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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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”…?
Definitions prevention, diagnosis/ treatment...? Scientific plausibilityPrevalenceClassificationsDiagnostic toolsTime until benefitAbsolute riskCascade effect after diagnosisHarmsSocial importance
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
Professional associations (GPs, public health, ...) prevention, diagnosis/ treatment...? HealthySkepticism, NoFreeLunchDrug bulletinsHealth blogsMedical studentsElectronic listsJournalists, teachers, ...PoliticiansScientific institutionsWikipediaSocial networksHealth authoritiesPatients associations
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
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 blogs, scientific and professional journals, ...)Gérvas, PhD, GP,
Professor of PublicHealth, Madrid, Spain
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