Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A society that values evidence is more resilient in the face of health crises

Anca Matei, MD
Conditions
November 28, 2020
Share
Tweet
Share

In a world of unprecedented access to information and incredible connectedness, everyone is an expert. Public health has been one of the many victims of this phenomenon, yet it is the single most important strategy for managing the global crisis we are in.

The problem with public health is that it is not particularly likable. That has not always been so. Public health used to be really sexy. As the germ theory unfolded in the 1800s, microbiologists and bacteriologists were the most interesting people alive. In contrast, public health today is boring and underfunded. Public health has gone from Brad Pitt to George Constanza over the course of two centuries. For example, the anti-vaccine movement has cast a shadow on a crucial scientific invention, and it is directly responsible for preventable morbidity and mortality around the world. Similarly, the World Health Organization has been notoriously poorly funded relative to other UN agencies and considering its broad scope and indispensable role. Conversely, political and economic interests are disproportionately prioritized in international relations, at the expense of public health (for example, the TRIPS agreement, but many other examples are applicable.)

Early in the pandemic, the WHO and other public health and academic institutions started issuing information about the status of treatments for COVID-19: there were (and are) none. Yet, the news about treatments bloomed on social media, be it antimalarials or homeopathic medications. In Iran, hundreds of people died because they self-treated with methanol overdoses. The problem is so widespread that the WHO created a page for debunking myths on its COVID-19 website. It covers everything from putting hot pepper in your soup to drinking bleach. The misinformation epidemic is not new, but COVID-19 has brought it to the forefront of health-related discourse.

We live in an era of public health defamation, but COVID-19 presents an opportunity to reset how information is received. I propose two strategies that should guide health education in the post-COVID-19 world.

Firstly, teach the public critical appraisal skills. Critical appraisal is an inherent part of producing or reading research. Scholars spend hours on end learning how to analyze the literature, and there are countless tools to help them do so. Critical appraisal aims to identify weaknesses (called biases) in the data, extract reliable information, and minimize the risks of implementing poorly researched interventions to the real world. In essence, critical appraisal is a key element of safe health care delivery. With information available to the public at large, the public should benefit from these same skills as early in life as possible. Fake media is available to our youngest. We should equip them with the tools to critically analyze and make informed, unbiased, scientifically sound decisions.

Secondly, make reliable information easy to access. Google has become such a common source of medical information that it has been dubbed “Dr. Google.” Dr. Google works against public health efforts for reliable information. The current pandemic should be the catalyst for a global movement to prioritize legitimate publications in search engines and widen the availability of high-quality research. For instance, the Cochrane Database is an excellent and free source of information for both the general public and health care providers. Partnerships among public health agencies, academic institutions, internet search engines, and social media would enable information sharing to focus on quality and reliability.

The availability of high-quality evidence, coupled with the skills to appraise it, will result in a more informed public that can face an overload of unfiltered material with calm, resilience, and confidence. We must anticipate the next health crisis and build a society that values science literacy and invests in strong public health.  Only by doing so will the public at large appreciate, once again, the incredible value of public health and its undeniable power to provide measured and effective guidance when the world as we know it becomes a dangerous and uncertain place.

Anca Matei is an obstetrician-gynecologist.

Image credit: Shutterstock.com

Prev

I could not save this life with every possible medical tool at my disposal

November 28, 2020 Kevin 0
…
Next

Managing through COVID-19: a virtual doctor's story

November 28, 2020 Kevin 0
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
I could not save this life with every possible medical tool at my disposal
Next Post >
Managing through COVID-19: a virtual doctor's story

ADVERTISEMENT

More by Anca Matei, MD

  • When an army has insufficient personal protective equipment, they don’t go in the line of fire

    Anca Matei, MD

Related Posts

  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • How social media can help or hurt your health care career

    Health eCareers
  • Sharing mental health issues on social media

    Tarena Lofton
  • Who should be the first responders to mental health crises?

    Amira Athanasios, MD
  • 3 ways to advance the credibility of online health information

    Robert Pearl, MD
  • Digital health equity is an emerging gap in health

    Joshua W. Elder, MD, MPH and Tamara Scott

More in Conditions

  • Clinical ghosts and why they haunt our exam rooms

    Kara Wada, MD
  • High blood pressure’s hidden impact on kidney health in older adults

    Edmond Kubi Appiah, MPH
  • How declining MMR vaccination rates put future generations at risk

    Ambika Sharma, Onyi Oligbo, and Katrina Green, MD
  • How one unforgettable ER patient taught a nurse about resilience

    Kristen Cline, BSN, RN
  • Why regular exercise is the best prescription for lifelong health

    George F. Smith, MD
  • When the weight won’t budge: the hidden physiology of grief, stress, and set point

    Sarah White, APRN
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A society that values evidence is more resilient in the face of health crises
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...