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Dr. Casey

One of the Most Serious Threats to Health: Misinformation

We face health risks every single day in countless areas of life. From germs to improperly prepared food to pollution and countless other exposures, we face countless possible hazards every day. However, one of the most dangerous but underestimated threats to our health and well-being is actually misinformation about health. The U.S. Department of Health and Human Services defines misinformation as “false, inaccurate, or misleading information according to the best available evidence at the time.” And health misinformation, specifically, has been identified by countless professionals and health organizations as one of the leading threats to individuals’ health and safety. Dr. Vivek H. Murthy, U.S. Surgeon General, has said, “Health misinformation is a serious threat to public health. It can cause confusion, sow mistrust, harm people’s health, and undermine public health efforts.” Unfortunately, health misinformation, and particularly misinformation regarding vaccinations, has become an issue of epidemic proportions. Today, I will talk more about the issues surrounding health misinformation, including some of the causes, effects, and ways to stop it.

Why is health misinformation harmful?

People might make decisions about their health based on this untrue or incorrect information. Basing decisions on false information could be dangerous for one’s health. This includes misinformation about diseases, treatments, vaccines, procedures, and healthy lifestyle choices, and more.

How can you know if health information is accurate?

Check with credible sources. Check public health department websites and the Centers for Disease Control and Prevention at https://www.cdc.gov/ to fact-check information. Talk to a doctor, nurse, or other healthcare professional/expert to request any additional information they might have. You can also search online to see if a credible source, such as a governmental agency or peer-reviewed medical journals have verified claims.

**Do not seek factual information from social media. Unfortunately, social media is one of the most common ways to spread misinformation.

**If you aren’t sure if the information is credible, don’t share it.

Another great resource is the “Health Misinformation Checklist” from the Office of the U.S. Surgeon General which you can find here: https://www.hhs.gov/sites/default/files/health-misinformation-checklist-english.pdf

It is also important to be mindful of our inherent and (often unintentional) biases. Sometimes we may think we are doing our due diligence by looking for facts about an issue, but people naturally tend to hunt and/or be drawn to facts and opinions that support their beliefs and values. It can be difficult for anyone to be objective because we all have at least some kind of inherent opinion, however small or subconscious. So, beware of unintentionally seeking information that reinforces your innate ideas.

Despite several studies finding no association between vaccines and autism, the myth of a link continues to be spread by anti-vaccine activists.

Limiting the spread of health misinformation is a moral and civic imperative that will require a whole-of-society effort,” he said.

Experts say misinformation contributes to vaccine hesitancy

Health misinformation leaves a legacy

One of the most significant areas of medicine that has been affected by health misinformation is vaccines. In January 2019, the World Health Organization (WHO) named vaccine hesitancy as one of the top 10 threats to global health, and this was long before the COVID-19 pandemic and vaccinations sparked widespread controversy. At the time, the WHO estimated that 1.5 million lives could be saved worldwide if vaccines were more widely accepted. In 2021, some of the top health officials in the U.S. admitted that they had underestimated the vaccine hesitancy issue, thinking people would become increasingly willing to be vaccinated as the benefits of the vaccine became clear. This was not the case, though, and vaccine hesitancy spread beyond the COVID-19 vaccine and on to vaccines that had long been established and accepted as safe and important, particularly for children. Experts have said that the vast amount of health misinformation has significantly contributed to vaccine hesitancy and refusal.

Unfortunately, once these ideas are let loose, regardless of how true (or not) they are, very little can be done to undo the damage of the original claims. For example, despite numerous studies showing no association between vaccines and autism (and the original study making that claim was found to be incredibly fraudulent, the publication withdrawn, and the physician-scientist having lost his license to practice medicine), the myth of a link between vaccines and autism persists and is spread by anti-vaccination activists. Despite being fraudulent, fabricated, disproven, and criminally pursued, the damage done by that first study cannot be undone. From situations like this, countless health professionals and the U.S. Surgeon General insist that “Limiting the spread of health misinformation is a moral and civic imperative that will require a whole-of-society effort.” It is up to all of us to combat these falsehoods to protect the greater good of the people.

Other Questions?

I am frequently asked about misinformation, particularly regarding vaccines, so I thought many readers might have questions about it, too. I wanted to emphasize this topic because we are in the time of year when germs are rampant and the need to protect ourselves is greatest. Also, I have seen an uptick in vaccine misinformation in recent weeks, and I want to emphasize how important it is for people to look at the facts and to fact-check the “facts.” My second cousin’s best friend who is completely unrelated to the medical field is not my go-to for health advice or the latest data. Remember who you are trusting with your health and safety, and that of your family and community. We have an obligation to be mindful for each other. Please continue sending in questions and comments; I love to hear your feedback and answer anything I can! Stay healthy as we enter this chilly season!

Be Well; Be Kind,

Dr. Casey

Want to Learn More?

For a quick overview of the U.S. Surgeon General’s Advisory on Confronting Health Misinformation, this one page summary is fantastic: https://www.hhs.gov/sites/default/files/health-misinfo-printable-summary.pdf

If you want to take a deeper dive into this topic, you can also read the full advisory from the U.S. Surgeon General on Confronting Health Misinformation, found here: https://www.hhs.gov/sites/default/files/surgeon-general-misinformation-advisory.pdf

The Office of the U.S. Surgeon General has also developed “A Community Toolkit for Addressing Health Misinformation” that provides great resources on understanding health misinformation, how to recognize it, how to talk about it with others, and other resources. You can access this toolkit here: https://www.hhs.gov/sites/default/files/health-misinformation-toolkit-english.pdf

If this subject really interests you, I suggest this documentary from PBS called Vaccination from the Misinformation Virus. It discusses overcoming personal bias to understand the role vaccines play in community health and saving lives. You can stream it here: https://www.pbs.org/show/vaccination-misinformation-virus/

Flu Season Is Here: Why Vaccination Is More Important Than Ever

As we enter the peak of flu season, health officials are urging people to prioritize vaccination, particularly for children. With the holiday getting closer, it’s possible the United States could see a rise in children staying in bed, not just recovering from indulging in the festive season, but battling seasonal illness. According to the Centers for Disease Control and Prevention (CDC), influenza cases are gradually increasing nationwide. While the overall number of flu cases remains relatively low, Tennessee is reporting moderately high rates, with certain regions seeing noticeable activity.

Nationally, children aged 0–4 account for more than 10% of outpatient flu-related visits. While Tennessee’s 2024 flu cases (3.8% of the population) are down from the 5% reported during the same week in 2023, this is encouraging. It is also important to remember that the peak of flu season is still ahead. Health experts caution against complacency, as flu activity usually reaches its highest levels between December and February.

Why You Should Get Vaccinated

The bottom line is that no one wants to get sick. The body can only handle so much before it becomes vulnerable to infection. With the influenza virus constantly evolving, we must also update the tools we use to fight it.

Each year, the influenza vaccine is designed to protect against the most prevalent strains of the virus predicted for the upcoming flu season. Researchers worldwide monitor circulating strains and use models to forecast which ones are most likely to spread. The vaccine typically targets three or four strains, covering both influenza A and B viruses.

The influenza vaccine introduces inactivated viruses, weakened live viruses, or specific viral proteins into the body. Getting vaccinated helps your immune system prepare for a potential encounter with the influenza virus. Children’s immune systems are still developing, making them more vulnerable to severe symptoms and complications like pneumonia, sinus infections, or ear infections. These complications cause discomfort and can lead to time off school and activities they enjoy, as well as missed workdays for parents or caregivers.

Getting the vaccine helps children build that barrier that helps avoid high fevers, muscle aches, and fatigue associated with influenza, which can leave kids feeling miserable for days or weeks. As parents, there’s nothing worse than seeing your child sick and feeling like you could have done something to prevent it but now can’t.

Addressing Low Vaccination Rates

Despite all the data available, vaccination rates remain low. In Tennessee and across the U.S., only 37% of children have received the flu shot this season. This is concerning, given how deadly the flu season can be, especially for children.

Thousands of children end up in the hospital due to flu-related complications, and tragically, flu-associated pediatric deaths occur annually. During the 2023–2024 flu season, 200 pediatric flu-related deaths were reported, surpassing the previous high of 199 deaths in the 2019–2020 season. Of these deaths, approximately 80% of children were not fully vaccinated against influenza.

This data paints a clear picture. Low vaccination rates and high transmissibility of influenza can have deadly consequences. It’s important to vaccinate children because they often act as vectors, spreading the virus to other children, who then spread it to families, and it can eventually reach vulnerable populations, including the elderly.

Increasing flu vaccination rates among children is a critical public health priority. Vaccination protects individual children from severe illness and death and contributes to community-wide immunity, reducing the overall burden of influenza and safeguarding those who cannot be vaccinated.

What to Remember This Holiday

As we prepare to gather with loved ones this holiday season, it’s important to understand the risks of the flu. During this busy time — shopping, traveling, and celebrating. The flu doesn’t respect borders or boundaries.

Vaccination is a simple step that can drastically reduce flu transmission and protect everyone around you.

Remember, vaccination isn’t just a personal choice — it’s a shared responsibility.

Sources

Tennessee Department of Health: Weekly Flu Reports

CDC: Fluview

CDC: New Grim Milestone for Flu Pediatric Deaths Set

CDC: Flu Deaths in Children Last Season Reach 199, Matching Record

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