Can We Resist Disease Mongering Campaigns ? - PowerPoint PPT Presentation

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Juan Gérvas , PhD , GP, Professor of Public Health , Madrid, Spain jgervasc@meditex.es 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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Can We Resist Disease Mongering Campaigns ?

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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

jgervasc@meditex.es

www.equipocesca.org

Can WeResistDiseaseMongeringCampaigns?


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YES!

Lessonsfromthecounter-campaignswineflu

Spain 2009-10


First step precise definition of the problem l.jpg

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 STEPReviewthehealthproblemfromindependentsources


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DefinitionsScientific plausibilityPrevalenceClassificationsDiagnostic toolsTime until benefitAbsolute riskCascade effect after diagnosisHarmsSocial importance


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THIRD STEPSummary of theevidence


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Short documents (summary, actions)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 STEPYou are notalone!


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


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FIFTH STEPTheworldissmall


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Translate everything into English (and other languages)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 STEPIt´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 Gérvas, PhD, GP,

Professor of PublicHealth, Madrid, Spain

jgervasc@meditex.es

www.equipocesca.org

Can WeResistDiseaseMongeringCampaigns?

Thanksforyourattention!

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