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Can We Resist Disease Mongering Campaigns ?

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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  1. Juan Gérvas, PhD, GP, Professor of PublicHealth, Madrid, Spain jgervasc@meditex.es www.equipocesca.org Can WeResistDiseaseMongeringCampaigns?

  2. YES! Lessonsfromthecounter-campaignswineflu Spain 2009-10

  3. FIRST STEPPrecise definition of theproblem

  4. 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”…?

  5. SECOND STEPReviewthehealthproblemfromindependentsources

  6. DefinitionsScientific plausibilityPrevalenceClassificationsDiagnostic toolsTime until benefitAbsolute riskCascade effect after diagnosisHarmsSocial importance

  7. THIRD STEPSummary of theevidence

  8. 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

  9. FOURTH STEPYou are notalone!

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

  11. FIFTH STEPTheworldissmall

  12. 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

  13. SIXTH AND LAST STEPIt´sdetermination, notonlyintelligence...

  14. 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

  15. Juan Gérvas, PhD, GP, Professor of PublicHealth, Madrid, Spain jgervasc@meditex.es www.equipocesca.org Can WeResistDiseaseMongeringCampaigns? Thanksforyourattention! This text is distributed under Creative Commons Attribution-ShareAlike 3.0 Unported ( full license).

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