As the world enters its second full month dealing with the deadly coronavirus that has dominated headlines, killed hundreds, and sickened thousands, misinformation is running rampant. For many, the medical and epidemiological aspects of the outbreak are the most important and salient elements, but there are other prisms through which we can examine this public health menace.
There are many facets to this outbreak, including economic damage, cultural changes, and so on. However, my interest and background is in media literacy, psychology, and folklore (including rumor, legend, and conspiracy), and my focus here is a brief overview of some of the lore surrounding the current outbreak. Before I get into the folkloric aspects of the disease, let’s review the basics of what we know so far.
First, the name is a bit misleading; it’s a coronavirus, not the coronavirus. Coronavirus is a category of viruses; this one is dubbed “2019-nCoV.” Two of the best known and most deadly other coronaviruses are SARS (Severe Acute Respiratory Syndrome, first identified in 2003) and MERS (Middle East Respiratory Syndrome, identified in 2012).
The symptoms of 2019-nCoV are typical of influenza and include a cough, sometimes with a fever, shortness of breath, nausea, vomiting, and/or diarrhea. Most (about 80 percent) of infected patients recover within a week or two, like patients with a bad cold. The other 20 percent contract severe infections such as pneumonia, sometimes leading to death. The virus 2019-nCoV is spreading faster than either MERS or SARS, but it’s much less deadly than either of those. The death rate for 2019-nCoV is 2 percent, compared to 10 percent for SARS and 35 percent for MERS. There’s no vaccine, and because it’s not bacterial, antibiotics won’t help.
The first case was reported in late December 2019 in Wuhan, China. About a month later the Health and Human Services Department declared a U.S. public health emergency. Numbers change by the day, and statistics are instantly outdated, but as of this writing about 900 people have died and about 40,000 worldwide have been confirmed to have the virus. The average person is at very low risk, and Americans are at far greater risk of getting the flu—about 10 percent of the public gets it each year. Three cruise ships and several airplanes have been quarantined. There are about a dozen confirmed cases in the U.S., and most of the infected are in China or are people who visited there. Though the number of people infected in China sounds alarming, keep in mind the country’s population of 1.4 billion.
The information issues can be roughly broken down into three (at times overlapping) categories: 1) Lack of information; 2) Misinformation; and 3) Disinformation.
Lack of Information
The lack of information stems from the fact that scientists are still learning about this specific virus. Much is known about it from information gathered so far (summarized above), but much remains to be learned.
The lack of information has been complicated by a lack of transparency by the Chinese government, which has sought to stifle early alarms about it raised by doctors, including Li Wenliang, who recently died. As The New York Times reported:
On Friday, the doctor, the doctor, Li Wenliang, died after contracting the very illness he had told medical school classmates about in an online chat room, the coronavirus. He joined the more than 600 other Chinese who have died in an outbreak that has now spread across the globe. Dr. Li “had the misfortune to be infected during the fight against the novel coronavirus pneumonia epidemic, and all-out efforts to save him failed,” the Wuhan City Central Hospital said on Weibo, the Chinese social media service. Even before his death, Dr. Li had become a hero to many Chinese after word of his treatment at the hands of the authorities emerged. In early January, he was called in by both medical officials and the police, and forced to sign a statement denouncing his warning as an unfounded and illegal rumor.
Chinese officials were slow to share information and admit the scope of the outbreak. This isn’t necessarily evidence of a conspiracy—governments are often loathe to admit bad news or potentially embarrassing or damaging information (recall that it took nearly a week for Iran to admit it had unintentionally shot down a passenger airliner over its skies in January)—but part of the Chinese government’s long standing policies of restricting news reporting and social media. Nonetheless, China’s actions have fueled anxiety and conspiracies; more on that presently.
There are various types of misinformation, revolving around a handful of central concerns typical of disease rumors. In his book An Epidemic of Rumors: How Stories Shape Our Perceptions of Disease, Jon D. Lee notes:
People use certain sets of narratives to discuss the presence of illness, mediate their fears of it, come to terms with it, and otherwise incorporate its presence into their daily routines … Some of these narratives express a harsher, more paranoid view of reality than others, some are openly racist and xenophobic, and some are more concerned with issues of treatment and prevention than blame—but all revolve around a single emotion in all its many forms: fear. (169)
As Lee mentions, one common aspect is xenophobia and contamination fears. Many reports, in news media but on social media especially, focus on the “other,” the dirty aberrant outsiders who “created” or spread the menace. Racism is a common theme in rumors and urban legends—what gross things “they” eat or do. As Prof. Andrea Kitta notes in her book The Kiss of Death: Contagion, Contamination, and Folklore:
The intriguing part of disease legends is that, in addition to fear of illness, they express primarily a fear of outsiders … Patient zero [the assumed origin of the “new” disease] not only provides a scapegoat but also serves as an example to others: as long as people do not act in the same way as patient zero, they are safe. (27–28)
In the case of 2019-nCoV, rumors have suggested that seemingly bizarre (to Americans anyway) eating habits of Chinese were to blame, specifically bats. One video circulated allegedly showing Chinese preparing bat soup, suggesting it was the cause of the outbreak, though it was later revealed to have been filmed in Palau, Micronesia.
The idea of disease and death coming from “unclean” practices has a long history. One well known myth is that AIDS originated when someone (presumably an African man) had sex with a monkey or ape. This linked moralistic views of sexuality with the later spread of the disease, primarily among the homosexual community. More likely, however, chimps with simian immunodeficiency virus were killed and eaten for game meat, which is documented, which in turn transferred the virus to humans and spawned HIV (human immunodeficiency virus), which in turn causes AIDS.
The fear of foreigners and immigrants bringing disease to the country was of course raised a few years ago when a Fox News contributor suggested without evidence that a migrant caravan from Honduras and Guatemala coming through Mexico carried leprosy, smallpox, and other dreaded diseases. This claim was quickly debunked.
Disinformation and Conspiracies
Then there are the conspiracies, prominent among them the disease’s origin. Several are circulating, claiming for example that 2019-nCoV is in fact a bioweapon that has either been intentionally deployed or escaped/stolen from a secure top secret government lab. Some have claimed that it’s a plot (by the Bill and Melinda Gates Foundation or another NGO or Big Pharma) to sell vaccines—apparently unaware that there is no vaccine available at any price.
This is a classic conspiracy trope, evoked to explain countless bad things, ranging from chupacabras to chemtrails and diseases. This is similar to urban legends and rumors in the African American community, claiming that AIDS was created by the American government to kill blacks, or that soft drinks and foods (Tropical Fantasy soda and Church’s Fried Chicken, for example) contained ingredients that sterilized the black community (for more on this, see Patricia Turner’s book I Heard It Through the Grapevine: Rumor in African-America Culture.) In Pakistan and India, public health workers have been attacked and even killed trying to give polio vaccinations, rumored to be part of an American plot.
Of course such conspiracies go back centuries. As William Naphy notes in his book Plagues, Poisons, and Potions: Plague Spreading Conspiracies in the Western Alps c. 1530-1640, people were accused of intentionally spreading the bubonic plague. Most people believed that the plague was a sign of God’s wrath, a pustular and particularly punitive punishment for the sin of straying from Biblical teachings. “Early theories saw causes in: astral conjunctions, the passing of comets; unusual weather conditions … noxious exhalations from the corpses on battlefields” and so on (vii). Naphy notes that “In 1577, Claude de Rubys, one of the city’s premier orators and a rabid anti-Protestant, had openly accused the city’s Huguenots of conspiring to destroy Catholics by giving them the plague” (174). Confessions, often obtained under torture, implicated low-paid foreigners who had been hired to help plague victims and disinfect their homes.
Other folkloric versions of intentional disease spreading include urban legends of AIDS-infected needles placed in payphone coin return slots. Indeed, that rumor was part of an older and larger tradition; as folklorist Gillian Bennett notes in her book Bodies: Sex Violence, Disease, and Death in Contemporary Legend, in Europe and elsewhere “Stories proliferated about deliberately contaminated doorknobs, light switches, and sandboxes on playgrounds” (115).
How to Get, Prevent, or Cure It
Various theories have surfaced online suggesting ways to prevent the virus. They include avoiding spicy food (which doesn’t work); eating garlic (which also doesn’t work); and drinking bleach (which really, really doesn’t work).
In addition, there’s also something called MMS, or “miracle mineral solution,” and the word miracle in the name should be a big red flag about its efficacy. The solution is 28 percent sodium chlorite mixed in distilled water, and there are reports that it’s being sold online for $900 per gallon (or if that’s a bit pricey, you can get a four-ounce bottle for about $30).
The FDA takes a dim view of this, noting that it
has received many reports that these products, sold online as “treatments,” have made consumers sick. The FDA first warned consumers about the products in 2010. But they are still being promoted on social media and sold online by many independent distributors. The agency strongly urges consumers not to purchase or use these products. The products are known by various names, including Miracle or Master Mineral Solution, Miracle Mineral Supplement, MMS, Chlorine Dioxide Protocol, and Water Purification Solution. When mixed according to package directions, they become a strong chemical that is used as bleach. Some distributors are making false—and dangerous—claims that Miracle Mineral Supplement mixed with citric acid is an antimicrobial, antiviral, and antibacterial liquid that is a remedy for autism, cancer, HIV/AIDS, hepatitis, flu, and other conditions.
It’s true that bleach can kill viruses—when used full strength on surfaces, not when diluted and ingested. They’re two very different things; confuse the two at your great peril.
Folk remedies such as these are appealing because they are something that victims (and potential victims) can do—some tangible way they can take action and assume control over their own health and lives. Even if the treatment is unproven or may be just a rumor, at least they feel like they’re doing something.
There have been several false reports and rumors of outbreaks in local hospitals across the country, including in Los Angeles, Santa Clarita, and in Dallas County, Texas. In all those cases, false social media posts have needlessly alarmed the public—and in some cases spawned conspiracy theories. After all, some random, anonymous mom on Facebook shared a screen-captured Tweet from some other random person who had a friend of a friend with “insider information” about some anonymous person in a local hospital who’s dying with 2019-nCoV—but there’s nothing in the news about it! Who are you going to believe?
Then there’s Canadian rapper/YouTube cretin James Potok, who last week stood up near the end of his WestJet flight from Toronto to Jamaica and announced loudly to the 240 passengers that he had just come from Wuhan, China, and “I don’t feel too well.” He recorded it with a cell phone, planning to post it online as a funny publicity stunt. Flight attendants reseated him, and the plane returned to Toronto where police and medical professionals escorted him off the plane. Of course he tested negative and was promptly arrested.
When people are frightened by diseases, they cling to any information and often distrust official information. These fears are amplified by the fact that the virus is of course invisible to the eye, and the fears are fueled by ambiguity and uncertainty about who’s a threat. The incubation period for 2019-nCoV seems to be between two days and two weeks, during which time asymptomatic carriers could potentially infect others. The symptoms are common and indistinguishable from other viruses, except when confirmed with lab testing, which of course requires time, equipment, a doctor visit, and so on. Another factor is that people are very poor at assessing relative risk in general anyway (for example, fearing plane travel over statistically far more dangerous car travel). They often panic over alarmist media reports and underestimate their risk of more mundane threats.
The best medical advice for dealing with 2019-nCoV: Thoroughly cook meat, wash your hands, and stay away from sick people … basically the same advice you get for avoiding any cold or airborne virus. Face masks don’t help much, unless you are putting them on people who are already sick and coughing. Most laypeople use the masks incorrectly anyway, and hoarding has led to a shortage for medical workers.
Hoaxes, misinformation, and rumors can cause real harm during public health emergencies. When people are sick and desperately afraid of a scary disease, any information will be taken seriously by some people. False rumors can not only kill but can hinder public health efforts. The best advice is to keep threats in perspective, recognize the social functions of rumors, and heed advice from medical professionals instead of your friend’s friend on Twitter.
An Epidemic of Rumors: How Stories Shape Our Perceptions of Disease, Jon D. Lee
Bodies: Sex Violence, Disease, and Death in Contemporary Legend, Gillian Bennett
I Heard It Through the Grapevine: Rumor in African-America Culture, Patricia Turner
Plagues, Poisons, and Potions: Plague Spreading Conspiracies in the Western Alps c. 1530-1640, William Naphy
The Global Grapevine: Why Rumors of Terrorism, Immigration, and Trade Matter, Gary Alan Fine and Bill Ellis
The Kiss of Death: Contagion, Contamination, and Folklore, Andrea Kitta