THREAD: Trust is going to be key to controlling the #nCoV2019 #coronavirus #coronavirusoutbreak. Lots of lessons to be gleaned from our experience with vaccines and Ebola.
re: #HPV #vaccines: “attitudes and life experiences” & the opinions of doctor & their peers matter more than information pediatrics.aappublications.org/content/117/5/…
#nCoV2019 #coronavirus #coronavirusoutbreak
Trust in medical profession & personal health care provider matters just as much as the information itself. iop-harvard-edu.ezproxy.med.nyu.edu/trust-institut… #nCoV2019 #coronavirus #coronavirusoutbreak
Do I trust your motivations? Do they have my best interest in at heart? russellsage.org/publications/t… #nCoV2019 #coronavirus #coronavirusoutbreak
"Gaining trust has become difficult w/ rise of nationalist populism, which often questions science & casts doubt on expert opinions. The public cannot rely on the media to provide unbiased or accurate messages." thelancet.com/journals/lanin… #nCoV2019 #coronavirus #coronavirusoutbreak
"Campaigns should recruit well-trusted spokespeople such as leaders in sport/entertainment/religion. Health engagement is often most effective at community level through local leaders/teachers/religious figures." thelancet.com/journals/lanin… #nCoV2019 #coronavirus #coronavirusoutbreak
"Social media enterprises should be held accountable for rooting out irresponsible vaccine rumours pervading their platforms." thelancet.com/journals/lanin… #nCoV2019 #coronavirus #coronavirusoutbreak
"those who do not trust the government—often for reasons unrelated to vaccines—sometimes extend their distrust of government to distrust of vaccines, as well as towards the people and systems that deliver them" nature.com/articles/s4156… #nCoV2019 #coronavirus #coronavirusoutbreak
"vaccines are produced by the pharmaceutical industry, which—even in its most generous and humanity-driven moments—aims to generate profit, provoking public concerns about motives" nature.com/articles/s4156… #nCoV2019 #coronavirus #coronavirusoutbreak
"next major outbreak—whether of a highly fatal strain of influenza or something else—will not be due to a lack of preventive technologies. ..." nature.com/articles/d4158… #nCoV2019 #coronavirus #coronavirusoutbreak
"Instead, emotional contagion, digitally enabled, could erode trust in vaccines so much as to render them moot. ..." nature.com/articles/d4158… #nCoV2019 #coronavirus #coronavirusoutbreak
"The deluge of conflicting information, misinformation and manipulated information on social media should be recognized as a global public-health threat." nature.com/articles/d4158… #nCoV2019 #coronavirus #coronavirusoutbreak
Who are the bad actors? (1) people with medical credentials stoking overblown/unfounded fears (e.g. Andrew Wakefield), (2) those who see public health debates as a financial opportunity for selling something, ... nature.com/articles/d4158… #nCoV2019 #coronavirus #coronavirusoutbreak
... (3) those who see public health crises as a political opportunity, a wedge with which to polarize society, (4) "super-spreaders," who propagate misinformation through social media. nature.com/articles/d4158… #nCoV2019 #coronavirus #coronavirusoutbreak
( .@ProfHeidiLarson, author of this last publication nature.com/articles/d4158…, will be speaking on #vaccine hesitancy at #TEDMED in March. ) #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "we judge the level of risk associated with an activity, technology or disease to be extreme and unacceptable if the hazard:
- is new or unfamiliar.
- is perceived as increasing and unbounded. ...
washingtonpost.com/posteverything… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "-is invisible and uncontrollable.
- evokes feelings of dread.
- has fatal outcomes.
- is seen as not adequately understood by experts."
washingtonpost.com/posteverything… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "reliance on feelings to assess risk is not necessarily irrational. ...enabled humans to survive the long course of evolution, before scientific methods and quantitative risk assessment were available." washingtonpost.com/posteverything… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "when the consequences of an event, such as becoming infected with #Ebola, evoke feelings of dread, the likelihood of that event occurring may be greatly overestimated" washingtonpost.com/posteverything… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "When strong emotions are triggered by a risk, people show a remarkable tendency to neglect a small probability that the risk will actually come to fruition." papers.ssrn.com/sol3/papers.cf… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "...communicators consider directly countering misinformation because of the potential influence on their silent audience, i.e. those observing but not openly commenting, liking or sharing posts." bmcpublichealth.biomedcentral.com/articles/10.11… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "Refutations should be straightforward, succinct and avoid emphasizing misinformation. Communicators should consider pairing scientific evidence with stories that speak to audience beliefs and values." bmcpublichealth.biomedcentral.com/articles/10.11… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "Most people learn about medicine/science from newspaper & magazine stories, radio reports, the WWW, & TV programs. ...news media influences the public's perception of diseases, their causes, & their importance." sciencedirect.com/science/articl… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "Similarly, news reports about MMR vaccine & autism have been more interesting than informative--reports often include emotional & dramatic stories of parents concerned..." sciencedirect.com/science/articl… #nCoV2019 #coronavirus #coronavirusoutbreak
@ProfHeidiLarson "The challenge to healthcare professionals is to make the story that the MMR vaccine does not cause autism at once informative, personal, emotional, and compelling." sciencedirect.com/science/articl… #nCoV2019 #coronavirus #coronavirusoutbreak

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More from @celinegounder

Jun 1
1/ FDA Commissioner Makary joined @CBSNews' @margbrennan on @FaceTheNation this morning: cbsnews.com/video/fda-comm…

Full transcript here:
cbsnews.com/news/marty-mak… Image
2/ Brennan: "...you with the HHS Secretary in this video announcement on Tuesday where Secretary Kennedy said the CDC was removing the COVID vaccine for healthy children & healthy pregnant women from its recommended immunization schedule"
3/ She's referring to this social media post:
Read 34 tweets
May 31
1/ Trump Administration's MAHA report is being called out for fabricated citations, AI-generated errors & misattributed authorship.

on @CBSNews with @Alexander_Tin & @MajorGarrett6cbsnews.com/video/white-ho…Image
2/ What makes this especially troubling is the report’s claim to be “evidence-based” & “gold-standard.”

Misrepresenting science while claiming to elevate it is not transparency—it’s Orwellian double-speak for sloppy, dangerous pseudo-science.
3/ At first glance, the report warns of serious issues: screen time, mental health, overmedication in children.

Important topics, yes, but the foundation of the report is now in doubt because many of the studies it cites simply aren’t real.
Read 17 tweets
May 27
1/ Very concerning news from HHS today:
CDC is no longer recommending the COVID vaccine for healthy children & healthy pregnant women.

Why does this have me worried?
2/ Healthy infants may not die from COVID, but they’re at higher risk for ER visits and hospitalizations… both scary & costly.
3/ Pregnant women ARE at higher risk for severe COVID (& influenza).

Pregnancy is a period of immunosuppression (so that the woman’s immune system doesn’t reject the fetus as a foreign body) & stress on the lungs & heart.
Read 9 tweets
May 23
1/ What’s fueling the surge in childhood chronic illness in the US?

The MAHA Commission blames ultra-processed foods (UPFs)—& their assessment offers a sweeping critique of America’s food system.
2/ Nearly 70% of American children's calories now come from UPFs—foods high in added sugars, refined grains & industrial fats, but low in nutrients.

The MAHA report links this to obesity, diabetes, even behavioral health.
3/ UPFs are designed to override satiety signals (i.e. feeling full).

Kids eat more & gain weight faster.

Plus, many UPFs contain additives that may affect metabolism, mood & gut health.

Think: emulsifiers, artificial colors & sweeteners.
Read 15 tweets
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets

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