scholarly journals How to Fight an Infodemic: The Four Pillars of Infodemic Management (Preprint)

Author(s):  
Gunther Eysenbach

UNSTRUCTURED In this issue of the <i>Journal of Medical Internet Research</i>, the World Health Organization (WHO) is presenting a framework for managing the coronavirus disease (COVID-19) infodemic. Infodemiology is now acknowledged by public health organizations and the WHO as an important emerging scientific field and critical area of practice during a pandemic. From the perspective of being the first “infodemiolgist” who originally coined the term almost two decades ago, I am positing four pillars of infodemic management: (1) information monitoring (infoveillance); (2) building eHealth Literacy and science literacy capacity; (3) encouraging knowledge refinement and quality improvement processes such as fact checking and peer-review; and (4) accurate and timely knowledge translation, minimizing distorting factors such as political or commercial influences. In the current COVID-19 pandemic, the United Nations has advocated that facts and science should be promoted and that these constitute the antidote to the current infodemic. This is in stark contrast to the realities of infodemic mismanagement and misguided upstream filtering, where social media platforms such as Twitter have advertising policies that sideline science organizations and science publishers, treating peer-reviewed science as “inappropriate content.”

10.2196/21820 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e21820 ◽  
Author(s):  
Gunther Eysenbach

In this issue of the Journal of Medical Internet Research, the World Health Organization (WHO) is presenting a framework for managing the coronavirus disease (COVID-19) infodemic. Infodemiology is now acknowledged by public health organizations and the WHO as an important emerging scientific field and critical area of practice during a pandemic. From the perspective of being the first “infodemiologist” who originally coined the term almost two decades ago, I am positing four pillars of infodemic management: (1) information monitoring (infoveillance); (2) building eHealth Literacy and science literacy capacity; (3) encouraging knowledge refinement and quality improvement processes such as fact checking and peer-review; and (4) accurate and timely knowledge translation, minimizing distorting factors such as political or commercial influences. In the current COVID-19 pandemic, the United Nations has advocated that facts and science should be promoted and that these constitute the antidote to the current infodemic. This is in stark contrast to the realities of infodemic mismanagement and misguided upstream filtering, where social media platforms such as Twitter have advertising policies that sideline science organizations and science publishers, treating peer-reviewed science as “inappropriate content.”


2020 ◽  
Vol 35 (4) ◽  
pp. 212-216
Author(s):  
Lauren McNickle ◽  
Robert P. Olympia

School nurses may deal with students presenting with symptoms associated with infections popularized in the news. Although rare, the implications of missing or misdiagnosing these infections are potentially life-threatening and devastating. We present three students presenting with febrile illnesses associated with neurologic symptoms, a rash, and fatigue, focusing on the initial assessment and management of these students and their associated “hot topic” infection. The authors also discuss two public health organizations, Centers for Disease Control and Prevention (https://www.cdc.gov/) and the World Health Organization (https://www.who.int/), online references for the school nurse to research both emerging and common infectious diseases.


2020 ◽  
pp. 109019812098067
Author(s):  
Wen-Ying Sylvia Chou ◽  
Anna Gaysynsky ◽  
Robin C. Vanderpool

Online misinformation regarding COVID-19 has undermined public health efforts to control the novel coronavirus. To date, public health organizations’ efforts to counter COVID-19 misinformation have focused on identifying and correcting false information on social media platforms. Citing extant literature in health communication and psychology, we argue that these fact-checking efforts are a necessary, but insufficient, response to health misinformation. First, research suggests that fact-checking has several important limitations and is rarely successful in fully undoing the effects of misinformation exposure. Second, there are many factors driving misinformation sharing and acceptance in the context of the COVID-19 pandemic—such as emotions, distrust, cognitive biases, racism, and xenophobia—and these factors both make individuals more vulnerable to certain types of misinformation and also make them impervious to future correction attempts. We conclude by outlining several additional measures, beyond fact-checking, that may help further mitigate the effects of misinformation in the current pandemic.


Author(s):  
Ignacio Hernández-García ◽  
Teresa Giménez-Júlvez

Objective. Our objective was to analyze the evolution of the information in Spanish online about the prevention of the coronavirus disease 2019 (COVID-19). Methods. On 1 March and 13 July 2020, two searches were conducted on Google with the terms “Prevencion COVID-19” and “Prevencion Coronavirus”. In each stage, a univariate analysis was performed to study the association of the authorship and country of origin with the basic recommendations to avoid COVID-19 provided by the World Health Organization (WHO). Results. A total of 120 weblinks were evaluated. The recommendation found most frequently in both stages was “wash your hands frequently” (93.3% in March vs. 90.0% in July). There was a significant increase in the detection of the following recommendations: “avoid touching your face” (56.7% vs. 80.0%) and “stay at home if you feel unwell” (28.3% vs. 63.3%). Weblinks of official public health organizations more frequently provided the advice to “seek medical advice if you develop a fever/cough or have difficulty breathing”. Furthermore, in July, such weblinks provided recommendations to “avoid touching your face” and “maintain a distance of one meter” more frequently than the mass media (OR = 11.5 and 10.5, respectively). In March, the recommendation to “maintain a distance of at least 1 m” was associated with the weblinks from countries with local transmission/imported cases (OR = 8.1). Different/ambiguous information regarding the WHO recommendations was detected in four weblinks. Conclusion. The availability of information in Spanish online on basic prevention measures has improved over time, although there is still room for improvement. It is necessary to promote the use of the websites of official public health organizations among Spanish-speaking users.


2021 ◽  
Vol 76 (5S) ◽  
pp. 572-580
Author(s):  
Oksana A. Pivovarova ◽  
Sergej J. Gorbatov ◽  
Ekaterina О. Korotkova ◽  
Natalya N. Kamynina

At present, the speed and scale of the dissemination of false health information has increased significantly, due to the Internet and social networks, which has become a serious problem and challenge for the worlds public health systems. The issue of spreading implausible news has become most acute against the background of the COVID-19 pandemic. Since February 2020, the World Health Organization has introduced the term infodemiс, which characterizes the rapid growth of unreliable and false reports of a pandemic by analogy with the spread of the virus. The purpose of this article is to study the issues of the emergence and ways of spreading misinformation about health, to consider approaches for taking effective response measures in the conditions of infodemiс. The article was prepared using a systematic review of research publications based on strict selection criteria in the bibliographic databases PubMed, ScienceDirect, as well as online resources that addressed the issues of dissemination and countering false information in the field of healthcare. Countering disinformation needs to be done through correcting information, purposeful refutations based on evidence, implementing initiatives to improve the media literacy of the population, as well as by improving the supervision of social networks. Coordinated interaction between governmental and international organizations, the scientific community, the media, and global Internet social media platforms is crucial in this process.


2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Ingrid Blixt ◽  
Margareta Johansson ◽  
Ingegerd Hildingsson ◽  
Zoi Papoutsi ◽  
Christine Rubertsson

Abstract Background The World Health Organization recommends exclusive breastfeeding for 6 months followed by continued breastfeeding with complementary food up to 2 years of age or beyond. Few women achieve this recommendation in Sweden, and they often stop breastfeeding earlier than they would like. Investigating women’s advice to healthcare professionals is important for the provision of optimal breastfeeding support. The aim of this study was to explore women’s advice to healthcare professionals regarding support for continuing to breastfeed for at least 6 months. Methods This investigation used an exploratory study design, and a purposive sample of women was recruited between 2015 and 2016 through social media platforms. The work is a follow-up of an earlier study exploring women’s perceptions of the factors that assisted them in breastfeeding for at least 6 months. Telephone interviews were conducted with 139 Swedish women who reported that they had breastfed for at least 6 months. Women were asked the question, “Do you have any advice that you would like to give to healthcare professionals regarding breastfeeding support?”. The data were analysed using content analysis. Results The theme, “Professionals need to offer women sensitive, individualized breastfeeding support to promote a positive breastfeeding experience”, describes the women’s advice based on five categories: 1) providing evidence-based care, 2) preparing expectant parents during pregnancy, 3) creating a respectful and mutual dialogue, 4) offering individual solutions to breastfeeding problems, and 5) offering practical support. Conclusions This study highlights the importance of professionals providing evidence-based breastfeeding support in a sensitive and individualized manner. This consideration is an important prerequisite to strengthening women’s self-confidence and assisting them in reaching their breastfeeding goals, which may enhance the positive nature of their breastfeeding experience.


10.2196/30971 ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. e30971
Author(s):  
Tina D Purnat ◽  
Paolo Vacca ◽  
Christine Czerniak ◽  
Sarah Ball ◽  
Stefano Burzo ◽  
...  

Background The COVID-19 pandemic has been accompanied by an infodemic: excess information, including false or misleading information, in digital and physical environments during an acute public health event. This infodemic is leading to confusion and risk-taking behaviors that can be harmful to health, as well as to mistrust in health authorities and public health responses. The World Health Organization (WHO) is working to develop tools to provide an evidence-based response to the infodemic, enabling prioritization of health response activities. Objective In this work, we aimed to develop a practical, structured approach to identify narratives in public online conversations on social media platforms where concerns or confusion exist or where narratives are gaining traction, thus providing actionable data to help the WHO prioritize its response efforts to address the COVID-19 infodemic. Methods We developed a taxonomy to filter global public conversations in English and French related to COVID-19 on social media into 5 categories with 35 subcategories. The taxonomy and its implementation were validated for retrieval precision and recall, and they were reviewed and adapted as language about the pandemic in online conversations changed over time. The aggregated data for each subcategory were analyzed on a weekly basis by volume, velocity, and presence of questions to detect signals of information voids with potential for confusion or where mis- or disinformation may thrive. A human analyst reviewed and identified potential information voids and sources of confusion, and quantitative data were used to provide insights on emerging narratives, influencers, and public reactions to COVID-19–related topics. Results A COVID-19 public health social listening taxonomy was developed, validated, and applied to filter relevant content for more focused analysis. A weekly analysis of public online conversations since March 23, 2020, enabled quantification of shifting interests in public health–related topics concerning the pandemic, and the analysis demonstrated recurring voids of verified health information. This approach therefore focuses on the detection of infodemic signals to generate actionable insights to rapidly inform decision-making for a more targeted and adaptive response, including risk communication. Conclusions This approach has been successfully applied to identify and analyze infodemic signals, particularly information voids, to inform the COVID-19 pandemic response. More broadly, the results have demonstrated the importance of ongoing monitoring and analysis of public online conversations, as information voids frequently recur and narratives shift over time. The approach is being piloted in individual countries and WHO regions to generate localized insights and actions; meanwhile, a pilot of an artificial intelligence–based social listening platform is using this taxonomy to aggregate and compare online conversations across 20 countries. Beyond the COVID-19 pandemic, the taxonomy and methodology may be adapted for fast deployment in future public health events, and they could form the basis of a routine social listening program for health preparedness and response planning.


Author(s):  
Fernando Enrique Lopez Martinez ◽  
Maria Claudia Bonfante ◽  
Ingrid Gonzalez Arteta ◽  
Ruby Elena Muñoz Baldiris

Technology can transform lives, and nowadays, the internet of things and big data are helping developing countries to improve healthcare outcomes and deliver better services. In Colombia, a lot of municipalities do not have reliable healthcare information systems, and still, a lot of the current processes that collect critical information related to public health are being made manually. Small groups of researchers are trying to include different stakeholders in active IoT and big data projects by using connected sensors and other IoT technologies that drive improvement in healthcare. According to the World Health Organization, hypertension is considered one of the most prevalent chronic diseases in Latin America today, and it has had an exponential growth in the last 10 years. This chapter utilizes data acquisition sensors, large medical datasets, and machine-learning methods to perform predictive analytics in a hypertensive population in Cartagena to assist public health organizations to create proactive care programs to prevent the increase of this disease in Cartagena.


Author(s):  
Elisabetta Cioni ◽  
Alessandro Lovari

The aim of this chapter is to highlight the current issues and the challenging process of the adoption of social media by Italian local health authorities (ASL). After a literature review of the role of social media for health organizations, the authors focus their attention on how social network sites are modifying health communication and relations with citizens in Italy. They conduct an exploratory study articulated in three stages: after mapping the presence of local health authorities on the most popular social media platforms (Facebook, Twitter, YouTube), they carry out a content analysis to describe the prevalent kinds of messages published in the official Facebook timelines; in the third phase, using several interviews with healthcare directors and communications managers, the authors investigate implementation issues, managerial implications, and constraints that influence proper use of these participative platforms by Italian public health organizations. Limitations and further steps of the research are discussed.


Author(s):  
Fernando Enrique Lopez Martinez ◽  
Maria Claudia Bonfante ◽  
Ingrid Gonzalez Arteta ◽  
Ruby Elena Muñoz Baldiris

Technology can transform lives, and nowadays, the internet of things and big data are helping developing countries to improve healthcare outcomes and deliver better services. In Colombia, a lot of municipalities do not have reliable healthcare information systems, and still, a lot of the current processes that collect critical information related to public health are being made manually. Small groups of researchers are trying to include different stakeholders in active IoT and big data projects by using connected sensors and other IoT technologies that drive improvement in healthcare. According to the World Health Organization, hypertension is considered one of the most prevalent chronic diseases in Latin America today, and it has had an exponential growth in the last 10 years. This chapter utilizes data acquisition sensors, large medical datasets, and machine-learning methods to perform predictive analytics in a hypertensive population in Cartagena to assist public health organizations to create proactive care programs to prevent the increase of this disease in Cartagena.


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