social media. This sounds paradoxical until we break down each type of information. 

Types of Covid-19 Information

In thinking about the covid-19 outbreak and the deluge of opinion, rumor, and news out there, it’s helpful to parse out the different types of information. 

1) Information that’s true

This includes the most important, practical information—how to avoid it: Wash your hands, avoid crowds, don’t touch your face, sanitize surfaces, and so on. This type of information has been proven accurate and consistent since the outbreak began. This is of course the smallest category of information: mundane but vital. 

2) Information that’s false 

Information that’s false includes a wide variety of rumors, miracle cures, misinformation, and so on. The Center for Inquiry’s Covid Resource Center has been set up precisely to help journalists and the public debunk this false information. The problem is made worse by the fact that Russian disinformation organizations—which have a long and proven history of sowing false and misleading information in social media around the world, and particularly in the United States—have seized on the covid-19. 

3) Speculation, opinion, and conjecture

In times of uncertainty, prediction and speculation are rampant. Dueling projections about the outbreak vary by orders of magnitude as experts and social media pundits alike share their speculation. Of course, epidemiological models are only as good as the data that goes into them and are based on many premises, variables, and numerous unknowns. 

Wanting to accurately know the future is of course a venerable tradition. But as a recent post on Medium written by an epidemiologist noted: “Here is a simple fact: every prediction you’ve read on the numbers of COVID-19 cases or deaths is almost certainly wrong. All models are wrong. Some models are useful. It is very easy to draw a graph using an exponential curve and tell everyone that there will be 10 million cases by next Friday. It is far harder to model infectious disease epidemics with any accuracy. Stop making graphs and putting them online. Stop reading the articles by well-meaning people who have no idea what they are doing. The real experts aren’t posting random Excel graphs on twitter, because they are working flat-out to try and get a handle on the epidemic.” 

4) Information that’s true but not helpful

Finally, there’s another, less-recognized category: information that is true but not helpful on an individual level, or what might be called “trivially true.” We usually think of false information being shared as harmful—and it certainly is—but trivially true information can also be harmful to public health. Even when it’s not directly harmful, it adds to the background of noise.

News media and social media are flooded with information and speculation that—even if accurate—is of little practical use to the average person. Much of the information is not helpful, useful, actionable, or applicable to daily life. It’s like in medicine and psychology what’s called “clinical significance”: the practical importance of a treatment effect—whether it has a real, genuine, palpable, and noticeable effect on daily life. A finding may be true, may be statistically significant, but be insignificant in the real world. A new medicine may reduce pain by 5 percent but nobody would create or market it because it’s not clinically significant; a 5 percent reduction in pain isn’t useful compared to other pain relievers with better efficacy. 

One example might include photos of empty store shelves widely shared on social media, depicting the run on supplies such as sanitizer and toilet paper. The information is both true and accurate; it’s not being faked or staged. But it’s not helpful, because it leads to panic buying, social contagion, and hoarding as people perceive a threat to their welfare and turn an artificial scarcity into a real one. 

Another example is Trump’s recent reference to the covid-19 virus as “the China virus.” Ignoring the fact that diseases aren’t named for where they emerge, we can acknowledge that it’s technically accurate that, as Trump claimed, covid-19 was first detected in China—and also that it’s not a relevant or useful detail. It doesn’t add to the discussion or help anyone’s understanding of what the disease is or how to deal with it. If anything, referring to it by other terms such as “the China virus” or “Wuhan flu” is likely to cause confusion and even foment racism.  

Before believing or sharing information on social media, ask yourself questions such as: Is it true? Is it from a reliable source? But there are other questions to ask: Even if it may be factually true, is it helpful or useful? Does it promote unity or encourage divisiveness? Are you sharing it because it contains practical information important to people’s health? Or are you sharing it just to have something to talk about, some vehicle to share your opinions about? The signal-to-noise ratio is already skewed against useful information, being drowned out by false information, speculation, opinion, and trivially true information.  

Social Media Distancing

While self-isolating from the disease (and those who might carry it) is vital to public health, there’s a less-discussed aspect: self-distancing from social media information on the virus, which is a form of social media hygiene. Six feet is enough distance in physical space, but doesn’t apply to cyberspace where viral misinformation spreads unchecked (until it hits this site).

The analogy between disease and misinformation is apt. Just as you can be a vector for a virus if you get and spread it, you can be a vector for misinformation and fear. But you can stop it by removing yourself from it. You don’t need hourly updates on most aspects of the pandemic. Most of what you see and read isn’t relevant to you. The idea is not to ignore important and useful information about the coronavirus; in fact, it’s exactly the opposite: to better distinguish the news from the noise, the relevant from the irrelevant. 

Doctors around the world have been photographed sharing signs that say “We’re at work for you. Please stay home for us.” That’s excellent advice, but we can take it further. While at home not becoming a vector for disease, also take steps not to become a vector for misinformation. After all, doing so can have just as much of an impact on public health. 

During a time when people are isolated, it’s cathartic to vent on social media. Humans are social creatures, and we find ways to connect even when we can’t physically. Especially during a time of international crisis, it’s easy to become outraged about one or another aspect of the pandemic. Everyone has opinions about what is (or isn’t) being done, what should (or shouldn’t) be done. Everyone’s entitled to those opinions, but they should be aware that those opinions expressed on social media have consequences and may well harm others, albeit unintentionally. Just as it feels good to physically hang out with other people (but may in fact be dangerous to them), it feels good to let off steam to others in your social circles (but may be dangerous to them). Your steam makes others in your feed get steamed too, and so on. Again, it’s the disease vector analogy. 

You don’t know who will end up seeing your posts and comments (such is the nature of “viral” posts and memes), and while you may think little of it, others may be more vulnerable. Just as people take steps to protect those with compromised immune systems, it may be wise to take similar steps to protect those with compromised psychological defenses on social media—those suffering from anxiety, depression, or other issues who are especially vulnerable at this time. 

This isn’t about self-censorship; there are many ways to reach out to others and share concerns and feelings in a careful and less public way through email, direct messaging, video calls, and even—gasp—good old fashioned letters. Like anything else, people can express feelings and concerns in measured, productive ways, ways that are more (or less) likely to harm others (referring to it as “covid-19” instead of “the Chinese virus” is one example). 

Though the public loves to blame the news media for misinformation—and deservedly so—we are less keen to see the culprit in the mirror. Many people, especially on social media, fail to recognize that they have become de facto news outlets through the stories and posts they share. The news media helps spread myriad “fake news” stories—gleefully aided by ordinary people like us. We cannot control what news organizations (or anyone else) publishes or puts online. But we can—and indeed we have an obligation to—help stop the spread of misinformation in all its forms. 

It’s overwhelming; it’s too much. In psychology there’s what’s called the Locus of Control. It basically means the things which a person has control over: themselves, their immediate family, their pets, most aspects of their lives, and so on. It’s psychologically healthy to focus on those things you can do something about. You can’t do anything about how many deaths there are in China or Italy. You can’t do anything about whether or not medical masks are being manufactured and shipped quickly enough. But you can do something about bad information online. 

It can be as simple as not forwarding, liking, or sharing that dubious news story before checking the facts, especially if that story seems crafted to encourage social outrage. We can help separate the truth from the myths, but we can’t force people to believe the truth. Be safe, practice social and cyber distancing, and wash your hands. 

 

A longer version of this appeared on the Center for Inquiry site; you can find it here. 

Mar 032020
 

Did you catch our recent bonus episode of Squaring the Strange? I gather some myths and misinformation going round about Wuhan Coronovirus, aka Novel Coronavirus, aka “we’re all gonna die,” aka COVID-19. Then special guest Doc Dan breaks down some virus-busting science for us and talks about the public health measures in place. Check it out HERE!