Analysis

Profiting from panic: the bizarre bogus cures and scams of the coronavirus era

By Alaa Ghoneim, Saiful Salihudin, Isra Thange, Anne Wen, Jan Oledan, Jacob N. Shapiro, July 24, 2020

Infodemic Monitor

Profiting from panic: the bizarre bogus cures and scams of the coronavirus era

By Alaa Ghoneim, Saiful Salihudin, Isra Thange, Anne Wen, Jan Oledan, Jacob N. Shapiro, July 24, 2020

Credit: Matt Field/Pixabay

As the world awaits a scientifically proven treatment for COVID-19 alternative and evidence-free remedies such as pure vodka in Fiji or dried fish in Egypt have been circulating online. Since March, we have been cataloguing the various misinformation narratives around the coronavirus pandemic and have found more than 243 distinct storylines about false cures, preventative measures, and diagnostic procedures. This misinformation involves promoting existing drugs, alternative medicinal practices, and everyday food items as treatments for coronavirus. In many cases, companies or individuals have even tried to profit off of naïve individuals by selling bogus cures and making exaggerated claims about their products.

Old drugs new uses. One of the most common threads of misinformation around coronavirus treatments and preventative measures involves the repurposing of existing medical treatments—whether for malaria, bacterial infections, or pain relief. Common drugs such as aspirin as well as prescription drugs such as chloroquine, hydroxychloroquine, and azithromycin have been touted without evidence or with limited evidence as effective against COVID-19.

In the case of chloroquine and hydroxychloroquine, two related anti-malarial medicines, the drugs’ potential as treatments for the coronavirus may have once been a source of hope for many, even as strong evidence of their effectiveness was lacking. Despite the efforts of fact-checkers, we saw the narratives touting chloroquine or hydroxychloroquine as cures for COVID-19 appear in many countries from as early as March to the end of May. A common format of these stories involved reputable national scientists emphasizing the success of clinical trials. For example, even after experts began to raise serious questions about influential French research that purported to show that hydroxychloroquine was effective, a well-known news site in Pakistan published an interview with a scientist who discussed the supposedly successful use of hydroxychloroquine and azithromycin as a COVID-19 treatment in France.

Myriad other medications have been recommended as treatments for COVID-19. In Italy, a pharmacist claimed that Avigan, an antiviral medication, was being used in Japan as a cure and accused Italian pharmaceutical companies of concealing the potential treatment for profit reasons. This claim was debunked based on the drug’s limited success. In other countries a wide range of unsubstantiated treatments have been promoted, including: the antiseptic Betadine (Tunisia) and even supposedly antibiotic aspirin (Philippines and Germany). The final claim is ludicrous on two fronts: COVID-19 is a viral disease, not a bacterial illness treatable by antibiotics, and aspirin, of course, is not an antibiotic. Yet, in India, aspirin mixed with home remedy ingredients such as lemon juice and honey has been hailed as a cure in a set of viral WhatsApp and Facebook messages.

Some fake cures have repurposed alternative and non-Western medicinal practice. Homeopathic treatments, in particular the remedy Arsenicum Album 30, have been promoted in countries including the United States, Pakistan, and India. In homeopathy (itself a disputed practice), it is used to treat respiratory ailments like coughs or asthma, but experts in India, where it has been promoted by a government agency and widely distributed, say there is little evidence of its effectiveness against the coronavirus. Some political leaders are guilty of promoting these false cures. In India and Nepal, some politicians have even been falsely claiming on Twitter that homeopathy cured the United Kingdom’s Prince Charles. Other false treatments circulating in various countries online include Artemisia, a genus comprising medicinal herbs such as wormwood, sagebrush, and tarragon (Guinea), Agarwood (China), and Neem leaves (Malaysia, Guinea, Côte d’Ivoire).

Fake cures to eat, drink, and absorb. Everyday food items and essential vitamins with no scientifically proven therapeutic or preventative effect against the coronavirus have become popular home remedies as well. In China and Japan social media misinformation led to increased purchases of fruits, yogurts, and seasoned food, such as natto, a common fermented bean dish, driving up sales and triggering panic as supermarkets rushed to restock shelves. In China rumors that foods such as garlic, onion, ginger, and chili were useful in preventing coronavirus infection were spreading as of early March. According to The Kathmandu Post, a local government agency in Nepal, while wisely urging people to stay out of crowds, also recommended they use turmeric and garlic to inhibit COVID-19. In the Middle East and North Africa consuming honey, herbal teas, and Vitamin C rich foods was also encouraged by experts in herbal medicine.

Several dubious liquid concoctions have also been rumored to cure COVID-19. Israelis, according to one fake cure that circulated on Facebook, don’t worry too much about COVID-19 because they drink a lemon and baking soda tea each night. The concoction will “keep you alkaline all night,” according to one Facebook poster. In Iran, camel’s urine , milk with honey, and olive oil have been touted as cures. Through social media, rumors in one geographic region spread to countries far away; the bogus lemon and baking soda tea cure spread in both India and Israel.

And there is plenty of misinformation about other factors such as lifestyle practices or clothing said to be effective against the spread of coronavirus. Congo Check, a fact-checking organization in the Democratic Republic of Congo, reported on messages spread on Facebook and WhatsApp that falsely claimed that sunbathing could cure COVID-19. While sunlight may kill the virus outside the body, medical experts say it won’t cure a coronavirus infection. In the United States, President Donald Trump was a chief purveyor of this sort of misinformation when in April he suggested that somehow getting UV light into the body could be effective against COVID-19. Experts, including the German Federal Office for Radiation Protection, have warned people against exposing themselves to UV light devices meant for medical or industrial disinfection. Meanwhile, in South Korea and China recommendations to wear specific items to prevent catching the virus, such as anti-static clothing and special protective necklaces circulated online.

Pandemic profiteers. People have long attempted to profit from disaster. After Hurricane Katrina and more recently after Hurricane Harvey there were reports of phishing scams, criminals soliciting donations for non-existent charities, and other frauds. So, what makes the current coronavirus pandemic different? These natural disasters were one-off, geographically concentrated events. The global spread of COVID-19 provides a common topic around the world for those seeking to profit off of misinformation.

The COVID-19 crisis offers opportunities for criminals to profit through fraudulent schemes and products. Scammers have been using the pandemic to lure unaware individuals into disclosing their personal information. Some phishing schemes have even involved the promise of medical products. In China, scams about an application to purchase face masks, were debunked by the authorities. A website in South Korea that falsely advertised a free vaccine from the United States was taken down. In addition to the schemes to steal information, other plots involve selling fake cures. In the United States, some people have been promising COVID-19 cures for profit, far-right celebrity radio host Alex Jones was pitching a  “nano-silver” toothpaste,” for example. Multiple sellers on Amazon, have advertised unverified remedies including vitamins, herbal supplements, and even prayer books to end COVID-19.

Apart from misguided entrepreneurship from conniving individuals, opportunistic firms have also been engaging in fraudulent practices. In March, despite rising coronavirus cases, a German beer company promoted a beer festival, claiming that one of the beers can act as a form of oral vaccine. In South Korea, a company exaggerated claims that a car air purifier they produce destroyed 99 percent of bacteria, including COVID-19, this despite the fact that the coronavirus is not a bacterium. Another firm sold a line of deodorant with promised but unproven virus killing effects.

The consequences of such widespread misinformation that repurposes existing medical treatments, alternative medicines, lifestyle practices, and foods as treatments or preventative measures relevant to the coronavirus are threefold. First, it creates a sense of false hope, undermining the severity of the pandemic. Second, many of the claims are not backed by scientific evidence, and thus may lead individuals to take risky actions in the mistaken belief that their baking soda tea or sunbathing habits will protect them. And finally, the fact that these treatments may sound legitimate—in that they reference real or familiar medications or come from trusted peers on social media—means that they could encourage individuals to medicate at home and avoid professional help when experiencing symptoms of the coronavirus.

The desperation many people have for a cure or treatment for COVID-19 is understandable. In the United States, for example, there isn’t yet a fully-approved drug to treat the deadly disease. But in the case of the false cures being promoted online, something is almost certainly not better than nothing.

Editor’s note: This is the third installment in a series by researchers working with Princeton University’s Empirical Studies of Conflict’s COVID-19 disinformation project. Led by professor Jacob Shapiro and Jan Oledan—a research specialist for the conflict studies project—students at Princeton and other universities are cataloguing the various false narratives cropping up online about the COVID-19 pandemic. Readers can see the team’s disinformation spreadsheet here.

As the coronavirus crisis shows, we need science now more than ever.

The Bulletin elevates expert voices above the noise. But as an independent, nonprofit media organization, our operations depend on the support of readers like you. Help us continue to deliver quality journalism that holds leaders accountable. Your support of our work at any level is important. In return, we promise our coverage will be understandable, influential, vigilant, solution-oriented, and fair-minded. Together we can make a difference.

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Keywords: Coronavirus, Disinformation, Infodemic Monitor
Topics: Analysis, Disruptive Technologies

 

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4 years ago

Under “fake cures,” this striking and otherwise valuable compilation states: “Everyday food items and essential vitamins with no scientifically proven therapeutic or preventative effect against the coronavirus have become popular home remedies as well…[with] Vitamin C rich foods…encouraged by experts in herbal medicine…[and] unverified remedies including vitamins….” It’s true that vitamins are not yet proven specifically active against SARS-CoV-2, the viral pathogen causing COVID-19, because this novel virus is too new for rigorous clinical trials to have been done yet—in the unlikely event anyone wanted to fund these costly tests for cheap, unpatentable, over-the-counter products. But it’s also true and… Read more »

Alaa Ghoneim

Alaa Ghoneim is a Research Assistant at the Empirical Studies of Conflict Project in Princeton. She graduated from Princeton University, where she... Read More

Saiful Salihudin

Saiful Salihudin is a Master of International Affairs candidate at Columbia University’s School of International and Public Affairs (SIPA),... Read More

Isra Thange

Isra Thange is a rising junior at Princeton University, majoring in the Princeton School of Public and International Affairs, and pursuing... Read More

Anne Wen

Born and raised on the island of Guam, Anne Wen is a rising junior at Princeton University studying international affairs with minors in journalism... Read More

Jan Oledan

Jan Oledan is a Research Specialist at the Empirical Studies of Conflict Project based in Princeton, New Jersey. He holds a master’s degree in... Read More

Jacob N. Shapiro

Jacob N. Shapiro is Professor of Politics and International Affairs at Princeton University and directs the Empirical Studies of Conflict Project. He... Read More

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  • Under "fake cures," this striking and otherwise valuable compilation states: "Everyday food items and essential vitamins with no scientifically proven therapeutic or preventative effect against the coronavirus have become popular home remedies as well...[with] Vitamin C rich foods...encouraged by experts in herbal medicine...[and] unverified remedies including vitamins...." It's true that vitamins are not yet proven specifically active against SARS-CoV-2, the viral pathogen causing COVID-19, because this novel virus is too new for rigorous clinical trials to have been done yet—in the unlikely event anyone wanted to fund these costly tests for cheap, unpatentable, over-the-counter products. But it's also true and well-documented that:

    1. If properly dosed (https://medium.com/@amorylovins/a-users-guide-to-vitamin-c-in-the-context-of-covid-19-e6907da69787), oral vitamin C can help prevent or mitigate virtually all previously known viral pathogens (including those, including coronaviruses, causing the common cold), and the basic science supports the inference that it should also be effective against this new one too (https://medium.com/@amorylovins/dont-just-avoid-the-virus-defeat-it-by-strengthening-your-immunity-df850239132d).

    2. High-dose intravenous vitamin C is used in many treatments for serious COVID-19 infections, such as severe pneumonias, and for sepsis and other acute conditions; this modality has entered standard treatment regimes from Shanghai to New York City's biggest hospital group (id.), suggesting its value against SARS-CoV-2—a hypothesis now being tested by at least six clinical trials set to report from this summer through ~2022.

    3. It would be wrong to imply that any vitamin can stop the pandemic or infallibly prevent or cure individual COVID-19 infections. Yet it's equally wrong to imply that properly used vitamins and nutrients aren't among the well-understood measures that could increase the immune competence of the general population—a vital part of any sound anti-pandemic strategy (https://www.bmj.com/content/368/bmj.m1198/rr-3), though still greatly underreported and underapplied. Avoiding exposure, improving treatments, and striving to develop a safe and effective vaccine are all essential, but reducing host hospitality is vital too. Not giving it proper weight in policy and in public information is irresponsible.

    4. "Gold-standard" randomized double-blind clinical trials are an important tool for pre-testing modern drugs and vaccines to ensure that their effectiveness justifies their cost and potential risk. However, this is not the appropriate method or standard for exceptionally safe, cheap, and available agents like vitamin C. On the contrary, conventional medical risk/benefit calculus would favor trying such agents immediately, especially for those most at risk, on the common-sense grounds that they've extremely likely to hurt and may well help. Health authorities' unwillingness to adopt or apparently even consider this option is inexplicable and inconsistent with normal public-health goals and methods. Not for the first time in medical history, many people may be dying of a preventable condition called "bad medical epistemology."

    5. Having largely avoided the peculiar historic prejudices that make many physicians and journalists wrongly suppose vitamin C can't help prevent or cure colds and has been generally discredited (https://doi.org/10.3390/nu9040339), vitamin D is now starting to be accepted as a reasonable and useful part of many anti-COVID-19 regimens (https://www.theatlantic.com/health/archive/2020/06/paging-dr-hamblin-can-vitamin-d-stop-coronavirus/612547/), particularly for the many people with chronically suboptimal levels of it.

    Vitamins generically, and vitamins C and D in particular, thus do not belong among "bizarre bogus cures and scams." I'll send the authors a summary of scientific evidence with which they seem unfamiliar, in the hope they'll correct this erroneous part of their important contributions.