Enemies of Reason Poundshop potshots at the media moral maze.

17Jul/099

Swine flu and panic

The first thing to bear in mind, before reading any newspaper coverage of swine flu, is that if you have swine flu, and then die, that doesn't necessarily mean you've died of swine flu. For example, you could be dying of cancer, then get swine flu, then die from your cancer.

The second thing to bear in mind is that reporters who write about swine flu will know this fact. They know that one thing does not necessarily confirm the other. They will know that people who die, having caught swine flu, may not necessarily have died from swine flu.

Which makes it unforgivable that the link is being blithely made by newspapers up and down the country, including national papers, who should know better. In fact I can't help concluding they're not stupid, they're not ignorant; that they do know better, but that they have simply decided to mislead their readers. Swine flu deaths are a better story than people with swine flu dying from other illnesses; and a better story than people with weakened immune systems or existing health problems, for example, succumbing to swine flu.

It's interesting to compare and contrast this attitude with how newspapers cover hospital-acquired infections. Imagine a terminally ill patient, who was dying anyway, contracts MRSA or C-difficile in hospital, possibly that they've acquired from their visiting relatives rather than by licking a dirty hospital floor - how is that then reported? OUR HOSPITALS ARE KILLING US! Again, the truth is a little more complicated. Not loads more complicated. But it is the truth, unlike simply imagining that 'dirty hospitals' kill people who would otherwise have been tickety-boo. Not that there isn't a problem with hygiene causing deaths, because of course there is; it's just that I don't think it's a million times more difficult to represent these things accurately. Readers of newspapers are intelligent people; they deserve to be treated with respect, and told what's actually going on, in detail, rather than a grossly simplified version of it, inevitably the most panic-inducing version of it.

The Daily Express, of all people, attempted to try and ask people not to panic earlier this week. As these images show, it's a bit rich coming from them. Today, they've gone back to deciding that it is time to panic after all:

350 WILL die? They WILL? No doubt about it? This from the paper that earlier this week asked people not to panic. Some chance, with front pages like that!

The Mail's story today shows you how they turn the facts of the situation into the "Aaaargh! We're all gonna die!!!!!!" narrative they want in order to scare their readers:

A baby is fighting for its life in hospital today after its mother gave birth prematurely before dying from swine flu.

Sounds like the mother definitely died from swine flu then, doesn't it? The phrase 'dying from swine flu' is a bit of a giveaway. But are we really sure about that?

A hospital spokesman said: 'Whipps Cross University Hospital NHS Trust can confirm that a 39-year-old woman passed away on July 13, 2009 and that she was infected with Pandemic H1N1. The trust can confirm that she had underlying health conditions.'

Hmm. That's not the same thing at all, is it? And incidentally, I wonder why we haven't seen pictures of this woman all over the papers?

The pregnant woman died at Whipps Cross Hospital in the capital. She is thought to have been a paraplegic after a car crash several years ago.
Relatives of the victim, who lived in London but is originally thought to be from Bangladesh, are said to be caring for her five other children.

Yes, that'll be it.

Watch the deception at work here as well:

Other victims include American tourist has become the latest to die from swine flu in the UK after falling ill during a holiday in Scotland with her husband.
She had been in intensive care at Raigmore Hospital in Inverness for three weeks but died yesterday.

The use of the word 'victim' implies that the person who died must have died from swine flu, doesn't it? But wait:

It is understood she had 'significant' underlying health problems.

Perhaps not a swine flu 'victim' then? Perhaps not. Or perhaps so. Why would it hurt to express the genuine uncertainty about the facts of the situation? Why portray this poor person as being a swine flu 'victim'? What does that achieve, apart from making the virus appear more lethal than it may well be?

Also in the Mail there's this:

Chief Medical Officer Sir Liam Donaldson has ordered the NHS to plan for this worst case scenario, although he stressed he was making assumptions not predictions.

It's sensible to plan for a worst-case scenario, so that if it does happen then the health service is prepared - that's entirely reasonable. But unfortunately, despite the stressing of it being 'assumptions not predictions' we get headlines like the one in the Express today: 350 WILL DIE A DAY. Not might or could, but WILL. That's how newspapers use language to ramp up the tension, turn a possibility into a certainty, and mislead their readers.

In the coming weeks, swine flu might well be 'getting serious'. But there is no way of knowing. But a mass panic over swine flu by healthy people could overwhelm the health service and cause severe problems, even deaths, for people with more lethal illnesses than swine flu currently is, who might have to wait longer for treatment. If that did happen that would be a real tragedy, and an avoidable one at that. That's why newspapers have a responsibility to be careful about what they report. They're not, and it's shameful.

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Comments (9) Trackbacks (0)
  1. Fleet Street Blues is berated the Beeb for not being scarier:

    http://fleetstreetblues.blogspot.com/2009/07/bbc-on-swine-flu-whatever-you-do-dont.html

    Their argument seems to be that the BBC's coverage of swineflu should accept the worst case scenario as the default outcome and push the rest of its coverage from there. Isn't that just grabbing the biggest number on the page rather than trying to inform readers?

  2. I must say the number of cases, on a personal level, are increasing at a speedy rate.

    I knew no one with it until this week and now 3 of my friends have it.

  3. Summed up neatly in a snippet from the Daily Mash 'Swine flu deaths hit 29 and could reach 14,000,000,000,000, 000,000,000,000,000
    "Or 30, maybe 31," says chief medical officer"'

  4. Lets do a quick number crunch. Lets say people in the UK live for an average of 80 years, that means 29200 days. You would presume then that 1 in 29200 people will die on any given day.

    How many people have had/have swine flu? Those numbers simply don't exist anymore, at least not acurrate ones but if we were to assume that it is in the low hundreds of thousands then you could quite reasonably expect 10 people with swine flu to die on any given day without it having a thing to do with flu at all.

    You'll probably find the next stage in the tabloid coverage will be just like how they cover the weather, when the worst doesn't happen they'll run the "experts don't know what they are talking about" story.

  5. Great article. The Sun have also (unsurprisingly) made their own 'contribution', echoing the Daily Express headline. Although not as deceitful as Express' lie that 350 people WILL die, it commented that 65,000 people might die from Swine Flu without at all mentioning that this is the worst possible case scenario. yet another instance of irresponsible journalism

  6. A few days ago, you wrote:

    "It shows the lack of imagination in modern newspapers and why they are rightly dying."

    Looking at all those swine flu headlines, I'm not sure if they display a lack of imagination or a massive surplus thereof. Either way, they can't die quick enough for me. Maybe swine flu can help?

  7. I'm amazed the tabloids are still carrying on like this, months into the supposed crisis.

    I got back to the UK from Melbourne, Australia, 10 days ago, where I had a suspected case and got over it in a week or so. (It's like having a constant hang-over.) The pig flu is quite common in Melbourne and abidingly very mild – often more mild than the regular seasonal flu. Hence doctors no longer bother to test for strains of flu or prescribe tamiflu to mask the symptoms unless, as you point out, there are serious underlying medical issues already. The people dying of the pig flu are those in similar situations to people who die from regular seasonal flu.

    Even the respectable middle class broadsheets in Australia were prediction cataclysmic results, just short of a complete social breakdown. They're all a bit embarrassed about it now, as are people who took the scaremongering seriously.

    If newspapers have to report on certain deaths, why don't they report on the certain deaths that occur every minute of every day from malnutrition and preventable, treatable diseases and tell their readers what they can do to help?

  8. panic sells papers. it's incredibly irresponsible but that's the only reason they do it.

  9. Much as I agree with everything you've said, there is a slight flaw.

    The school I'm head of is a special school with lots of kids with "significant health problems" – in fact all but 12 are considered a high risk group if they contract swine flu. My worry has been not that someone at the school will get swine flu (and none have been 'confirmed' but I'm sure we've had several) – but that some of those who do will die. Past experience with other relatively minor illnesses tells me that this is more than just a theoretical risk.

    In fact we appear to be over the worst – all suspected cases among staff and kids have returned to work, and none have suffered severe illness. A daughter of a staff member was quite ill – she has another health problem, and the family have all had tamiflu.

    We did cancel one governors meeting while we sorted ourselves out, (which caused more problems than it solved with people panicking. Apart from that it's been a storm in a teacup – I hope !


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