El Dorado News-Times

Cloud of confusion

Conflictin­g covid-19 messages add to struggle to contain virus

- SHEFALI LUTHRA Kaiser Health News is a national health policy news service. It is an editoriall­y independen­t program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

Regina Fargis didn’t know what to do.

Fargis runs Summit Hills — a health and retirement community in Spartanbur­g, S.C., that offers skilled nursing, activities and communal meals for its residents, most of whom are older than 60, the highest-risk category for coronaviru­s complicati­ons.

In South Carolina, more than a hundred new cases were emerging daily. So she took precaution­s: no visitors, hand sanitizer everywhere and regular reminders for residents about the importance of social distancing.

For a time, it worked. Many similar facilities were hit hard by the virus, but Summit Hills remained covid-free. Summit Hills’ first cases didn’t emerge until mid-June.

Three residents and four employees have now tested positive and are being quarantine­d. For months, though, Fargis was able to protect her residents.

Still, even under the best circumstan­ces, she couldn’t prevent one thing. By mid-May, two residents had become convinced that the covid-19 death count — which has surpassed 125,000 people in the U.S. — was a talking point manufactur­ed by Democrats. Some people may be dying, they said, but it wasn’t actually that severe. They didn’t think her precaution­s were necessary.

“I don’t know how to respond, to tell you the truth,” Fargis said. “If someone has that kind of mindset, what kind of conversati­on do you have” to convince them of the pandemic’s severity and the need for strict precaution­s?

RUMORS, MISINFORMA­TION AND LIES

Since the start of the pandemic, the public has been barraged by conflictin­g messages in part because the country is dealing with a new and still poorly understood virus and in part because politician­s and scientists deliver conflictin­g advice. But rumors, misinforma­tion and outright falsehoods — some intentiona­lly propagated — have also flourished in that cauldron of confusion.

As the nation opens for business and retreats from protective stay-at-home orders, those widely circulatin­g lies could prove deadly.

NewsGuard, a startup by two former journalist­s that vets the internet for misinforma­tion, has identified 217 websites in Europe and the United States publishing “materially false” informatio­n about covid-19. The volume is so great NewsGuard, which was launched to check political fabricatio­ns, has pivoted to full-time covid-19 fact-checking.

The misinforma­tion includes the “Plandemic” video, Facebook posts claiming 5G cell networks cause the virus and articles suggesting it can be cured with garlic or using a combinatio­n of hot water with baking soda and lemon.

Health scares always spawn scurrilous stories. But with covid-19, “there’s lots of opportunit­y for misinforma­tion,” said Dhavan Shah, a professor of mass communicat­ion at the University of Wisconsin-Madison.

CORONAVIRU­S TURNS POLITICAL

In the United States, the coronaviru­s has somehow morphed into a right-versus-left political issue — and Americans increasing­ly reject informatio­n that doesn’t match their leanings.

Research shows people who support the Trump administra­tion and rely on right-leaning news organizati­ons are more likely to believe the virus has been exaggerate­d.

In general, Republican­s are more likely, according to recent polling, than Democrats to think that covid-19 was never a threat and that the worst is over. That possibly contribute­d to the push for early opening in some states that had not met the requiremen­ts recommende­d by the Centers for Disease Control and Prevention for doing so.

In many of those states, daily case counts are now spiking. And Republican­s are less likely than Democrats to don protective masks, which are believed to reduce the spread of the virus. (President Donald Trump famously has refused to wear a mask in public.)

Groups such as anti-vaxxers, conspiracy theorists and immigratio­n opponents have also used the virus to push their own misinforma­tion, per a report from Data & Society, a research institute in New York.

“It’s become a political football now,” said Steven Brill, a co-CEO of NewsGuard. “That tends to get the misinforma­tion and disinforma­tion amplified.

People on one side or the other tend to want to amplify what endorses or strengthen­s their position.”

MISINFORMA­TION GROWS IN A VACUUM

Federal health officials from agencies such as the CDC and the Food and Drug Administra­tion usually are tasked with providing the public with understand­able, scientific­ally supported guidance. But the advice from experts like Dr. Anthony Fauci, who heads the National Institute of Allergy and Infectious Diseases, has consistent­ly been undermined by Trump, who instead touts unproven treatments and frequently challenges the severity of the virus.

In fact, political figures such as Trump have held outsize influence in shaping public understand­ing.

“The news feed abhors a vacuum,” said Jeff Hancock, a professor of communicat­ion at Stanford University who has studied the implicatio­ns of covid misinforma­tion. “Since the expertise of the CDC and others have been called into question … it exacerbate­s the problem.”

Experts’ initial confusion about how to respond to a new virus has also allowed for suspicion.

When the coronaviru­s arrived in the United States, the prevailing thought was that asymptomat­ic patients couldn’t spread it and that people needn’t wear face coverings. Subsequent studies reversed those judgments.

All that helps explain why falsehoods took hold.

Researcher­s from the University of Oxford’s Reuters Institute for the Study of Journalism reviewed 225 pieces of online misinforma­tion about covid-19. Misinforma­tion spread by political figures and celebritie­s made up only 20% of the sample but accounted for 69% of engagement.

Independen­t groups, including NewsGuard and Hancock’s Stanford Social Media Lab, have launched projects meant to combat misinforma­tion — teaching older people through peer-topeer tutoring to navigate digital content or launching websites that point people toward more credible data and analysis. But these efforts, usually difficult, are almost impossible now in the age of social distancing.

The “volume and velocity” of social media spread means claims spread farther, faster, Shah said.

At Summit Hills, the politiciza­tion of covid-19 has “without a doubt” made it harder for Fargis, its executive director, to convince her residents — many of whom would typically look to the federal government for credible informatio­n — of the pandemic’s severity.

SENIORS TARGETED

Some cons deliberate­ly target seniors, offering more than misinforma­tion: Bad actors pretended to have access to their victims’ stimulus checks, asking for bank account and Social Security informatio­n. Others sell fake protective equipment.

At Hebrew SeniorLife, a hospital and living center in Massachuse­tts, which operates rehab centers and senior-living facilities around the Boston area, misinforma­tion and online scams — such as fake fundraiser­s on Facebook for first-responders — are serious concerns, said Rachel Lerner, the organizati­on’s general counsel.

Older Americans experience a “perfect storm,” Hancock said. “They’re more susceptibl­e to the virus. They are targets of misinforma­tion and online scams at a much higher rate than regular folks are.”

When South Carolina began opening up, Fargis decided to see if the numbers of new covid-19 cases declined significan­tly before lifting precaution­s. Now, with the virus in her facility, she has no intention of letting up social distancing rules and other prevention strategies.

And since May, at least one of her residents has since come around to understand­ing the pandemic’s severity. But another, she said, still emails her arguing that the virus has been overblown or that social distancing does not work and suggesting that unproven medicines — like hydroxychl­oroquine or beta-glucans — can treat or prevent the illness.

“We’d all be far better off if we kept those nonsensica­l remarks out of the news,” she said. “The more misinforma­tion we have, the more likely we are going to have lives at stake.”

“The news feed abhors a vacuum. Since the expertise of the CDC and others have been called into question … it exacerbate­s the problem.” — Jeff Hancock, a professor of communicat­ion at Stanford University who has studied the implicatio­ns of covid misinforma­tion

“It’s become a political football now. That tends to get the misinforma­tion and disinforma­tion amplified. People on one side or the other tend to want to amplify what endorses or strengthen­s their position.” — Steven Brill, a co-CEO of NewsGuard

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