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chronic diseases
co-payments
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death and dying
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digital technology
disabilities
e-health
emergency departments and care
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euthanasia
evidence-based issues
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genetics
health & medical marketing
health and medical education
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health ethics
health financing and costs
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health regulation
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HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
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MyHospitals website
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non communicable diseases
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oral health
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palliative care
paramedics
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Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
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primary health care
Primary Health Networks
private health insurance
quality and safety of health care
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social media and healthcare
suicide
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Acknowledgement
cultural safety
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social and emotional wellbeing
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Fake news in public health: what’s the antidote?

Croakey has launched a campaign calling for a cohesive and vigorous public response to the crisis in public interest journalism in Australia.

Using the tagline “Public Interest Journalism – it’s a health issue”, the #PIJ campaign will seek to rally the voices of the health sector and highlight the health implications of this crisis.

Our second article in an ongoing series is from Kristy Schirmer, the co-founder of the Australian Public Health Consultant’s Network, and it’s also the latest installment of a semi-regular new column – Around the Traps – being provided by members of the Network.

She writes below on the risks for public health and wellbeing from fake news, and from what is known as “false equivalency” – described here as “the practice of giving equal media time and space to demonstrably invalid positions for the sake of supposed reportorial balance”.

Schirmer looks at what major platforms like Twitter and Facebook are doing to address the problem, and at what public health researchers and policy makers can also do towards prevention and cure.


Kristy Schirmer writes:

 “The beginning of wisdom is found in doubting; by doubting we come to the question, and by seeking we may come upon the truth.”  Pierre Abelard, French philosopher, teacher and theologian, 1079-1142

Fake news comes up so commonly in conversations, both in and outside the workplace. It is truly embedded in our everyday lives and worthy of its 2017 Word of the Year  titles from both Collins and Macquarie dictionaries.

There’s always been fake news: sensationalist reporting which translates to myths and beliefs held in the community. Does the growing incidence and concern about fake news though bring public health an opportunity, indeed a responsibility, to intervene with facts and evidence? Maccas fries to cure your baldness, anyone?

It must also be said that one person’s ‘fake news’ is not another’s ‘alternative facts’. Things are true or they are not. At the very least, there are issues for which the evidence is strong.

A frustration that people working in public health may have experienced is the arbitrary false balance of reporting in journalism of so called public health “debates”, for example, immunisation and breastfeeding, where both “sides” are given. Have you ever watched a news or current affairs story and wondered why both the professor and the health blogger are being given equal coverage?

Consumption of news

Research from Pew Research Center shows that in America two-thirds of people receive at least some of their news via social media, with Facebook the most common social media source.

Recent Australian research on how young people access, perceive and are affected by the news  reported that that 54 per cent of those surveyed said they hardly ever or never check whether a news story they have found on the internet is true.

The 2018 Edelman Trust Barometer, an annual international poll on trust of business, politics, non-government organisations and the media, brought mixed results. While there was a 10 per cent jump in trust in media, 65 per cent of those polled were unsure about what was fake and how to tell.

Antidotes to fake news

Antidotes to fake news are now emerging. These seem to be offered by those who have the most to lose, including scientists and experts who are ignored, misquoted or contradicted. For example, the National Science Foundation has funded the research of a project which will enable digital devices to purge fake news stories.

In March this year, in the wake of more mass shootings in the US, the American Public Health Association announced that any of their published articles about firearms would be made free to allow greater access to evidence to inform the broader public.

Social media platforms often criticised for propagating fake news are also stepping up to proactively address the issue. Twitter has announced a Request for Proposal for a set of health metrics which they can use to ensure that their platform has healthy conversations in order to prevent issues such as misinformation and echo chambers, but also abuse and spam.

See this series of tweets from Jack Dorsey, CEO of Twitter, announcing Twitter is looking at how to measure and retain healthy conversations.

In the meantime, Twitter has supported the following four principles of a healthy public sphere, specifically:

  1. Shared Attention: Is there overlap in what we are talking about?
  2. Shared Reality: Are we using the same facts?
  3. Variety: Are we exposed to different opinions grounded in shared reality?
  4. Receptivity: Are we open, civil, and listening to different opinions?

Facebook has also recognised that it needs to play a role in maintaining the integrity of their platform, but nothing formal has been announced other than tweaks to the algorithm which could further enable the spread of fake news.

But we can all take action too. If you see an image you think is faked, there are some things you can do to test your hunch. And Croakey contributing editor Amy Coopes on Twitter shared this simple poster which looks to improve general media literacy.

Some questions and reflections

Where does this leave us? Fake news, social media and health literacy issues are vital issues that affect health, wellbeing and our democracy.

The National Statement on Health Literacy published by the Australian Commission on Safety and Quality in Health Care in 2014 states that only 40 per cent of adults have the required level of health literacy to understand and act on health information. With social media now part of the ecosystem where health content is consumed, the ability to question and disregard what appears on our news feeds is increasingly important.

This is an opportunity for public health professionals and organisations to reflect on the following questions.

  1. Have you seen any examples of ‘fake news’ in your work? What happened and what was the result?
  2. Does the public health sector ever contribute to fake news? What are our own practices?
  3. How can the public health workforce protect ourselves against the impact of fake news on our work?

Here are some thoughts from my colleagues in the Australian Public Health Consultants Network. Feel free to share or add yours in the comments.

Becky White, Reach Health Promotion Innovations:

For me, one of the most difficult issues with misleading information is around vaccinations. Fake articles, old articles and information from studies that have been discredited can be shared on social media to appear as though it is new and relevant information and/or research. There can be a real lack of understanding of the difference between a case study and a large sample size robust trial and it is difficult for someone scrolling through a feed to differentiate quickly. Maybe health professionals and health researchers need training on how to effectively get your point across in social media, with minimal jargon while still getting facts across. Simple messages like the poster shared in this article are a good idea.

Rebecca Zosel, Zosel Consulting:

Fake news is not new, although the term ‘fake news’ has only recently been added to our vernacular. We’ve all seen instances of false and inaccurate information being disseminated under the guise of news, often by those with vested and commercial interests. Last year the tobacco industry was aptly dubbed the pioneer of fake news.

Due to the rise in popularity of the term ‘fake news’, there is a heightened awareness of misinformation in the community – this is positive. In a globalized and information rich world, we need to be more savvy and discerning than ever. Skills in critical analysis and media literacy are so important. But is the sheer ubiquity of the phrase ‘fake news’ also serving to delegitimize the media? John Oliver thinks so. Watch his analysis of Trump’s manipulation tactics in this clip, The Trump Presidency, which comes in the context that nearly half of American voters think the media make up stories about him.

Kristy Schirmer is the Principal Consultant at www.zockmelon.com.au. Kristy is also the co-founder of the Australian Public Health Consultant’s Network. You can connect with her on Twitter at @Zockmelon.

The article will be shared as part of the e-newsletter of the Australian Public Health Consultants Network. Subscription is free and open to all interested in the Australian Public Health Consultants Network. Sign up at: http://eepurl.com/cB4usX  


Comments 1

  1. Ria says:

    An interesting read! A lot of fake news coverage tend to only really look at the politics side, so looking at how health debates play out in the media and public was an interesting perspective.
    While policy changes would definitely steer the conversation in the right direction, I think equipping people with the media literacy skills and tools is equally important.

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Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
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social media and healthcare
suicide
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TGA
trauma
women's health
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Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
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Government 2.0
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Health in All Policies
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Media Doctor Australia
media-related issues
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National Preventive Health Agency
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Web 2.0
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Royal Commission
Social determinants of health
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Justice Reinvestment
NBN
Newstart
poverty
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Summer reading 2020-2021
Tasmanian election 2021
Testing Croakey News category 1
The Croakey Archives
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#HealthEquity16
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#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014