Juan g rvas phd gp professor of public health madrid spain jgervasc@meditex es www equipocesca org
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Juan Gérvas , PhD , GP, Professor of Public Health , Madrid, Spain [email protected] www.equipocesca.org. Can We Resist Disease Mongering Campaigns ?. YES!. Lessons from the counter-campaign swine flu Spain 2009-10. FIRST STEP Precise definition of the problem.

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Juan g rvas phd gp professor of public health madrid spain jgervasc@meditex es www equipocesca org l.jpg

Juan Gérvas, PhD, GP,

Professor of PublicHealth, Madrid, Spain

[email protected]

www.equipocesca.org

Can WeResistDiseaseMongeringCampaigns?


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YES!

Lessonsfromthecounter-campaignswineflu

Spain 2009-10


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FIRST STEPPrecise definition of theproblem


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Risk factor, broadening a disease, a new disease, prevention, diagnosis/ treatment...? Colusion of interests?Who persons and which institutions have merged?Who are key opinion leaders?Potential harms, ethical problems, conflict of interest,...?Less is better, “just in case”…?


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SECOND STEP prevention, diagnosis/ treatment...? Reviewthehealthproblemfromindependentsources


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Definitions prevention, diagnosis/ treatment...? Scientific plausibilityPrevalenceClassificationsDiagnostic toolsTime until benefitAbsolute riskCascade effect after diagnosisHarmsSocial importance


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THIRD STEP prevention, diagnosis/ treatment...? Summary of theevidence


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Short documents (summary, actions) prevention, diagnosis/ treatment...? Without numbers, if possible The truth (benefits/harms) With Powerpoint presentationsPositives (health, life, quality,...)Version for physicians with references Collection of the best documents/publications (with a short comment about its relevance) Scientific, economic, marketing dataScientific/humoristic videos Cases studies/narrative medicine


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FOURTH STEP prevention, diagnosis/ treatment...? You are notalone!


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Professional associations (GPs, public health, ...) prevention, diagnosis/ treatment...? HealthySkepticism, NoFreeLunchDrug bulletinsHealth blogsMedical studentsElectronic listsJournalists, teachers, ...PoliticiansScientific institutionsWikipediaSocial networksHealth authoritiesPatients associations


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FIFTH STEP prevention, diagnosis/ treatment...? Theworldissmall


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Translate everything into English (and other languages) prevention, diagnosis/ treatment...? Identify similar movements in other countriesSeminars, workshops, meetings, UEMO, WONCA, international organizations and classification committeesInternational electronic listsHealthySkepticismInternational drug bulletinsInternational journals


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SIXTH AND LAST STEP prevention, diagnosis/ treatment...? It´sdetermination, notonlyintelligence...


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Use multiple channels (TV, radio, newspapers, internet, blogs, scientific and professional journals, ...)Update the documentsProduce new documentsGive relevance to all peopleBe careful while contacting media Do not even dream to be “the winner” (policy of limitations of harms)Consensus merits a chance


Juan g rvas phd gp professor of public health madrid spain jgervasc@meditex es www equipocesca org15 l.jpg

Juan blogs, scientific and professional journals, ...)Gérvas, PhD, GP,

Professor of PublicHealth, Madrid, Spain

[email protected]

www.equipocesca.org

Can WeResistDiseaseMongeringCampaigns?

Thanksforyourattention!

This text is distributed under Creative Commons Attribution-ShareAlike 3.0 Unported

( full license).


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