It started during a yoga class. She felt a strange pull on her neck, a feeling completely foreign to her. Her friend suggested she rush to the emergency room. It turned out that she was having a heart attack.
She didn't share similar symptoms with someone who was likely to have a heart attack. She exercised, watched her plate and did not smoke. But on reviewing her medical history, I found that her cholesterol (胆固醇) level was sky-high. She had been prescribed a cholesterol-lowering statin (他汀) medication, but she never picked up the prescription because of the scary things she had read about statins on the Internet. She was the victim of fake medical news.
While misinformation has been the object of great attention in politics, medical misinformation might lead to an increase in deaths. As is true with fake news in general, medical lies tend to spread further than truths on the Internet—and they have very real bad consequences.
False medical information can also lead to patients experiencing greater side effects through the "nocebo effect (反安慰剂效应) ". Sometimes patients benefit from an intervention (干预) simply because they believe they will—that's the placebo effect (安慰剂效应). The nocebo effect is the opposite. Patients can experience harmful effects because they anticipate them. This is very true of statins. In blinded trials, patients who get statins are no more likely to report feeling muscle aches than patients who get a placebo. Yet, in clinical practice, according to one study, almost a fifth of patients taking statins report side effects, leading many to discontinue the drugs.
What else is on the fake news hit list? As always, vaccines (疫苗) . False concerns that the vaccine may cause side effects have greatly reduced coverage rates.
Cancer is another big target for pushers of medical misinformation—many of whom refuse alternative therapies. "Though most people think cancer tumors are bad, they're actually the way your body attempts to contain the harmful cells," one fake news story reads. It warns that prescription medications lead to the uncontrolled cell mutations (变异) .
Silicon Valley needs to face this problem. I am not a free-speech lawyer, but when human health is at risk, perhaps search engines, social media platforms and websites should be held responsible for promoting or hosting fake information. Meanwhile, journalists should do a better job of spreading accurate information.
