argumentative essay for covid 19

Persuasive Essay Guide

Persuasive Essay About Covid19

How to Write a Persuasive Essay About Covid19 | Examples & Tips

11 min read

Steps to Write a Persuasive Essay About Covid-19

Here are the steps to help you write a persuasive essay on this topic, along with an example essay:

Step 1: Choose a Specific Thesis Statement

Your thesis statement should clearly state your position on a specific aspect of COVID-19. It should be debatable and clear. For example:

Step 2: Research and Gather Information

Collect reliable and up-to-date information from reputable sources to support your thesis statement. This may include statistics, expert opinions, and scientific studies. For instance:

COVID-19 vaccination effectiveness data
Information on vaccine mandates in different countries
Expert statements from health organizations like the WHO or CDC

Step 3: Outline Your Essay

Create a clear and organized outline to structure your essay. A persuasive essay typically follows this structure:

Introduction
Background Information
Body Paragraphs (with supporting evidence)
Counterarguments (addressing opposing views)

Step 4: Write the Introduction

In the introduction, grab your reader's attention and present your thesis statement. For example:

Step 5: Provide Background Information

Offer context and background information to help your readers understand the issue better. For instance:

Step 6: Develop Body Paragraphs

Each body paragraph should present a single point or piece of evidence that supports your thesis statement. Use clear topic sentences, evidence, and analysis. Here's an example:

Step 7: Address Counterarguments

Acknowledge opposing viewpoints and refute them with strong counterarguments. This demonstrates that you've considered different perspectives. For example:

Step 8: Write the Conclusion

Summarize your main points and restate your thesis statement in the conclusion. End with a strong call to action or thought-provoking statement. For instance:

Step 9: Revise and Proofread

Edit your essay for clarity, coherence, grammar, and spelling errors. Ensure that your argument flows logically.

Step 10: Cite Your Sources

Include proper citations and a bibliography page to give credit to your sources.

Remember to adjust your approach and arguments based on your target audience and the specific angle you want to take in your persuasive essay about COVID-19.

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Examples of Persuasive Essay About Covid19

When writing a persuasive essay about the Covid-19 pandemic, it’s important to consider how you want to present your argument. To help you get started, here are some example essays for you to read:

Check out some more PDF examples below:

Persuasive Essay About Covid-19 Pandemic

Sample Of Persuasive Essay About Covid-19

Persuasive Essay About Covid-19 In The Philippines - Example

If you're in search of a compelling persuasive essay on business, don't miss out on our “ persuasive essay about business ” blog!

Examples of Persuasive Essay About Covid-19 Vaccine

Covid19 vaccines are one of the ways to prevent the spread of Covid-19, but they have been a source of controversy. Different sides argue about the benefits or dangers of the new vaccines. Whatever your point of view is, writing a persuasive essay about it is a good way of organizing your thoughts and persuading others.

A persuasive essay about the Covid-19 vaccine could consider the benefits of getting vaccinated as well as the potential side effects.

Below are some examples of persuasive essays on getting vaccinated for Covid-19.

Covid19 Vaccine Persuasive Essay

Persuasive Essay on Covid Vaccines

Interested in thought-provoking discussions on abortion? Read our persuasive essay about abortion blog to eplore arguments!

Examples of Persuasive Essay About Covid-19 Integration

Covid19 has drastically changed the way people interact in schools, markets, and workplaces. In short, it has affected all aspects of life. However, people have started to learn to live with Covid19.

Writing a persuasive essay about it shouldn't be stressful. Read the sample essay below to get idea for your own essay about Covid19 integration.

Persuasive Essay About Working From Home During Covid19

Searching for the topic of Online Education? Our persuasive essay about online education is a must-read.

Examples of Argumentative Essay About Covid 19

Covid-19 has been an ever-evolving issue, with new developments and discoveries being made on a daily basis.

Writing an argumentative essay about such an issue is both interesting and challenging. It allows you to evaluate different aspects of the pandemic, as well as consider potential solutions.

Here are some examples of argumentative essays on Covid19.

Argumentative Essay About Covid19 Sample

Argumentative Essay About Covid19 With Introduction Body and Conclusion

Looking for a persuasive take on the topic of smoking? You'll find it all related arguments in out Persuasive Essay About Smoking blog!

Examples of Persuasive Speeches About Covid-19

Do you need to prepare a speech about Covid19 and need examples? We have them for you!

Persuasive speeches about Covid-19 can provide the audience with valuable insights on how to best handle the pandemic. They can be used to advocate for specific changes in policies or simply raise awareness about the virus.

Check out some examples of persuasive speeches on Covid-19:

Persuasive Speech About Covid-19 Example

Persuasive Speech About Vaccine For Covid-19

You can also read persuasive essay examples on other topics to master your persuasive techniques!

Tips to Write a Persuasive Essay About Covid-19

Writing a persuasive essay about COVID-19 requires a thoughtful approach to present your arguments effectively.

Here are some tips to help you craft a compelling persuasive essay on this topic:

Choose a Specific Angle

Start by narrowing down your focus. COVID-19 is a broad topic, so selecting a specific aspect or issue related to it will make your essay more persuasive and manageable. For example, you could focus on vaccination, public health measures, the economic impact, or misinformation.

Provide Credible Sources

Support your arguments with credible sources such as scientific studies, government reports, and reputable news outlets. Reliable sources enhance the credibility of your essay.

Use Persuasive Language

Employ persuasive techniques, such as ethos (establishing credibility), pathos (appealing to emotions), and logos (using logic and evidence). Use vivid examples and anecdotes to make your points relatable.

Organize Your Essay

Structure your essay involves creating a persuasive essay outline and establishing a logical flow from one point to the next. Each paragraph should focus on a single point, and transitions between paragraphs should be smooth and logical.

Emphasize Benefits

Highlight the benefits of your proposed actions or viewpoints. Explain how your suggestions can improve public health, safety, or well-being. Make it clear why your audience should support your position.

Use Visuals -H3

Incorporate graphs, charts, and statistics when applicable. Visual aids can reinforce your arguments and make complex data more accessible to your readers.

Call to Action

End your essay with a strong call to action. Encourage your readers to take a specific step or consider your viewpoint. Make it clear what you want them to do or think after reading your essay.

Revise and Edit

Proofread your essay for grammar, spelling, and clarity. Make sure your arguments are well-structured and that your writing flows smoothly.

Seek Feedback

Have someone else read your essay to get feedback. They may offer valuable insights and help you identify areas where your persuasive techniques can be improved.

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Common Topics for a Persuasive Essay on COVID-19

Here are some persuasive essay topics on COVID-19:

The Importance of Vaccination Mandates for COVID-19 Control
Balancing Public Health and Personal Freedom During a Pandemic
The Economic Impact of Lockdowns vs. Public Health Benefits
The Role of Misinformation in Fueling Vaccine Hesitancy
Remote Learning vs. In-Person Education: What's Best for Students?
The Ethics of Vaccine Distribution: Prioritizing Vulnerable Populations
The Mental Health Crisis Amidst the COVID-19 Pandemic
The Long-Term Effects of COVID-19 on Healthcare Systems
Global Cooperation vs. Vaccine Nationalism in Fighting the Pandemic
The Future of Telemedicine: Expanding Healthcare Access Post-COVID-19

In search of more inspiring topics for your next persuasive essay? Our persuasive essay topics blog has plenty of ideas!

To sum it up,

You have read good sample essays and got some helpful tips. You now have the tools you needed to write a persuasive essay about Covid-19. So don't let the doubts stop you, start writing!

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Frequently Asked Questions

Are there any ethical considerations when writing a persuasive essay about covid-19.

Yes, there are ethical considerations when writing a persuasive essay about COVID-19. It's essential to ensure the information is accurate, not contribute to misinformation, and be sensitive to the pandemic's impact on individuals and communities. Additionally, respecting diverse viewpoints and emphasizing public health benefits can promote ethical communication.

What impact does COVID-19 have on society?

The impact of COVID-19 on society is far-reaching. It has led to job and economic losses, an increase in stress and mental health disorders, and changes in education systems. It has also had a negative effect on social interactions, as people have been asked to limit their contact with others.

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How to Write About Coronavirus in a College Essay

Students can share how they navigated life during the coronavirus pandemic in a full-length essay or an optional supplement.

Writing About COVID-19 in College Essays

Serious disabled woman concentrating on her work she sitting at her workplace and working on computer at office

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Experts say students should be honest and not limit themselves to merely their experiences with the pandemic.

The global impact of COVID-19, the disease caused by the novel coronavirus, means colleges and prospective students alike are in for an admissions cycle like no other. Both face unprecedented challenges and questions as they grapple with their respective futures amid the ongoing fallout of the pandemic.

Colleges must examine applicants without the aid of standardized test scores for many – a factor that prompted many schools to go test-optional for now . Even grades, a significant component of a college application, may be hard to interpret with some high schools adopting pass-fail classes last spring due to the pandemic. Major college admissions factors are suddenly skewed.

"I can't help but think other (admissions) factors are going to matter more," says Ethan Sawyer, founder of the College Essay Guy, a website that offers free and paid essay-writing resources.

College essays and letters of recommendation , Sawyer says, are likely to carry more weight than ever in this admissions cycle. And many essays will likely focus on how the pandemic shaped students' lives throughout an often tumultuous 2020.

But before writing a college essay focused on the coronavirus, students should explore whether it's the best topic for them.

Writing About COVID-19 for a College Application

Much of daily life has been colored by the coronavirus. Virtual learning is the norm at many colleges and high schools, many extracurriculars have vanished and social lives have stalled for students complying with measures to stop the spread of COVID-19.

"For some young people, the pandemic took away what they envisioned as their senior year," says Robert Alexander, dean of admissions, financial aid and enrollment management at the University of Rochester in New York. "Maybe that's a spot on a varsity athletic team or the lead role in the fall play. And it's OK for them to mourn what should have been and what they feel like they lost, but more important is how are they making the most of the opportunities they do have?"

That question, Alexander says, is what colleges want answered if students choose to address COVID-19 in their college essay.

But the question of whether a student should write about the coronavirus is tricky. The answer depends largely on the student.

"In general, I don't think students should write about COVID-19 in their main personal statement for their application," Robin Miller, master college admissions counselor at IvyWise, a college counseling company, wrote in an email.

"Certainly, there may be exceptions to this based on a student's individual experience, but since the personal essay is the main place in the application where the student can really allow their voice to be heard and share insight into who they are as an individual, there are likely many other topics they can choose to write about that are more distinctive and unique than COVID-19," Miller says.

Opinions among admissions experts vary on whether to write about the likely popular topic of the pandemic.

"If your essay communicates something positive, unique, and compelling about you in an interesting and eloquent way, go for it," Carolyn Pippen, principal college admissions counselor at IvyWise, wrote in an email. She adds that students shouldn't be dissuaded from writing about a topic merely because it's common, noting that "topics are bound to repeat, no matter how hard we try to avoid it."

Above all, she urges honesty.

"If your experience within the context of the pandemic has been truly unique, then write about that experience, and the standing out will take care of itself," Pippen says. "If your experience has been generally the same as most other students in your context, then trying to find a unique angle can easily cross the line into exploiting a tragedy, or at least appearing as though you have."

But focusing entirely on the pandemic can limit a student to a single story and narrow who they are in an application, Sawyer says. "There are so many wonderful possibilities for what you can say about yourself outside of your experience within the pandemic."

He notes that passions, strengths, career interests and personal identity are among the multitude of essay topic options available to applicants and encourages them to probe their values to help determine the topic that matters most to them – and write about it.

That doesn't mean the pandemic experience has to be ignored if applicants feel the need to write about it.

Writing About Coronavirus in Main and Supplemental Essays

Students can choose to write a full-length college essay on the coronavirus or summarize their experience in a shorter form.

To help students explain how the pandemic affected them, The Common App has added an optional section to address this topic. Applicants have 250 words to describe their pandemic experience and the personal and academic impact of COVID-19.

"That's not a trick question, and there's no right or wrong answer," Alexander says. Colleges want to know, he adds, how students navigated the pandemic, how they prioritized their time, what responsibilities they took on and what they learned along the way.

If students can distill all of the above information into 250 words, there's likely no need to write about it in a full-length college essay, experts say. And applicants whose lives were not heavily altered by the pandemic may even choose to skip the optional COVID-19 question.

"This space is best used to discuss hardship and/or significant challenges that the student and/or the student's family experienced as a result of COVID-19 and how they have responded to those difficulties," Miller notes. Using the section to acknowledge a lack of impact, she adds, "could be perceived as trite and lacking insight, despite the good intentions of the applicant."

To guard against this lack of awareness, Sawyer encourages students to tap someone they trust to review their writing , whether it's the 250-word Common App response or the full-length essay.

Experts tend to agree that the short-form approach to this as an essay topic works better, but there are exceptions. And if a student does have a coronavirus story that he or she feels must be told, Alexander encourages the writer to be authentic in the essay.

"My advice for an essay about COVID-19 is the same as my advice about an essay for any topic – and that is, don't write what you think we want to read or hear," Alexander says. "Write what really changed you and that story that now is yours and yours alone to tell."

Sawyer urges students to ask themselves, "What's the sentence that only I can write?" He also encourages students to remember that the pandemic is only a chapter of their lives and not the whole book.

Miller, who cautions against writing a full-length essay on the coronavirus, says that if students choose to do so they should have a conversation with their high school counselor about whether that's the right move. And if students choose to proceed with COVID-19 as a topic, she says they need to be clear, detailed and insightful about what they learned and how they adapted along the way.

"Approaching the essay in this manner will provide important balance while demonstrating personal growth and vulnerability," Miller says.

Pippen encourages students to remember that they are in an unprecedented time for college admissions.

"It is important to keep in mind with all of these (admission) factors that no colleges have ever had to consider them this way in the selection process, if at all," Pippen says. "They have had very little time to calibrate their evaluations of different application components within their offices, let alone across institutions. This means that colleges will all be handling the admissions process a little bit differently, and their approaches may even evolve over the course of the admissions cycle."

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Persuasive Essay Writing

Persuasive Essay About Covid 19

Top Examples of Persuasive Essay about Covid-19

Published on: Jan 10, 2023

Last updated on: Jan 29, 2024

Examples of Persuasive Essay About Covid-19

The coronavirus pandemic has everyone on edge. You can expect your teachers to give you an essay about covid-19. You might be overwhelmed about what to write in an essay.

Worry no more!

Here are a few examples to help get you started.

Persuasive Essay About Covid-19 Pandemic

Sample Of Persuasive Essay About Covid-19

Persuasive Essay About Covid-19 In The Philippines - Example

Check out some more persuasive essay examples to get more inspiration and guidance.

Examples of Persuasive Essay About the Covid-19 Vaccine

With so much uncertainty surrounding the Covid-19 vaccine, it can be challenging for students to write a persuasive essay about getting vaccinated.

Here are a few examples of persuasive essays about vaccination against covid-19.

Check these out to learn more.

Persuasive essay on the covid-19 vaccine

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Examples of Persuasive Essay About Covid-19 Integration

Writing a persuasive essay on Covid-19 integration doesn't have to be stressful or overwhelming.

With the right approach and preparation, you can write an essay that will get them top marks!

Here are a few samples of compelling persuasive essays. Give them a look and get inspiration for your next essay.

Integration of Covid-19 Persuasive essay

Integration of Covid-19 Persuasive essay sample

Examples of Argumentative Essay About Covid-19

Writing an argumentative essay can be a daunting task, especially when the topic is as broad as the novel coronavirus pandemic.

Read the following examples of how to make a compelling argument on covid-19.

Argumentative essay on Covid-19

Argumentative Essay On Covid-19

Examples of Persuasive Speeches About Covid-19

Writing a persuasive speech about anything can seem daunting. However, writing a persuasive speech about something as important as the Covid-19 pandemic doesnât have to be difficult.

So let's explore some examples of perfectly written persuasive essays.

Persuasive Speech About Covid-19 Example

Tips to Write a Persuasive Essay

Here are seven tips that can help you create a strong argument on the topic of covid-19.

Check out this informative video to learn more about effective tips and tricks for writing persuasive essays.

1. Start with an attention-grabbing hook:

Use a quote, statistic, or interesting fact related to your argument at the beginning of your essay to draw the reader in.

2. Make sure you have a clear thesis statement:

A thesis statement is one sentence that expresses the main idea of your essay. It should clearly state your stance on the topic and provide a strong foundation for the rest of your content.

3. Support each point with evidence:

To make an effective argument, you must back up each point with credible evidence from reputable sources. This will help build credibility and validate your claims throughout your paper.

4. Use emotional language and tone:

Emotional appeals are powerful tools to help make your argument more convincing. Use appropriate language for the audience and evokes emotion to draw them in and get them on board with your claims.

5. Anticipate counterarguments:

Use proper counterarguments to effectively address all point of views.

Acknowledge opposing viewpoints and address them directly by providing evidence or reasoning why they are wrong.

6. Stay focused:

Keep your main idea in mind throughout the essay, making sure all of your arguments support it. Donât stray off-topic or introduce unnecessary information that will distract from the purpose of your paper.

7. Conclude strongly:

Make sure you end on a strong note. Reemphasize your main points, restate your thesis statement, and challenge the reader to respond or take action in some way. This will leave a lasting impression in their minds and make them more likely to agree with you.

Writing an effective persuasive essay is a piece of cake with our guide and examples. Check them out to learn more!

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We hope that you have found the inspiration to write your next persuasive essay about covid-19.

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Our expert and experienced persuasive essay writer can help you write a persuasive essay on covid-19 that gets your readers' attention.

Our professional essay writer can provide you with all the resources and support you need to craft a well-written, well-researched essay. Our essay writing service offers top-notch quality and guaranteed results.

Frequently Asked Questions

How do you begin a persuasive essay.

To begin a persuasive essay, you must choose a topic you feel strongly about and formulate an argument or position. Start by researching your topic thoroughly and then formulating your thesis statement.

What are good topics for persuasive essays?

Good topics for persuasive essays include healthcare reform, gender issues, racial inequalities, animal rights, environmental protection, and political change. Other popular topics are social media addiction, internet censorship, gun control legislation, and education reform.

What impact does COVID-19 have on society?

The COVID-19 pandemic has had a major impact on society worldwide. It has changed the way we interact with one another. The pandemic has also caused economic disruption, forcing many businesses to close or downsize their operations.

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The complexity of managing COVID-19: How important is good governance?

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Alaka m. basu , amb alaka m. basu professor, department of global development - cornell university, senior fellow - united nations foundation kaushik basu , and kaushik basu nonresident senior fellow - global economy and development @kaushikcbasu jose maria u. tapia jmut jose maria u. tapia student - cornell university.

November 17, 2020

13 min read

This essay is part of “ Reimagining the global economy: Building back better in a post-COVID-19 world ,” a collection of 12 essays presenting new ideas to guide policies and shape debates in a post-COVID-19 world.

The COVID-19 pandemic has exposed the inadequacy of public health systems worldwide, casting a shadow that we could not have imagined even a year ago. As the fog of confusion lifts and we begin to understand the rudiments of how the virus behaves, the end of the pandemic is nowhere in sight. The number of cases and the deaths continue to rise. The latter breached the 1 million mark a few weeks ago and it looks likely now that, in terms of severity, this pandemic will surpass the Asian Flu of 1957-58 and the Hong Kong Flu of 1968-69.

Moreover, a parallel problem may well exceed the direct death toll from the virus. We are referring to the growing economic crises globally, and the prospect that these may hit emerging economies especially hard.

The economic fall-out is not entirely the direct outcome of the COVID-19 pandemic but a result of how we have responded to it—what measures governments took and how ordinary people, workers, and firms reacted to the crisis. The government activism to contain the virus that we saw this time exceeds that in previous such crises, which may have dampened the spread of the COVID-19 but has extracted a toll from the economy.

This essay takes stock of the policies adopted by governments in emerging economies, and what effect these governance strategies may have had, and then speculates about what the future is likely to look like and what we may do here on.

Nations that build walls to keep out goods, people and talent will get out-competed by other nations in the product market.

It is becoming clear that the scramble among several emerging economies to imitate and outdo European and North American countries was a mistake. We get a glimpse of this by considering two nations continents apart, the economies of which have been among the hardest hit in the world, namely, Peru and India. During the second quarter of 2020, Peru saw an annual growth of -30.2 percent and India -23.9 percent. From the global Q2 data that have emerged thus far, Peru and India are among the four slowest growing economies in the world. Along with U.K and Tunisia these are the only nations that lost more than 20 percent of their GDP. 1

COVID-19-related mortality statistics, and, in particular, the Crude Mortality Rate (CMR), however imperfect, are the most telling indicator of the comparative scale of the pandemic in different countries. At first glance, from the end of October 2020, Peru, with 1039 COVID-19 deaths per million population looks bad by any standard and much worse than India with 88. Peru’s CMR is currently among the highest reported globally.

However, both Peru and India need to be placed in regional perspective. For reasons that are likely to do with the history of past diseases, there are striking regional differences in the lethality of the virus (Figure 11.1). South America is worse hit than any other world region, and Asia and Africa seem to have got it relatively lightly, in contrast to Europe and America. The stark regional difference cries out for more epidemiological analysis. But even as we await that, these are differences that cannot be ignored.

To understand the effect of policy interventions, it is therefore important to look at how these countries fare within their own regions, which have had similar histories of illnesses and viruses (Figure 11.2). Both Peru and India do much worse than the neighbors with whom they largely share their social, economic, ecological and demographic features. Peru’s COVID-19 mortality rate per million population, or CMR, of 1039 is ahead of the second highest, Brazil at 749, and almost twice that of Argentina at 679.

Similarly, India at 88 compares well with Europe and the U.S., as does virtually all of Asia and Africa, but is doing much worse than its neighbors, with the second worst country in the region, Afghanistan, experiencing less than half the death rate of India.

The official Indian statement that up to 78,000 deaths 2 were averted by the lockdown has been criticized 3 for its assumptions. A more reasonable exercise is to estimate the excess deaths experienced by a country that breaks away from the pattern of its regional neighbors. So, for example, if India had experienced Afghanistan’s COVID-19 mortality rate, it would by now have had 54,112 deaths. And if it had the rate reported by Bangladesh, it would have had 49,950 deaths from COVID-19 today. In other words, more than half its current toll of some 122,099 COVID-19 deaths would have been avoided if it had experienced the same virus hit as its neighbors.

What might explain this outlier experience of COVID-19 CMRs and economic downslide in India and Peru? If the regional background conditions are broadly similar, one is left to ask if it is in fact the policy response that differed markedly and might account for these relatively poor outcomes.

Peru and India have performed poorly in terms of GDP growth rate in Q2 2020 among the countries displayed in Table 2, and given that both these countries are often treated as case studies of strong governance, this draws attention to the fact that there may be a dissonance between strong governance and good governance.

The turnaround for India has been especially surprising, given that until a few years ago it was among the three fastest growing economies in the world. The slowdown began in 2016, though the sharp downturn, sharper than virtually all other countries, occurred after the lockdown.

On the COVID-19 policy front, both India and Peru have become known for what the Oxford University’s COVID Policy Tracker 4 calls the “stringency” of the government’s response to the epidemic. At 8 pm on March 24, 2020, the Indian government announced, with four hours’ notice, a complete nationwide shutdown. Virtually all movement outside the perimeter of one’s home was officially sought to be brought to a standstill. Naturally, as described in several papers, such as that of Ray and Subramanian, 5 this meant that most economic life also came to a sudden standstill, which in turn meant that hundreds of millions of workers in the informal, as well as more marginally formal sectors, lost their livelihoods.

In addition, tens of millions of these workers, being migrant workers in places far-flung from their original homes, also lost their temporary homes and their savings with these lost livelihoods, so that the only safe space that beckoned them was their place of origin in small towns and villages often hundreds of miles away from their places of work.

After a few weeks of precarious living in their migrant destinations, they set off, on foot since trains and buses had been stopped, for these towns and villages, creating a “lockdown and scatter” that spread the virus from the city to the town and the town to the village. Indeed, “lockdown” is a bit of a misnomer for what happened in India, since over 20 million people did exactly the opposite of what one does in a lockdown. Thus India had a strange combination of lockdown some and scatter the rest, like in no other country. They spilled out and scattered in ways they would otherwise not do. It is not surprising that the infection, which was marginally present in rural areas (23 percent in April), now makes up some 54 percent of all cases in India. 6

In Peru too, the lockdown was sudden, nationwide, long drawn out and stringent. 7 Jobs were lost, financial aid was difficult to disburse, migrant workers were forced to return home, and the virus has now spread to all parts of the country with death rates from it surpassing almost every other part of the world.

As an aside, to think about ways of implementing lockdowns that are less stringent and geographically as well as functionally less total, an example from yet another continent is instructive. Ethiopia, with a COVID-19 death rate of 13 per million population seems to have bettered the already relatively low African rate of 31 in Table 1. 8

We hope that human beings will emerge from this crisis more aware of the problems of sustainability.

The way forward

We next move from the immediate crisis to the medium term. Where is the world headed and how should we deal with the new world? Arguably, that two sectors that will emerge larger and stronger in the post-pandemic world are: digital technology and outsourcing, and healthcare and pharmaceuticals.

The last 9 months of the pandemic have been a huge training ground for people in the use of digital technology—Zoom, WebEx, digital finance, and many others. This learning-by-doing exercise is likely to give a big boost to outsourcing, which has the potential to help countries like India, the Philippines, and South Africa.

Globalization may see a short-run retreat but, we believe, it will come back with a vengeance. Nations that build walls to keep out goods, people and talent will get out-competed by other nations in the product market. This realization will make most countries reverse their knee-jerk anti-globalization; and the ones that do not will cease to be important global players. Either way, globalization will be back on track and with a much greater amount of outsourcing.

To return, more critically this time, to our earlier aside on Ethiopia, its historical and contemporary record on tampering with internet connectivity 9 in an attempt to muzzle inter-ethnic tensions and political dissent will not serve it well in such a post-pandemic scenario. This is a useful reminder for all emerging market economies.

We hope that human beings will emerge from this crisis more aware of the problems of sustainability. This could divert some demand from luxury goods to better health, and what is best described as “creative consumption”: art, music, and culture. 10 The former will mean much larger healthcare and pharmaceutical sectors.

But to take advantage of these new opportunities, nations will need to navigate the current predicament so that they have a viable economy once the pandemic passes. Thus it is important to be able to control the pandemic while keeping the economy open. There is some emerging literature 11 on this, but much more is needed. This is a governance challenge of a kind rarely faced, because the pandemic has disrupted normal markets and there is need, at least in the short run, for governments to step in to fill the caveat.

Emerging economies will have to devise novel governance strategies for doing this double duty of tamping down on new infections without strident controls on economic behavior and without blindly imitating Europe and America.

Here is an example. One interesting opportunity amidst this chaos is to tap into the “resource” of those who have already had COVID-19 and are immune, even if only in the short-term—we still have no definitive evidence on the length of acquired immunity. These people can be offered a high salary to work in sectors that require physical interaction with others. This will help keep supply chains unbroken. Normally, the market would have on its own caused such a salary increase but in this case, the main benefit of marshaling this labor force is on the aggregate economy and GDP and therefore is a classic case of positive externality, which the free market does not adequately reward. It is more a challenge of governance. As with most economic policy, this will need careful research and design before being implemented. We have to be aware that a policy like this will come with its risk of bribery and corruption. There is also the moral hazard challenge of poor people choosing to get COVID-19 in order to qualify for these special jobs. Safeguards will be needed against these risks. But we believe that any government that succeeds in implementing an intelligently-designed intervention to draw on this huge, under-utilized resource can have a big, positive impact on the economy 12 .

This is just one idea. We must innovate in different ways to survive the crisis and then have the ability to navigate the new world that will emerge, hopefully in the not too distant future.

Special Issue: COVID-19

This essay was published as part of a Special Issue on Misinformation and COVID-19, guest-edited by Dr. Meghan McGinty (Director of Emergency Management, NYC Health + Hospitals) and Nat Gyenes (Director, Meedan Digital Health Lab).

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The causes and consequences of COVID-19 misperceptions: Understanding the role of news and social media

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We investigate the relationship between media consumption, misinformation, and important attitudes and behaviours during the coronavirus disease 2019 (COVID-19) pandemic. We find that comparatively more misinformation circulates on Twitter, while news media tends to reinforce public health recommendations like social distancing. We find that exposure to social media is associated with misperceptions regarding basic facts about COVID-19 while the inverse is true for news media. These misperceptions are in turn associated with lower compliance with social distancing measures. We thus draw a clear link from misinformation circulating on social media, notably Twitter, to behaviours and attitudes that potentially magnify the scale and lethality of COVID-19.

Department of Political Science, McGill University, Canada

Munk School of Global Affairs and Public Policy, University of Toronto, Canada

Max Bell School of Public Policy, McGill University, Canada

School of Computer Science, McGill University, Canada

Department of Languages, Literatures, and Cultures, McGill University, Canada

Computer Science Program, McGill University, Canada

Research Questions

How prevalent is misinformation surrounding COVID-19 on Twitter, and how does this compare to Canadian news media?
Does the type of media one is exposed to influence social distancing behaviours and beliefs about COVID-19?
Is there a link between COVID-19 misinformation and perceptions of the pandemic’s severity and compliance with social distancing recommendations?

Essay Summary

We evaluate the presence of misinformation and public health recommendations regarding COVID-19 in a massive corpus of tweets as well as all articles published on nineteen Canadian news sites. Using these data, we show that preventative measures are more encouraged and covered on traditional news media, while misinformation appears more frequently on Twitter.
To evaluate the impact of this greater level of misinformation, we conducted a nationally representative survey that included questions about common misperceptions regarding COVID-19, risk perceptions, social distancing compliance, and exposure to traditional news and social media. We find that being exposed to news media is associated with fewer misperceptions and more social distancing compliance while conversely, social media exposure is associated with more misperceptions and less social distancing compliance.
Misperceptions regarding the virus are in turn associated with less compliance with social distancing measures, even when controlling for a broad range of other attitudes and characteristics.
Association between social media exposure and social distancing non-compliance is eliminated when accounting for effect of misperceptions, providing evidence that social media is associated with non-compliance through increasing misperceptions about the virus.

Implications

The COVID-19 pandemic has been accompanied by a so-called “infodemic”—a global spread of misinformation that poses a serious problem for public health. Infodemics are concerning because the spread of false or misleading information has the capacity to change transmission patterns (Kim et al., 2019) and consequently the scale and lethality of a pandemic. This information can be shared by any media, but there is reason to be particularly concerned about the role that social media, such as Facebook and Twitter, play in incidentally boosting misperceptions. These platforms are increasingly relied upon as primary sources of news (Mitchell et al., 2016) and misinformation has been heavily documented on them (Garrett, 2019; Vicario et al., 2016). Scholars have found medical and health misinformation on the platforms, including that related to vaccines (Radzikowski et al., 2016) and other virus epidemics such as Ebola (Fung et al., 2016) and Zika (Sharma et al., 2017).

However, misinformation content typically makes up a low percentage of overall discussion of a topic (e.g. Fung et al., 2016) and mere exposure to misinformation does not guarantee belief in that misinformation. More research is thus needed to understand the extent and consequences of misinformation surrounding COVID-19 on social media. During the COVID-19 pandemic, Twitter, Facebook and other platforms have engaged in efforts to combat misinformation but they have continued to receive widespread criticism that misinformation is still appearing on prominent pages and groups (Kouzy et al., 2020; NewsGuard, 2020). The extent to which misinformation continues to circulate on these platforms and influence people’s attitudes and behaviours is still very much an open question.

Here, we draw on three data sets and a sequential mixed method approach to better understand the consequences of online misinformation for important behaviours and attitudes. First, we collected nearly 2.5 million tweets explicitly referring to COVID-19 in the Canadian context. Second, we collected just over 9 thousand articles from nineteen Canadian English-language news sites from the same time period. We coded both of these media sets for misinformation and public health recommendations. Third, we conducted a nationally representative survey that included questions related to media consumption habits, COVID-19 perceptions and misperceptions, and social distancing compliance. As our outcome variables are continuous, we use Ordinary Least Squares (OLS) regression to identify relationships between news and social media exposure, misperceptions, compliance with social distancing measures, and risk perceptions. We use these data to illustrate: 1) the relative prevalence of misinformation on Twitter; and 2) a powerful association between social media usage and misperceptions, on the one hand, and social distancing non-compliance on the other.

Misinformation and compliance with social distancing

We first compare the presence of misinformation on Twitter with that on news media and find, consistent with the other country cases (Chadwick & Vaccari, 2019; Vicario et al., 2016), comparatively higher levels of misinformation circulating on the social media platform. We also found that recommendations for safe practices during the pandemic (e.g. washing hands, social distancing) appeared much more frequently in the Canadian news media. These findings are in line with literature examining fake news which finds a large difference in information quality across media (Al-Rawi, 2019; Guess & Nyhan, 2018).

Spending time in a media environment that contains misinformation is likely to change attitudes and behaviours. Even if users are not nested in networks that propagate misinformation, they are likely to be incidentally exposed to information from a variety of perspectives (Feezell, 2018; Fletcher & Nielsen, 2018; Weeks et al., 2017). Even a highly curated social media feed is thus still likely to contain misinformation. As cumulative exposure to misinformation increases, users are likely to experience a reinforcement effect whereby familiarity leads to stronger belief (Dechêne et al., 2010).

To evaluate this empirically, we conducted a national survey that included questions on information consumption habits and a battery of COVID-19 misperceptions that could be the result of exposure to misinformation. We find that those who self-report exposure to the misinformation-rich social media environment do tend to have more misperceptions regarding COVID-19. These findings are consistent with others that link exposure to misinformation and misperceptions (Garrett et al., 2016; Jamieson & Albarracín, 2020). Social media users also self-report less compliance with social distancing.

Misperceptions are most meaningful when they impact behaviors in dangerous ways. During a pandemic, misperceptions can be fatal. In this case, we find that misperceptions are associated with reduced COVID-19 risk perceptions and with lower compliance with social distancing measures. We continue to find strong effects after controlling for socio-economic characteristics as well as scientific literacy. After accounting for the effect of misperceptions on social distancing non-compliance, social media usage no longer has a significant association with non-compliance, providing evidence that social media may lead to less social distancing compliance through its effect on COVID-19 misperceptions.

While some social media companies have made efforts to suppress misinformation on their platforms, there continues to be a high level of misinformation relative to news media. Highly polarized political environments and media ecosystems can lead to the spread of misinformation, such as in the United States during the COVID-19 pandemic (Allcott et al., 2020; Motta et al., 2020). But even in healthy media ecosystems with less partisan news (Owen et al., 2020), social media can continue to facilitate the spread of misinformation. There is a real danger that without concerted efforts to reduce the amount of misinformation shared on social media, the large-scale social efforts required to combat COVID-19 will be undermined.

We contribute to a growing base of evidence that misinformation circulating on social media poses public health risks and join others in calling for social media companies to put greater focus on flattening the curve of misinformation (Donovan, 2020). These findings also provide governments with stronger evidence that the misinformation circulating on social media can be directly linked to misperceptions and public health risks. Such evidence is essential for them to chart an effective policy course. Finally, the methods and approach developed in this paper can be fruitfully applied to study other waves of misinformation and the research community can build upon the link clearly drawn between misinformation exposure, misperceptions, and downstream attitudes and behaviours.

We found use of social media platforms broadly contributes to misperceptions but were unable to precise the overall level of misinformation circulating on non-Twitter social media. Data access for researchers to platforms such as Facebook, YouTube, and Instagram is limited and virtually non-existent for SnapChat, WhatsApp, and WeChat. Cross-platform content comparisons are an important ingredient for a rich understand of the social media environment and these social media companies must better open their platforms to research in the public interest.

Finding 1: Misinformation about COVID-19 is circulated more on Twitter as compared to traditional media.

We find large differences between the quality of information shared about COVID-19 on traditional news and Twitter. Figure 1 shows the percentage of COVID-19 related content that contains information linked to a particular theme. The plot reports the prevalence of information on both social and news media for: 1) three specific pieces of misinformation; 2) a general set of content that describes the pandemic itself as a conspiracy or a hoax; and 3) advice about hygiene and social distancing during the pandemic. We differentiate content that shared misinformation (red in the plot) from content that debunked misinformation (green in the plot).

There are large differences between the levels of misinformation on Twitter and news media. Misinformation was comparatively more common on Twitter across all four categories, while debunking was relatively more common in traditional news. Meanwhile, advice on hygiene and social distancing appeared much more frequently in news media. Note that higher percentages are to be expected for longer format news articles since we rely on keyword searches for identification. This makes the misinformation findings even starker – despite much higher average word counts, far fewer news articles propagate misinformation.

Finding 2: There is a strong association between social media exposure and misperceptions about COVID-19. The inverse is true for exposure to traditional news.

Among our survey respondents we find a corresponding strong association between social media exposure and misperceptions about COVID-19. These results are plotted in Figure 2, with controls included for both socioeconomic characteristics and demographics. Moving from no social media exposure to its maximum is expected to increase one’s misperceptions of COVID-19 by 0.22 on the 0-1 scale and decreased self-reported social distancing compliance by 0.12 on that same scale.

This result stands in stark contrast with the observed relationship between traditional news exposure and our outcome measures. Traditional news exposure is positively associated with correct perceptions regarding COVID-19. Moving from no news exposure to its highest level is expected to reduce misperceptions by 0.12 on the 0-1 scale and to increase social distancing compliance by 0.28 on that same scale. The effects are plotted in Figure 2. Social media usage appears to be correlated with COVID-19 misperceptions, suggesting these misperceptions are partially a result of misinformation on social media. The same cannot be said of traditional news exposure.

Finding 3: Misperceptions about the pandemic are associated with lower levels of risk perceptions and social distancing compliance.

COVID-19 misperceptions are also powerfully associated with lower levels of social distancing compliance. Moving from the lowest level of COVID-19 misperceptions to its maximum is associated with a reduction of one’s social distancing by 0.39 on the 0-1 scale. The previously observed relationship between social media exposure and misperceptions disappears, suggestive of a mediated relationship. That is, social media exposure increases misperceptions, which in turn reduces social distancing compliance. Misperceptions is also weakly associated with lower COVID-19 risk perceptions. Estimates from our models using COVID-19 concern as the outcome can be found in the left panel of Figure 3, while social distancing can be found in the right panel.

Finally, we also see that the relationship between misinformation and both social distancing compliance and COVID-19 concern hold when including controls for science literacy and a number of fundamental predispositions that are likely associated with both misperceptions and following the advice of scientific experts, such as anti-intellectualism, pseudoscientific beliefs, and left-right ideology. These estimates can similarly be found in Figure 3.

Canadian Twitter and news data were collected from March 26 th to April 6 th , 2020. We collected all English-language tweets from a set of 620,000 users that have been determined to be likely Canadians. For inclusion, a given user must self-identify as Canadian-based, follow a large number of Canadian political elite accounts, or frequently use Canadian-specific hashtags. News media was collected from nineteen prominent Canadian news sites with active RSS feeds. These tweets and news articles were searched for “covid” or “coronavirus”, leaving a sample of 2.25 million tweets and 8,857 news articles.

Of the COVID-19 related content, we searched for terms associated with four instances of misinformation that circulated during the COVID-19 pandemic: that COVID-19 was no more serious than the flu, that vitamin C or other supplements will prevent contraction of the virus, that the initial animal-to-human transfer of the virus was the direct result of eating bats, or that COVID-19 was a hoax or conspiracy. Given that we used keyword searches to identify content, we manually reviewed a random sample of 500 tweets from each instance of misinformation. Each tweet was coded as one of four categories: propagating misinformation, combatting misinformation, content with the relevant keywords but unrelated to misinformation, or content that refers to the misinformation but does not offer comment.

We then calculated the overall level of misinformation for that instance on Twitter by multiplying the overall volume of tweets by the proportion of hand-coded content where misinformation was identified. Each news article that included relevant keywords was similarly coded. The volume of the news mentioning these terms was sufficiently low that all news articles were hand coded. To identify health recommendations, we used a similar keyword search for terms associated with particular recommendations: 1) social distancing including staying at home, staying at least 6 feet or 2 meters away and avoiding gatherings; and 2) washing hands and not touching any part of your face. 1 Further details on the media collection strategy and hand-coding schema are available in the supporting materials.

For survey data, we used a sample of nearly 2,500 Canadian citizens 18 years or older drawn from a probability-based online national panel fielded from April 2-6, 2020. Quotas we set on age, gender, region, and language to ensure sample representativeness, and data was further weighted within region by gender and age based on the 2016 Canadian census.

We measure levels of COVID-19 misperceptions by asking respondents to rate the truthfulness of a series of nine false claims, such as the coronavirus being no worse than the seasonal flu or that it can be warded off with Vitamin C. Each was asked on a scale from definitely false (0) to definitely true (5). We use Cronbach’s Alpha as an indicator of scale reliability. Cronbach’s Alpha ranges from 0-1, with scores above 0.8 indicating the reliability is “good.” These items score 0.88, so we can safely construct a 0-1 scale of misperceptions from them.

We evaluate COVID-19 risk perceptions with a pair of questions asking respondents how serious of a threat they believe the pandemic to be for themselves and for Canadians, respectively. Each question was asked on a scale from not at all (0) to very (4). We construct a continuous index with these items.

We quantify social distancing by asking respondents to indicate which of a series of behaviours they had undertaken in response to the pandemic, such as working from home or avoiding in-person contact with friends, family, and acquaintances. We use principal component analysis (PCA) to reduce the number of dimensions in these data while minimizing information loss. The analysis revealed 2 distinct dimensions in our questions. One dimension includes factors strongly determined by occupation, such as working from home and switching to online meetings. The other dimension contains more inclusive behaviours such as avoiding contact, travel, and crowded places. We generate predictions from the PCA for this latter dimension to use in our analyses. The factor loadings can be found in Table A1 of the supporting materials.

We gauge news and social media consumption by asking respondents to identify news outlets and social media platforms they have used over the past week for political news. The list of news outlets included 17 organizations such as mainstream sources like CBC and Global, and partisan outlets like Rebel Media and National Observer. The list of social media platforms included 10 options such as Facebook, Twitter, YouTube, and Instagram. We sum the total number of outlets/platforms respondents report using and take the log to adjust for extreme values. We measure offline political discussion with an index based on questions asking how often respondents have discussed politics with family, friends, and acquaintances over the past week. Descriptions of our primary variables can be found in Table A2 of the supporting materials.

We evaluate our hypotheses using a standard design that evaluates the association between our explanatory and outcome variables controlling for other observable factors we measured. In practice, randomly assigning social media exposure is impractical, while randomly assigning misinformation is unethical. This approach allows us to describe these relationships, though we cannot make definite claims to causality.

We hypothesize that social media exposure is associated with misinformation on COVID-19. Figure 2 presents the coefficients of models predicting the effects of news exposure, social media exposure, and political discussion on COVID-19 misinformation, risk perceptions, and social distancing. Socio-economic and demographic control estimates are not displayed. Full estimation results can be found in the Table A3 of the supporting materials.

We further hypothesize that COVID-19 misinformation is associated with lower COVID-19 risk perceptions and less social distancing compliance. Figure 3 presents the coefficients for models predicting the effects of misinformation, news exposure, and social media exposure on severity perceptions and social distancing. We show models with and without controls for science literacy and other predispositions. Full estimation results can be found in the Table A4 of the supporting materials.

Limitations and robustness

A study such as this comes with clear limitations. First, we have evaluated information coming from only a section of the overall media ecosystem and during a specific time-period. The level of misinformation differs across platforms and online news sites and a more granular investigation into these dynamics would be valuable. Our analysis suggests that similar dynamics exist across social media platforms, however. In the supplementary materials we show that associations between misperceptions and social media usage are even higher for other social media platforms, suggesting that our analysis of Twitter content may underrepresent the prevalence of misinformation on social media writ large. As noted above, existing limitations on data access make such cross-platform research difficult.

Second, our data is drawn from a single country and language case study and other countries may have different media environments and levels of misinformation circulating on social media. We anticipate the underlying dynamics found in this paper to hold across these contexts, however. Those who consume information from platforms where misinformation is more prevalent will have greater misperceptions and that these misperceptions will be linked to lower compliance with social distancing and lower risk perceptions. Third, an ecological problem is present wherein we do not link survey respondents directly to their social media consumption (and evaluation of the misinformation they are exposed to) and lack the ability to randomly assign social media exposure to make a strong causal argument. We cannot and do not make a causal argument here but argue instead that there is strong evidence for a misinformation to misperceptions to lower social distancing compliance link.

/ Fake News
/ Mainstream Media
/ Public Health
/ Social Media

Cite this Essay

Bridgman, A., Merkley, E., Loewen, P. J., Owen, T., Ruths, D., Teichmann, L., & Zhilin, O. (2020). The causes and consequences of COVID-19 misperceptions: Understanding the role of news and social media. Harvard Kennedy School (HKS) Misinformation Review . https://doi.org/10.37016/mr-2020-028

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The project was funded through the Department of Canadian Heritage’s Digital Citizens Initiative.

Competing Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The research protocol was approved by the institutional review board at University of Toronto. Human subjects gave informed consent before participating and were debriefed at the end of the study.

This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided that the original author and source are properly credited.

Data Availability

All materials needed to replicate this study are available via the Harvard Dataverse: https://doi.org/10.7910/DVN/5QS2XP .

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Original research article, covid-19: scientific arguments, denialism, eugenics, and the construction of the antisocial distancing discourse in brazil.

1 Faculty of Public Health's Audioteca Collection, University of São Paulo, São Paulo, Brazil
2 School of Arts Science and Humanities, University of São Paulo, São Paulo, Brazil

Since March 11, the world has been experiencing a pandemic of Sars-Cov-2, the new coronavirus, which emerged in China in late December 2019 and causes the COVID-19 disease. Pandemics are characterized by pathogen's ability of emerging or re-emerging across geographical boundaries, simultaneously affecting a large number of people around the world, due to the sustained transmission in humans. In the case of the COVID-19 pandemic, we have witnessed in real time the dissemination of different types of information about it and strategies used to contain the rate of virus contamination. Our main goal in this study is to analyze the discursive production of the Brazilian journalistic media about vertical isolation as a supposed scientific strategy, and to demonstrate how that has been used in the denialist approach adopted by the Brazilian President Jair Bolsonaro. The research was carried out on the Google platform, using the following descriptors: coronavirus and herd immunity; coronavirus and the Imperial College herd immunity strategy; vertical isolation; Bolsonaro and vertical isolation. Thirty-six articles were selected for a qualitative analysis besides the original article by David L. Katz (published in The New York Times), where he claims the creation of the vertical confinement strategy. All documents of the analytical corpus are open and free of charge. The articles were submitted to discursive analysis and the main results shows that Brazilian media highlighted Bolsonaro's proposal of vertical isolation and amplified his pandemic denial and eugenics policies The mass media vehicles play a central role in the dissemination of information and should commit to the publication of reliable and trustworthy information, as well as to objectively situate the areas of knowledge of the specialists whose opinions are being published.

Introduction

The COVID-19 pandemic presents itself as concerning for the majority of people across the planet. This concern is guided by a number of characteristics of Sars-Cov-2 and by the contemporary lifestyle. The virus has a high potential for dissemination in the globalized world—by mid-August 2020, more than 20.7 million people had been contaminated; part of this contingent became seriously ill, requiring hospitalization, and nearly 780 thousand people had died 1 . There is still no treatment available for this disease, nor vaccines that might prevent infection. These factors, together with the lack of knowledge and the uncertainties on the evolution of the infection/disease, as well as the post-infection immunological responses, have led to great investments in scientific research in the several fields of science, while at the same time the population searches incessantly for information in order to make sense of their own experiences.

Within this context of a pandemic, mass media holds a key social role; as a source of information that is historically recognized and trustworthy, the media has been disseminating and modeling the ways in which ordinary people think about and deal with everyday events. It is important to remember that the conditions of truth and of social justification are the pillars that support the belief in journalistic discourse, which becomes trustworthy and credible as long as it manages to prove the veracity of its testimony, by means of the detailing of facts and the citation of specialized sources ( Lisboa and Benetti, 2015 ).

It is important to note, however, that this “proof of veracity” does not make news stories “mirrors” of reality, but instead, simply one of the possible narratives about social occurrences. Transformed into information, these occurrences are shared between members of society and journalists, who in turn claim a monopoly on this knowledge (defining what is news), meaning that, more than passive observers, they are active participants in the construction of reality ( Traquina, 2007 ). Although creative, journalistic activity is submitted to a number of “tyrannies”: of the deadlines and formats of journalistic production; of superior hierarchies (editors-in-chief, news editors, and, frequently, the owners of the platforms); the imperatives of journalism as a business; the extreme competition; and the action/pressure of different social actors searching to highlight their own matters ( Traquina, 2007 ). Thus, newsmaking results in journalism's capacity for producing social facts, in other words, for instituting realities, according to the repertories and contexts that the journalist chooses to use.

We have, in addition, used journalistic discursive practices within the perspective offered by Van Der Haak et al. (2012) , who state that journalism, as a public asset, should produce information and analyses that are useful for democratic societies, based on transparency, independence, the use of reliable sources, and the detailed analysis of events.

In this text we took the journalistic coverage of COVID-19 as a producer of meanings and social facts ( Spink, 2004 ). We also used the perspective of Thompson (2014) , for whom the process of news production, whichever it may be, always occurs within a socio-historical context that allows media outlets to capture and transform a certain number of everyday events into messages (symbolic forms) in detriment of an infinity of others.

We considered the context of exceptionality of the pandemic, where researchers and scientists are being obliged to accelerate their production to a rhythm never seen before, in order to provide clinical responses to the disease and guide public policies and State actions for managing public health around the world. This implies that most of the knowledge produced about Sars-CoV-2 and the disease it causes is being permanently revised, refuted, and discarded.

The problem is that, with this frenetic production, the refuted suppositions have often already reached a level of dissemination and absorption by common sense and even by public authorities which, due to a variety of interests, makes it impossible to revert their use, remaining as valid points of view. In other words, even when these suppositions have been invalidated by science, they continue as a social fact, affecting the lives of people and the manners in which they make their decisions when faced with the epidemic. Thus, it is important for journalists and mass media companies to be vigilant regarding the possible consequences of the content they relay.

We are referring, therefore, to the decisive role played by mass media in structuring the public space. This is a sensitive debate around the world, as it involves controlling the access to the production and circulation of the information that is transformed into messages (symbolic content) by a restricted number of actors, according to private interests or that of the groups that the media represents ( Thompson, 2014 ). This aspect is especially problematic in Brazil. The country has a historical asymmetry in the relationship between mass media and society, establishing what Kucinski (2006) call the “principle of exclusion,” violating the human right to information.

In Brazil, different from that which occurred for the most part in the liberal democracies of the global North, the mediatic market is marked by an ideological, economic, and political homogeneity that is usually pro-establishment. From the start, the media—and particularly the press—has historically reproduced with great fidelity the oligarchic model of land ownership, with a predominance in newspaper management of the “favoritism typical of the command culture of large rural properties” ( Kucinski, 2006 , p. 20).

The business model for national media is amplified by Brazil's complexity. Companies are configurated as oligopolies, with properties that are horizontal, vertical, and crisscrossed by different mediums (newspapers, magazines, AM and FM radio, open access and pay TV, internet provider) within the same market, whether local, regional, or national. This process was accentuated by the privatization of telecommunications during the 1990s ( de Lima, 2001 , 2011 ; Malinverni, 2016 ). Currently, according to the Brazilian section of the MOM (Media Ownership Monitor)/Reporters Sans Frontiéres, eight economic family groups control 26 of the 50 largest media vehicles in the country, according to audience and to scheduling capacity; in other words, in terms of potential to influence public opinion.

Divided into four large sectors (print, radio, TV, and online), the study, which resulted in the report “Who controls the media in Brazil,” released in late 2017, indicates a red alert for the Brazilian mediatic system due to the high concentration of audience and properties, the high geographic concentration, and the lack of transparency, besides economic, political, and religious interference in the production of information 2 . Seven of the twelve vehicles that published the news stories analyzed in this work integrate the control group describe above. The most paradigmatic of these is the Globo group, the largest oligopoly in this sector in Brazil and Latin America, and one of the largest in the world, with more than half of the audience among the first four (36.9%). The concentration of media outlets by a small number of private groups restricts competition and, consequently, the diversity to represent the distinct interests of society. Without the possibility of contradiction, there is a predominance in the mediatic market of what many studies and analysts call “penseé unique” ( de Lima, 2011 ).

Faced with such a complex dynamic—taken here in the sense proposed by Law and Mol (2002) , according to whom innumerable actors, materialities, and sociabilities perform the several facets of a phenomenon—and with the up-to-the-minute scope of the pandemic, which takes place in real time, journalistic coverage is up against enormous difficulties. These range from the immediacy of translating the technical-scientific knowledge of several fields to critical evaluations on what to publish and the possible effects.

Historically, at moments of public health emergency, the population and journalists wait to receive trustworthy information from governmental organizations and political leaderships, whose actions are based on the guidance of health authorities. In Brazil, however, besides this complexity that is inherent to the pandemic, mass media must deal with other challenges. The first, as we will see in the analyses, lies in reporting two distinct official discourses on controlling COVID-19: that of the president of the Republic and his supporters; and that of the scientists in the field of health, technicians from the Ministry of Health (in the first months), and governors and mayors who are favorable to social distancing. This resulted in a politicization of the actions for disease control.

Brazil has a Unified Health System (Sistema Único de Saúde—SUS) that guarantees universal health access to all within the national territory; the System is well-structured and organized in a decentralized manner. Since the promulgation of the 1988 Constitution, it is up to the federal government to establish guidelines and coordinate healthcare actions, allocating a budget for the states and municipalities, who manage resources and actions according to local/regional needs. This system counts on a structure of sanitary surveillance and consolidated data registration that allows the monitoring of healthcare actions throughout the country. The pandemic, however, hit Brazil at a point when SUS has been weakened, since, as stated by Menezes et al. (2019) , from 2016 a policy of defunding healthcare has been implemented, by means of the approval of a constitutional amendment that froze the federal budget in this sector for the next 20 years, with readjustment calculations based only on inflation. This policy of deconstructing SUS has intensified during the Bolsonaro government, with already-perceptible effects upon the population's health: “For example, the loss of 8.5 thousand Cuban doctors from the More Doctors Program, who were treating around 30 million Brazilians, in 2.9 thousand municipalities and indigenous villages” ( Menezes et al., 2019 , p. 67).

Despite this process of scrapping, from January to May the technical team of the Ministry of Health, responsible for managing SUS, carried out assertive actions relating to the pandemic, creating decrees, establishing benchmarks for action, and guiding the population. The president of the Republic, however, who refuses to acknowledge the severity of the pandemic, has been producing and divulging, from the start, counterinformation that contradicts the ministerial discourse. Within this context, on April 16, Bolsonaro dismissed the minister of Health, doctor and politician, and nominated a new leader for the department, an oncologist and business entrepreneur who works in the private sector. With a more technical profile, he remained only 28 days in office, and resigned due to disagreeing with the president's position regarding use of chloroquine to combat COVID-19. Therefore, since May 15, the position of minister of Health has been occupied in an interim manner by a general without any health background, who nominated other members of the military, equally without specialized training, to key roles in the Ministry of Health, furthering the dismantling of SUS 3 .

Brazilian journalism gave plenty of space for this polarization between the president and his supporters and the Ministry of Health, during the first months of the pandemic, as well as to the national and international scientific community on the subject of measures of social distancing. The analysis of articles indicated that the journalistic coverage often considered both discourses as equivalent, even knowing that the president and his supporters had no scientific backing—on the contrary, they often based themselves on false news and unfounded calculations.

For Gelbspan (1998 , p. 57–58), in discussing journalistic coverage of global warning:

The professional canon of journalistic fairness requires reporters who write about a controversy to present competing points of view. When the issue is of a political or social nature, fairness – presenting the most compelling arguments of both sides with equal weight – is a fundamental check on biased reporting. But this canon causes problems when it is applied to issues of science. It seems to demand that journalists present competing points of views on a scientific question as though they had equal scientific weight, when actually they do not.

In this sense, it is crucial that journalists covering themes that involve science know how to translate the concepts and recognize strong evidence so as not to fall into the mistake that Pitts (2018) designates “ both-sideism.” Rosen (2010) , discussing this journalistic strategy, states that it is often adopted in order to seek an “objectivity,” by means of which the journalist would speak from a supposed position of neutrality (a view from nowhere), and could not therefore be accused of favoring one position. For Sousa (2002) , this position is a tributary of two ideological forces that modulate news: that of objectivity and that of professionalism. The first explains the descriptive and factual orientation of news, with its mimetic ambition regarding reality that becomes explicit, and the systematic identification of sources of information in news statements; the second is based on the belief that the production routine and professional experience are sufficient tools for journalistic exemption. Supported by deontological codes constructed throughout history, the journalist acts as a “professional authority,” imbued with the right and the obligation to mediate and simplify information on daily happenings ( Traquina, 2007 ). In other words, under the jargon “interests of society,” the press acts within a discursive safe conduct that “authorizes” the prescription of standards and practices, while at the same time serving as an “argumentative shield” that protects and exempts journalists and owners of communication vehicles from the consequences of their discursive practices ( Malinverni et al., 2012 ). This strategy, however, impedes a deeper analysis and the production of precise information based on the truth.

Another challenge that journalists face is the increasingly precarious nature of work in newsrooms, and a lack of specialization in the area of health ( Malinverni and Cuenca, 2017 ), both of which have become more of an issue over the past decade with the financial crisis that has impacted media companies, especially print journalism, due to the rise of virtual media ( Castilho, 2015 ), affecting directly the quality of the news. Vukasovich and Vukasovich (2016) indicate, additionally, that globalization and the incessant pressures of newsmaking are two more elements that greatly impact the quality of journalistic coverage.

Methodology

In this work we carried out the discursive analysis of journalistic coverage following two key thematic lines: herd immunity and vertical isolation. Using Google search, we researched news articles on the Sars-CoV-2 epidemic in Brazil using four descriptors: 1—Herd immunity and coronavirus; 2—Herd immunity and Imperial College; 3—Vertical isolation; and 4—Bolsonaro and vertical isolation. Criteria for inclusion: the first three pages of results presented by Google; articles published by print media and mass news sites with high visitation numbers and open access links. Criteria for exclusion: blogs with no connection to mass media or governmental and non-governmental organizations; low repercussion media, videos and links that can be exclusively accessed by subscribers; texts reproduced ipsis litteris on other sites.

The time period set for article selection was March 16 to April 30, 2020, starting 5 days before the date on which the Ministry of Health confirmed community transmission of the disease in the country (March 20) and a public health emergency was declared by most state and municipal governments.

In the first phase of systemization, 101 texts were located; of these, after application of the above criteria, 36 were selected for analysis: 8 articles under descriptor 1; 8 under descriptor 2; 11 under descriptor 3; and 9 under descriptor 4. All texts were copied into Word to be later read in full and analyzed. The texts were published on 12 websites, linked to nine media groups: UOL, Folha de S.Paulo and Bol/UOL (Grupo Folha); O Globo (Organizações Globo); Saúde Estadão (Grupo Estado); Saúde Abril and Veja (Grupo Abril); Gazeta do Acre (independent); IstoÉ Dinheiro (Editora Três); BBC News Brasil (a subsidiary of BBC, controlled by the British government); El País Brasil (from the Spanish group PRISA); and CNN Brasil (a subsidiary of the American CNN). The four first, as already mentioned, are among the organizations that control almost 60% of the national audience. Historically, they operate under the establishment logic, with episodic demonstrations of divergences that lend an appearance of plurality. Rarely do they explicitly support a candidate or political party, although the journalistic coverage is always more favorable to agendas that adopt a center or right-wing positioning within the political spectrum. This perspective, shared by IstoÉ Dinheiro and CNN Brasil, has been in effect in the country since mid-March of 2020. The Gazeta do Acre is the only independent vehicle; in other words, that is not connected to a multimedia conglomerate. It was founded by two reporters who worked at an alternative newspaper which, in the 1970s, challenged the censorship imposed by the military regime and reported the daily violence committed by the large landowners against the small-scale rubber tree tappers—among them Acre environmentalist Chico Mendes, murdered by local ranchers in 1988. El País Brasil and BBC News Brasil follow the more liberal line of journalistic coverage set by their parent companies. These characteristics may explain why these three vehicles were the only ones to adopt a more critical approach to Bolsonaro's discourse, as will be discussed.

We adopted the theoretical perspective of discursive practices ( Spink, 2004 ), focusing on the language in use, a social practice analyzed in the intersection between performative aspects of language (when, in which conditions, with what intention, in which manner) and the conditions of production (understood in this case both as social and interactional context, and in the Foucauldian sense of historical constructions).

In this approach, the notion of interpretative repertories of Wetherell and Potter (1988 , p. 172) is central:

Repertoires could be seen as building blocks speakers use for constructing versions of actions, cognitive processes, and other phenomena. Any particular repertoire is constructed out of a restricted range of terms used in a specific stylistic and grammatical fashion. Commonly these terms are derived from one or more key metaphors and the presence of a repertoire will often be signaled by certain tropes or figures of speech.

The circulation dynamic of the interpretative repertories, within the flow of production of meanings, updates contents and processes present in the history of a society.

In this analysis we looked for these standards in the journalistic coverage of the two studied themes, making clear the content of the discussions and marking out the meanings they produce, as well as situating the contexts for production of the articles. Therefore, throughout the text, we introduce episodes and events that contextualize the analysis and help us to understand the scenario for news production, since, as stated by Rosen et al. (1997 , p.3), “[…] the journalism itself, the art of telling our collective story, is never independent of the country and culture in which the story is told.”

Strategies of Social Distancing and Herd Immunity in Brazil

The strategies of social distancing and of herd immunity were already circulating in Brazilian media before the official declaration of sustained transmission of Sars-CoV-2 in the country. We carried out this study associating the descriptor “Herd immunity” to coronavirus and to Imperial College. Next, we introduce the main results of the discursive analysis, discussing the meanings produced by the articles found with these descriptors.

The first article with the descriptor herd immunity (“What is ‘group immunity,' the polemical strategy of the United Kingdom to combat coronavirus” 4 ) dates from March 16, and was published by two large Brazilian news sites; its central theme is the debate surrounding the measures adopted by the United Kingdom. The article discusses the criticism suffered by the British government that, contrary to countries such as Italy, Spain, and France, had decided not to adopt a strategy of social suppression, betting on the free circulation of the virus in order to consequently lead the population toward herd immunity (a mitigation strategy). According to this text, the mitigation measure would help preserve the economy, since all activities would remain operational. The key criticism stemmed from the scientific community, for whom mitigation would lead to an uncontrolled growth in the number of people contaminated by Sars-CoV-2, with an inevitable rise in infections and the overburdening of the National Health Service (NHS) due to hospitalization demands for severe cases. This debate permeated the 16 articles analyzed under the descriptor “Herd immunity,” progressively incorporating references to reports from the Imperial College.

All the articles analyzed, when discussing herd immunity, made reference at some point to the United Kingdom and/or its prime minister and team. The United States and its president were also cited in six articles. Thus, we can say that the debate on social distancing, in Brazil, was closely connected to the measures and pronouncements of British and North American political authorities. Despite herd immunity having been considered and discussed in other cities/countries in Europe, the perspective that dominated the Brazilian news was that of the UK and the USA.

In addition to the positioning of political authorities, the scientific reports of the Imperial College were also widely commented on by the Brazilian media, and for this reason it was included as a descriptor. This institution appears often as being responsible for publishing studies that made the UK and the USA give up on the mitigation strategy. The majority of articles published between March 17 and April 24 refer directly to a specific report by the Imperial College, made public on March 16, which presents calculations regarding the lethality of the disease and the number of sick people according to each behavioral strategy adopted by the two countries. Only one article, from March 26, cites the report that makes estimates regarding the possible effects of the different non-pharmacological strategies in Brazil.

It is interesting to observe that, among the group of articles discussing herd immunity there are explanations on what this strategy entails. But most of these (5 articles) promote a simplification of this strategy, which can be explained by observing the authorship of the analyzed texts: only in three were the authors specialists. The first of these, mentioned above and produced by BBC News Brasil, is signed by a foreign journalist, a specialist in scientific communication. The second—““Coronavirus: must almost everyone catch it to end the pandemic?” 5 , from March 25, published in the health section of the website of Veja magazine—was written by two Brazilian researchers from the field of microbiology who acted as scientific disseminators. In this article there is a clear effort to translate expert knowledge for ordinary non-specialized readers, in a clear and simple manner, focusing on the reasons that herd immunity could not be legitimized by science to guide public policies against Sars-CoV-2. The third article—“Who is immune to coronavirus?” 6 , published on April 14 by the newspaper Folha de S.Paulo and available on the UOL website—was written by Marc Lipsitch, a professor of Epidemiology at Harvard University's School of Public Health. Published originally in the New York Times , it is a direct translation. In these three articles, there is a greater care in explaining herd immunity, based on scientific knowledge.

Another factor that could explain the simplifications and superficial approaches adopted by the Brazilian media for the theme of herd immunity relates to the sources consulted and used in the articles. Historically, the production of news articles in the field of health includes consultation with known specialists who can expound on the theme with authority, productivity, and credibility, conferring legitimacy and reliability to the information presented ( Tuchman, 1983 ; Traquina, 2007 ). However, with regard to the debate on herd immunity, the analyzed articles make little use of consulting epidemiologists, the most appropriate specialists when it comes to this theme. Among the medical sources, the articles prioritized the opinions of virologists, infectious disease specialists, and immunologists; only four epidemiologists were consulted—two Brazilians, one from North America, and one from India. This may have contributed toward the polarization of measures of social distancing, as the guidelines suggested by epidemiology would explain with more clarity the catastrophic effects of the epidemic on the healthcare system and, consequently, on people's lives, if natural herd immunity were to be adopted in the country.

The articles that cite the reports of the Imperial College approach the theme in a manner that presents, together with projections of mathematical models that favor suppression, the arguments contrary to this measure, as well as the “harmful” effects of broad and unrestricted social distancing on the economy.

The concept of herd immunity has a longstanding and legitimate scientific basis, which postulates that the infection of a percentage of the population is enough to block transmission of a virus, and therefore can contain or even eradicate it within a certain territory. Since this debate began, the World Health Organization (WHO) and scientists all over the world have explained that this concept applies to immunization by means of vaccinations, and that investing in natural herd immunity against COVID-19 would overburden the healthcare systems, causing hundreds of thousands of avoidable deaths.

The positioning of some government leaders in favor of this strategy appears to be oriented by Malthusian theories, according to which some populations, such as the elderly, can be considered as weak and surplus ( Mezzadra, 2020 ). In this manner, they could become “naturally” extinct by pandemics, such as the case of COVID-19. Hannah et al. (2020) observe that, by defending herd immunity, governors assume that the biopolitical interests of capital take precedence over the biopolitical interests of life. One of the articles of the corpus emphasizes that matters of economy were decisive in the debate on herd immunity. The text “Specialists recommend herd immunity for poor countries 7 ”—produced by Bloomberg, a news agency of the financial sector, and published in the finance section of UOL on April 22—, presents herd immunity as the only alternative for poor, young countries such as India. The journalist presents arguments from an Indian epidemiologist as well as researchers from the Center for Disease Dynamics, Economics & Policy and Princeton University in defense of this strategy:

[…] allow the virus to circulate in a controlled manner throughout the next seven months would provide immunity to 60% of the country's population by November, and thus, contain the disease. Mortality could be limited while the virus propagates, in comparison to European countries, such as Italy, since 93.5% of the Indian population is under 65 years, it is said, although they have not divulged projections on the number of dead .

The article is overly brief, but points out that this is a risky strategy, concluding that at the moment not much was known regarding immunity to coronavirus.

The possibility of using the strategy of herd immunity to minimize the effects of the pandemic on the economy was discussed hypothetically in many of the articles analyzed, but not indicated as a viable solution. For instance, the texts that mention this discussion in the United Kingdom clarify that the British government refuted that they were seeking herd immunity. This proposal would be morally unacceptable, since the known lethality data indicates that this strategy would imply acceptance and recognition that at least 1% of the population could die, in addition to a high number of hospitalizations, leading to a collapse of the healthcare services.

In the 16 articles analyzed with descriptors 1 and 2, only one has a critical approach and presents the Imperial College projections for Brazil. The article is “Coronavirus pandemic: the best scenario is disastrous 8 ,” published on March 30 on the website of the Gazeta do Acre , a local newspaper of the state of Acre, at the extreme north of the country. The text presents the calculations for the newspaper's hometown, the state capital Rio Branco, informing the amount of people who would get sick and die if suppression were not adopted. The other articles touched generically upon the theme, without taking the trouble to inform about the effects of different measures within the local contexts of Brazilian cities with their inequalities.

Among the articles of this corpus , the only argument in favor of herd immunity that had no economic framing was that of a supposed prevention of a second wave of the disease, since in the countries that adopted restrictive measures only a small portion of the population would have had contact with the virus, and thus the virus would once again strike these populations.

Before we continue the discussion, it is important to present the facts for the Brazilian context. From March 11, some state governors and mayors began to declare non-pharmacological measures to deal with the pandemic, following recommendations from the Ministry of Health and creating scientific committees. Throughout that entire month, several states and municipalities suspended classes at all educational levels, prohibiting events and religious services, and closing commerce and non-essential services, maintaining only healthcare, pharmacies, and grocery stores, in addition to bars, restaurants, and bakeries, although these last could only serve customers by delivery. These measures met with strong resistance from entrepreneurs and politicians, especially the president of the Republic and his social and political support base.

In this manner, from mid-March and throughout the month of April, the media began to include in discussions of the pandemic the financial damage that social distancing measures could provoke, and the effects on people's daily lives. In this context, the news began to construct a narrative around the concept of “two sides”; one favorable to the strategy of seeking herd immunity, and the other, to social distancing. As previously discussed, his false equivalency between scientifically based arguments and fragile arguments supported by hypotheses is damaging to the coverage of scientific themes ( Gelbspan, 1998 ).

With regard to herd immunity, this approach was present in many of the articles analyzed, with only two of the news stories breaking this logic. The first, titled “Epidemiologist opposes Osmar Terra and sees Brazil as far from the end of the epidemic 9 ,” from April 14, published on the UOL website, the journalist presents the arguments of an epidemiologist to deconstruct the reasoning presented by congressman Osmar Terra 10 , an advisor to Bolsonaro and part of his support base. As the central character in the text, and in opposition to Osmar Terra, the epidemiologist, who is also the rector of a federal university, demonstrates with data and scientific evidence that the country was far from reaching herd immunity, and points out the political polarization of the debate on social distancing:

The discussion about social distancing in all the media is based on ideology and not science. There is a group of people who think we must relax and who voted on the same candidate [Bolsonaro], and the other people, who voted against, are in favor of distancing .

The epidemiologist's perception on the role of the media in this polarization is precise. Osmar Terra is a member of Congress who, despite a degree in medicine and an appointment as Health Secretary, is not a specialist in this theme. It is worth noting that, according to the evaluation carried out by the website Radar aos Fatos, which checks and verifies fake news , he was the parliamentary member who most divulged false news on COVID-19 11 . More than that, the fact that there was a link to the video in which the congressman reproduces false news signals that the news site UOL itself contributed toward disseminating an opinion that, based on antiscientific visions, not only encourages the political polarization of the epidemic scenario, but also confuses the population. This polarization indicates a narrative framing typical of political coverage, in which reality is taken as “[…] a field in conflict, a bipolar world of successive hostilities” ( Motta, 2007 , p. 10), feeding the confrontation with successive affirmations that belie the sources, in a dramatic game based on the notion of contradiction. In the case of this coverage, the narrative option for the “two opposite sides” of the phenomenon makes no sense, as by giving equal weight and space to the scientific evidence and positioning of the majority of national and international scientists, and the opinions of a small group of denialist politicians with an anti-science agenda, the media breaks their social commitment of informing the population correctly about phenomena and events that impact daily life, such as the case of the COVID-19 epidemic.

The second article for the descriptor “herd immunity”—the previously mentioned “Coronavirus pandemic: the best scenario is disastrous” of the Gazeta do Acre —was the only one among the 16 news stories analyzed to critically situate the attacks of Bolsonaro and his supporters upon suppression measures. The text, with authorship stated simply as “Newsroom,” classifies Bolsonaro's statements as unfounded and absurd:

At this moment, the majority of countries, the Ministry of Health of Brazil, governors and mayors from all around the country, based on directives given by the WHO, are trying to adopt the measure of suppression to control the epidemic in Brazil .

However, president Bolsonaro and a small group of his counselors and advisors (which includes his children) are the only dissonant voices and are actively advocating the adoption of the mitigation strategy to control dissemination of the virus in Brazil .

This is a noisy minority, incidentally. Thanks to the control that the president and his children have over their thousands of fanatic followers, the social networks are inundated with the most absurd campaigns in favor of this option of control .

From “Vertical Interdiction” to “Vertical Isolation,” The Use of Scientists' Opinions for Denialism

The analysis demonstrated that the use of the terminology “vertical isolation” was imposed by President Bolsonaro himself and naturalized by the media. On March 24, in a pronouncement on the radio and TV network 12 , he urged the population to abandon the social distancing measures that had been recommended by the Ministry of Health and which, as previously mentioned, had been adopted by several governors and mayors. His proposal: keep in confinement only the so-called risk groups. In Brazil, this would be the elderly population over 60 years of age and those with chronic diseases, besides symptomatic cases. In his speech, which shocked the national and international scientific community and those Brazilians who had adhered to social distancing—at least 50% of the population, in several regions, at the start of community transmission—, Bolsonaro stated that COVID-19 was just “a little flu,” a “little cold” that was inoffensive to the majority of the young and the healthy who, like him, had an “athletic history” 13 . The following morning (25), when asked by a reporter how the country would protect these vulnerable groups, he answered: “[…] there is horizontal isolation, that they're doing here, and there's the vertical. It's the vertical [for groups at risk]” 14 .

The term vertical isolation resonated intensely in newspapers and news sites, and, after March 25, it was in the title of the 20 articles analyzed for descriptors 3 and 4 (“Vertical” isolation” and “Bolsonaro and vertical isolation”). When explaining the concept proposed by Bolsonaro, three texts cited the hypotheses of David L. Katz, a doctor who specialized in diet and nutrition 15 , which were published in an article in The New York Times , on March 20, 2020, with one text also bringing up an article by epidemiologist John Ioannidis, statistician, and co-director of the Stanford Prevention Research Center, published on March 17, on the StatNews website. Both were critics of the social suppression measures proposed and adopted in some Asian and European countries.

The analysis also suggested that the terminology “vertical isolation” which circulated in the national media was a translation of the arguments proposed by Katz, which were in turn anchored on the debate about herd immunity and the initial mitigation strategies adopted by the UK and USA to deal with the pandemic. Although quickly rejected by the scientific community, “isolation” as a synonym to distancing continued to resonate in Brazilian newspapers and news sites and is still used today in this sense.

Katz's article (“Is our fight against coronavirus worse than the disease?”) was published 5 days before Bolsonaro's interview. In it, Katz employs classic concepts of epidemiology to make a misleading analysis, based on a still-fragile foundation of data about the pandemic, as we will see in the following analysis. Centered on repertories from epidemiology, he frames social distancing as a potentially harmful “war” strategy, with socioeconomic consequences and effects upon the healthcare systems that could be worse than the disease. From the very start, with the title, Katz makes use of militaristic metaphors—a longstanding and recurring discursive strategy in all dimensions of the dissemination of science and medicine ( Wenner, 2007 )—in order to build his thesis for reducing the costs of the “war” against the new coronavirus.

He supports his arguments by interpreting data from South Korea, which indicated that 99% of COVID-19 cases were light, while the lethality of the disease basically affected those who were more vulnerable. Still employing war metaphors, Katz concludes that the most advisable approach would be a “surgical strike,” naming this a “vertical interdiction,” which would consist in forbidding circulation only for those who are most vulnerable and exposing the majority of the population to the virus, thus attaining herd immunity. In the text, even though the social impact of distancing is mentioned, it is clear that the specialist is preoccupied with the financial aspect:

I am deeply concerned that the social, economic and public health consequences of this near total meltdown of normal life — schools and businesses closed, gatherings banned — will be long lasting and calamitous, possibly more severe than the direct toll of the virus itself. The stock market will bounce back in time, but many businesses never will. The unemployment, impoverishment and despair likely to result will be public health scourges of the first order ( Katz, 2020 ).

Likewise, the arguments made by Ioannidis—in the article “We know enough now to act decisively against COVID-19. Social distancing is a good place to start”—focused on the economic effects of distancing measures:

If that is the true rate, locking down the world with potentially tremendous social and financial consequences may be totally irrational. It's like an elephant being attacked by a house cat. Frustrated and trying to avoid the cat, the elephant accidentally jumps off a cliff and dies ( Ioannidis, 2020 ).

The hypotheses of Ioannidis and, mainly, Katz gather elements that are of great use to the interests of the denialists, in the sense used by Hoofnagle and Hoofnagle (2007) and referenced by Diethelm and McKee (2009) , for whom the denialist discourse is constructed around rhetorical arguments,

[…] to give the appearance of argument or legitimate debate, when in actuality there is none. These false arguments are used when one has few or no facts to support one's viewpoint against a scientific consensus or against overwhelming evidence to the contrary. They are effective in distracting from actual useful debate using emotionally appealing, but ultimately empty and illogical assertions ( Hoofnagle and Hoofnagle, 2007 ).

The denial is constructed with basis on five discursive tactics which, together or separately, produce pseudoscientific discourse ( Hoofnagle and Hoofnagle, 2007 ; Diethelm and McKee, 2009 ). Three of these bring to light the manner in which the arguments of the two American specialists help sustain the denialism of President Bolsonaro and his supporters: (1) selectivity in choosing out-of-context scientific data in order to suggest error; (2) the use of specialists whose opinions are inconsistent with the knowledge established by scientific canon; and (3) resorting to isolated articles that challenge the dominant consensus as a means of discrediting the entire field.

In Brazil, the hypotheses of Ioannidis and, above all, Katz were presented by the media as an explanation for the vertical isolation proposed by Bolsonaro. The news stories also included criticism of this strategy by Brazilian and international specialists. This is what can be surmised from the article “What is the vertical isolation that Bolsonaro wants and why do specialists fear it will cause more deaths 16 ” published on the BBC News Brasil website, on March 25. In this news piece, the arguments of the two American specialists are rejected by the scientific community, due to their hypothetical nature, based on fragile data and a partial analysis that does not include the response capacity of the healthcare system; in this case, American healthcare. One of the opposing sources presented in the article is Harry Crane, a statistics professor from Rutgers University, who considered that their mistake was:

[…] to allow themselves to be affected by the desire to negate a situation that can cause despair. “Under severe uncertainty, it's natural instinct and common sense to hope for the best, but prepare for the worst”, wrote Crane, in response to the article by Ioannidis. This is because the mortality rate does not depend only on the clinical picture that the virus itself can produce, but also the capacity for response of societies for treating the sick .

The text makes it clear that, while the hypotheses of the two specialists were refuted by their peers, they were rapidly embraced by neoliberal politicians and economists, becoming “[…] music for the ears of the governmental economy teams who were trying to finish public accounting in midst of the perspective of recession” (BBC News Brasil, 2020). The journalist who authored the text supports this statement by citing part of an editorial from The Wall Street Journal , published in the wake of the Ioannidis article:

“ America urgently needs a pandemic strategy that is more economically and socially sustainable than the current national lockdown”, summarized the editorial from The Wall Street Journal, known for expressing the thoughts of the American economic elite, a week ago .

In the same article, the journalist affirms that the conclusions of Katz and Ioannidis acquired a following in the team of the Brazilian minister of Economy, “[…] in search of a gentler solution for the public health crisis.”

But it was, above all, the political support base of denialist leaders that took on the hypotheses of the two specialists and began using them to contest social distancing measures. In the news piece “Why is vertical isolation seen with skepticism 17 ?” produced by the agency Conteúdo Estadão and published on five news sites, on March 30, there is a clear use of these specialist arguments in the discourse against distancing:

Defended by President Jair Bolsonaro, the so-called “vertical isolation” of the population is a minority theory among scientists and is viewed with skepticism by the medical community. It consists on separating those who are in the risk group from being exposed to the virus, such as those older than 60 and those with chronic diseases (UOL, March 30).

Although the title of the article points to skepticism, the body of text brings a plurality of opinions, under the dichotomy of pros-cons and advantages-disadvantages of this strategy, including the discussion on herd immunity as a strategy and the reasons it was discarded in the United Kingdom. The most interesting point brought up in the article is a comparison of the supporters of Bolsonaro and Donald Trump. After informing that the American president had recommended extreme distancing, following the publication of the Imperial College study on March 16, the article adds that Trump went back to defending a quick return to activities in the United States, projecting a flexibilization in 10 days, which did not end up taking place but still had repercussions among Bolsonaro supporters:

Excerpts of the video with this speech from the American [Trump] were disseminated by supporters of Bolsonaro in Brazil, as a supposed sign that the Americans would relax their measures. After being criticized, Trump pulled back and said that the date to reopen the country was just a suggestion, but that the end of social isolation would not take place without backing from scientists. The day before yesterday, Trump affirmed that he is thinking of establishing an official quarantine for states such as New York (which has the majority of cases), New Jersey and Connecticut .

This text makes it clear how the denialist discourse of Trump and Bolsonaro align and, at the same time, how the largely connected environments of the social networks serve as feedback for both of their support bases. However, by indicating a new retreat by Trump, the text also demonstrates that his denialism was more vulnerable to scientific and medical arguments in favor of social distancing. The impression that we get is that Trump oscillates, either denying the scientific reading of the severity of the pandemic in his discourse and actions, or accepting information from scientists, different in this way from Bolsonaro, who has been unwavering in his denialist positioning from the start of the epidemic in Brazil.

Media Adhesion and Naturalization of “Vertical Isolation”

In the 20 articles analyzed for descriptor 3 (Vertical isolation), vertical isolation appears as a specific type of social distancing, allowing us to infer the media's unrestricted adhesion to the terminology, central to the sum of information circulated in both corpora . Instrumental, 10 of the 11 titles for descriptor 3 were constructed around the notions of functioning/operation of this model, seeking to explain vertical isolation with its advantages, disadvantages, and risks 18 .

We raised several hypotheses on what may have contributed to this: the generalist nature and increasingly precarious state of Brazilian mass journalism and the absence of epidemiologists as sources for news stories, already discussed in this work; the didacticism employed in the framing of texts, announced even in the titles.

This pedagogic concern brings to light the efforts made by journalists to translate to readers, who are always assumed to be laypeople, the technical-scientific jargon employed in the news. This didacticism—which legitimizes journalists as “[…] the place of ‘being able to show', of ‘being able to say' and ‘being able to analyze' (…) as a place of mediation and of revelation of truth” ( Vizeu, 2009 , p. 77)—may have contributed in particular toward the production of the meaning of “vertical isolation” as a scientifically validated consensus strategy that “mirrors” a supposed epidemiological reality, aseptic and neutral.

It is necessary, therefore, to problematize the media's naturalization of “vertical isolation” to express measures of social distancing (quarantine, cordon sanitaire , lockdown). In first place, the terminology confuses two distinct models of attention to epidemics. In the field of health, including Brazil, the established scientific consensus uses the term isolation to designate the care given to an infected and symptomatic patient, and is therefore a model for individual attention, belonging to the field of clinical medicine; distancing, on the other hand, implies collective/populational care, affiliated to epidemiology.

The use of “social isolation” in the place of social distancing is also a sematic error as it is based on a false synonymy. In the Portuguese language, “isolate” means to separate, segregate, and confine a person from all others in their social circle—in Brazilian dictionaries, among examples of isolate, we find medical activity aimed at treating patients with contagious diseases. On the other hand, distancing is the act or effect of separating people/groups, centered on a notion of physical space and not segregation.

By using one term in place of another, naturalizing a theoretical hypothesis that is still under discussion and therefore not validated by the scientific community, the media legitimized the term social isolation as common sense. And this may have contributed to the construction of a derogatory meaning for the strategy of social distancing, amplifying the resistance of the Brazilian population toward this measure.

Vertical Isolation, Denialism, and Eugenics

The denialist discourse throughout the world is not just aligned to anti-science, but also resonates as a more or less homogeneous mark of eugenics. In Brazil, this is no different. The social and scientific movement for improving the human race that emerged at the end of the nineteenth century and was widely experimented with by the German Nazi regime during World War II (1939–1945), arrived in the country in 1918, with the creation of the Eugenics Society of São Paulo. Intellectuals from several areas notably from medicine and the public health services, gathered around this movement, and the triad of sanitation, hygiene, and eugenics supported a broad and generalized project for civilizational progress ( Maciel, 1999 ), with medical knowledge playing a central role.

Racial regeneration would occur by means of three types of eugenics: positive, negative, and preventive. This last, also called prophylactic hygiene by Brazilian eugenists, was mixed with principles of rural and urban sanitation, the suppression of social vices such as alcoholism, control of immigration and of matrimony, and the compulsory sterilization of “degenerates.” In the 1930s, the main activist in Brazilian eugenics, Renato Kehl, openly assumed his favorable position to some of the measures adopted by the German eugenics movement ( Kobayashi et al., 2009 ).

Thus, the world eugenics ideology met the Brazilian positivist-hygienist movement, forming a new and active field, of hygienist-physicians, the protagonists and disseminators of the eugenics elements that would mark the actions of Brazilian public health for the next decades, and which still linger today in many practices, especially in the field of social care. This scientific rationality led to the implementation of “[…] projects of eugenic nature that intended to eliminate disease, separate madness and poverty” ( Schwarcz, 1993 , p. 34), focusing mainly on immigrants, Black people, and the poor ( Diwan, 2007 ). Acting in an intensive manner, the hygienist doctors undertook “[…] what they imagined to be a national regenerative mission, exerting functions, carrying out tasks, occupying positions that were strange to medicine,” and disseminating the certainty “[…] of being able to end the blemishes of the nation, collaborating with Brazil's administrative and social entirety” ( Mota, 2003 , p. 21).

From the start of the community transmission of Sars-CoV-2 in Brazil it is possible to observe this memory of eugenics in Bolsonaro's denialism, especially in his defense of vertical isolation. As governors and mayors began to officially order social distancing, the president's position became more and more radical. This is what can be surmised from the article “Bolsonaro once again minimizes COVID-19 and says that Health is studying vertical isolation 19 ,” published on the financial news site IstoÉ Dinheiro on March 26. In this piece, the president once again says that “ some governors and mayors erred in the dose” of containment measures, demanding the reopening of all sectors of the economy:

“ And do a stay-at-home campaign. Don't let grandpa leave the house, leave him in a corner. When you get home have a shower, wash your hands, wipe your ears with sanitizer gel. That's it”, he declared .

In the excerpt, Bolsonaro dehumanizes the elderly, the main target for his strategy of vertical isolation, turning their existence into objects in face of the epidemic. In his ambition to maintain the capitalist order, the president treats this subject (the elderly) as objects without free will who must be segregated in a “corner,” removing “their individual, malleable, unique characteristics” and transforming them “into empty husks, representations of themselves who, apparently, are no longer covered by the State of right” ( Souza, 2017 , p. 70).

In the same article, when commenting on the critical situations in other countries and on the perspectives of how the disease would manifest in Brazil, Bolsonaro yet again invests in a rhetoric of dehumanization:

“ I don't think it's going to reach that point, even because Brazilians should be studied, they don't catch anything. You see the guy leaping into sewage, coming out, diving in and nothing happens” .

This speech speaks directly of the more vulnerable social classes in Brazil that, due to conditions of extreme poverty, are subject to extremely precarious production relations. In this manner, it is possible to identify in the president's discourse a correlation between men and rats, who are immune to sewers. This perspective, in turn, bears a resemblance to the metaphor of the crab man, created by doctor and geographer Josué de Castro to designate a new species of Brazilians: those excluded from the production processes and who took their subsistence from the mangrove swamps of Recife, mixing them up with the crabs they fed upon 20 . Later, in the 1990s, following on the heels of the crab men, the gabiru men emerged. This hyperbole was used to designate country folk who lost their lands to large-scale farming and ended up in urban shantytowns, carrying with them an old acquaintance, hunger ( Portella et al., 1992 ; de Melo Filho, 2003 ). From the Tupi wa'wiru , gabiru means that which devours supplies, lives off trash, begs for hand-outs, causes repugnance, attacks and steals ( Portella et al., 1992 ).

Besides touching upon this social imaginary of the excluded Brazilian, the speech is evidence of a reading in which the population can be left to their own luck, without needing the actions of a protective State since they are, by their animalistic nature, survivors.

In addition to the theoretical fragility of Bolsonaro's proposal, the news stories analyzed also demonstrate that the strategy was unfeasible due to Brazil's socioeconomic inequalities. In the article “Vertical isolation proposed by Bolsonaro may accelerate contagion by coronavirus and compromise health systems 21 ,” published on March 25 on the El País Brasil website, health specialists and medical authorities alert to the risks of accelerated contagion in Brazil and a rapidly compromised healthcare system:

“ The theoretical idea of vertical isolation is that you can allow young people to circulate. They would become infected and could become immune. But we don't know how this works with COVID-19 and we can't guarantee the exclusive isolation of a specific group”, alerts the doctor Valdes Bollela, professor at the School of Medicine of USP Ribeirão Preto [São Paulo University of Ribeiro Preto] . (…) You think you can separate all the people [in the risk groups] who are young from those who are over 60? (…) People with HIV, diabetes and the elderly who count on their families? I can't imagine that in real life. In a theoretical idea, it's possible. In practice, it's a trap (…) In Brazil, a lot of people depend exactly on the care of their children” .

On the isolation of the elderly, in an article published on March 25 on the CNN Brasil website, along with the previously mentioned press conference video, titled “Bolsonaro vai propor isolamento vertical para conter coronavírus 22 ,” other related opinions are mentioned:

[…] each family must be responsible for their relatives. “The people need to stop pushing things onto the public powers”, he stated. (…) He stressed that the president of the United States, Donald Trump, follows a “similar line” as to measures to contain the disease, referencing yesterday's speech by the North-American in which he intends to end quarantine in the USA “by Easter” .

In these excerpts, it is possible to observe Bolsonaro's contempt for the excluding social characteristics in Brazil, where extreme social inequality would make it impossible to completely isolate the elderly and those with comorbidities from their relatives. Additionally, this also indicates his positioning on two aspects: the first, in prioritizing the economy—what really matters is to keep people working and generating income and taxes; the second, in making the State exempt from the consequences of its omission regarding the risks that the elderly face, in other words, that their life or death is not a problem of the public powers but of their families. Bolsonaro also uses the reference to the president of the United States in order to legitimize and strengthen his arguments and transmit the idea that there is a consensus between them regarding the pandemic, reinforcing the thesis that vertical isolation would be a viable strategy, since it was adopted by a developed country.

The article is short and uses a neutral tone, but it refers to a number of links, informing us, among other things, that Bolsonaro was the target of protests by Brazilians who were maintaining social distancing and of criticism by politicians:

The speech [referring to the press conference video posted at the start of the article and already mentioned in this analysis] — during which there were records of pot-banging protests in several of the country's capitals — gave rise to criticism by health secretaries, authorities and politicians (CNN Brasil, March 25).

The website brings visibility to the president's speeches without the concern of reflecting upon them or of pointing out their damaging effects upon the population's health.

In the article “Bolsonaro defende isolamento vertical e sugere que país pode 'sair da normalidade democrática 23 ,”' produced by international news agency Ansa and published on the website of the O Globo newspaper (March 25), the president also makes what can be considered his first threat of democratic rupture, using the argument that measures of social distancing would provoke an economic crisis of enormous proportions, which could lead to social convulsions.

“ […] what happened in Chile [street movement that left its mark upon the Chilean scenario for months] will be small change next to what could happen in Brazil. We will all pay a price that will take years to pay, that is, if Brazil might not yet leave the democratic normality that you all defend so much, no one knows what can happen in Brazil” (…) “The chaos makes it so the left can seize the moment to come to power.”

By treating a scientifically legitimized event—the existence of an epidemic with planetary proportions—as an “excuse” of the Brazilian left to take his power, Bolsonaro brings up a fourth element that is characteristic of denialism: the identification of conspiracies among the consensuses of science. For conspiracy theorists, the validation of science is not a result of an evidence-based consensus among scientists, but of the involvement of these scientists in a complex and secret conspiracy ( Hoofnagle and Hoofnagle, 2007 ). In this sense, the process of peer revision “[…] is seen as a tool by which the conspirators suppress dissent, rather than as a means of weeding out papers and grant applications unsupported by evidence or lacking logical thought” ( Diethelm and McKee, 2009 ).

“So What?”: Considerations on a Eugenics Discourse

Denialism has different motivations—economic, political, personal, ideological, or religious—, but has as a common point the rejection of any thesis incompatible with the fundamental beliefs of those who hold them. As the analyses demonstrate, a first dimension of the denialism of Jair Bolsonaro on the Sars-Cov-2 epidemic is based on the idea that the effects of an economic crisis would be worse than the severe consequences of the disease itself on people's lives. As seen in this work, this discourse aligns with that of other denialist world leaders, such as President Donald Trump and Prime Minister Boris Johnson —although, different from the Brazilian president, these leaders have oscillated throughout the pandemic between accepting scientific arguments in favor of the population's health and prioritizing the economy.

In terms of the economic argument, however, a second dimension emerges in Bolsonaro's discourse: that of eugenics. Under the terminology of vertical isolation, naturalized and legitimized by the media, the Brazilian president turns the most vulnerable segment of the population into objects, establishing a moral compass according to which, faced with the needs of maintaining the relations of capitalist production, some lives are worth less than others, and that this would be enough to justify the sacrifice.

It is important to point out that this discursive posture is not casual or chaotic. There is a method here that, moreover, helped to elect Bolsonaro 24 , known for his racist, misogynistic, sexist, and xenophobic statements. In 2017, during the electoral campaign for presidency, the then parliamentary member promised to end all demarcation of land for Indigenous Peoples 25 : “You can be certain that, if I get there (…) There will not be a centimeter marked off for indigenous reservations or for quilombola 26 lands.”

At the same event, he made disparaging and fat-shaming comments: “I went to a quilombo. The lightest Afro-descendent there weighed seven arrobas (arroba is a measurement used to weigh cattle; one arroba is equivalent to 15 kg). They do nothing. I think he was of no use even to serve for breeding.” Ironically, this speech, which drew laughter from the audience, was given at Hebraica in Rio de Janeiro, one of the most traditional Jewish associations in the country.

In the wake of the rise of right-wing populism that, in the last years, has benefitted other leaders around the world, Bolsonaro was elected for his antisystem rhetoric, exploiting the fears and prejudices of ordinary voters, undermining the credibility of traditional political parties and democratic institutions, and normalizing discriminatory discourse, thanks to the reach of his social media, which he and his group manage with mastery, and with advisory help from Steve Bannon, former vice-president of Cambridge Analytica ( Ricard and Medeiros, 2020 ). When he took over the presidency of the Republic, in January 2019, he not only radicalized this rhetoric but also, in many cases, transformed it into State policy—in the first days of his government, he ended social and environmental protection structures and programs; under Bolsonaro, for example, the recognition of quilombos fell to the lowest levels in history 27 .

On March 18, in an interview to Fox News 28 during an official visit to the United States, Bolsonaro attacked immigrants by defending Trump's plans to build a wall on the border between the USA and Mexico: “The majority of immigrants do not have good intentions and do not want to do good for Americans.” It is worth remembering that there are over a million Brazilians living in the USA. In this manner, the alignment of Bolsonaro's migratory policies with those of the American president—who in December 2019 called Haiti, El Salvador, and African countries “shitholes”—indicates “a racist slant, since not by chance most immigrants are Black or Indigenous people, from countries with a non-white populational majority. There is a logic that is eugenic, racist, and ethnic in nature,” states Dennis Oliveira in the same article—a journalism professor from the University of São Paulo (USP) and an activist in the Rede Quilombação network.

As the Brazilian health crisis grew in severity, Bolsonaro's eugenics slant became more explicit, until it reached an emblematic declaration: “So what? I'm sorry. What do you want me to do? I'm a Messiah, but I don't do miracles 29 .” Spoken to a group of reporters and supporters in front of the Alvorada Palace, the presidential residence in Brasília, on the night of April 28, when Brazil hit 5,017 official deaths, the phrase was followed by a disturbing statement on the severity of COVID-19 among the elderly: “I regret the situation we are going through with the virus. We sympathize with the families who have lost their loved ones, who were mostly elderly. But such is life. Tomorrow it will be me [to die].”

The numbers for the epidemic in Brazil indicate that the eugenics project is succeeding, since on June 5, CNN informed that 40% more Black than white people die from COVID-19 in Brazil 30 . Although the country did not officially adopt the vertical isolation policy proposed by Bolsonaro, because the Supreme Court decreed that states and municipalities had the autonomy to adopt social distancing measures, Bolsonaro's government continued to boycott the actions of governors and mayors to contain dissemination of the virus. This boycott could be observed in the presidential decrees that increased the list of activities considered essential, in the delays and inefficiency in implementing financial aid to those who were left without income, in the absence of effective programs to subsidize small businesses, and, of course, in Bolsonaro's speeches, which resonated throughout the country both by means of mass media and social networks 31 .

Up until the conclusion of this article, the Ministry of Health was still under the interim command of a general who, like Bolsonaro, also adopted a denialist stance. On May 20, under this administration, the ministry published a protocol 32 with guidelines for prescribing chloroquine and hydroxychloroquine for light, moderate, and severe cases of COVID-19. Although there is no strong scientific evidence on the effectiveness of this medication, the Bolsonaro administration maintains its use as a standard for care in SUS. Since the start of June 33 , the government has been changing the manner and time for divulging the epidemiological reports that update infection cases and deaths by the disease, while also announcing the adoption of a new methodology for sharing the data which will invalidate comparisons with the previous numbers and, consequently, affect monitoring of the evolution of COVID-19 in the country. One of the aims of this strategy is to reduce the visibility of the number of deaths and misinform the population. Following the same direction, the Department of Social Communication created a “life scoreboard,” a report disseminated exclusively on the presidency's social networks that highlights the number of recovery cases while omitting the deaths.

In addition to these actions, the president's denialist speeches that are spread both by mass media and social networks have a direct effect upon the behavior of the population regarding social distancing, as demonstrated by Ajzenman et al. (2020) .

In this scenario, our study demonstrates that the Brazilian mass media is still fixed upon the notion that it is necessary to present both sides of an event, giving each equal weight, even when one has assumed a denialist position toward the science. This positioning, justified normally by the pursuit of neutrality in news coverage, allows for the spreading of false premises posing as science and strengthens the denialist and eugenist project of Bolsonaro. This occurs because, as stated by Happer and Philo (2013) , the media holds a central role in spreading information and in the process of focusing attention on a specific subject, as well as in defining a public agenda.

Another aspect identified in the study relates to the characteristics of the method adopted by Bolsonaro since the elections, which have endured during this past year-and-a-half of his mandate: the discursive verbiage, often grotesque and always of populist appeal, which the Brazilian media appears to have become a hostage of. And, by amplifying the president's speeches, the media symbolically places him at the center of the coordination of control measures for the epidemic in Brazil, a role he has never undertaken. In this sense, we agree with Rosen (2020) and Smith (2020) , who identified the same phenomenon in the media coverage of coronavirus in the United States, pointing to the need of removing President Trump as a protagonist in news about the theme.

Under the guise of conclusion, it is important to highlight an action which indicates that the Brazilian press has gradually taken on a more critical posture. In June, faced with the proposal from the Ministry of Health for presenting incomplete data on COVID-19, the six largest newspapers and news sites in the country united in order to compile and systematize daily the data from the State Departments of Health 34 , ensuring a higher reliability and transparency of the numbers, thus acting as overseers for the public powers and guaranteeing the dissemination of correct information. However, in a health crisis with the magnitude of the present one, much more is necessary than merely making numbers visible. Newspapers and news sites have a key role, since the information they produce and circulate guide collective and individual behaviors ( Stevens and Hornik, 2014 ). Therefore, it is crucial that journalists take on a critical posture, knowing how to identify the multiple faces of denialism and making clear the damaging effects of eugenics policies upon the health of the population.

Data Availability Statement

Publicly available datasets were analyzed in this study. All the articles/data used in the research are listed in the footnotes and are open access.

Author Contributions

CM and JB contributed to the design and implementation of the research, to the analysis of the results, and to the writing of the manuscript. All authors contributed to the article and approved the submitted version.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

1. ^ Daily map of Johns Hopkins University and Medicine. Available at https://coronavirus.jhu.edu/map.html .

2. ^ Carried out in partnership between the RSF and the Intervozes collective, MOM-Brasil was the 11th study throughout the world and also the largest—up until 2017, the number of vehicles investigated had reached at the most 40. Available at: http://brazil.mom-rsf.org/br/ .

3. ^ Available at: https://brasil.elpais.com/brasil/2020-06-25/nem-o-pior-ministro-da-saude-fez-o-que-exercito-esta-fazendo-desmontando-a-engrenagem-do-sus.html .

4. ^ “What is ‘group immunity,' the polemical strategy of the United Kingdom to combat coronavirus.” Available at: https://noticias.uol.com.br/saude/ultimas-noticias/bbc/2020/03/16/o-que-e-a-imunidade-de-grupo-a-polemica-estrategia-do-reino-unido-para-combater-coronavirus.htm .

5. ^ “Coronavirus: must almost everyone catch it to end the pandemic?” Available at: https://saude.abril.com.br/blog/cientistas-explicam/coronavirus-quase-todo-mundo-tem-que-pegar-para-a-pandemia-passar/ .

6. ^ “Who is immune to coronavirus?” Available at: https://www1.folha.uol.com.br/equilibrioesaude/2020/04/quem-e-imune-ao-coronavirus.shtml .

7. ^ “Specialists recommend herd immunity for poor countries.” Available at: https://economia.uol.com.br/noticias/bloomberg/2020/04/22/especialistas-recomendam-imunidade-de-rebanho-para-paises-pobres.htm .

8. ^ “Coronavirus pandemic: the best scenario is disastrous.” Available at: https://agazetadoacre.com/2020/03/pandemia-de-coronavirus-o-melhor-cenario-e-desastroso/ .

9. ^ “Epidemiologist opposes Osmar Terra and sees Brazil as far from the end of the epidemic.” Available at: https://www.bol.uol.com.br/noticias/2020/04/14/brasil-esta-longe-do-final-da-epidemia-e-de-imunizacao-diz-epidemiologista.htm .

10. ^ Doctor, former Health Secretary of Rio Grande do Sul and former minister for presidents Michel Temer (who took over the presidency of the Republic in 2016, after the parliamentary coup against president Dilma Rousseff) and for Bolsonaro himself, Terra had participated, the day before, in a debate on the epidemic promoted by UOL, one of the largest news sites in the country. Available at: https://noticias.uol.com.br/politica/ultimas-noticias/2020/04/13/governistas-criticam-isolamento-e-minimizam-briga-bolsonaro-x-mandetta.htm .

11. ^ Available at: https://www1.folha.uol.com.br/poder/2020/05/deputados-divulgam-fake-news-sobre-coronavirus-para-ecoar-discurso-de-bolsonaro.shtml .

12. ^ Available at: https://www.youtube.com/watch?v=Fy9dqEsjkVk .

13. ^ Link to the pronouncement.

14. ^ After 7m14s. Available at: https://www.youtube.com/watch?reload=9&v=vp3A_8vywC0 .

15. ^ The president of the True Health Initiative and director-founder of the Yale-Griffin Prevention Research Center.

16. ^ “What is the vertical isolation that Bolsonaro wants and why do specialists fear it will cause more deaths?” Available at: https://www.bbc.com/portuguese/internacional-52043112 .

17. ^ “Why is vertical isolation seen with skepticism?” Available at: https://saude.estadao.com.br/noticias/geral,por-que-isolamento-vertical-e-visto-com-ceticismo,70003252797 .

18. ^ The titles of the articles (descriptor 3): What is vertical isolation against coronavirus; What is the vertical isolation that Bolsonaro wants and why do specialists fear it will cause more deaths?; Does vertical isolation work? Reality has already answered that question, says doctor; What is vertical isolation and why it may not work; What is vertical isolation [and why this may not be a good idea)?]; What is vertical isolation (and why this is not a good idea)? Horizontal vs. vertical isolation: know the pros and cons of the strategies to contain coronavirus; Health alerts to rash transition, but sees vertical isolation as possible in little-affected locations; and, What are the risks of adopting only vertical isolation, proposed by Bolsonaro; What is the vertical isolation that Bolsonaro wants and why do specialists fear it will cause more deaths?; Specialists: Brazil's characteristics do not permit vertical isolation; Health alerts to rash transition, but sees vertical isolation as possible in little-affected locations; Turkey endures drastic consequences of vertical isolation.

19. ^ Bolsonaro once again minimizes COVID-19 and says that Health is studying vertical isolation. Available at: https://www.istoedinheiro.com.br/bolsonaro-volta-a-minimizar-COVID-19-e-diz-que-saude-estuda-isolamento-vertical/ .

20. ^ The notion of the crab men emerged from the main works of Josué de Castro: Geografia da fome (1948), Geopol í tica da fome (1951), Documentário do Nordeste (1957), Fatores de localização da cidade do Recife (1957), and Homens e caranguejos (1967), the last an autobiographical romance.

21. ^ “Vertical isolation proposed by Bolsonaro may accelerate contagion by coronavirus and compromise health systems.” Available at: https://brasil.elpais.com/brasil/2020-03-25/isolamento-vertical-proposto-por-bolsonaro-pode-acelerar-contagios-por-coronavirus-e-comprometer-sistema-de-saude.html .

22. ^ “Bolsonaro will propose vertical isolation to contain coronavirus.” Available at: https://www.cnnbrasil.com.br/politica/2020/03/25/bolsonaro-nao-estou-preocupado-com-a-minha-popularidade .

23. ^ “Bolsonaro defends vertical isolation and suggests the country may ‘depart from democratic normality.”' Available at: https://oglobo.globo.com/brasil/bolsonaro-defende-isolamento-vertical-sugere-que-pais-pode-sair-da-normalidade-democratica-24327038 .

24. ^ After retiring as a captain of the Brazilian Army at the age of 33, Bolsonaro has been a professional politician for over 30 years. Before becoming president, he was on the Rio de Janeiro city council and, later, was a federal congressman for 27 years. During that period, he presented only two draft bills.

25. ^ Available at: https://veja.abril.com.br/brasil/bolsonaro-e-acusado-de-racismo-por-frase-em-palestra-na-hebraica/ .

26. ^ Quilombo are settlements first established by escaped slaves in Brazil. Quilombolas are the descendants of Afro-Brazilian slaves who escaped from slave plantations that existed in Brazil until abolition in 1888. Since 2003 the Decreto 4.887/2003,recognized Quilombo communities and their claims to the land they inhabited, but only 219 of the 2,926 Quilombos have land titles.

27. ^ Available at: https://www.bol.uol.com.br/noticias/2020/06/23/sob-bolsonaro-reconhecimento-de-quilombolas-cai-ao-menor-patamar-da-historia.htm .

28. ^ Available at: https://ponte.org/eugenia-2-0-a-politica-migratoria-de-bolsonaro/ .

29. ^ Available at: https://veja.abril.com.br/politica/e-dai-nao-faco-milagres-diz-bolsonaro-sobre-mortes-por-COVID-19/ .

30. ^ Available at: https://www.cnnbrasil.com.br/saude/2020/06/05/negros-morrem-40-mais-que-brancos-por-coronavirus-no-brasil .

31. ^ Available at: https://www.huffpostbrasil.com/entry/mortes-COVID-19-25-junho_br_5ef4b64cc5b66c3126832ef9 .

32. ^ Available at: https://www.saude.gov.br/images/pdf/2020/May/20/orientacoes-manuseio-medicamentoso-covid19.pdf .

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Keywords: novel SARS-coronavirus-2/SARS-CoV-2/COVID-19, digital media, eugenics, denialism, public health communication, journalism

Citation: Malinverni C and Brigagão JIM (2020) COVID-19: Scientific Arguments, Denialism, Eugenics, and the Construction of the Antisocial Distancing Discourse in Brazil. Front. Commun. 5:582963. doi: 10.3389/fcomm.2020.582963

Received: 13 July 2020; Accepted: 30 September 2020; Published: 04 November 2020.

Reviewed by:

Copyright © 2020 Malinverni and Brigagão. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Claudia Malinverni, claudia.malinverni@usp.br ; Jacqueline Isaac Machado Brigagão, jac@usp.br

This article is part of the Research Topic

Strategic Narratives in Political and Crisis Communication: Responses to COVID-19

Should COVID-19 vaccines be mandatory? Two experts discuss

Senior Research Fellow, Oxford Uehiro Centre for Practical Ethics, University of Oxford

NIHR Academic Clinical Fellow in Public Health Medicine, UCL

Disclosure statement

Alberto Giubilini receives funding from the Arts and Humanities Research Council/UK Research and Innovation (AHRC/UKRI) and has previously received funding from the Wellcome Trust.

Vageesh Jain is affiliated with Public Health England under an honorary contract as a speciality registrar.

University College London provides funding as a founding partner of The Conversation UK.

University of Oxford provides funding as a member of The Conversation UK.

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To be properly protective, COVID-19 vaccines need to be given to most people worldwide. Only through widespread vaccination will we reach herd immunity – where enough people are immune to stop the disease from spreading freely. To achieve this, some have suggested vaccines should be made compulsory , though the UK government has ruled this out . But with high rates of COVID-19 vaccine hesitancy in the UK and elsewhere , is this the right call? Here, two experts to make the case for and against mandatory COVID-19 vaccines.

Alberto Giubilini, Senior Research Fellow, Oxford Uehiro Centre for Practical Ethics, University of Oxford

COVID-19 vaccination should be mandatory – at least for certain groups. This means there would be penalties for failure to vaccinate, such as fines or limitations on freedom of movement.

The less burdensome it is for an individual to do something that prevents harm to others, and the greater the harm prevented, the stronger the ethical reason for mandating it.

Being vaccinated dramatically reduces the risk of seriously harming or killing others. Vaccines such as the Pfizer , AstraZeneca or Moderna ones with 90-95% efficacy at preventing people from getting sick are also likely to be effective at stopping the virus from spreading, though possibly to a lower degree. Such benefits would come at a very minimal cost to individuals.

Lockdown is mandatory. Exactly like mandatory vaccination, it protects vulnerable people from COVID-19. But, as I have argued in detail elsewhere, unlike mandatory vaccination, lockdown entails very large individual and societal costs. It is inconsistent to accept mandatory lockdown but reject mandatory vaccination. The latter can achieve a much greater good at a much smaller cost.

Also, mandatory vaccination ensures that the risks and burdens of reaching herd immunity are distributed evenly across the population. Because herd immunity benefits society collectively, it’s only fair that the responsibility of reaching it is shared evenly among society’s individual members.

Of course, we might achieve herd immunity through less restrictive alternatives than making vaccination mandatory – such as information campaigns to encourage people to be vaccinated. But even if we reach herd immunity, the higher the uptake of vaccines, the lower the risk of falling below the herd immunity threshold at a later time. We should do everything we can to prevent that emergency from happening – especially when the cost of doing so is low.

Fostering trust and driving uptake by making people more informed is a nice narrative, but it’s risky. Merely giving people information on vaccines does not always result in increased willingness to vaccinate and might actually lower confidence in vaccines. On the other hand, we’ve seen mandatory vaccination policies in Italy recently successfully boost vaccine uptake for other diseases.

Mandatory seatbelt policies have proven very successful in reducing deaths from car accidents, and are now widely endorsed despite the (very small) risks that seatbelts entail. We should see vaccines as seatbelts against COVID-19. In fact, as very special seatbelts, which protect ourselves and protect others.

A protestor holding a sign that says: 'No to mandatory vaccines'

Vageesh Jain, NIHR Academic Clinical Fellow in Public Health Medicine, UCL

Mandatory vaccination does not automatically increase vaccine uptake. An EU-funded project on epidemics and pandemics, which took place several years before COVID-19, found no evidence to support this notion. Looking at Baltic and Scandinavian countries, the project’s report noted that countries “where a vaccination is mandatory do not usually reach better coverage than neighbour or similar countries where there is no legal obligation”.

According to the Nuffield Council of Bioethics, mandatory vaccination may be justified for highly contagious and serious diseases. But although contagious, Public Health England does not classify COVID-19 as a high-consequence infectious disease due to its relatively low case fatality rate.

COVID-19 severity is strongly linked with age, dividing individual perceptions of vulnerability within populations. The death rate is estimated at 7.8% in people aged over 80, but at just 0.0016% in children aged nine and under. In a liberal democracy, forcing the vaccination of millions of young and healthy citizens who perceive themselves to be at an acceptably low risk from COVID-19 will be ethically disputed and is politically risky.

Public apprehensions for a novel vaccine produced at breakneck speed are wholly legitimate. A UK survey of 70,000 people found 49% were “very likely” to get a COVID-19 vaccine once available. US surveys are similar . This is not because the majority are anti-vaxxers.

Despite promising headlines, the trials and pharmaceutical processes surrounding them have not yet been scrutinised. With the first trials only beginning in April , there is limited data on long-term safety and efficacy. We don’t know how long immunity lasts for. None of the trials were designed to tell us if the vaccine prevents serious disease or virus transmission.

To disregard these ubiquitous concerns would be counterproductive. As a tool for combating anti-vaxxers – estimated at around 58 million globally and making up a small minority of those not getting vaccinated – mandatory vaccines are also problematic. The forces driving scientific and political populism are the same . Anti-vaxxers do not trust experts, industry and especially not the government. A government mandate will not just be met with unshakeable defiance, but will also be weaponised to recruit others to the anti-vaxxer cause.

In the early 1990s, polio was endemic in India , with between 500 and 1,000 children getting paralysed daily. By 2011, the virus was eliminated. This was not achieved through legislation. It was down to a consolidated effort to involve communities, target high-need groups, understand concerns, inform, educate, remove barriers, invest in local delivery systems and link with political and religious leaders.

Mandatory vaccination is rarely justified. The successful roll-out of novel COVID-19 vaccines will require time, communication and trust. We have come too far, too fast, to lose our nerve now.

Mandatory vaccination
Coronavirus
Vaccine hesitancy
Coronavirus insights

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Students’ Essays on Infectious Disease Prevention, COVID-19 Published Nationwide

As part of the BIO 173: Global Change and Infectious Disease course, Professor Fred Cohan assigns students to write an essay persuading others to prevent future and mitigate present infectious diseases. If students submit their essay to a news outlet—and it’s published—Cohan awards them with extra credit.

As a result of this assignment, more than 25 students have had their work published in newspapers across the United States. Many of these essays cite and applaud the University’s Keep Wes Safe campaign and its COVID-19 testing protocols.

Cohan, professor of biology and Huffington Foundation Professor in the College of the Environment (COE), began teaching the Global Change and Infectious Disease course in 2009, when the COE was established. “I wanted very much to contribute a course to what I saw as a real game-changer in Wesleyan’s interest in the environment. The course is about all the ways that human demands on the environment have brought us infectious diseases, over past millennia and in the present, and why our environmental disturbances will continue to bring us infections into the future.”

Over the years, Cohan learned that he can sustainably teach about 170 students every year without running out of interested students. This fall, he had 207. Although he didn’t change the overall structure of his course to accommodate COVID-19 topics, he did add material on the current pandemic to various sections of the course.

“I wouldn’t say that the population of the class increased tremendously as a result of COVID-19, but I think the enthusiasm of the students for the material has increased substantially,” he said.

To accommodate online learning, Cohan shaved off 15 minutes from his normal 80-minute lectures to allow for discussion sections, led by Cohan and teaching assistants. “While the lectures mostly dealt with biology, the discussions focused on how changes in behavior and policy can solve the infectious disease problems brought by human disturbance of the environment,” he said.

Based on student responses to an introspective exam question, Cohan learned that many students enjoyed a new hope that we could each contribute to fighting infectious disease. “They discovered that the solution to infectious disease is not entirely a waiting game for the right technologies to come along,” he said. “Many enjoyed learning about fighting infectious disease from a moral and social perspective. And especially, the students enjoyed learning about the ‘socialism of the microbe,’ how preventing and curing others’ infections will prevent others’ infections from becoming our own. The students enjoyed seeing how this idea can drive both domestic and international health policies.”

A sampling of the published student essays are below:

Alexander Giummo ’22 and Mike Dunderdale’s ’23 op-ed titled “ A National Testing Proposal: Let’s Fight Back Against COVID-19 ” was published in the Journal Inquirer in Manchester, Conn.

They wrote: “With an expansive and increased testing plan for U.S. citizens, those who are COVID-positive could limit the number of contacts they have, and this would also help to enable more effective contact tracing. Testing could also allow for the return of some ‘normal’ events, such as small social gatherings, sports, and in-person class and work schedules.

“We propose a national testing strategy in line with the one that has kept Wesleyan students safe this year. The plan would require a strong push by the federal government to fund the initiative, but it is vital to successful containment of the virus.

“Twice a week, all people living in the U.S. should report to a local testing site staffed with professionals where the anterior nasal swab Polymerase Chain Reaction (PCR) test, used by Wesleyan and supported by the Broad Institute, would be implemented.”

Kalyani Mohan ’22 and Kalli Jackson ’22 penned an essay titled “ Where Public Health Meets Politics: COVID-19 in the United States ,” which was published in Wesleyan’s Arcadia Political Review .

They wrote: “While the U.S. would certainly benefit from a strengthened pandemic response team and structural changes to public health systems, that alone isn’t enough, as American society is immensely stratified, socially and culturally. The politicization of the COVID-19 pandemic shows that individualism, libertarianism and capitalism are deeply ingrained in American culture, to the extent that Americans often blind to the fact community welfare can be equivalent to personal welfare. Pandemics are multifaceted, and preventing them requires not just a cultural shift but an emotional one amongst the American people, one guided by empathy—towards other people, different communities and the planet. Politics should be a tool, not a weapon against its people.”

Sydnee Goyer ’21 and Marcel Thompson’s ’22 essay “ This Flu Season Will Be Decisive in the Fight Against COVID-19 ” also was published in Arcadia Political Review .

“With winter approaching all around the Northern Hemisphere, people are preparing for what has already been named a “twindemic,” meaning the joint threat of the coronavirus and the seasonal flu,” they wrote. “While it is known that seasonal vaccinations reduce the risk of getting the flu by up to 60% and also reduce the severity of the illness after the contamination, additional research has been conducted in order to know whether or not flu shots could reduce the risk of people getting COVID-19. In addition to the flu shot, it is essential that people remain vigilant in maintaining proper social distancing, washing your hands thoroughly, and continuing to wear masks in public spaces.”

An op-ed titled “ The Pandemic Has Shown Us How Workplace Culture Needs to Change ,” written by Adam Hickey ’22 and George Fuss ’21, was published in Park City, Utah’s The Park Record .

They wrote: “One review of academic surveys (most of which were conducted in the United States) conducted in 2019 found that between 35% and 97% of respondents in those surveys reported having attended work while they were ill, often because of workplace culture or policy which generated pressure to do so. Choosing to ignore sickness and return to the workplace while one is ill puts colleagues at risk, regardless of the perceived severity of your own illness; COVID-19 is an overbearing reminder that a disease that may cause mild, even cold-like symptoms for some can still carry fatal consequences for others.

“A mandatory paid sick leave policy for every worker, ideally across the globe, would allow essential workers to return to work when necessary while still providing enough wiggle room for economically impoverished employees to take time off without going broke if they believe they’ve contracted an illness so as not to infect the rest of their workplace and the public at large.”

Women’s cross country team members and classmates Jane Hollander ’23 and Sara Greene ’23 wrote a sports-themed essay titled “ This Season, High School Winter Sports Aren’t Worth the Risk ,” which was published in Tap into Scotch Plains/Fanwood , based in Scotch Plains, N.J. Their essay focused on the risks high school sports pose on student-athletes, their families, and the greater community.

“We don’t propose cutting off sports entirely— rather, we need to be realistic about the levels at which athletes should be participating. There are ways to make practices safer,” they wrote. “At [Wesleyan], we began the season in ‘cohorts,’ so the amount of people exposed to one another would be smaller. For non-contact sports, social distancing can be easily implemented, and for others, teams can focus on drills, strength and conditioning workouts, and skill-building exercises. Racing sports such as swim and track can compete virtually, comparing times with other schools, and team sports can focus their competition on intra-team scrimmages. These changes can allow for the continuation of a sense of normalcy and team camaraderie without the exposure to students from different geographic areas in confined, indoor spaces.”

Brook Guiffre ’23 and Maddie Clarke’s ’22 op-ed titled “ On the Pandemic ” was published in Hometown Weekly, based in Medfield, Mass.

“The first case of COVID-19 in the United States was recorded on January 20th, 2020. For the next month and a half, the U.S. continued operating normally, while many other countries began their lockdown,” they wrote. “One month later, on February 29th, 2020, the federal government approved a national testing program, but it was too little too late. The U.S. was already in pandemic mode, and completely unprepared. Frontline workers lacked access to N-95 masks, infected patients struggled to get tested, and national leaders informed the public that COVID-19 was nothing more than the common flu. Ultimately, this unpreparedness led to thousands of avoidable deaths and long-term changes to daily life. With the risk of novel infectious diseases emerging in the future being high, it is imperative that the U.S. learn from its failure and better prepare for future pandemics now. By strengthening our public health response and re-establishing government organizations specialized in disease control, we have the ability to prevent more years spent masked and six feet apart.”

In addition, their other essay, “ On Mass Extinction ,” was also published by Hometown Weekly .

“The sixth mass extinction—which scientists have coined as the Holocene Extinction—is upon us. According to the United Nations, around one million plant and animal species are currently in danger of extinction, and many more within the next decade. While other extinctions have occurred in Earth’s history, none have occurred at such a rapid rate,” they wrote. “For the sake of both biodiversity and infectious diseases, it is in our best interest to stop pushing this Holocene Extinction further.”

An essay titled “ Learning from Our Mistakes: How to Protect Ourselves and Our Communities from Diseases ,” written by Nicole Veru ’21 and Zoe Darmon ’21, was published in My Hometown Bronxville, based in Bronxville, N.Y.

“We can protect ourselves and others from future infectious diseases by ensuring that we are vaccinated,” they wrote. “Vaccines have high levels of success if enough people get them. Due to vaccines, society is no longer ravaged by childhood diseases such as mumps, rubella, measles, and smallpox. We have been able to eradicate diseases through vaccines; smallpox, one of the world’s most consequential diseases, was eradicated from the world in the 1970s.

“In 2000, the U.S. was nearly free of measles, yet, due to hesitations by anti-vaxxers, there continues to be cases. From 2000–2015 there were over 18 measles outbreaks in the U.S. This is because unless a disease is completely eradicated, there will be a new generation susceptible.

“Although vaccines are not 100% effective at preventing infection, if we continue to get vaccinated, we protect ourselves and those around us. If enough people are vaccinated, societies can develop herd immunity. The amount of people vaccinated to obtain herd immunity depends on the disease, but if this fraction is obtained, the spread of disease is contained. Through herd immunity, we protect those who may not be able to get vaccinated, such as people who are immunocompromised and the tiny portion of people for whom the vaccine is not effective.”

Dhruvi Rana ’22 and Bryce Gillis ’22 co-authored an op-ed titled “ We Must Educate Those Who Remain Skeptical of the Dangers of COVID-19 ,” which was published in Rhode Island Central .

“As Rhode Island enters the winter season, temperatures are beginning to drop and many studies have demonstrated that colder weather and lower humidity are correlated with higher transmissibility of SARS-CoV-2, the virus that causes COVID-19,” they wrote. “By simply talking or breathing, we release respiratory droplets and aerosols (tiny fluid particles which could carry the coronavirus pathogen), which can remain in the air for minutes to hours.

“In order to establish herd immunity in the US, we must educate those who remain skeptical of the dangers of COVID-19. Whether community-driven or state-funded, educational campaigns are needed to ensure that everyone fully comprehends how severe COVID-19 is and the significance of airborne transmission. While we await a vaccine, it is necessary now more than ever that we social distance, avoid crowds, and wear masks, given that colder temperatures will likely yield increased transmission of the virus.”

Danielle Rinaldi ’21 and Verónica Matos Socorro ’21 published their op-ed titled “ Community Forum: How Mask-Wearing Demands a Cultural Reset ” in the Ewing Observer , based in Lawrence, N.J.

“In their own attempt to change personal behavior during the pandemic, Wesleyan University has mandated mask-wearing in almost every facet of campus life,” they wrote. “As members of our community, we must recognize that mask-wearing is something we are all responsible and accountable for, not only because it is a form of protection for us, but just as important for others as well. However, it seems as though both Covid fatigue and complacency are dominating the mindsets of Americans, leading to even more unwillingness to mask up. Ultimately, it is inevitable that this pandemic will not be the last in our lifespan due to global warming creating irreversible losses in biodiversity. As a result, it is imperative that we adopt the norm of mask-wearing now and undergo a culture shift of the abandonment of an individualistic mindset, and instead, create a society that prioritizes taking care of others for the benefit of all.”

Shayna Dollinger ’22 and Hayley Lipson ’21 wrote an essay titled “ My Pandemic Year in College Has Brought Pride and Purpose. ” Dollinger submitted the piece, rewritten in first person, to Jewish News of Northern California . Read more about Dollinger’s publication in this News @ Wesleyan article .

“I lay in the dead grass, a 6-by-6-foot square all to myself. I cheer for my best friend, who is on the stage constructed at the bottom of Foss hill, dancing with her Bollywood dance group. Masks cover their ordinarily smiling faces as their bodies move in sync. Looking around at friends and classmates, each in their own 6-by-6 world, I feel an overwhelming sense of normalcy.

“One of the ways in which Wesleyan has prevented outbreaks on campus is by holding safe, socially distanced events that students want to attend. By giving us places to be and things to do on the weekends, we are discouraged from breaking rules and causing outbreaks at ‘super-spreader’ events.”

An op-ed written by Luna Mac-Williams ’22 and Daëlle Coriolan ’24 titled “ Collectivist Practices to Combat COVID-19 ” was published in the Wesleyan Argus .

“We are embroiled in a global pandemic that disproportionately affects poor communities of color, and in the midst of a higher cultural consciousness of systemic inequities,” they wrote. “A cultural shift to center collectivist thought and action not only would prove helpful in disease prevention, but also belongs in conversation with the Black Lives Matter movement. Collectivist models of thinking effectively target the needs of vulnerable populations including the sick, the disenfranchised, the systematically marginalized. Collectivist systems provide care, decentering the capitalist, individualist system, and focusing on how communities can work to be self-sufficient and uplift our own neighbors.”

An essay written by Maria Noto ’21 , titled “ U.S. Individualism Has Deadly Consequences ,” is published in the Oneonta Daily Star , based in Oneonta, N.Y.

She wrote, “When analyzing the cultures of certain East Asian countries, several differences stand out. For instance, when people are sick and during the cold and flu season, many East Asian cultures, including South Korea, use mask-wearing. What is considered a threat to freedom by some Americans is a preventive action and community obligation in this example. This, along with many other cultural differences, is insightful in understanding their ability to contain the virus.

“These differences are deeply seeded in the values of a culture. However, there is hope for the U.S. and other individualistic cultures in recognizing and adopting these community-centered approaches. Our mindset needs to be revolutionized with the help of federal and local assistance: mandating masks, passing another stimulus package, contact tracing, etc… However, these measures will be unsuccessful unless everyone participates for the good of a community.”

A published op-ed by Madison Szabo ’23 , Caitlyn Ferrante ’23 ran in the Two Rivers Times . The piece is titled “ Anxiety and Aspiration: Analyzing the Politicization of the Pandemic .”

John Lee ’21 and Taylor Goodman-Leong ’21 have published their op-ed titled “ Reassessing the media’s approach to COVID-19 ” in Weekly Monday Cafe 24 (Page 2).

An essay by Eleanor Raab ’21 and Elizabeth Nefferdorf ’22 titled “ Preventing the Next Epidemic ” was published in The Almanac .

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Arguments in the debate over responses to the coronavirus (COVID-19) pandemic, 2020

State and local government responses to the coronavirus (COVID-19) pandemic have varied widely. Those responses have generated a similar variety of responses from pundits, policy makers, lawmakers, and more. This article highlights the arguments over government responses in several areas:

Universal or mass testing

Mask requirements

School closures, travel restrictions, lockdown/stay-at-home orders.

Expansion of absentee or mail-in voting

Religious service restrictions

This article is a hub for our coverage of arguments within each area of debate. It includes links to policy-specific pages that provide an overview of the arguments within each topic. It also includes links to state-specific pages that dive into the debate that's happening in each state about a variety of policies.

These arguments come from a variety of sources, including public officials, journalists, think tanks, economists, scientists, and other stakeholders. We encourage you to share the debates happening in your local community to [email protected] .

For an overview of federal, state, and local responses around the country, click here .

1.1 Testing
1.2 Mask requirements
1.3 School closures
1.4 Travel restrictions
1.5 Lockdown/stay-at-home orders
1.6 Expansion of absentee/mail-in voting
1.7 Religious service restrictions
2 General resources
4 External links
5 Footnotes

Topics and arguments

The main areas of disagreement about universal or mass testing for COVID-19 before the economy can reopen are:

Universal testing is necessary
Universal testing is effective
Universal testing is possible
Universal testing is not necessary
Universal testing is not possible
Universal testing would divert and waste resources
Universal testing might be dangerous
Massive testing is too expensive
Universal testing results are unreliable
Universal testing is too slow to protect public health

The main areas of disagreement about mask requirements during the coronavirus pandemic are:

Masks reduce airborne spread of coronavirus
Mask requirements are good for the economy
Mask laws are justified to promote public health
Mask mandates should apply statewide
Masks reduce the intensity of COVID-19 infection and sickness
Mask requirements are not necessary to stop the spread of coronavirus
Mask requirements give a false sense of security
Mask requirements restrict freedom
Masks present other health risks
Mask requirements have harmful social consequences
Mask requirements are unenforceable

The main areas of disagreement about school closures during the coronavirus pandemic are:

School closures are necessary to prevent the spread of the virus
Evidence from past pandemics supports the efficacy of school closures
Reopening Universities will increase COVID-19 spread
Reopening schools puts people of color at higher risk
Keep schools closed because COVID-19 outbreaks are inevitable
School closures are ineffective in preventing the spread of the virus
School closures pose significant unintended consequences
School closures and reopening plans have disparate economic effects
School closures and distance learning exacerbate digital divide
Reopen schools to protect the economy
School-aged children have reduced COVID-19 risk

The main areas of disagreement about travel restrictions are:

Travel restrictions prevent the spread of the virus
Travel restrictions promote the state's safety image
Travel restrictions are constitutional
Travel restrictions protect tourism workers
Certain travel restrictions are unconstitutional
Travel restrictions are unfair to tourism businesses
Travel restrictions are difficult to enforce
Travel restrictions are ineffective
Travel restrictions damage local economies

The main areas of disagreement about lockdown/stay-at-home orders are:

Lockdown/stay-at-home orders are necessary
Lockdown/stay-at-home orders are better for the economy long-term
Lockdown/stay-at-home orders are legal
Lockdown/stay-at-home orders are limited
Lockdown/stay-at-home orders are unnecessary
Lockdown/stay-at-home orders are worse than the coronavirus pandemic itself
Lockdown/stay-at-home orders are illegal
Lockdown/stay-at-home orders are unpopular
Lockdown/stay-at-home orders are unenforceable
Lockdown/stay-at-home orders go too far
Lockdown/stay-at-home orders create COVID-19 risks

Expansion of absentee/mail-in voting

The main areas of disagreement about the expansion of absentee/mail-in voting are:

Absentee/mail-in voting reduces the spread of COVID-19
Absentee/mail-in voting expansion is necessary to facilitate access to voting
Expanding absentee/mail-in voting is unlikely to increase fraud
Expanding vote-by-mail is fair to both major parties
States have the capacity and experience to expand absentee/mail-in voting
Absentee/mail-in voting is less reliable than in-person voting
Absentee/mail-in voting systems can fail
Absentee/mail-in voting poses a higher risk for fraud and manipulation
It is unnecessary to change voting systems in response to COVID-19
The expansion of absentee/mail-in voting systems open the door to flawed election policies
Expansion of absentee/mail-in voting systems creates election controversies (“blue shift”)

The main areas of disagreement about religious service restrictions are:

Public safety priorities take precedence over religious interests
Religious services present a higher risk than other social and business activities
Restrictions on physical gatherings do not preclude religious practices
Limiting religious gatherings during a pandemic aligns with most religious values
Skepticism of religious restrictions has harmed religious communities during COVID-19
In-person religious gatherings are not essential services
Religious gathering restrictions do not discriminate against faiths
Religious service restrictions violate the First Amendment and religious freedom
Religious services are essential
Religious service restrictions put church viability at risk
There is insufficient evidence that religious services pose a higher risk than other social and business activities
COVID-19 religious restrictions unfair to some faiths

General resources

Click the links below to explore official resources related to the coronavirus outbreak.

Centers for Disease Control and Prevention (CDC), U.S. Department of Health & Human Services
National Institutes of Health, U.S. Department of Health & Human Services
Occupational Safety and Health Administration, U.S. Department of Labor
U.S. Department of Education
World Health Organization
Trends in Number of COVID-19 Cases and Deaths in the US Reported to CDC, by State/Territory
Coronavirus (COVID-19) Vaccinations, Our World in Data (Number of vaccines administered)
Coronavirus Vaccine Tracker, New York Times (Progress of vaccine trials)
Ballotpedia: Political responses to the coronavirus (COVID-19) pandemic, 2020
State government responses to the coronavirus (COVID-19) pandemic, 2020
Government official, politician, and candidate deaths, diagnoses, and quarantines due to the coronavirus (COVID-19) pandemic, 2020-2021
Changes to ballot measure campaigns, procedures, and policies in response to the coronavirus (COVID-19) pandemic, 2020-2022
Ballotpedia's elections calendar

External links

The external resources listed below are related to the coronavirus pandemic.

Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services
National Institutes of Health, U.S. Department of Health and Human Services
Coronavirus arguments by topic
One-off pages, evergreen

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Open access
Published: 01 February 2022

Persuasive narrative during the COVID-19 pandemic: Norwegian Prime Minister Erna Solberg’s posts on Facebook

Sanjana Arora ORCID: orcid.org/0000-0003-0107-7061 1 ,
Jonas Debesay 2 &
Hande Eslen-Ziya ORCID: orcid.org/0000-0001-7113-6771 1

Humanities and Social Sciences Communications volume 9 , Article number: 35 ( 2022 ) Cite this article

7223 Accesses

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Cultural and media studies
Politics and international relations

This article explores the Facebook posts of Norway’s Prime Minister Erna Solberg to highlight the key features of her crisis communication during the COVID-19 pandemic. It draws on data from Solberg’s Facebook posts from February 27, 2020 to February 9, 2021 (i.e., starting from the day when the first case of COVID-19 was recorded in Norway until the time of data collection for this study). Out of her 271 posts, 157 of them were about COVID-19 and were chosen for analysis. The analyses identified five major themes: (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers. Drawing inspiration from Boin, Stern and Sundelius’, work on persuasive narratives, this study shows the ways that Solberg’s posts about COVID-19 exhibit all five identified frame functions. In addition, the findings add contextual nuances to the frame functions through the theme of ‘Responsibilization and togetherness’, which are reflected through references to Norwegianness and the cultural concept and practice of dugnad . This study adds to our knowledge about how persuasive narratives are incorporated into the social media communication strategies of leaders and highlights the usefulness of this framework for studying ongoing and future crises.

Determinants of behaviour and their efficacy as targets of behavioural change interventions

Interviews in the social sciences

Participatory action research

Introduction.

The economic and social disruption caused by the COVID-19 pandemic is having major impacts on people’s livelihoods and their health. As of 18 April 2021, there have been 140,322,903 confirmed cases of SARS-CoV-2 infections and 3,003,794 deaths (WHO, 2021 ), making the COVID-19 pandemic an unprecedented global health crisis of the century. As countries across the world grapple with mitigating the risks associated with the pandemic, communication—an essential component of planning, response, and recovery during crisis (Houston et al., 2014 )—has been one of the integral parts of the crisis management (Reddy and Gupta, 2020 ). Crisis communication highlights legitimation strategies, but also indicates how government institutions themselves make sense of crises (Brandt and Wörlein, 2020 ). Moreover, crises such as the COVID-19 pandemic can disrupt the socio-political order of societies, leaving a cognitive void in the minds of the public that can be filled with fear and uncertainty (Boin et al., 2016 ). In Norway, COVID-19 has been called a fear-driven pandemic that is based on alarming information of long-term illness and disability that is out of politicians control (Vogt and Pahle, 2020 ). Having control over the dramaturgy of political communication is thus central to effective leadership and crisis management (Boin et al., 2016 ). Effective communication can help societies handle uncertainty and promote adherence to behaviour change while fostering hope among the citizens (Finset et al., 2020 ).

The COVID-19 pandemic continues to rapidly evolve, and social media plays a pivotal role in meeting the communication needs of the public during such crisis (Van Dijck, 2013 ). As social media use increases during crises, leaders and public officials may utilise this platform to communicate, which in return helps reduce public panic and builds trust (Kavanaugh et al., 2012 ). As a result of the cultural and symbolic value of social media in contemporary times (Jenzen et al., 2021 ), the communication of public leaders in the midst of uncertainty and fear facilitates interpersonal and group interaction. Research has shown that, when compared to the traditional media platforms, social media platforms are used by leaders and elected officials to communicate, inform, and engage with their citizens (Golbeck et al., 2010 ). They use social media to spread messages farther and faster than it would be possible with traditional media (Sutton et al., 2013 ). What leaders post on social media can give insights into their communication and leadership strategies during crises. Understanding how leaders communicate with the public during crises will not only provide us with the knowledge about their governance styles but will also guide us to their meaning-making in times of uncertainty. Based on this assumption we will be studying the Facebook posts of Norwegian Prime Minister Erna Solberg, with the aim to highlight the key features of her communication. In doing so, we will take an exploratory rather than confirmatory perspective (Boudreau et al., 2001 ).

Solberg, member of the Conservative Party and in power since 2013, was defeated by the centre-left as this paper was being revised. Solberg has had a long career in politics, becoming a deputy representative to the Bergen City Council in 1979 when she was 18 years old. She was elected to the Parliament in 1989 where she was the youngest member of her party group (Notaker and Tvedt, 2021 ). Solberg’s tough stance on issues such as immigration earned her the nickname of ‘Jern-Erna’ [Iron Erna] (Reuters, 2013 ). However, upon her appointment as Prime Minister, Solberg displayed a ‘softer side’ by caring about voters’ jobs, health, and schools (Notaker and Tvedt, 2021 ).

The first Norwegian COVID-19 patient was diagnosed on February 26, 2020. While the initial spread of infection was relatively slow, cases increased quickly by March 12 th , after winter break for schools ended and many Norwegians returned from skiing holidays in Northern Italy (Dagsavisen, 2020 ). On March 12, the Norwegian Directorate of Health (NDH) adopted comprehensive measures to prevent the spread, which included closing day care centres, schools, and educational institutions. The measures also included a ban on cultural events, closed swimming gyms and pools, a halt to all service provisions that involved being less than one meter away from another person, and prohibiting visits to recreational cabins Footnote 1 , among others. Behavioural measures such as recommendations to keep physical distance, encourage handwashing, quarantine, stay home when ill, work from home, and avoid public transportation were also included. Following the lockdown, Norway became the first European country to announce that the situation was under control due to low levels of hospitalizations and mortalities (Christensen and Lægreid, 2020 ). In Norway, as of March 22, 2021, there have been over eighty thousand confirmed cases of coronavirus infection and more than six hundred deaths due to COVID-19. Norway has had far fewer COVID-19 cases, deaths, and hospitalizations per capita than most other countries in Western Europe or the United States (Christensen and Lægreid, 2020 ). Compared to its Scandinavian neighbours Denmark and Sweden, the proportion of cases of infections and deaths have been much lower (WHO, 2021 ), despite the three countries sharing similar social welfare and healthcare systems. Recently, a report submitted by the Corona Committee in Norway also concluded that the overall handling of the crisis by the government has been good. Not only has the number of infections and deaths in Norway been much lower than most countries in Europe, but the healthcare services have also remained stable, and society has remained relatively open (Lund, 2021 ). It is probable that good governance and responsible leadership demonstrated by the Norwegian cabinet and Prime Minister Erna Solberg contributed to this success.

In Norway, there is considerably less focus on individualization of candidates in political parties as compared to for instance the US, since the electoral system in Norway is based on proportional representation (Karlsen and Enjolras, 2016 ). Despite this, with the presence of digital and social media, there has been increasing focus on the individual candidates, leading to ‘decentralising personalisation’ (Karlsen and Enjolras, 2016 ; Balmas et al., 2014 ). Given this context, Erna Solberg’s Facebook account during the COVID-19 pandemic serves as an intermediary platform between the government’s role and her own personal profile as the Prime Minister who has been handling the COVID-19 crisis. Solberg has used Facebook more actively than other outlets like Twitter and has more followers on Facebook than any other platform. The proportion of Facebook users in Norway vis-a-vis other social media platform is also the highest (for example, 84% of people use Facebook compared to 22% who use Twitter who use Twitter) (Werliin and Kokholm, 2016 ). Facebook thus serves as an important platform for public leaders in Norway during crises, and therefore, by analysing Solberg’s Facebook posts, we aim to demonstrate the key features of her communication strategy during the COVID-19 crisis.

Background on crisis and crisis communication

Crisis is defined as a rare, and significant public situation creating undesirable consequences (Coombs, 2015 ; Gruber et al., 2015 ). In most cases it is ‘an unpredictable event that threatens important expectancies of stakeholders and can seriously impact an organization’s performance and generate negative outcomes’ (Coombs, 2015 : p. 3). Crisis communication on the other hand is referred as the strategies used to lessen the uncertainties during crisis via the dissemination and exchange of information (Collins et al., 2016 ). Effective crisis communication establishes reliability and maintains public trust. It should be frequent, consistent and involve compassionate messages conveyed in an inspired and transformational communication style. It is essential that public officials and leaders when communicating crisis relevant information be efficient and informative. Past research has shown the importance of repetition of the consistent interaction to help the message reach the recipients clearly and increase compliance behaviour in cases of crisis (Stephens et al., 2013 ). Inconsistent messages on the other hand were found to cause misperception and confusion, leading to a non-compliant behaviour by the recipients. The content of the message as well as its tone is also an important indicator of whether the recipients will comply or not (Sutton et al., 2013 ). Sources of crisis communication, such as leaders and public health officials, are perceived to be reliable and trustworthy when they exhibit concern and care (Heath and O’ Hair, 2010 ). In addition, they can be more effective in building relationship with the public, if they consider the cultural factors that play a role in their communicating about risks (Aldoory, 2010 ).

Boin et al. ( 2016 ) argue that crisis communication is one of the key challenges, which leaders face during a crisis situation. During crisis communication, leaders are required to frame ‘meaning’ of the crisis in order to shape how public perceives the risks, consequences and how they respond to the measures being taken. Developing a persuasive narrative in communication is thus integral to succesful framing of the crisis and for a strategic leadership. The construction of a successful persuasive narrative requires five frame functions: namely that the narrative will offer a credible explanation of what happened, it will provide guidance, instil hope, show empathy, and suggest that leaders are in control (Boin et al., 2016 ). In doing so, leaders aid the public’s understanding of the facts associated with crisis while sumltaneously acknolwedging and appealing to collective emotions. In incorporating these frame functions, leaders are posed with various choices and decision-making such as how they choose to or not choose to dramatise the situation, the language that they use and how they appeal to the colleactive emotions and stress.

As digital media technologies became popular resources for getting and spreading information, public officials and leaders also increasingly started using them as domains during the crises. In fact, for some scholars the use of social media while enabling mutual interaction between the leaders and recipients has altered the field of crisis communication altogether. For instance, it was found that as social media enables constant and effective communication, it was used more regularly than traditional media outlets during crisis (Kim and Liu, 2012 ). Similarly, Utz et al. ( 2013 ) discussed how for effective crisis communication strategy, the use of media channels, social media—Twitter, and Facebook—versus traditional— newspapers—was more critical than the type of the crisis. Moreover, Schultz et al. ( 2011 ) concluded that when compared to traditional media networks, crisis communication received less negative response when social media was used. Hence, it is not to our surprise that public officials nowadays are turning to social media platforms for communicating with the masses during crisis. They not only use these tools to communicate about crisis but also request information from the public. This was the case during the COVID-19 pandemic crisis where social media was employed by political leaders across the globe to mediate the communication of information about the pandemic as well as for reaching out to their citizens. This paper by focusing on the Norwegian case and more specifically on the Norwegian Prime Minister’s Facebook use during the time of COVID-19 pandemic aims to explore the use of social media platforms by political leaders during crisis. Our goal is to better understand how political leaders adapt social media technologies in their communication strategies during crises.

Our data that covers Erna Solberg’s Facebook posts between February 27, 2020, and February 10, 2021 (a total of 271 posts) were extracted from Footnote 2 into an Excel sheet. A total of 114 posts were removed as they were not related to COVID-19 leaving us 157 posts for further analysis. To aid the coding process, we noted the variables presented in Table 1 . These are: date, number of interactions, number, and type of reactions (e.g., angry, sad, like, etc.), URLs of links shared, and a description of the content of the posts that was later used in the qualitative analysis. We also noted if the posts were made during any particularly critical period (e.g., before, during or after new restrictive measures were introduced). The content of the posts and the number of likes and other reactions derived from this data should be considered a ‘snapshot’ of Solberg’s posts as they appeared at the time of data collection (Brügger, 2013 ), as it is possible that some posts have been subsequently removed, or that the numbers and types of reactions to the posts have changed by the publication date

The data was analysed through thematic analysis (Braun and Clarke, 2006 ): in the first step, we read all posts and generated the first set of codes. Next, we combined all the similar codes while labelling them in clusters and organised them into analytical themes/categories (see Fig. 1 ). The authors then discussed and reviewed these analytical themes and merged them into aggregate/conceptual themes. Lastly, we reviewed the aggregate themes through the lens of the five frame functions of persuasive narrative and identified commonalities and differences. We have included some posts under each theme to illustrate our analytical process and illuminate the themes (Sandelowski, 1994 ). All posts presented here were translated from Norwegian to English by the authors.

Schematic formulation of a theme from the categories captured in posts.

Our analysis resulted in five themes: (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers. In reviewing our findings from the framework of Boin et al. ( 2016 ), we found that all five frame functions of persuasive narrative were embedded in Solberg’s posts and aligned with our themes. Below we discuss our themes with reference to frame functions of Boin et al. ( 2016 ) for a persuasive narrative and in doing so, add contextual nuances to each theme.

Promoting responsibility and togetherness: we are in this together

Analysis of Solberg’s posts revealed a strong message of responsibility and togetherness. In almost all shares, she not only emphasized solidarity but also called for courage and responsibility. This Facebook post, shared soon after comprehensive shut-down measures were introduced, shows how important, for Solberg, was Norwegian solidarity expressed as ‘we’ (March 12, 2020):

Dear everyone. In times of crisis, we understand how dependent we are on each other. What unites us is more important than what separates us. This is not the time for ‘I’. This is the time for ‘we’.

Lunn et al. ( 2020 ) note that citizens are isolated during government induced or self-imposed quarantines: appeals to collective action and a spirit of ‘we-are-in-it-together’ are important ways to ensure compliance with quarantine and hence curb the rate of infection. Leaders in countries such New Zealand, UK, Brazil have also been found to have used a similar narrative emphasizing patriotic duty, love of country, and coming together as one, to mobilise community action (Dada et al., 2021 ).

Her posts were also imbued with appreciation and expression of gratitude towards healthcare workers and those who follow rules. For example, after introduction of the ban to travel to cabins and after the government’s decision to extend regulations until after Easter, Solberg posted the following on April 4, 2020, receiving a high number of likes:

I feel proud when I see how we handle this together. Many thanks to everyone who follows the advice from the health authorities. Many thanks to everyone in the health service who works hard and perseveres. Many thanks to all Norwegians for the patience, love and solidarity we now show each other

The use of the word ‘I’ and how it was being used in reference to ‘feel[ing] proud’, we argue, highlights the ‘positioning of self’ by Solberg. Davies and Harré ( 1990 ) claim that development of the notion of ‘positioning’ is a contribution to the understanding of personhood, and how speakers choose to position their personal identity vis-a-vis their discontinuous personal diversity (such as being the Prime Minister, politician, Norwegian citizen, etc.). In such posts, whether intentionally or unintentionally, we also see the discursive practices through which Solberg allocates meaning to her position as a Prime Minister by emphasising that she feels proud upon seeing those who follow advice. At the same time, her emphasis on ‘we’, as in how ‘ we handle this together’, places her as a member of the Norwegian masses.

Moreover, such references to togetherness and solidarity also reflect attempts to utilise the existing nationalistic cultural repertoire of the Norwegian concept of dugnad . For example, on New Year’s Day following the Gjerdrum community disaster (a sudden and unexpected mudslide that destroyed several residential houses) and rise in the number of infections during the holiday period (2125 reported cases on December 29, 2020), Solberg posted the following post:

[…] During the year we have put behind us, Norway has lined up for the big dugnad . People have put their interests and dreams on hold to protect the elderly and the risk groups. It has saved lives. I am deeply grateful, proud and touched, for the way the Norwegian people have handled the biggest challenge for our society since World War II. We lined up for each other when it mattered most…

Dugnad in Norwegian is voluntary work that is performed as a collective effort (Moss and Sandbakken, 2021 ). Nilsen and Skarpenes ( 2020 ) discuss how the concept of dugnad is embedded in a moral repertoire of the socially responsible citizen that is indicative of a specifically Norwegian welfare mentality and conclude that dugnad is imperative for the sustainability and resilience of the Norwegian welfare model. Before the pandemic, Simon and Mobekk ( 2019 ) argued that the concept of dugnad is central to Norwegian culture, inculcating prosocial and cooperative behaviour, and thereby plays a role in Norway being one of the most egalitarian democracies and having high levels of equality and reciprocity. In the context of COVID-19, social anthropologist Thomas Hylland Eriksen ( 2020 ) pointed out that one reason for the success of the Norwegian approach was the mobilisation of broader society to fight COVID-19, driven by the notion of dugnad . Similarly, Moss and Sandbakken ( 2021 ) analysed data from press conferences and interviews with members of the public and found that many participants mentioned liking how the government talked of ‘a spirit of dugnad ’ ( dugnadsånd ), appealing to shared voluntary work rather than strict rules. The authors posit that in a pandemic it is crucial to create and use meta-narratives that are a good fit with the context in order to aid meaning-making and increase compliance. The use of dugnad as a cultural repertoire has, however, met with criticism from some scholars, who argue that ‘a word associated with solidarity, unity, and voluntary work obscures the forced nature of the measures’ (Tjora, 2020 ) and shifts the onus for finding solutions onto individual citizens or groups (Nilsen and Skarpenes, 2020 ; Hungnes, 2016 ).

Despite the criticism of imbibing such cultural repertoire, the alignment of the key values of Norwegian society with the core message of encouraging collective action is essential for a crisis narrative to be politically effective (Boin et al., 2016 ). Furthermore, the theme of ‘Promoting responsibility and togetherness’ shows the context specific nature of crisis communication narrative in the case of COVID-19 in Norway and therefore adds to the components for a persuasive narrative.

Coping: everything will be fine

Solberg’s Footnote 3 posts also carried messages that address the consequences of coping with COVID-19, namely self-isolation, and loneliness. For instance, her posts guided followers in dealing with loneliness and maintaining general physical and mental health. The Norwegian government, like that of many other countries, had introduced measures such as mandatory quarantine and social distancing rules to manage the spread of the virus. Studies have shown that home confinement during COVID-19 has negatively affected the emotional state of individuals due to depression and anxiety and has led to or increased a sedentary lifestyle (Sang et al., 2020 ). Thus, emphasis on the well-being of the population during COVID-19 is important for effective crisis management (WHO, 2020a ) because increased well-being would reinforce its coping abilities during illness and hardships. As these are not the direct effects of the COVID-19 infection, but a result of the contagion containment measures imposed on citizens by the government, we observe Solberg taking responsibility and providing solutions to help. In doing so, she appears sensitive and caring towards the public.

Christensen and Lægreid ( 2020 ) attribute the ‘high-performing’ handling of the pandemic in Norway to the initial focus on suppression, followed by a control strategy. The authors further examine the ideas that having successful communication with the public, a collaborative and pragmatic decision-making style, the country’s resourcefulness, and high trust of government all contributed to the relative success in Norway. Adopting the correct and effective strategy indeed heavily influences the outcomes of crises. However, to fill the ‘cognitive void’ that the public might be experiencing, leaders need to manage the meaning-making process and ensure legitimacy of their actions (Boin et al., 2016 ). Solberg and the other ministers played an important role in communicating with citizens and the media through daily media briefings together with the NDH (Norwegian Directorate of Health) and NIPH (Norwegian Institute of Public Health) (Christensen and Lægreid, 2020 )

Solberg emphasized the impact of loneliness, for example, during one of the first holiday periods during the pandemic when comprehensive shut-down measures were introduced, she wrote:

Many people may feel lonely during holidays such as Easter, and the corona crisis exacerbates this. Therefore, I would like to encourage everyone to call someone you know is alone at Easter. The little things can mean a lot. Happy Easter!

A study by Blix et al. ( 2021 ) on the topic of mental health in the Norwegian population during the COVID-19 pandemic found that a substantial proportion of the population experienced significant psychological distress in the early phases. More than one out of four reported ongoing psychological distress over the threshold for clinically significant symptoms. Two other categories of individuals (those recently exposed to violence and those with pre-existing mental health problems) were found to be at special risk but worrying about the consequences of the pandemic was also found to contribute negatively to mental health. In this regard, Shah et al. ( 2020 ) argued that several nations have failed to address the mental health aspect among the public, as far more effort is being focused on understanding the epidemiology, clinical features, transmission patterns, and management of COVID-19. Solberg’s open discussion about mental health during the pandemic implies a situation-specific and data-driven strategy of managing the less visible effects of the pandemic and show insight in anticipating future needs (Han et al., 2020 ).

Moreover, Solberg’s posts also subtly utilised the Norwegian concept of friluftsliv , which translates as ‘free air life,’ a philosophy of outdoor living and connection with nature (Henderson and Vikander 2007 ). Friluftsliv is associated with grand narratives of Norwegian national identity depicting outdoor adventures, foraging, and a deep connection to nature (Jørgensen-Vittersø, 2021 ). For example, with the re-opening of DNT [Den Norske Turistforening] cabins in mid-2020, Solberg in her post on June 11 emphasized the importance of being outdoors in fresh air:

We need to use our bodies and get out into the light and fresh air. It is important for both physical and mental health! I hope many have a good and active Norwegian holiday this year!

In these posts, Solberg also shared pictures of herself being outdoors. In such ways, Solberg appeared to be offering not only guidance for coping with the challenges and consequences of living during the pandemic, but also emphasizing one characteristic of the Norwegian culture, which they are proud of—spending time in nature. Be it advice to spend time in nature, or to keep social distance or self-isolation, we consider that Solberg’s approach to coping aligns with the frame function of ‘offering guidance’. During a crisis, leaders have a window of opportunity during which they can communicate a frame to not only make sense of the crisis but also to provide guidance and to portray themselves as attentive and concerned about the challenging circumstances faced by the public (Boin et al., 2016 ). By depicting herself as attuned to the emotions experienced by her followers during the pandemic and by utilising the moment to suggest ways of coping, Solberg’s communication encapsulates the frame function of offering guidance for a persuasive narrative.

Being in control amidst uncertainty

In her posts, Solberg presented a narrative of being in control amidst uncertainty, which aligns with two of the frame functions of Boin et al. ( 2016 ), namely offering a credible explanation and suggesting that leaders are in control. In times of a crisis, it is important that leaders do not downplay the gravity of the situation or claim unrealistically optimistic scenarios (Boin et al., 2016 ). We see that Solberg maintained a balance by providing a detailed explanation of her actions and the reasons behind the restrictive measures taken. At the same time, she acknowledged the uncertainty inherent in the ever-changing crisis and demonstrated her concern. According to Lunn et al. ( 2020 ), in situations characterised by uncertainty and fear, responsible leaders need to signal that they are in control of the situation, which can be demonstrated by making decisions with confidence and honesty. Moreover, it is also essential that leaders do not make promises that are impossible or unrealistic, because doing that can impede the persuasiveness of their narrative by affecting their credibility later (Boin et al., 2016 ). In Solberg’s posts, we see that she displays confidence but also the reality of uncertainty and concern, which is a sign of effective leadership and shows ‘bounded optimism’ (Brassey and Kruyt, 2020 ). The following post where she writes about her worries and concerns followed by advice is a good example of credibility and control:

I am worried. Right now, we have ongoing outbreaks in Bergen, Oslo, Trondheim and Hammerfest… We know that vigorous work is being done intensively in these municipalities with infection detection and other measures. Although Norway has relatively low infection rates, we also register here at home that the number of hospital admissions and the number of infected have increased recently. We now have the highest number of hospitalized patients with COVID-19 since May… We also see that the infection has begun to spread to older age groups. And there is a significant risk that the numbers will continue to rise as we see in Europe. That is why we have today announced new national austerity measures next week. We can still reverse the trend here at home…

A demonstration of concern from role models has been shown to have a role in persuading the public to adhere to recommendations (Simon and Mobekk, 2019 ). Tannenbaum et al. ( 2015 ) note that fear is easier to handle when it is acknowledged, which relates to the idea of ‘citizens being anxious enough to take the advice from the authorities to heart and optimistic enough as to feel that their actions make a difference’ (Petersen, 2020 ). Inculcating ‘optimistic anxiety’ (Tannenbaum et al., 2015 ) is therefore an important feature of crisis communication narratives.

Another important nuance that emerges from Solberg’s posts is her comparisons to other countries to draw attention to the seriousness of the situation. For example, on November 5, 2020, Solberg made the following post announcing new national measures, which received over 5000 likes:

My message to the Norwegian people is: Stay at home as much as possible. Have the least possible social contact with others. It is absolutely necessary to avoid a new shutdown. Norway is at the beginning of the second wave of infection… The virus is spreading rapidly and all counties now have outbreaks. The government is therefore introducing new national infection control measures… If the current rate of infection continues, the number of inpatients in intensive care units will increase sharply in the coming weeks. This will lead to less intensive capacity for other seriously ill people. We are now where the Netherlands was at the beginning of September. A very rapid increase in infection in the Netherlands quickly led to more patients in the intensive care unit… Other European countries have similar experiences. There is therefore a heavy seriousness about the situation. And we must take responsibility together

By giving detailed reasoning behind measures being taken amidst uncertainty, Solberg exhibits both confidence and honesty in her narratives (Lunn et al., 2020 ). Another key feature that emerges from the post above is the emphasis on the risks of an increase in infection, and the possibility of a new lockdown and overburdening of intensive care capacity, thereby reflecting a more strongly persuasive intent. Such emphasis on the risks is different from other posts where Solberg exhibits control and optimism much more strongly. This adaption from a communicative stance to a more persuasive one could result from not only the perceived severity of the situation, but also the perceived risks of pandemic fatigue. Pandemic fatigue has been defined by the WHO as a lack of motivation to adhere to recommended protective behaviours (WHO, 2020b ). According to surveys conducted in different countries, most people have been shown to possess adequate knowledge of COVID-19 and the precautions required to keep safe, yet factors like emotions and context have been found to have greater impact on behaviours than knowledge (Gavi the Vaccine Alliance, 2020 ). A study of different ways of communicating healthcare messages suggested that believability of the messages and the recipients’ reactions to them can be influenced by the persuasive intent (Wang and Shen, 2019 ). Koh et al. ( 2020 ) also discuss the importance of devising effective and successful communications for a sustained period without message fatigue setting in, which includes concern for the way the communication is framed. Overall, we see that Solberg’s posts provide a rationale with portrayal of the government being in control of managing the crisis.

Fostering hope and return to normalcy

Solberg’s posts also emphasized the hopeful aspects of the crisis by appealing to followers to look forward to a return to everyday life, and new educational and economic prospects, despite the difficult current circumstances. This theme aligns with the frame of ‘instilling hope’ as per frame functions for a persuasive narrative by Boin et al. ( 2016 ). During a crisis, more than ever, effective leaders embody the hopes and fears of the society under threat, and therefore they should strive to inculcate optimism of a better future (Boin et al., 2016 ). Previous research has documented that in times of turmoil, followers especially look up to leadership that serves as a beacon of hope for and faith in a positive future, more than they do in times of prosperity (Stam et al., 2018 ; Shamir et al., 1993 ). According to Boin et al., leadership during crisis always has a moral dimension. On January 10, 2021, by which time Norway had witnessed over 50000 cases of infection and over 400 deaths as well as the Gjerdrum disaster, Solberg made the following post:

Dear everyone. This year I hope we can take our dreams back. After a year of pandemic and fear. Then I look forward to seeing creativity unleashed…

Another post that emphasized the optimism for educational prospects was made on April 15, 2020, and drew over 5000 likes:

Today is the last deadline to apply to a vocational school, college or university. I understand that it can feel strange to apply for an education this autumn while the educational institutions keep their campuses closed. Maybe someone also thinks the idea of moving from home to a new city seems extra scary these days. To you I want to say that everyday life will return. Therefore, my appeal to you who want to study: do not put your life on hold, but apply for education this year!

Lessons from previous crises tell us that leaders need to pay attention to the fear of the ongoing threat, as well as sadness and grief, and to provide hope to mitigate social disruption (Maak et al., 2021 ). Here, we see that Solberg’s is attempting to convey hope while also acknowledging the challenges and impact of COVID-19. In doing so, the messages also emphasise self-efficacy and trust in the government. Hope and resilience are closely aligned constructs, as they both include a tendency towards maintaining an optimistic outlook in the face of adversity (Duggal et al., 2016 ). Thus, fostering hope during crisis can help the community cope with the consequences of the crisis. Moreover, by using emotional appeals, leaders can influence attitudes and behaviours as well as induce compassion (Ghio et al., 2020 ).

The theme of fostering hope in Solberg’s posts was found to be particularly emphasized during and before national holidays or important events. Her posts often utilised humour to foster positivity, particularly during critical periods such as during or after implementation of stricter COVID-19 measures. For example, a day after it was announced that infection-reduction measures would continue throughout Christmas, Solberg shared a snipped of her response to a question asked in a press conference and posted:

Can Santa actually come to visit this year?

Creating human moments and hope is a sign of compassionate leadership and helps to establish the relational foundation for widespread support for pandemic control measures (Maak et al., 2021 ). Also, by utilising humour, Solberg adapts the tone of her messages, a tactic that has been found to significantly affect audiences’ attitudes and behaviours, help people manage their emotions, and strengthen support for pandemic measures (Lee and Basnyat, 2013 )

Relating with followers

The last theme is about the posts in which Solberg relates to the public by providing personal information, acknowledging, and relating with the difficult circumstances, and using humour or a private tone in her posts. For example, the post below was made just before Easter and it received more than 13000 likes, making it to be the third-most liked post of Solberg related to COVID-19 during this period.

It will be a different Easter this year. Let’s make the best of it. We can play fun board games with our loved ones, read the book we never have time to read, listen to an audiobook or explore the local area. The last few weeks have been challenging for all of us, but we want to get through this… Sindre and I have recharged with board games and wish you all a very happy Easter!

Empathy is an important component of the persuasive narrative, especially during crises when the decisions made by authorities to mitigate, and control can also have consequences for people’s lives. For crisis communication to be effective, the information provided to the public should not be too factual or portray leaders as distant from the citizens (Shen, 2010 ; Lunn et al., 2020 ). By demonstrating concern and acknowledging the impact of crises, leaders can empathise with the public (Shen, 2010 ; Lunn et al., 2020 ). We see Solberg personifying the challenges of COVID-19 by referring to how the times have been challenging for ‘all of us’. According to Boin et al. ( 2016 ), a leader’s personification of suffering is instrumental in showing empathy because the public is then able to relate to them.

Further, previously in a study by Larsson ( 2015 ) about Norwegian party leaders on Facebook during the 2013 ‘short campaign’, it was found that personal content referencing private life is increasingly employed by Norwegian party leaders. Enli and Rosenberg ( 2018 ) investigated voters’ evaluations of politicians as authentic or ‘real,’ and Solberg was found to be one of the most perceived authentic politicians. Enli ( 2014 ) had earlier suggested that Erna Solberg’s public profile as predictable, anti-elitist and imperfect constructs her authenticity.

A similar example of relatability with followers during the pandemic was the instance when she forgot the rule of not shaking hands during public meetups and press conferences. After the event, she wrote:

It is important that we can have some humour in a difficult time Even a prime minister can forget, but now it is important that we all remember to follow the advice of the health authorities…

She also used an engaging communicative style when interacting with her followers:

Then the holiday is over… a different summer, a little cold, weekly meetings in the Government’s Corona Committee on video, beautiful nature experiences from Norway and a lot of rain. Let me share a wonderful little meeting with a lynx on the lawn on Varaldsøy… Have you had a nice summer?

Thus, Solberg embeds references to her private life, which also helps to personify the messages in her posts and thus relate with the public. In addition, by relating with the public on an everyday basis and through the acknowledgment of shared challenges during crisis, Solberg’s narrative also appears empathetic. Our theme of ‘Relating to the public’ thus encapsulates frame function of ‘showing empathy’ for developing a persuasive narrative, as per Boin et al. ( 2016 ).

Concluding remarks

This paper was an attempt to explore the Facebook posts of Norway’s Prime Minister Erna Solberg to highlight the key features of her crisis communication during the COVID-19 pandemic. By drawing on data from Solberg’s Facebook posts during the pandemic our analyses identified five major themes, (1) Promoting responsibility and togetherness (2) Coping (3) Being in control amidst uncertainty (4) Fostering hope and (5) Relating with the followers, where we went in detail explanation by using frame functions of a persuasive narrative by Boin et al. ( 2016 ). We furthermore discussed the specific Norwegian contextual nuances to the frame functions. These were the theme ‘Responsibilization and togetherness’, presented via the references to Norwegianness and the cultural concept and practice of dugnad . Hence, our paper showed how during crisis persuasive narratives are incorporated into the social media communication strategies of political leaders.

The paper also showed how persuasive narratives are delivered through praising the public’s efforts, promoting togetherness, caring about the public’s well-being, displaying optimism and confidence in the government’s measures. It elaborated on how crisis management on social media was done via the use of humour and personal information. Humour was used as a tool to engage with the public and help them relate and comply to the COVID-19 restrictions. Hence, Solberg used Facebook to capitalise on a wide-reaching social medium (Hallahan, 2010 ). While the communication of leaders during crises helps to fill the cognitive void, the use of social media helps build societal resilience by improving awareness and encouraging preparedness (Boin et al., 2016 )

Even so, the success of a persuasive narrative is to a great extent dependant on the credibility of its proponents (Boin et al., 2016 ). The reputation of the leader and the organisation that they represent plays a key role in framing a successful persuasive narrative. In general, Norwegians have more trust in each other and their institutions than most other countries (Skirbekk and Grimen, 2012 ). A survey conducted by the Norwegian Citizen’s Panel [Norsk Medborgerpanel] in March 2020 found that trust in government, in the health authorities, in parliament, and in national and local politicians had increased, as did trust in the Prime Minister during the pandemic (Dahl, 2020 ). Clearly, Solberg seems to have benefitted from the trust capital in Norwegian society with her Facebook communications during a crisis. More recently, Erna Solberg has received heavy criticism for breach of COVID-19 restrictions during a family trip to Geilo for her 60th birthday (The Guardian, 2021a ). Following which, Erna Solberg, has been investigated by police and fined (The Guardian, 2021b ). Thus, while her Facebook posts exhibiting components of a persuasive narrative received popularity, her actions have nevertheless been subjected to scrutiny and criticisms in mainstream media (Larsen, 2021 ). According to Boin et al. ( 2016 : p. 72), the retainment of confidence of the public is essential for the communication strategies to be effective. Therefore, such media criticism might undermine the credibility of Solberg and her cabinet, leading to less credible and politically ineffective narratives. On the other hand, past performances, and reputation also play an important role in increasing leaders’ personal credibility in the face of crisis (Boin et al., 2016 ). Consequently, Solberg’s long career in politics and her reputation of caring about the citizens as previously discussed, could buffer the recent impact on her credibility. Moreover, communication during and after a crisis affects long-term impressions (Coombs, 2007 ). With the personification of politics in Norway or ‘decentralising personalization’ (Balmas et al., 2014 ), the criticisms paved at Erna, however, reflect more of a personal crisis than a national crisis. And while we do not analyse Solberg’s posts beyond 9 th Feb. 2021 i.e., after Solberg spoke about the Geilo trip incident on her Facebook account, we see that she follows similar strategy in handling this personal crisis as the national crisis of COVID-19, through use of a persuasive narrative. Future studies can therefore focus on how Solberg and other political leaders utilise the strategy of persuasive narrative in management of personal crisis in nexus with national crisis such as that of COVID-19.

Further, we concur with Christensen and Lægreid ( 2020 ) who write that the ‘political leadership has succeeded well in connecting governance capacity and legitimacy using the argument that Norway had sufficient resources to deal with the crisis. While the health resource capacity and preparedness of Norway inarguably contributes to the outcomes of the crisis, communicating a successful persuasive narrative with credibility is integral to gaining legitimacy and filling the cognitive void (Boin et al., 2016 ). Erna Solberg’s use of persuasive narrative in Facebook posts, seems therefore to have been effective in the management of the COVID-19 pandemic, but her latest unfortunate incident goes to show how politicians’ management of crises is tenuous and highly dependent on public trust.

Our study adds to the significance and knowledge of how persuasive narratives are incorporated into the communication strategy of leaders on a social media platform and highlights the usefulness of this framework for studies about ongoing and future crises. By using data from social media, our findings also add to the understanding of the increased personification of politics and how leaders utilise this personification to communicate government measures and engage with the public during a crisis. Future research can further explore how public leaders and health authorities’ frame crises situations, actions, issues, and responsibility to dramatise and reinforce key ideas (Hallahan, 1999 ). Such insights can pave way for understanding public’s shaping of risk perceptions and compliance to behavioural measures during crises such as the COVID-19 pandemic.

Data availability

The dataset analysed during the current study is available through the public profile of Erna Solberg on Facebook: https://www.facebook.com/ernasolberg/ . This dataset was derived from Crowd Tangle which can be accessed through request at https://www.crowdtangle.com/ .

Known as ‘hyttetur’, cabin trips are deeply rooted in Norwegian culture and way of life

Crowdtangle extracts both historical and current data of post contents and metadata such as the date the post was made, number of likes, other reactions and shares. Information about how to access raw material included in this study can be found in the data availability statement at the end of the article.

‘Everything will be fine’ [ Alt blir bra ] was one of the campaigns that spread because of the COVID-19 crisis in Norway depicting pictures of a rainbow.

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This article is published as part of the research project ‘Fighting Pandemics with Enhanced Risk Communication: Messages, Compliance and Vulnerability During the COVID-19 Outbreak (PAN-FIGHT)’, which is financed by the Norwegian Research Council (Project number: 312767).

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Arora, S., Debesay, J. & Eslen-Ziya, H. Persuasive narrative during the COVID-19 pandemic: Norwegian Prime Minister Erna Solberg’s posts on Facebook. Humanit Soc Sci Commun 9 , 35 (2022). https://doi.org/10.1057/s41599-022-01051-5

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Read these 12 moving essays about life during coronavirus

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The world is grappling with an invisible, deadly enemy, trying to understand how to live with the threat posed by a virus . For some writers, the only way forward is to put pen to paper, trying to conceptualize and document what it feels like to continue living as countries are under lockdown and regular life seems to have ground to a halt.

So as the coronavirus pandemic has stretched around the world, it’s sparked a crop of diary entries and essays that describe how life has changed. Novelists, critics, artists, and journalists have put words to the feelings many are experiencing. The result is a first draft of how we’ll someday remember this time, filled with uncertainty and pain and fear as well as small moments of hope and humanity.

At the New York Review of Books, Ali Bhutto writes that in Karachi, Pakistan, the government-imposed curfew due to the virus is “eerily reminiscent of past military clampdowns”:

Beneath the quiet calm lies a sense that society has been unhinged and that the usual rules no longer apply. Small groups of pedestrians look on from the shadows, like an audience watching a spectacle slowly unfolding. People pause on street corners and in the shade of trees, under the watchful gaze of the paramilitary forces and the police.

His essay concludes with the sobering note that “in the minds of many, Covid-19 is just another life-threatening hazard in a city that stumbles from one crisis to another.”

Writing from Chattanooga, novelist Jamie Quatro documents the mixed ways her neighbors have been responding to the threat, and the frustration of conflicting direction, or no direction at all, from local, state, and federal leaders:

Whiplash, trying to keep up with who’s ordering what. We’re already experiencing enough chaos without this back-and-forth. Why didn’t the federal government issue a nationwide shelter-in-place at the get-go, the way other countries did? What happens when one state’s shelter-in-place ends, while others continue? Do states still under quarantine close their borders? We are still one nation, not fifty individual countries. Right?

Award-winning photojournalist Alessio Mamo, quarantined with his partner Marta in Sicily after she tested positive for the virus, accompanies his photographs in the Guardian of their confinement with a reflection on being confined :

The doctors asked me to take a second test, but again I tested negative. Perhaps I’m immune? The days dragged on in my apartment, in black and white, like my photos. Sometimes we tried to smile, imagining that I was asymptomatic, because I was the virus. Our smiles seemed to bring good news. My mother left hospital, but I won’t be able to see her for weeks. Marta started breathing well again, and so did I. I would have liked to photograph my country in the midst of this emergency, the battles that the doctors wage on the frontline, the hospitals pushed to their limits, Italy on its knees fighting an invisible enemy. That enemy, a day in March, knocked on my door instead.

In the New York Times Magazine, deputy editor Jessica Lustig writes with devastating clarity about her family’s life in Brooklyn while her husband battled the virus, weeks before most people began taking the threat seriously:

At the door of the clinic, we stand looking out at two older women chatting outside the doorway, oblivious. Do I wave them away? Call out that they should get far away, go home, wash their hands, stay inside? Instead we just stand there, awkwardly, until they move on. Only then do we step outside to begin the long three-block walk home. I point out the early magnolia, the forsythia. T says he is cold. The untrimmed hairs on his neck, under his beard, are white. The few people walking past us on the sidewalk don’t know that we are visitors from the future. A vision, a premonition, a walking visitation. This will be them: Either T, in the mask, or — if they’re lucky — me, tending to him.

Essayist Leslie Jamison writes in the New York Review of Books about being shut away alone in her New York City apartment with her 2-year-old daughter since she became sick:

The virus. Its sinewy, intimate name. What does it feel like in my body today? Shivering under blankets. A hot itch behind the eyes. Three sweatshirts in the middle of the day. My daughter trying to pull another blanket over my body with her tiny arms. An ache in the muscles that somehow makes it hard to lie still. This loss of taste has become a kind of sensory quarantine. It’s as if the quarantine keeps inching closer and closer to my insides. First I lost the touch of other bodies; then I lost the air; now I’ve lost the taste of bananas. Nothing about any of these losses is particularly unique. I’ve made a schedule so I won’t go insane with the toddler. Five days ago, I wrote Walk/Adventure! on it, next to a cut-out illustration of a tiger—as if we’d see tigers on our walks. It was good to keep possibility alive.

At Literary Hub, novelist Heidi Pitlor writes about the elastic nature of time during her family’s quarantine in Massachusetts:

During a shutdown, the things that mark our days—commuting to work, sending our kids to school, having a drink with friends—vanish and time takes on a flat, seamless quality. Without some self-imposed structure, it’s easy to feel a little untethered. A friend recently posted on Facebook: “For those who have lost track, today is Blursday the fortyteenth of Maprilay.” ... Giving shape to time is especially important now, when the future is so shapeless. We do not know whether the virus will continue to rage for weeks or months or, lord help us, on and off for years. We do not know when we will feel safe again. And so many of us, minus those who are gifted at compartmentalization or denial, remain largely captive to fear. We may stay this way if we do not create at least the illusion of movement in our lives, our long days spent with ourselves or partners or families.

Novelist Lauren Groff writes at the New York Review of Books about trying to escape the prison of her fears while sequestered at home in Gainesville, Florida:

Some people have imaginations sparked only by what they can see; I blame this blinkered empiricism for the parks overwhelmed with people, the bars, until a few nights ago, thickly thronged. My imagination is the opposite. I fear everything invisible to me. From the enclosure of my house, I am afraid of the suffering that isn’t present before me, the people running out of money and food or drowning in the fluid in their lungs, the deaths of health-care workers now growing ill while performing their duties. I fear the federal government, which the right wing has so—intentionally—weakened that not only is it insufficient to help its people, it is actively standing in help’s way. I fear we won’t sufficiently punish the right. I fear leaving the house and spreading the disease. I fear what this time of fear is doing to my children, their imaginations, and their souls.

At ArtForum , Berlin-based critic and writer Kristian Vistrup Madsen reflects on martinis, melancholia, and Finnish artist Jaakko Pallasvuo’s 2018 graphic novel Retreat , in which three young people exile themselves in the woods:

In melancholia, the shape of what is ending, and its temporality, is sprawling and incomprehensible. The ambivalence makes it hard to bear. The world of Retreat is rendered in lush pink and purple watercolors, which dissolve into wild and messy abstractions. In apocalypse, the divisions established in genesis bleed back out. My own Corona-retreat is similarly soft, color-field like, each day a blurred succession of quarantinis, YouTube–yoga, and televized press conferences. As restrictions mount, so does abstraction. For now, I’m still rooting for love to save the world.

At the Paris Review , Matt Levin writes about reading Virginia Woolf’s novel The Waves during quarantine:

A retreat, a quarantine, a sickness—they simultaneously distort and clarify, curtail and expand. It is an ideal state in which to read literature with a reputation for difficulty and inaccessibility, those hermetic books shorn of the handholds of conventional plot or characterization or description. A novel like Virginia Woolf’s The Waves is perfect for the state of interiority induced by quarantine—a story of three men and three women, meeting after the death of a mutual friend, told entirely in the overlapping internal monologues of the six, interspersed only with sections of pure, achingly beautiful descriptions of the natural world, a day’s procession and recession of light and waves. The novel is, in my mind’s eye, a perfectly spherical object. It is translucent and shimmering and infinitely fragile, prone to shatter at the slightest disturbance. It is not a book that can be read in snatches on the subway—it demands total absorption. Though it revels in a stark emotional nakedness, the book remains aloof, remote in its own deep self-absorption.

In an essay for the Financial Times, novelist Arundhati Roy writes with anger about Indian Prime Minister Narendra Modi’s anemic response to the threat, but also offers a glimmer of hope for the future:

Historically, pandemics have forced humans to break with the past and imagine their world anew. This one is no different. It is a portal, a gateway between one world and the next. We can choose to walk through it, dragging the carcasses of our prejudice and hatred, our avarice, our data banks and dead ideas, our dead rivers and smoky skies behind us. Or we can walk through lightly, with little luggage, ready to imagine another world. And ready to fight for it.

From Boston, Nora Caplan-Bricker writes in The Point about the strange contraction of space under quarantine, in which a friend in Beirut is as close as the one around the corner in the same city:

It’s a nice illusion—nice to feel like we’re in it together, even if my real world has shrunk to one person, my husband, who sits with his laptop in the other room. It’s nice in the same way as reading those essays that reframe social distancing as solidarity. “We must begin to see the negative space as clearly as the positive, to know what we don’t do is also brilliant and full of love,” the poet Anne Boyer wrote on March 10th, the day that Massachusetts declared a state of emergency. If you squint, you could almost make sense of this quarantine as an effort to flatten, along with the curve, the distinctions we make between our bonds with others. Right now, I care for my neighbor in the same way I demonstrate love for my mother: in all instances, I stay away. And in moments this month, I have loved strangers with an intensity that is new to me. On March 14th, the Saturday night after the end of life as we knew it, I went out with my dog and found the street silent: no lines for restaurants, no children on bicycles, no couples strolling with little cups of ice cream. It had taken the combined will of thousands of people to deliver such a sudden and complete emptiness. I felt so grateful, and so bereft.

And on his own website, musician and artist David Byrne writes about rediscovering the value of working for collective good , saying that “what is happening now is an opportunity to learn how to change our behavior”:

In emergencies, citizens can suddenly cooperate and collaborate. Change can happen. We’re going to need to work together as the effects of climate change ramp up. In order for capitalism to survive in any form, we will have to be a little more socialist. Here is an opportunity for us to see things differently — to see that we really are all connected — and adjust our behavior accordingly. Are we willing to do this? Is this moment an opportunity to see how truly interdependent we all are? To live in a world that is different and better than the one we live in now? We might be too far down the road to test every asymptomatic person, but a change in our mindsets, in how we view our neighbors, could lay the groundwork for the collective action we’ll need to deal with other global crises. The time to see how connected we all are is now.

The portrait these writers paint of a world under quarantine is multifaceted. Our worlds have contracted to the confines of our homes, and yet in some ways we’re more connected than ever to one another. We feel fear and boredom, anger and gratitude, frustration and strange peace. Uncertainty drives us to find metaphors and images that will let us wrap our minds around what is happening.

Yet there’s no single “what” that is happening. Everyone is contending with the pandemic and its effects from different places and in different ways. Reading others’ experiences — even the most frightening ones — can help alleviate the loneliness and dread, a little, and remind us that what we’re going through is both unique and shared by all.

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Examining persuasive message type to encourage staying at home during the COVID-19 pandemic and social lockdown: A randomized controlled study in Japan

• We examined persuasive message types in terms of a narrator encouraging self-restraint.
• Messages from a governor, an expert, a physician, a patient, and a resident were compared.
• The message from a physician increased intention to stay at home the most.
• The physician’s message conveyed the crisis of collapse of the medical system.

Behavioral change is the only prevention against the COVID-19 pandemic until vaccines become available. This is the first study to examine the most persuasive message type in terms of narrator difference in encouraging people to stay at home during the COVID-19 pandemic and social lockdown.

Participants (n = 1,980) were randomly assigned to five intervention messages (from a governor, a public health expert, a physician, a patient, and a resident of an outbreak area) and a control message. Intention to stay at home before and after reading messages was assessed. A one-way ANOVA with Tukey’s or Games–Howell test was conducted.

Compared with other messages, the message from a physician significantly increased participants’ intention to stay at home in areas with high numbers of people infected (versus a governor, p = .002; an expert, p = .023; a resident, p = .004).

The message from a physician―which conveyed the crisis of overwhelmed hospitals and consequent risk of people being unable to receive treatment―increased the intent to stay at home the most.

Practice implications

Health professionals and media operatives may be able to encourage people to stay at home by disseminating the physicians’ messages through media and the internet.

1. Introduction

The outbreak of the coronavirus disease 2019 (COVID-19) has emerged as the largest global pandemic ever experienced [ 1 ]. Experts have proposed that social lockdown will lead to improvements such as controlling the increase in the number of infected individuals and preventing a huge burden on the healthcare system [ [2] , [3] , [4] ]. Governments of many countries across the world have declared local and national social lockdown [ 4 , 5 ]. In April 2020, the Japanese government declared a state of emergency, which allows prefectural governors to request residents to refrain from unnecessary and nonurgent outings from home [ 6 ]. However, despite such governor declarations, people in various countries have resisted and disregarded calls to stay at home [ [7] , [8] , [9] ]. Because social lockdown is the only existing weapon for prevention of the pandemic until vaccines becomes available to treat COVID-19, behavioral change in individuals regarding staying at home is crucial [ 3 , 4 ]. Many news articles about COVID-19 are published daily by the mass media and over the internet. Such articles convey messages from governors, public health experts, physicians, COVID-19 patients, and residents of outbreak areas, encouraging people to stay at home. This is the first study to examine which narrator’s message is most persuasive in encouraging people to do so during the COVID-19 pandemic and social lockdown.

2.1. Participants and design

Participants were recruited from people registered in a survey company database in Japan. The eligibility criterion was men and women aged 18–69 years. Exclusion criteria were individuals who answered screening questions by stating: that they cannot go out because of illness or disability; that they have been diagnosed with a mental illness; or/and that they or their family members have been infected with COVID-19. A total of 1,980 participants completed the survey from May 9–11, 2020, when the state of emergency covered all prefectures in Japan. Participants were included according to the population composition ratio in Japan nationwide by gender, age, and residential area. Participants were randomly assigned either to a group that received an intervention message (i.e., from a governor, a public health expert, a physician, a patient, and a resident of the outbreak area) or to one that received a control message. The study was registered as a University Hospital Medical Information Network Clinical Trials Registry (number: UMIN000040286) on May 1, 2020. The methods of the present study adhered to CONSORT guidelines. The protocol was approved by the ethical review committee at the Graduate School of Medicine, University of Tokyo (number: 2020032NI). All participants gave written informed consent in accordance with the Declaration of Helsinki.

2.2. Intervention and control messages

We searched news articles about COVID-19 using Yahoo! JAPAN News ( https://news.yahoo.co.jp ), the largest Japanese news portal site. We also searched videos posted by residents of outbreak areas such as New York using YouTube ( https://www.youtube.com/user/YouTubeJapan ). By referring to these articles and videos, we created five intervention messages from a governor, a public health expert, a physician, a patient, and a resident of an outbreak area. The content of each message encouraged readers to stay at home. We included threat and coping messages in each intervention message based on protection motivation theory (PMT) [ 10 , 11 ]. Appendix A shows the five intervention messages used in this study, translated into English for this report. For a control message we obtained textual information about bruxism from the website of the Ministry of Health, Labour and Welfare ( https://www.e-healthnet.mhlw.go.jp/ ).

2.3. Measures

The primary outcome was intention to stay at home. The secondary outcomes were PMT constructs (i.e., perceived severity, vulnerability, response efficacy, and self-efficacy). Participants responded to two or three questions for each measure (see Appendix B ). These measures were adapted and modified from previous studies [ [12] , [13] , [14] , [15] ]. All primary and secondary outcomes were measured before and after the participants read intervention or control messages, and mean scores were calculated. Higher scores indicated greater intention and perception. All participants were asked for their sociodemographic information before they read intervention or control messages.

2.4. Sample size

Based on the effect size in a previous randomized controlled study [ 16 ], we estimated a small effect size (Cohen’s d = .20) in the current study. We conducted a power analysis at an alpha error rate of .05 (two-tailed) and a beta error rate of .20. The power analysis indicated that 330 participants were required in each of the intervention and control groups.

2.5. Statistical analysis

A one-way analysis of variance (ANOVA) was conducted with the absolute change in mean values for each measure before and after intervention as the dependent variable and the group assignment as the independent variable. For multiple comparisons, Tukey’s test was conducted on significant main effects where appropriate. The Games–Howell test was performed when the assumption of homogeneity of variances was not satisfied. Additionally, we conducted subgroup analyses including only participants who lived in 13 “specified warning prefectures,” where the number of infected individuals showed a marked increase [ 17 ]. A p value of <.05 was considered significant in all statistical tests. All statistical analyses were performed using IBM SPSS Statistics for Windows, Version 21.0 (IBM, Armonk, NY, USA).

Table 1 shows the participants’ characteristics. Table 2 , Table 3 present a comparison among the five intervention groups using one-way ANOVA and multiple comparisons when including all prefectures and only participants who lived in the specified warning prefectures, respectively. More significant differences between intervention messages were found in the specified warning prefectures compared with all prefectures. In Table 3 , the Games–Howell test indicates that the message from a physician increased participants’ intention to stay at home significantly more than other narrators’ messages (versus a governor, p = .002; an expert, p = .023; a resident, p = .004). Multiple comparisons demonstrated that the message from a physician increased participants’ perceived severity (versus a governor, p = .015), response efficacy (versus a resident, p = .014), and self-efficacy (versus a governor, p = .022; a patient, p = .009) significantly more than other narrators’ messages.

Participants’ sociodemographic information.

Comparison of amount of change before and after intervention among groups when including all prefectures (N = 1,980).

Comparison of amount of change before and after intervention among groups when including only the “specified warning prefectures” (N = 1,274).

4. Discussion and conclusion

4.1. discussion.

As Appendix A shows, the message from a physician specifically communicated the critical situation of hospitals being overwhelmed and the consequent risk of people being unable to receive treatment. Depiction of the crisis of overwhelmed hospitals may have evoked heightened sensation that elicited sensory, affective, and arousal responses in recipients. Social lockdown presumably evoked psychological reactance in many individuals [ 18 ]. Psychological reactance is considered one of the factors that impedes individuals’ staying at home during a pandemic [ 18 ]. Studies of psychological reactance have indicated that heightened sensation is the feature of a message that reduces psychological reactance [ 19 , 20 ]. Additionally, in Japan recommendations by physicians have a strong influence on individuals’ decision making owing to the remnants of paternalism in the patient–physician relationship [ 21 ]. These may constitute the reasons for the message from a physician generating the greatest impact on recipients’ protection motivation.

Public health professionals, governors, media professionals, and other influencers should use messages from physicians and disseminate relevant articles through the media and social networking services to encourage people to stay at home. It is important that health professionals and media have a network and collaborate with one another [ 22 ]. To build relationships and provide reliable resources, health professionals are expected to hold press conferences and study meetings with journalists. Through such networking, journalists can acquire accurate information in dealing with the pandemic, such as using messages from physicians to encourage people to stay at home. Consequently, journalists should disseminate such messages. It is also important that governments, municipalities, medical associations, and other public institutions convey messages from physicians and that the media effectively spread those messages. Owing to the advances of Web 2.0 [ 23 ], health professionals’ grassroots communication with journalists and citizens via social media may provide opportunities for many people to access persuasive messages from physicians.

4.1.1. Limitations

First, the content of the intervention messages in this study may not represent voices of all governors, public health experts, physicians, patients, and residents of outbreak areas. Second, it is not clear from this study which sentences in the intervention message made the most impact on recipients and why. Third, this study assessed intention rather than actual behavior. Finally, it is unclear as to what extent the present findings are generalizable to populations other than the Japanese participants in this study.

4.2. Conclusion

In areas with high numbers of infected people, the message from a physician, which conveyed the crisis of hospitals being overwhelmed and the consequent risk of people being unable to receive treatment, increased the intention to stay at home to a greater extent than other messages from a governor, a public health expert, a patient with COVID-19, and a resident of an outbreak area.

4.3. Practice implications

Governors, health professionals, and media professionals may be able to encourage people to stay at home by disseminating the physicians’ messages through media such as television and newspapers as well as social networking services on the internet.

This work was supported by the Japan Society for the Promotion of Science KAKENHI (grant number 19K10615).

CRediT authorship contribution statement

Tsuyoshi Okuhara: Conceptualization, Methodology, Formal analysis, Investigation, Writing - original draft, Funding acquisition. Hiroko Okada: Methodology, Investigation, Writing - review & editing. Takahiro Kiuchi: Supervision, Writing - review & editing.

Declaration of Competing Interest

The authors declare that there is no conflict of interest.

Acknowledgement

We thank Hugh McGonigle, from Edanz Group ( https://en-author-services.edanzgroup.com/ac ), for editing a draft of the manuscript.

Appendix A.

Intervention: the message from a governor.

The following is a message from the governor of your local area.

Please avoid leaving your house as much as possible.

Staying at home can save lives and prevent the spread of infection.

Intervention: The message from an expert

The following is a message from an infectious disease control expert.

Intervention: The message from a physician

The following is a message from an emergency medical care doctor.

Intervention: The message from a patient

The following is a message from a patient who is infected with the novel coronavirus.

Intervention: The message from a resident

The following is a message from an individual who lives in an area where an outbreak of novel coronavirus has occurred.

A control message

According to the traditional definition, grinding one’s teeth is when somebody makes a sound by strongly grinding the teeth together, usually unconsciously or while asleep. Nowadays, it is often referred to as ‘teeth grinding,’ a term which also covers various actions that we do while awake.

Whether you are sleeping or awake, the non-functional biting habit of grinding one’s teeth dynamically or statically, or clenching one’s teeth, can also be referred to as bruxism (sleep bruxism if it occurs at night). Bruxism can be categorized into the movements of: sliding the upper and lower teeth together like mortar and pestle (grinding); firmly and statically engaging the upper and lower teeth (clenching); and dynamically bringing the upper and lower teeth together with a tap (tapping).

Bruxism is difficult to diagnose, as it often has no noticeable symptoms. Stress and dentition are thought to be causes of bruxism, but it is currently unclear and future research is anticipated.

Splint therapy, which involves the use of a mouthpiece as an artificial plastic covering on one’s teeth, and cognitive behavioral therapy are being researched as treatments for bruxism.

Appendix B.

All questions above were on a scale of 1–6, ranging from “extremely unlikely” to “unlikely,” “a little unlikely,” “a little likely,” “likely,” and “extremely likely.”

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The Long-Term Safety Argument over COVID-19 Vaccines

Concerns about long-term side effects have helped fuel vaccine hesitancy. An immunologist explains why we can be confident in vaccine safety.

Andrew L. Croxford

September 14, 2021

Widespread vaccination is generally regarded as the primary exit route out of the COVID-19 crisis, and for good reason. Even as we continue our collective struggle against the delta variant, we consistently observe reduced infections, morbidity, and mortality in fully vaccinated people living in nations fortunate enough to have supply and access to these products. This was a promise made after the highly anticipated publication of Phase 2/3 trials as a truly torrid 2020 drew to a close. That promise is now being delivered on for billions of people.

From my perspective and experience as an immunologist working in drug discovery, this was a glimpse of light at the end of the tunnel: the development of essential tools needed to rein in the global spread of SARS-CoV-2. It also represented the crystallization of efforts from countless scientists working together over decades. At that moment last winter when we viewed those now very famous Kaplan-Meier plots demonstrating outstanding vaccine efficacy—and the equally important safety data tables—it was apparent that life-saving products would soon become available and that the lives inhibited by restrictions, however necessary, can ultimately be restored.

Sadly, this remarkable achievement has not had as dramatic an effect as it could have. Vaccine hesitancy remains a very serious and costly obstacle for many countries, with the United States very much in the spotlight. While some hesitancy is rooted in longer trends, much of it appears to be driven by coordinated disinformation campaigns specific to this pandemic. Despite highly impressive safety profiles, strong efficacy, and continually encouraging data showing real-world vaccine effectiveness, numerous spurious and scientifically illiterate arguments to avoid the jab are reaching millions of people each day.

These efforts have taken a variety of forms. Staunch anti-vaxxers sow doubt more by fearmongering than by reasoned argument. Others present more specific concerns. Some have expressed concern at emergency use authorization rather than full approval by the U.S. Food and Drug Administration. This point is now moot, given that Pfizer/BioNTech won full approval in late August. (Moderna has submitted its own application for full approval and will almost surely win it soon.)

Perhaps the most stubborn challenge, however, is the contention that we lack “long-term” safety data for the vaccines. Assertions have been made on widely viewed broadcast media that the recent FDA approval has been rushed. The mRNA shots seem to attract the lion’s share of this particular scare, due to the claim that these are “new” technologies. Given their novelty, the worry goes, we need more data before we can make a more informed decision about how they might impact us in the long run. Comparisons are made to regulatory timelines for other medical products, with an apparent implication that corners were cut to recklessly fast-track approval—rather than streamlined, intelligent, and innovative trial design and coordinated efforts being responsible for their rapid availability in a time of great need.

On their face, long-term safety concerns appear reasonable for those trying to navigate their way through a misinformation minefield of bad takes, poor information, and incorrect assertions. But they are also regularly trotted out by the most ardent, bad faith antagonists of our best vaccination efforts, and in their most simplistic form they boil down to little more than the objection that we cannot be absolutely certain what the future holds. By that impossibly high standard, you should not leave your house tomorrow, lest you get struck by a car. The truth is that we have overwhelming evidence that COVID-19 vaccines are safe for the vast majority of people, with a small fraction of legitimate medical exemptions excluded. It is important to understand why—both for those who have already been immunized, and those who are still contemplating doing so. The argument turns not on blind trust in the system, but rather on our understanding of immunization at the mechanistic level, along with the huge quantity of available efficacy and safety information.

The time needed to generate confidence in the safety of any new product can vary substantially with the type of new therapy in question. Whatever the specifics, though, new products must run a gauntlet of biological assays and in vivo experiments—that is, trials carried out in a living organism, not just in the lab—specifically designed to shoot it down, uncovering hidden risks that may ultimately endanger a patient if not detected early on. Only the strongest survive this onslaught of caution, inching forward and baby-stepping. Before a product sees the first human, the costs involved to thoroughly de-risk the product can be substantial.

It is important to see where vaccines fit into this process. There are different types of pharmaceuticals, from small molecules (antihistamines, painkillers, steroids, and antibiotics) and biologics isolated from natural sources (monoclonal antibodies, insulin) to vaccines (some of which are considered biologics) and probiotics. Each category poses a unique risk profile based on intrinsic properties of the product as well as their intended targets in the body, and regulatory hurdles can differ substantially from one group to another. Studies to assess toxicity (subdivided into many categories, including phototoxicity and genotoxicity), carcinogenicity, cardiosafety, and teratogenicity—effects on the development of an embryo or fetus—are just some of the industry-standard prerequisites before most medications can enter larger human clinical trials, let alone approval.

But what about studies of long-term safety, in particular? Drugs that are administered daily, weekly, or monthly for chronic conditions accumulate safety data as time moves on, with updated findings periodically published. Take tofacitinib, a small molecule drug used in the treatment of rheumatoid arthritis; a study was published last fall demonstrating its long-term safety over nearly a decade of use, where many patients receive daily doses of the drug. Or consider secukinumab, a monoclonal antibody administered over the course of many years in the treatment of psoriasis and other chronic conditions; a 2019 study demonstrated its long-term safety profile. This cautious process of long-term safety surveillance is particularly paramount for other sorts of molecules that can have diverse effects beyond the intended biological target, or significant “polypharmacology”—as with many sorts of cancer chemotherapy .

The situation is quite different for vaccines. Importantly, vaccines do not remove or significantly attenuate biological functions in your body that can increase risk of opportunistic infections, as could be the case for tofacitinib or secukinumab. Also, and in contrast to many other drugs taken for extended periods of time, a vaccine is typically a single intervention, split over one or more doses (potentially with boosters to follow). Before any new vaccine for an infectious disease is permitted to enter Phase 1 testing (the first human doses), a robust package of nonclinical data is required, where safety and efficacy must be demonstrated in non-human species. The ongoing crop of clinical trials assessing effectiveness and safety of COVID-19 vaccines in people are divided into multiple endpoints, which reach completion over the course of a few years. For example, the estimated study completion date for the Pfizer/BioNTech vaccine is currently May 2, 2023 (still subject to change). But this does not mean that May 2, 2023, is the date on which we deem this vaccine to be safe. The main thing we will learn on that date is whether immunity lasts for several years; the safety ship has long since sailed.

Indeed, for the Pfizer/BioNTech vaccine, primary safety endpoints for serious adverse events conclude six months after the second dose. Why have the relevant authorities, manufacturers, and sponsors agreed on this length of time as adequate? What is it about 180 days that gives us the confidence to immunize billions of people? To answer this question, we consider the only two possible causal sources of long-term consequences: the components of the vaccine, on the one hand, and the immunization response itself, on the other.

Despite the very high-tech feel to mRNA vaccines, their ingredients are rather underwhelming. They contain tiny lipid particles —that is, fat—and some polyethylene glycol (PEG), a widely used laxative and excipient (a biologically inactive substance that is used to deliver an active one). A normal therapeutic sachet of the over-the-counter laxative Macrogol, for example, can contain 5 to 10 grams of PEG, while a single dose of an mRNA vaccine contains just 50 micrograms: hundreds-of-thousand-fold less. All but one other component of the mRNA vaccines are substances that can be found in comparable or greater amounts in milk products, soft drinks, fruits, or Jell-O. The final, most essential ingredient, of course, is some messenger RNA (mRNA), a type of nucleic acid, the code of which is “translated” into protein inside a cell. This type of RNA is present in virtually all of our cells: our genes, encoded in DNA, are first transcribed into mRNA before being translated into proteins. In the case of vaccines, mRNA molecules are delivered and translated, but they subsequently decay and disappear entirely over the days following vaccination, without the possibility for renewal. After all, we have no gene to refresh the vaccine-delivered mRNA encoding the spike protein. Once this mRNA is cleared from our bodies, the spike protein too is gone, having shortly existed as just one of tens of thousands of proteins in any given cell.

In short, we know exactly which substances are present in the vaccine formulations, and we possess a detailed and thorough understanding of their properties and safety profiles. We know that PEG can be a problem and anyone with a history of an allergic reaction to PEG or any other component is informed pre-jab. This is incidentally why you must remain under observation around fifteen minutes after vaccination: health care workers are looking for anaphylaxis, armed with EpiPens. While more mild allergic reactions have been documented in a low percentage of recipients, genuine vaccine-associated anaphylaxis remains to this day an exceedingly rare event , with just a few cases per million doses administered.

If we remove concern about the core components of a vaccine, the only way long-term adverse events could arise is due to the immunization response itself. To understand risk in this case, you need to understand what is happening in your body. The exact immune response elicited by COVID-19 vaccines varies between products, but in all cases, T cells are primed and move out of the lymph nodes looking for a fight just days after the first dose is administered. Systemic antibody levels rise substantially, increasing in abundance and affinity for the spike protein after the second dose, which functions as a trigger to enhance immunity and convince your immune system that this particular foreign protein is something you may regularly encounter and thus deserves to be taken seriously.

This complex, specific and intricate process spans a number of months. Ultimately, though, in the absence of further stimulation by new copies of the spike protein, the immune response settles down, and effector cells—those directly and transiently involved in fighting the virus—decrease in frequency. Instead memory cells are established, poised to quickly ramp up production of antibodies, and even to replicate themselves, settling into their biological niches in our bodies until called upon once more if we happen to get infected. (This is what confers immunity to the coronavirus over the long run.) Antibody concentrations, some weeks after immunization, begin to reach their peak concentration in our blood, ultimately plateauing and beginning their slow decline. After this point, the risk of severe immunization-related complications doesn’t increase. Quite the opposite, in fact: it declines to virtually nothing after about three months. The six-month endpoint for these products is thus a rather conservative timeframe. Forget five or ten years: the way your immune system works does not allow for such long-term safety concerns.

This is not to say immunization cannot lead to complications. But these extremely unlikely events are so improbable that they can only be identified and documented once millions of people have been vaccinated, which is far beyond the scope of the thousands of patients involved in any clinical trial. The mountains of data available to us now show that COVID-19 vaccine-related complications are exceedingly rare: a mere fraction of the multitude of poor outcomes associated with COVID-19. Conditions including (but not limited to) Guillan-Barré syndrome, anaphylaxis, vaccine-induced thrombotic thrombocytopenia (VITT), and myocarditis have all been observed in the first sixty days, with certain complications associated with the type of vaccine technology used (mRNA, as with Pfizer and Moderna, or adenoviral vector, as with Johnson & Johnson). We have been able to watch the mechanisms for detecting these rare events in action, and we are now capable of providing a would-be vaccinee with an approximate risk of severe adverse events to a vaccine. And in every population there exist people for whom receiving a COVID-19 vaccine is contraindicated —that is, advised against. But this fact only provides yet another reason for most people not covered by these conditions to get vaccinated: the altruistic effect of protecting others not fortunate enough to receive an immunization themselves.

To put vaccine risk in perspective, consider the most frequent serious adverse event in any demographic: the rate of myocarditis in younger males. According to available evidence , if Fenway park were filled to capacity with some 37,000 fully vaccinated men aged 18 to 24, just two might experience transient myocarditis. By contrast, if all 37,000 of these men were unvaccinated and infected with the delta variant, many more would experience a diverse array of clinical outcomes, including extended periods in hospital, virus-induced myocardial injury, and diverse post-acute health complications described as “long COVID.” In other words, the sum of the diverse risks associated with vaccination are dwarfed by the diverse and incompletely understood risks posed by the novel coronavirus.

One other notable subpopulation is children. There are calls to reduce the minimum age for those eligible to receive a COVID-19 vaccine to incorporate children of five years and older. As one would expect, and rightly demand, the safety bar for immunizing a healthy child for COVID-19 is exceedingly high, given the low likelihood of severe outcomes to the individual. Recent data has already shown that mRNA vaccines are highly effective in adolescents, and many countries have authorized mRNA vaccines for this demographic. On this front, caution is warranted and careful studies will allow us to conclude whether vaccination is safe for children. In the meantime, however, we must be patient. Never have we collectively scrutinized the safety and efficacy of a pharmaceutical product so closely, and confidence in future vaccine uptake beyond COVID-19 is at stake. A regulatory misstep at this stage could reverberate long into the future, with larger consequences for infectious disease control. It is this very principle that should provide confidence in any ultimate recommendation for our youngest.

Putting all this together, the implications for the long-term safety argument are clear. Interpreting personal risk based on complex data can certainly be overwhelming. There is no absolute certainty in biology and medicine; that is for the pure mathematicians. Yet it is crucial to recognize that the same holds true for any applied science—including all the engineering that goes into constructing the buildings we live and work in, the cars we drive in, and the bridges we cross every day. It is natural and important to be concerned about safety, and there is no doubt that COVID-19 has caused an unprecedented disruption to our lives. But the right question to ask isn’t whether we have absolute certainty; it’s whether we have enough certainty. And in the case of the COVID-19 vaccines, the evidence is overwhelmingly clear: we do.

Andrew L. Croxford is an immunologist with a career spanning academia and industry, specializing in the inflammatory mechanisms driving human disease.

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The Argument for Open Research in the Time of COVID-19

Most research disciplines, regardless of whether in STEM or social sciences, consist of a common approach — taking a specific methodology or approach, applying some computation to analyze whatever data are collected to gain insights into a new topic and draw conclusions. How these approaches and analyses are recorded and made available is critical to assess, reproduce, and fully understand the research, any resulting data and insights.

When research is publicly funded, there is a solid argument for what’s produced to be openly available and the need for open research suddenly gains clarity and focus during a global public health crisis. Health professionals around the world need, and absolutely should have, access to any new scientific diagnostic approaches, as quickly as possible. Emerging or trusted computational tools for modeling disease epidemiology, or approaches for machine learning prognosis using clinical characteristics, should be made available for immediate reuse by others.

A global scientific collaboration has been lauded as scientists come together to perform research during the pandemic. The New York Times piece, “ Covid-19 Changed How the World Does Science, Together ” noted:

“While political leaders have locked their borders, scientists have been shattering theirs, creating a global collaboration unlike any in history. Never before, researchers say, have so many experts in so many countries focused simultaneously on a single topic and with such urgency. Nearly all other research has ground to a halt.”

Many funders and health organizations are demanding that research approaches and results be made open. Preprints have offered one solution, and their value during this challenging time has been evident in the huge volume of COVID-19 related content appearing online. For example, this collection of COVID-19 SARS-CoV-2 preprints on medRxiv and bioRxiv has more than 1900 manuscripts.

Now, protocols.io and Code Ocean are working to ensure that those research approaches remain open. These open access online tools are ideal repositories for all protocol and methodological approaches as well as computational pipelines and code. Online collaborative research tools are helpful to researchers who are restricted in how they can work and collaborate. For those at the frontline conducting scientific research, these tools serve as an ideal way to share their insights and approaches. Here’s how protocols.io and Code Ocean are supporting the research community during this unprecedented time:

protocols.io

A dedicated open methods community in protocols.io.

When methods and protocols relating to the SARS-CoV2 virus and COVID-19 started to appear on protocols.io earlier this year, the protocols.io team quickly realized the value of creating the “ Coronavirus Method Development Community ”, a shared workspace for new protocols relevant to the virus. An incredibly fast-growing community on protocols.io, this Open Community already has more than 300 members and is growing daily.

On the Coronavirus Method Development Community, many members are active, adding comments to already posted protocols or starting their own discussion threads. The protocols are many and varied, from COVID-19 clinical diagnostic PCR approaches, viral plaque assays, methods to culture SARS-CoV-2, and Coronavirus sequencing protocols (some of which were adapted as new ‘forked’ versions of Ebola sequencing protocols that were already available on protocols.io). Other protocols include mask building ideas, how to 3D print personal protective equipment and the World Health Organization’s recommended hand-rub formulations.

When asked about using protocols.io during the current crisis, Public Health Virologist Ian MacKay, a member of the protocols.io open community noted the following:

“ protocols.io makes it possible to rapidly put our tested methods onto an open-access platform. It permitted ongoing curation of the protocol, and it provided us a platform for further discussion with the ability to really drill down into the nitty-gritty about the protocol with other users, if needed. We used protocols.io for our SARS-CoV-2 PCR methods as soon as we could. We wanted those who might not have access to expertise in assay design, optimization and validation so they could benefit from our work. protocols.io provides a global collegiality that is in dire need at times like these.”

Interested in protocols.io and Code Ocean?

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protocols.io Editorial Support

Alongside, and in support of, this motivated community, protocols.io has been working behind the scenes to grow and mobilize their team of editors to support researchers offering to import and check coronavirus-related protocols into the open community, then assigning the protocol back to the appropriate contact person.

Since the outbreak of COVID-19, the team at Code Ocean has announced unlimited cloud compute and storage for COVID-19-related projects. Code Ocean’s goal has always been to help accelerate the pace of research by providing researchers with a better way to develop, collaborate and share code and data. Science builds on transparency, replication and collaboration. Code Ocean is currently supporting researchers working on COVID-19 in the following two areas:

Rapid dissemination of interactive and open research results

Code Ocean provides in-browser access to compute capsules, permanent records of pre-built computational environments containing all software, code, data, and results for a project. Compute capsules allow researchers to instantly inspect and interact with published work, as well as dynamically update new code or datasets to explore new possibilities based on existing research.

One recent compute capsule accompanying a medRxiv preprint from the Global Policy Lab at The University of California, Berkeley is an example of the rapid and open research response to COVID-19. Hsiang et al . evaluated the effect of large-scale anti-contagion policies on the COVID-19 pandemic. The analysis includes 49 packages and code in Python, R and Stata, and public epidemiological datasets from 6 countries, all of which is open access and fully reproducible. The study finds:

“We estimate that, to date, current policies have already prevented or delayed on the order of eighty-million infections. These findings may help inform whether or when ongoing policies should be lifted or intensified, and they can support decision-making in the over 150 countries where COVID-19 has been detected but not yet achieved high infection rates.”

As the authors state in the capsule:

“The easiest way to interact with our code and data is via this Code Ocean capsule, because all of the relevant setup described below has been done for you.”

When a research project is published in a compute capsule, researchers interested in the work can directly re-run the analysis interactively in a built-in computational workbench, including a command line interface, JupyterLab/Notebook, RStudio, and Shiny on cloud instances with a few clicks on Code Ocean. Alternatively, researchers can also export the entire capsule and rebuild the project (using a Docker image) on their own devices without a Code Ocean account.

All capsules preserve the data used in the analysis even if this data is removed from the original public location in the future. Some capsules, including the example from Hsiang et al. above, also allow users to dynamically update the analysis with new data as they are being released.

Whether in-browser or rebuilt locally, interactive compute capsules can lower the barrier to examine and extend new research findings, potentially shortening decision-making cycles and helping with time-sensitive policies.

Convenient access to preconfigured cloud compute environments

In countries, campuses or labs experiencing disruptions or without access to research compute infrastructure, Code Ocean provides a web-based solution that can be accessed with only a laptop and the internet. Algorithms, simulations, and analyses in different programming languages can be easily shared and multiple collaborators added, enabling teams to continue research activities at a distance.

One difficulty with internal and external collaborations is onboarding collaborators. With Code Ocean, teams do not have to spend time setting up computational environments. Instead, new team members with different levels of technical experience can get started in the same computational environment right away.

For a complex disease like COVID-19, it takes time to gather the various pieces of the puzzle from researchers around the globe. Unfortunately, we’re in a race against time to better understand the pathology, the genetics that underpin the disease, and how best to control and treat, or vaccinate against COVID-19. Researchers need to avail themselves of tools that already exist to support and accelerate their ability to make progress in these vital efforts.

The combination of Code Ocean and protocols.io, along with other open tools, could significantly shorten the cycle to disseminate each advance and make the resulting efforts and insights reproducible. These tools reduce the iterations needed to confirm and build on results, whether formally published or preprinted, and they reduce the effort required to validate existing or emerging methods. Making the most of the combined power offered by research infrastructure tools that support and capture the development and dissemination of computational and/or experimental research processes, and facilitate research being built upon, will accelerate the overall pace of scientific discovery.

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As Bird Flu Looms, the Lessons of Past Pandemics Take On New Urgency

A woman wears a mechanical nozzle mask in 1919 during the Spanish flu epidemic.

By John M. Barry

Mr. Barry, a scholar at the Tulane University School of Public Health and Tropical Medicine, is the author of “The Great Influenza: The Story of the Deadliest Pandemic in History.”

In 1918, an influenza virus jumped from birds to humans and killed an estimated 50 million to 100 million people in a world with less than a quarter of today’s population. Dozens of mammals also became infected.

Now we are seeing another onslaught of avian influenza. For years it has been devastating bird populations worldwide and more recently has begun infecting mammals , including cattle, a transmission never seen before. In another first, the virus almost certainly jumped recently from a cow to at least one human — fortunately, a mild case.

While much would still have to happen for this virus to ignite another human pandemic, these events provide another reason — as if one were needed — for governments and public health authorities to prepare for the next pandemic. As they do, they must be cautious about the lessons they might think Covid-19 left behind. We need to be prepared to fight the next war, not the last one.

Two assumptions based on our Covid experience would be especially dangerous and could cause tremendous damage, even if policymakers realized their mistake and adjusted quickly.

The first involves who is most likely to die from a pandemic virus. Covid primarily killed people 65 years and older , but Covid was an anomaly. The five previous pandemics we have reliable data about all killed much younger populations.

The 1889 pandemic most resembles Covid (and some scientists believe a coronavirus caused it). Young children escaped almost untouched and it killed mostly older people, but people ages 15 to 24 suffered the most excess mortality , or deaths above normal. Influenza caused the other pandemics, but unlike deaths from seasonal influenza, which usually kills older adults, in the 1957, 1968 and 2009 outbreaks, half or more deaths occurred in people younger than 65. The catastrophic 1918 pandemic was the complete reverse of Covid: Well over 90 percent of the excess mortality occurred in people younger than 65. Children under 10 were the most vulnerable, and those ages 25 to 29 followed.

Any presumption that older people would be the chief victims of the next pandemic — as they were in Covid — is wrong, and any policy so premised could leave healthy young adults and children exposed to a lethal virus.

The second dangerous assumption is that public health measures like school and business closings and masking had little impact. That is incorrect.

Australia, Germany and Switzerland are among the countries that demonstrated those interventions can succeed. Even the experience of the United States provides overwhelming, if indirect, evidence of the success of those public health measures.

The evidence comes from influenza, which transmits like Covid, with nearly one-third of cases transmitted by asymptomatic people. The winter before Covid, influenza killed an estimated 25,000 here ; in that first pandemic winter, influenza deaths were under 800. The public health steps taken to slow Covid contributed significantly to this decline, and those same measures no doubt affected Covid as well.

So the question isn’t whether those measures work. They do. It’s whether their benefits outweigh their social and economic costs. This will be a continuing calculation.

Such measures can moderate transmission, but they cannot be sustained indefinitely. And even the most extreme interventions cannot eliminate a pathogen that escapes initial containment if, like influenza or the virus that causes Covid-19, it is both airborne and transmitted by people showing no symptoms. Yet such interventions can achieve two important goals.

The first is preventing hospitals from being overrun. Achieving this outcome could require a cycle of imposing, lifting and reimposing public health measures to slow the spread of the virus. But the public should accept that because the goal is understandable, narrow and well defined.

The second objective is to slow transmission to buy time for identifying, manufacturing and distributing therapeutics and vaccines and for clinicians to learn how to manage care with the resources at hand. Artificial intelligence will perhaps be able to extrapolate from mountains of data which restrictions deliver the most benefits — whether, for example, just closing bars would be enough to significantly dampen spread — and which impose the greatest cost. A.I. should also speed drug development. And wastewater monitoring can track the pathogen’s movements and may make it possible to limit the locations where interventions are needed.

Still, what’s achievable will depend on the pathogen’s severity and transmissibility, and, as we sadly learned in the United States, how well — or poorly — leaders communicate the goals and the reasons behind them.

Specifically, officials will confront whether to impose the two most contentious interventions, school closings and mask mandates. What should they do?

Children are generally superspreaders of respiratory disease and can have disproportionate impact. Indeed, vaccinating children against pneumococcal pneumonia can cut the disease by 87 percent in people 50 and older. And schools were central to spreading the pandemics of 1957, 1968 and 2009. So there was good reason to think closing schools during Covid would save many lives.

In fact, closing schools did reduce Covid’s spread, yet the consensus view is that any gain was not worth the societal disruption and damage to children’s social and educational development. But that tells us nothing about the future. What if the next pandemic is deadlier than 1957’s but as in 1957, 48 percent of excess deaths are among those younger than 15 and schools are central to spread? Would it make sense to close schools then?

Masks present a much simpler question. They work. We’ve known they work since 1917, when they helped protect soldiers from a measles epidemic. A century later, all the data on Covid have actually demonstrated significant benefits from masks.

But whether to mandate masks is a difficult call. Too many people wear poorly fitted masks or wear them incorrectly. So even without adding in the complexities of politics, compliance is a problem. Whether government mask mandates will be worth the resistance they foment will depend on the severity of the virus.

That does not mean that institutions and businesses can’t or shouldn’t require masks. Nor does it mean we can’t increase the use of masks with better messaging. People accept smoking bans because they understand long-term exposure to secondhand smoke can cause cancer. A few minutes of exposure to Covid can kill. Messaging that combines self-protection with communitarian values could dent resistance significantly.

Individuals should want to protect themselves, given the long-term threat to their health. An estimated 7 percent of Americans have been affected by long Covid of varying severity, and a re-infection can still set it off in those who have so far avoided it. The 1918 pandemic also caused neurological and cardiovascular problems lasting decades, and children exposed in utero suffered worse health and higher mortality than their siblings. We can expect the same from the next pandemic.

What should we learn from the past? Every pandemic we have good information about was unique. That makes information itself the most valuable commodity. We must gather it, analyze it, act upon it and communicate it.

Epidemiological information can answer the biggest question: whether to deploy society-wide public health interventions at all. But the epidemiology of the virus is hardly the only information that matters. Before Covid vaccines were available, the single drug that saved the most lives was dexamethasone. Health officials in Britain discovered its effectiveness because the country has a shared data system that enabled them to analyze the efficacy of treatments being tried around the country. We have no comparable system in the United States. We need one.

Perhaps most important, government officials and health care experts must communicate to the public effectively. The United States failed dismally at this. There was no organized effort to counter social media disinformation, and experts damaged their own credibility by reversing their advice several times. They could have avoided these self-inflicted wounds by setting public expectations properly. The public should have been told that scientists had never seen this virus before, that they were giving their best advice based on their knowledge at the time and that their advice could — and probably would — change as more information came in. Had they done this, they probably would have retained more of the public’s confidence.

Trust matters. A pre-Covid analysis of the pandemic readiness of countries around the world rated the United States first because of its resources. Yet America had the second-worst rate of infections of any high-income country.

A pandemic analysis of 177 countries published in 2022 found that resources did not correlate with infections. Trust in government and fellow citizens did. That’s the lesson we really need to remember for the next time.

John M. Barry, a scholar at the Tulane University School of Public Health and Tropical Medicine, is the author of “The Great Influenza: The Story of the Deadliest Pandemic in History.”

The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips . And here’s our email: [email protected] .

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How to Write a Persuasive Essay About Covid19 | Examples & Tips

Steps to Write a Persuasive Essay About Covid-19

Step 1: Choose a Specific Thesis Statement

Step 2: Research and Gather Information

Step 3: Outline Your Essay

Step 4: Write the Introduction

Step 5: Provide Background Information

Step 6: Develop Body Paragraphs

Step 7: Address Counterarguments

Step 8: Write the Conclusion

Step 9: Revise and Proofread

Step 10: Cite Your Sources

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Tips to Write a Persuasive Essay About Covid-19

Choose a Specific Angle

Provide Credible Sources

Use Persuasive Language

Organize Your Essay

Emphasize Benefits

Use Visuals -H3

Call to Action

Revise and Edit

Seek Feedback

Common Topics for a Persuasive Essay on COVID-19

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What impact does COVID-19 have on society?

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