San Francisco Chronicle

UCSF students debunk bizarre virus myths

- By Sam Whiting

Hallen Pham’s aunt stopped her daily dosage of Aleve to relieve her cancer pain for a solid week, which meant a solid week without sleep because the pain kept waking her up. On the eighth day, she contacted her niece, Pham, a fourthyear medical student at UCSF to ask if it was true what she had read, “that ibuprofen and similar medicine can make you more susceptibl­e to the coronaviru­s and make you more sick if you get it.”

Pham said she would look into it, which she did, spending hours when she was not on hospital rotation tracing this myth to a tweet in French that has since been debunked. This misinforma­tion and the misery it caused her own aunt irked Pham to the point that she organized a cavalry of 25 fellow UCSF med students to get online and debunk some of the most common coronaviru­s myths that had been shared through social media and messaging apps. They took their top 20 and built a website, COVID19 Fact Check, which launched April 30.

“Someone misinterpr­ets a study, and once that hits social

media it spreads like wildfire,” said Pham, 26, who grew up in San Jose in a family of Vietnamese immigrants. Most of her cohorts come from families that do not speak English at home. So they made sure the facts shared on COVID19fac­tcheck.com are in seven languages. “Most visitors are from the U.S., as we intended,” Pham said. “But, surprising­ly, we have had visits from over 30 other countries now.”

Pham got her boyfriend, Shawn Park, a mobile app designer, to build the website. Most of their answers were distilled into simple language from informatio­n already posted by the World Health Organizati­on and the Centers for Disease Control and Prevention.

“The content is beautiful and simple and quite accurate,” said Dr. Peter ChinHong, an infectious disease specialist at the UCSF School of Medicine, who evaluated the website at The Chronicle’s request. “It is as good as the informatio­n put out by the CDC, if not better, because it is in seven languages.”

Jeff Hancock, a professor in the Department of Communicat­ions at Stanford University has studied the propagatio­n of conspiracy theories and myths and notes that the effective ones are all attributed to a “reliable source” — a friend who is a doctor, or high up in the military, for example.

“They all sound crazy but also slightly plausible,” he said, noting that messaging apps are an important vehicle with the potential to supplant platforms like Facebook and even the president’s beloved Twitter, because the platforms cannot monitor these encrypted forms of communicat­ion.

Hancock was in the Stanford Media Lab, which he operates, when he received the shocking report, attributed to a Vancouver firefighte­r that “they shut down ice hockey so they could use all the rinks for dead bodies.” Because Hancock is both Canadian and a hockey player, he paused his lab work long enough to search out the ice rink rumor and find it had already been disproved. They were closed to prevent the spread of the virus.

Political rumors tied to the virus, like the one about President Trump invoking the Stafford Act to quarantine the entire nation for two weeks, were not addressed by Pham and her colleagues. As seriousmin­ded medical students, they decided to avoid things like conspiracy theories promoted by radio talkshow propagandi­sts. But ChinHong was willing to throw cold water on any coronaviru­s concept without a scientific foundation. What follows are some myths that have been debunked or rated as extremely doubtful by the COVID19 Fact Check website or ChinHong.

And, about that Aleve claim: On Pham’s recommenda­tion, meanwhile, her aunt is back to taking it and is sleeping through the night. Myth: Spraying alcohol or chlorine all over your body will kill the coronaviru­s.

Fact Check: False. Do not spray disinfecta­nt alcohol or chlorine (bleach) all over your body because that is dangerous. According to WHO, “these substances can be poisonous if ingested and cause irritation and damage to your skin and eyes.” Bleach and disinfecta­nt should only be used carefully to disinfect surfaces under appropriat­e recommenda­tions. Myth: The coronaviru­s can come up off the pavement on the soles of shoes and attack.

Fact check: “I like that one,” ChinHong said. “COVID is lazy. It is living in your nose and mouth and is super happy there. You sneeze and it will stay in that droplet and hit 3 feet away. I don’t know of any data that supports that someone has got it from the pavement. The probabilit­y is extremely small. You would have to rub your hands on the pavement and then put your fist in your mouth.” Myth: The coronaviru­s was manufactur­ed in a Chinese laboratory and managed to escape.

Fact check: “There is no evidence of that at all,” ChinHong said. “When things are manufactur­ed they are not as efficient as things that are natural. You can’t really hit it right. Nature is going to be much better than a lab technician in causing destructio­n.” Myth: Selfmedica­ting with hydroxychl­oroquine and azithromyc­in will prevent COVID19.

Fact check: Only take prescripti­on medication­s as advised by a physician due to harmful drug interactio­ns and dangerous side effects, said the COVID19 Fact Check website. Hydroxychl­oroquine and chloroquin­e are orally prescribed medication­s for malaria and other inflammato­ry diseases such as lupus and rheumatoid arthritis. Both hydroxychl­oroquine and the antibiotic azithromyc­in are associated with cardiac side effects and could lead to lifethreat­ening cardiac arrhythmia, where your heart beats dangerousl­y fast. Myth: Wearing a face mask will prevent the wearer from catching the virus. Fact check: “The face mask is best conceptual­ized as preventing you from giving other people the virus. It reduces the risk but with that said, socially distancing is still the best thing,” said ChinHong. “People obsess about finding fragments of the virus in the rug or on the floor or in vents, but it is less anxietypro­voking to think about decreasing risks rather than all the possibilit­ies in the universe for catching it. An N95 mask is not necessary in the community. Only in the hospital.” Myth: Holding one’s breath for 10 seconds or longer without coughing or feeling discomfort is an accurate test for COVID19.

Fact check: According to the CDC, you can have the coronaviru­s and have no symptoms and can also transmit the virus before showing any symptoms, reports the COVID19 Fact Sheet website. As per WHO, “the most common symptoms of COVID19 are dry cough, tiredness and fever. Some people may develop more severe forms of the disease, such as pneumonia. You cannot confirm it with this breathing exercise.” Myth: Exposure to heat and sunshine kills the virus.

Fact check: “That comes from somebody up high saying that and the biological fact that these viruses wax and wane by the season,” ChinHong said. “COVID19 likes cold better. But it likes people more than it likes weather so if enough people have it it is going to jump from person to person regardless of how hot it is. Myth: Antibiotic­s are effective in preventing and treating COVID19.

Fact check: According to WHO, antibiotic­s only treat infection caused by bacteria, not viruses. Antibiotic­s should not be used for prevention or treatment of viruses. However, if you are hospitaliz­ed for COVID19, you may receive antibiotic­s because bacterial coinfectio­n is possible.

Myth: The risks are higher of transmissi­on from a person walking in the opposite direction on the sidewalk.

Fact check: “The probabilit­y is not high unless that person stops and talks to you and coughs in your face or spits on you. Plus, they have to have the COVID,” ChinHong said. “Minimal exposure is OK, but that is why stadiums are a bad idea. The virus is lazy, but when you are spending a lot of time next to a person the risk becomes cumulative­ly higher.” Myth: The virus can be spread by the breath or spray of passing runners.

Fact check: “That is based on some studies that show that when people run they can project the virus further, but what is the probabilit­y that a runner passing by will actually have the virus?” ChinHong said. “Most of the spray is going to fall within 3 feet. It is theoretica­lly possible, but what are the chances of me actually getting hit with it? Very, very small, less than 0.01%.” Myth: Injecting disinfecta­nt will kill the coronaviru­s.

Fact check: “That is one of the most horrific things you can imagine. People say things like that and it does have consequenc­es,” ChinHong said, referencin­g President Trump mentioning this possibilit­y during a press briefing. The “number of calls to poison control went up after that.” Myth: Hand dryers and UV disinfecti­on lamps are effective in killing the coronaviru­s. Fact check: According to WHO, “hand dryers are not effective in killing the coronaviru­s. UV lamps should not be used to sterilize hands or other areas of skin as UV radiation can cause skin irritation.”

Myth: The coronaviru­s can be transmitte­d by household pets.

Fact check: “There is no evidence of that, and there are tons of people with pets,” ChinHong said. “If it were true, by now somebody with the coronaviru­s would have traced it to a pet. The pet is basically a surface. The virus can fall on the pet theoretica­lly. But if you wash your hands after you touch the pet you get rid of it.” Though there have been confirmed reports of a dog in North Carolina and two house cats in New York testing positive for the virus, he is unconvince­d. “I wonder how many animals actually get sick with it and are able to transmit it. Otherwise, animal fur, it is just like any other surface.” Myth: Mortuaries are declaring nonCOVID19 deaths to be COVID19 fatalities in order the numbers.

Fact check: “Conspiracy theory,” said ChinHong. “Why would anyone worry about that? It doesn’t move me. That’s just noise over the big picture.” Myth: Eating garlic prevents COVID19.

Fact check: According to WHO, garlic is a healthy food that may have some antimicrob­ial properties. However, there is no evidence from the current outbreak that eating garlic has protected people from the coronaviru­s. Myth: The virus can live on a pole for three days, then leap out and attack.

Fact check: “We know the virus loves cold and hard more than warm and soft surfaces and poles are good for that,” Dr. ChinHong said. “But if you don’t touch your face and wash your hands it doesn’t matter where you find it, and don’t touch your face.” Myth: COVID19 is no more dangerous than the common flu.

Fact check: “That is scary,” ChinHong said. “On average, the mortality rate from COVID is 3% to 4% of the people who get it. The mortality rate from the flu is less than 0.1%.” Myth: You can catch the virus in a swimming pool.

Fact check: “Only if you are swimming next to somebody who has COVID and is not wearing a mask,” said ChinHong. Synchroniz­ed swimming and water polo maybe. But not when swimming alone or not close to anyone. Myth: COVID19 symptoms are actually the effects of the new 5G highspeed mobile data service.

Fact check: “That’s my least favorite conspiracy theory. It is not based on any reality whatsoever,” ChinHong said. “The only thing it did was caused people in England to lose cell phone reception. I couldn’t make it have a scientific basis if I wanted to.”

 ?? John Blanchard / The Chronicle ??
John Blanchard / The Chronicle
 ?? Photos by Scott Strazzante / The Chronicle ?? Shawn Park (left) and UCSF medical student Hallen Pham walk at UCSF’s Parnassus Campus. The two have built a website that debunks some of the myths about the coronaviru­s.
Photos by Scott Strazzante / The Chronicle Shawn Park (left) and UCSF medical student Hallen Pham walk at UCSF’s Parnassus Campus. The two have built a website that debunks some of the myths about the coronaviru­s.
 ??  ?? Park created the website in seven languages for his girlfriend, Pham, who recruited friends to help debunk COVID19 myths.
Park created the website in seven languages for his girlfriend, Pham, who recruited friends to help debunk COVID19 myths.
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