1/It's good being back on Twitter. Since being back, I've been thinking about how/why misinformation proliferates so widely on social media like Twitter.

To adapt an old canard, Twitter is a medium because it is neither rare nor well done.
2/These qualities are simultaneously features and bugs. Twitter is ubiquitous and open to everyone, which makes it ideal for disseminating information. But Twitter is also ubiquitous and open to everyone, which makes it ideal for spreading misinformation.
3/The misinformation that concerns me is that which is driven by what I will call "gadflies."

These are individuals who do a bit of "research" on YouTube, or perhaps even via a pre-print, and then find a quote that accords with their pre-conceived notion (confirmation bias).
4/They then seize on that notion and will often use it to play "gotcha" with experts.

Gadflies mean well, since they are "just asking questions."

But their approach does not lead to productive conversation.
5/Many gadflies are individuals who do not appreciate the fundamentals of a field. They have often skipped over the hardest part of any field, which is the the deep understanding that comes from years of painstaking knowledge acquisition.
6/Instead, they prefer to jump straight to what they find to be the "fun" parts of a field: throwing out contrarian viewpoints and drawing people into hackneyed arguments.
7/Indeed, they prefer the role of a gadfly to spending years on knowledge acquisition. Why not? It's easier and you get to make waves.

It's like having the only pin at a balloon party. It's a lot of fun for you, but pretty pesky for everyone else.

But it's also low yield.
8/Having skipped over the difficult, often boring, parts of a field, gadflies are drawn to salacious-sounding topics.

They seize those tropes and promote them. At best, it’s nonsense; at worst, it’s misinformation.
9/Experts in the field - those who have mastered the fundamentals - often see such misinformation and have two reactions:

1. If I respond, I am dignifying the misinformation, and, given the way Twitter's algorithms work, could actually amplify it.
10/
2. Responding takes time. And since the gadfly doesn't have the base of knowledge, I have to build that base for them. That takes even more time. And by the time I respond with sufficient clarity, the gadfly may have moved on.
11/This is Brandolini's law. en.wikipedia.org/wiki/Brandolin…

In short, the amount of energy required to refute misinformation is an order of magnitude larger than to produce it.
12/So misinformation spreads unchecked because those who have the wherewithal to check it do not (for the understandable reasons noted above).

But to casual observers, the lack of a response might mean that the gadfly's point stands.
13/This is what Mark Twain meant when he quipped that a lie can spread half way around the world before the truth even gets its shoes on.
14/The problem is more pronounced on social media.

That's largely because of the allure of misinformation.
Misinformation proliferates because it is easy to produce, can be deployed rapidly (before experts have analyzed a situation)...
15/...,it confirms individuals’ pre-exiting beliefs about the world, and, critically, is easy to understand in times when the world seems uncertain.

Misinformation satisfies our need for clarity in a topsy-turvy world.
16/Gadflies often respond to these criticisms by saying that they are "just engaging in the scientific method" and that if we were "real" scientists, we would welcome the questions and engage in the debate on honest terms.
17/Like many other mistruths, this one has a hint of reality underpinning it.

The arc of scientific progress *does* depend on disagreement. This is, in effect, what Thomas Kuhn noted in The Structure of Scientific Revolutions.
18/I've seen gadflies position themselves as the revolutionary thinkers in the room.

One theme is for them to claim that they are "just doing what Galileo did."
19/But with one major difference: the debate that underlies a Kuhn-style paradigm shift is usually driven by a contrarian who *has* mastered the fundamentals of a field, and just sees them through a revolutionary lens.
20/Put differently, Charles Darwin just wasn't some guy in 1860s England with a Twitter account. He was a skilled naturalist who mastered the fundamentals of the field.

Likewise, Galileo wasn't just some chap who was bored on Facebook and wanted to taunt the Catholic Church.
21/He was highly skilled and had, again, mastered the fundamentals of his time.

Engaging with gadflies rarely produces beneficial outcomes. Their goals can sometimes be outcome driven and intended to sow distrust.
22/When presented with robust facts, gadflies either quickly change their argument or claim that there is a larger conspiracy afoot.

For example, many cannot state their preconditions for changing their viewpoint (falsifiability).
23/Recently, I have seen gadflies claim that they are being "shamed" when their errors are corrected. When they do engage, experts run the risk of punching down. Personally, I need to be better about engaging in non-judgmental terms.
24/Dunking on someone might feel great, but it does nothing to quash misinformation and likely exacerbates it.

Also, experts often only interact with themselves. That has value when it comes to knowledge advancement, but it can make discussions rarefied.
25/I personally admire the approach of @ProfPCDoherty, a Nobel laureate. He asks individuals for references to peer-reviewed publications to back up their claims.

If gadflies want to get into the arena, they should be ready to offer citations.

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More from @nirav_mainecdc

15 Oct
1/It's time to take stock of where we are w/#COVID19 in Maine from an epidemiological perspective.

Let's start with the big picture. The PCR positivity rate is now 5.3%. One incubation period ago, it was at 4.5%.
2/A portion of that increase is attributable to less PCR testing.

Right now, the current daily PCR testing volume stands at 471/100K people. That's 13% lower than one incubation period ago, leading to a higher positivity rate.
3/Hospitalizations are thankfully lower, but still high. Right now, 166 people are in the hospital in #Maine w/#COVID19. 60 of them are in the ICU and 31 are on ventilators.

Two weeks ago, there were 211 people hospitalized, with 67 in the ICU, though 27 on a ventilator.
Read 6 tweets
2 Aug
1/It's important to consider the full picture when interpreting data on things like the % of people fully vaccinated who are hospitalized with #COVID19, or the fact that 74% of the cases in the P-town outbreak were fully vaccinated.
2/I have seen folks express concern upon learning, for example, that 45% of people hospitalized w/COVID19 are vaccinated.

"But I thought the vaccine keeps you out of the hospital? Is this evidence that vaccines aren't working?" No, it is not.

I'll walk through why here.
3/First, some basic assumptions. There are two Worlds, each with 1M people. And we'll consider the same infectious disease affecting each World, with the parameters below.

There is also a vaccine, with the effectiveness parameters noted below. These could all be changed.
Read 17 tweets
24 Nov 20
1/Good afternoon, Maine. Today is a somber day. @MEPublicHealth is reporting the deaths of 12 individuals w/#COVID19.

Their deaths brings the total number of individuals who have passed away w/COVID in Maine to 189.
2/In addition, #Maine logged 255 new cases of #COVID19, for a total of 10,799 individuals.

Right now, 105 people are in the hospital w/COVID. 43 of them are in the ICU and 9 are on a ventilator.
3/Our 7-day test positivity rate stands at 2.62%.

Roughly 1 month ago (10/24), it was 0.55%. #COVID19 #Maine
Read 6 tweets
24 Nov 20
1/I've previously referenced a study from Kansas' @KDHE looking at the impact of face coverings on reducing #COVID19 on a population level.

@CDCMMWR recently published the full analysis. cdc.gov/mmwr/volumes/6…
2/"After the governor’s executive order, COVID-19 incidence decreased (mean decrease of 0.08 cases per 100,000 per day; net decrease of 6%) among counties with a mask mandate but continued to increase (mean increase of 0.11 cases per 100,000 per day; net increase of 100%)..."
3/"...among counties without a mask mandate (nonmandated counties)."
Read 4 tweets
21 Nov 20
1/Good afternoon, #Maine. We have sadly crossed the 10,000 case milestone w/#COVID19.

@MEPublicHealth is reporting a total of 10,123 individuals w/#COVID19 (+165).

Another individual has died w/COVID. He was a man in his 70s from Cumberland Co.
2/His passing marks the 174th death w/#COVID19 in #Maine. We offer his family, friends, and community our condolences.

7713 individuals have recovered (+123).
3/Cumulatively, 636 have been hospitalized. In the past 30 days, 158 have been hospitalized.

And right now, 86 people are in the hospital w/#COVID19 in #Maine.

41 of them are in the ICU and 11 are on ventilators.

We wish them all a speedy recovery.
Read 7 tweets
15 Nov 20
1/Good afternoon-@MEPublicHealth is reporting 8944 individuals with #COVID19 (+153). Of those, 8006 are confirmed (+124) and 938 are probable (+29).

6681 have recovered (+84).
2/Sadly, two additional Maine people have died w/#COVID19: a woman in her 80s from Somerset Co. and a man in his 80s from Kennebec Co.

They mark the 164th and 165th deaths in Maine associated with #COVID19.

We offer our condolences to their families and friends.
3/Right now, 71people are in the hospital with #COVID19 in #Maine (+4).

24 of them are in the ICU (+1) and 7 are on a ventilator (=).

106 ICU beds are available.
Read 6 tweets

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