Health literacy and empowerment in the COVID-19 era

The COVID-19 pandemic presented a teachable moment to empower citizens to assess and apply information to protect their health by promoting critical health literacy. Most Americans took preventive measures, suggesting some overall increase in critical health literacy around infectious disease. Simultaneously, however, a torrent of misinformation, disinformation and malinformation intentionally buried facts, sewed doubt and confusion, promoted lies and conspiracies, and undermined health authorities and institutions. The authors discuss how this ‘infodemic' rose from previously localized, unconnected anti-vaccination, anti-government, and anti-science groups galvanized by the pandemic. Prominent politicians seeking political gain lent the power of their offices to the movement, layering a ‘polidemic' onto the infodemic and overwhelming inconsistent public health messaging. Even those with strong health literacy skills were challenged. Millions were misled to over-confidently self-manage their risk, revealing the possibility and perils of empowerment in the absence of critical health literacy skills – negative empowerment. The roots of resistance to the government response to COVID-19, and conditions that fostered its influence are examined, followed by recommendations to position health literacy scholars and practitioners to better meet communication challenges and opportunities in future crises. [ FROM AUTHOR] Copyright of Information Services & Use is the property of IOS Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

An assessment of the impact of formal and informal messages about COVID-19 on the knowledge and practices for prevention and control among rural and urban communities in Ecuador

This study was conducted to evaluate the impact of formal and informal messages transmitted to urban and rural communities in Ecuador, on the knowledge of prevention and control of the SARS-CoV-2 pandemic. Six focus groups were carried out with six to eight people per group through Zoom platform, from August 2020 to April 2021;NVivo 12 software was used for the thematic analysis of the data. Thirtynine people, including male and female, participated in the study with mean age 39 years. Main outcomes included: use of alternative medicine for prevention and control of COVID-19;religious acceptance;impact of COVID-19 on mental health;lack of understanding and knowledge of the disease;and the mixed messages shared through official and unofficial channels about virus prevention and control. The study demonstrates the importance of using formal channels of communication to transmit accurate information, to reach people regardless of their geographical location. © 2023 Author(s).

Prophetic Witness in Cyberspace during Pandemics

Prophetic witness has been around since Biblical times, when prophets spoke truth to power on behalf of God. In the South African context, prophetic witness saw the church speaking out against the injustices of colonialism and apartheid using various forms of protest. In post-1994 democratic South Africa, prophetic witness had to be reimagined in the public square, a process which appropriated various modes of prophetic witness. Cyberspace encompasses information technologies which manifest into a "virtual" world, and social media is one of the platforms of cyberspace. Theological and religious scholars have argued that the Internet is an essential space for religion, and this article further argues that cyberspace can also be regarded as a public space for prophetic witness. The role of social media users during pandemics, such as COVID-19, has the implications of spreading information, misinformation, and misconceptions at a rapid pace. Many churches used the virtual space to provide spiritual and emotional support during the COVID-19 pandemic. This article argues that the church also has a prophetic role to play, especially in the social media space, regarding the dissemination of information during a pandemic. Therefore, the main task of this article is to utilise Nico Koopman's five modes of prophetic witness, namely visionary, critics, storytellers, technical analysts, and policymakers in cyberspace in the recent COVID-19 pandemic and future pandemics.

Mental health predictors during the COVID-19 lockdown

This study evaluates some predictors of mental health during the COVID19 lockdown. An online survey with ad hoc instruments and the Goldberg General Health Questionnaire was administered to 2011 participants. Using descriptive analyses and stepwise regressions, moderate and low levels of social dysfunction, depression, and anxiety and medium and high levels of worry and boredom were identified. In relation to the prediction, we found that greater negative evaluation of COVID19, greater boredom, a negative attitude towards the situation, younger age and a higher level of worries about COVID19 predicted greater social dysfunction. Likewise, a higher level of worries, greater boredom, a negative attitude towards the situation, greater negative evaluation of COVID19 and being a woman, predicted greater depression and anxiety. The findings provide the basis for the development of prevention programs for a health crisis situation, such as the COVID19 pandemic. © 2023 Asoc. Espanola de Psicologia Clinica y Psicopatologia. All rights reserved.

COVID-19 Infodemic and Misinformation: A Global Review and Implications for Zimbabwe

The advent and rapid spread of the coronavirus resulted in the need and demand for timely and reliable information about the contagion. The absence of such information led to a massive COVID-19 infodemic paddled on different forms of media. Myths, conspiracies, rumours and misinformation about the disease rapidly spread across the globe causing panic, anxiety, racism and sometimes false hope. The chapter examines the different sources of COVID-19 misinformation that led to the infodemic and then analyses the implications of the infodemic on Zimbabwe. The chapter uses secondary data in the form of available documents and reports on COVID-19 misinformation. Qualitative thematic analysis was used to analyse the collected data. The results show that COVID-19 infodemic is one of the factors that have prolonged and intensified the pandemic. This is because there was an overabundance of false information, especially on social media platforms, which made it difficult for affected people to get reliable guidance when they needed it. Zimbabwe, like most African countries, has been equally impacted because there is limited capacity to counter health misinformation. There are no specific indicators permitting the monitoring of misinformation and its impact. There is therefore a need for different stakeholders in the country to partner in the development of robust infodemic management strategies and/or policies. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.

Misinformation as a Societal Problem in Times of Crisis: A Mixed-Methods Study with Future Teachers to Promote a Critical Attitude towards Information

Global society is facing major challenges, which are to be met by pursuing the Sustainable Development Goals (SDGs). Digitalization processes bring many opportunities for achieving SDGs, but they also bring pitfalls. For example, on one hand, social media makes it easier for more parts of society to participate. On the other hand, the ability to rapidly circulate unfiltered information can lead to the spread of misinformation and subsequently interfere with the achievement of SDGs. This effect could be observed during the COVID-19 pandemic and continues to occur in the context of climate change. Young people are especially likely to be exposed to misinformation on social media. With this in mind, it is enormously important for schools to prepare young people to critically handle the overload of information available online. The aim of this study was to provide future middle and high school teachers with a fruitful approach to foster a critical attitude towards information in classrooms. To this end, we expanded an existing approach by implementing active, technique-based inoculation and technique-based debunking within the COVID-19 content framework in a teacher education course. This implementation was monitored by a mixed-methods study with n = 24 future middle and high school teachers who participated in two courses in subsequent semesters. By performing statistical analysis on pretests and posttests and qualitative content analysis on reflective journal entries, we found that future teachers' self-efficacy expectations for detecting and debunking misinformation, as well as their debunking skills, increased throughout the courses. In addition, our results show that future teachers perceive active, technology-based inoculation as a helpful approach for their future teaching. They feel that this approach can be a way to implement education for sustainable development in schools with a focus on the promotion of critical thinking. In summary, we believe that the approach presented in this article may be beneficial for teaching the critical treatment of information in various thematic contexts. © 2023 by the authors.

STRESS IN THE ELDERLY IN THE CONTEXT OF THE COVID-19 PANDEMIC AND ITS ASSOCIATED FACTORS

Objective: To identify stress in the elderly living in the city of Lima and its association with demographic factors, infodemics, the presence of physical and psychological symptoms, and the use of illicit substances in the context of the Covid-19 pandemic. Method: Quantitative, transversal, and analytical study through the web-based survey with 384 elderly from the city of Lima-Peru between April and August 2021. The instruments of demographic profile, Perceived Stress Scale, and self-reported symptoms were used for the study. The Multiple logistic regression was used, considering the significance level of 5%. Results: 62% were women, and the age ranged between 60 and 95 years with a mean of 70.5. The stress average was 26.8 points. Stress was associated with fear of relatives dying and concern for the elderly. Conclusions: it is important for health professionals trained to identify changes in mood in the elderly and to create individualized care plans. © 2023, Universidade Federal do Parana. All rights reserved.

Mitigating misinformation about the COVID-19 infodemic on social media: A conceptual framework.

During coronavirus disease 2019 (COVID-19), the term 'infodemic' was used to depict the abundance of information about COVID-19 on social media that may overwhelm users, as well as misinformation about the virus because of the lack of authentication of information posted on social media. Both the World Health Organization and United Nations have warned that infodemics can become a severe threat to health care if misinformation on social media is not addressed in a timely manner. The objective of this study was to develop a conceptual framework that can be used to mitigate misinformation about the COVID-19 infodemic on social media. A structured literature review of purposively sampled scholarly publications from academic databases was conducted. The inclusion criteria chosen were scholarly papers that investigated infodemics on social media during the COVID-19 pandemic in the past 4 years, which were analysed using thematic and content analysis. The conceptual framework used Activity Theory as the theoretical foundation. The framework identifies a set of strategies and activities for both social media platforms and users to mitigate misinformation on social media during a pandemic. This study, therefore, recommends that stakeholders utilise the developed framework on social media to reduce the spread of misinformation. Contribution: Based on the literature review, there are negative health outcomes during a social media infodemic because of the spread of misinformation on social media. The study concluded that by implementing a set of strategies and activities identified through the framework, health information can be managed on social media to improve health outcomes.

Frequent hospital presenters' use of health information during COVID-19: results of a cross-sectional survey.

BACKGROUND: High-frequency hospital users often present with chronic and complex health conditions and are at increased risk of serious morbidity and mortality if they contract COVID-19. Understanding where high-frequency hospital users are sourcing their information, whether they understand what they find, and how they apply the information to prevent the spread of COVID-19 is essential for health authorities to be able to target communication approaches. METHODS: Cross-sectional survey of 200 frequent hospital users (115 with limited English proficiency) informed by the WHO's "Rapid, simple, flexible behavioral insights on COVID-19". Outcome measures were source of, and trust in information, and knowledge of symptoms, preventive strategies, restrictions, and identification of misinformation. RESULTS: The most frequently cited source of information was television (n = 144, 72%) followed by the internet (n = 84, 42%). One in four television users sought their information from overseas news outlets from their country of origin, while for those using the internet, 56% relied on Facebook and other forms of social media including YouTube and WeChat. Overall, 41.2% of those surveyed had inadequate knowledge about symptoms, 35.8% had inadequate knowledge about preventative strategies, 30.2% had inadequate knowledge about government-imposed restrictions, and 69% believed in misinformation. Half of the respondents (50%) trusted all information, and only one in five (20%) were uncertain or untrusting. English-speaking participants were almost three times more likely to have adequate knowledge about symptoms (OR 2.69, 95%CI 1.47;4.91) and imposed restrictions (OR 2.10 95%CI 1.06; 4.19), and 11 times more likely to recognize misinformation (OR 11.52 95%CI 5.39; 24.60) than those with limited English. CONCLUSION: Within this population of high-frequency hospital users with complex and chronic conditions, many were sourcing their information from less trustworthy or locally relevant sources, including social media and overseas news outlets. Despite this, at least half were trusting all the information that they found. Speaking a language other than English was a much greater risk factor for having inadequate knowledge about COVID-19 and believing in misinformation. Health authorities must look for methods to engage diverse communities, and tailor health messaging and education in order to reduce disparities in health outcomes.

Locating Medical Information during an Infodemic: Information Seeking Behavior and Strategies of Health-Care Workers in Germany.

BACKGROUND: The COVID-19 pandemic has led to a flood of-often contradictory-evidence. HCWs had to develop strategies to locate information that supported their work. We investigated the information-seeking of different HCW groups in Germany. METHODS: In December 2020, we conducted online surveys on COVID-19 information sources, strategies, assigned trustworthiness, and barriers-and in February 2021, on COVID-19 vaccination information sources. Results were analyzed descriptively; group comparisons were performed using χ2-tests. RESULTS: For general COVID-19-related medical information (413 participants), non-physicians most often selected official websites (57%), TV (57%), and e-mail/newsletters (46%) as preferred information sources-physicians chose official websites (63%), e-mail/newsletters (56%), and professional journals (55%). Non-physician HCWs used Facebook/YouTube more frequently. The main barriers were insufficient time and access issues. Non-physicians chose abstracts (66%), videos (45%), and webinars (40%) as preferred information strategy; physicians: overviews with algorithms (66%), abstracts (62%), webinars (48%). Information seeking on COVID-19 vaccination (2700 participants) was quite similar, however, with newspapers being more often used by non-physicians (63%) vs. physician HCWs (70%). CONCLUSION: Non-physician HCWs more often consulted public information sources. Employers/institutions should ensure the supply of professional, targeted COVID-19 information for different HCW groups.

Impact of Covid-19 on Suicidological Indicators in the City of Ryazan, Ryazan and Rybnov Regions

According to a WHO scientific review global prevalence of anxiety and depression increased by 25% in the first year of the COVID-19 pandemic. Features of the pandemic, both related and not directly related to the virus, can lead to various types of suicidal behavior. Aim. To find out if COVID- 19 affects the quantitative characteristics and structure of suicidality using the example of Ryazan, Ryazan and Rybnovsky districts of the Ryazan region. Materials and methods. A study of 9616 death certificates was carried out on the basis of the Ryazan Region State Budgetary Institution "Bureau of Forensic Medical Examination named after D. I. Mastbaum", which made it possible to study the three largest districts of the Ryazan region: the city of Ryazan, the Ryazan and Rybnovsky districts. Of the analyzed acts, those were selected that include causes of death that demonstrate the most likely suicidal orientation. The inclusion criteria were the following causes of death: falls from a height (Group 1), death by hanging (Group 2), and fatal cuts to the forearm and wrist (Group 3). These death certificates were assessed by age and gender among those who committed suicide. Results and its discussion. According to the analysis for 2019, the SSR (standardized suicidality rate) was10.9, and for 2021 it raised to 14.5, that is, an increase of 33% was noticed. The results of the calculation when disaggregated by sex are different: female SSR in 2019 is 2.59 and in 2021 it is 6.96. Male SSR in 2019 is 21.14 and in 2021 it is 20.79. In 2019 there were 70 cases classified as intentional self-harm, and in 2021 there were 92 such cases based on the criterion for including causes, resulting in a 31% increase in suicidality in relative numbers. In group No. 1 (a fall from a height), there was an increase by 78% recorded in the number of suicidal cases. Moreover, the proportion of women in the group of falls increased significantly: from 21.4% in 2019 to 40% in 2021. In group No. 2, the number of suicides with the cause "mechanical asphyxia due to compression of the neck with a noose" increased by 28%. In this group, the difference is less pronounced: 13.6% in 2019 and 17.2% in 2021. In group No. 3 deaths were recorded only among men. As for age analysis: in group No. 1, the mean age of the deceased decreased by 10 years - from 54.4 in 2019 to 44.9 in 2021. In group No. 2, the mean age of suicide attempters was 51.7 in 2019 and 49.2 year in 2021. It is noteworthy that 5.43% of all suicide attempters were diagnosed with the novel coronavirus infection COVID-19. When analyzing dynamic changes and the distribution of suicidal cases over time, it was not possible to identify a direct relationship in terms of specific months when the largest number of suicides was detected, with the "peaks" of the incidence of infection. Conclusions. In the first calendar year of the pandemic, the number of suicidal cases increased. Significant changes in the gender and age structure are also visible, which suggests the objective significance of the role of the novel coronavirus infection pandemic as an external factor influencing the quantitative and qualitative structure of suicidality in the Ryazan region.

RDGT-GAN: Robust Distribution Generalization of Transformers for COVID-19 Fake News Detection

Social media platforms have become a vital source of information during the outbreak of the pandemic (COVID-19). The phenomena of fake information or news spread through social media have become increasingly prevalent and a powerful tool for information proliferation. Detecting fake news is crucial for the betterment of society. Existing fake news detection models focus on increasing the performance which leads to overfitting and lag generalizability. Hence, these models require training for various datasets of the same domain with significant variations in the distribution. In our work, we have addressed this overfitting issue by designing a robust distribution generalization of transformers-based generative adversarial network (RDGT-GAN) architecture, which can generalize the model for COVID-19 fake news datasets with different distributions without retraining. Based on our experimental findings, it is evident that the proposed model outperforms the current state-of-the-art (SOTA) models in terms of performance.

Dealing with infodemic during COVID-19 pandemic: Role of effective health communication in facilitating outbreak response & actions - An ICMR experience.

Objectives: To highlight and assess the impact of intervention tools used by Indian Council of Medical Research (ICMR) against COVID19 associated infodemic in the world's largest democratic country, India. Study design: It is a retrospective cross sectional study. The impact of ICMR's multi-pronged strategy to address the infodemic during pandemic has been assessed through analysis of print media reportage and social media engagements. Methods: The impact of the interventions was assessed using cloud media mappers like MediaCloud and Meltwater using keywords. The data was analysed in terms of reportage, theme of reportage. A sub-section of media reportage (Feb 2020-June 2020) was analysed in details from 4 major dailies to understand the coverage and tonality of media reports. The data on COVID 19 related tweets, posts and uploads were taken from social media platforms of Indian Council of Medical Research (ICMR) particularly twitter, instagram, facebook and youtube and estimate of pre and post pandemic changes in followers or users were collected for analysis. The data was curated and analysed using MS excel. Results: There was a surge of 3800% reportage in media during pandemic as compared to same time frame in pre-pandemic times. A surge of followers on twitter from 26,823 on Feb 2020 (before pandemic) to 3,36,098 at March 2022 (after pandemic) was observed. A drastic increase in monthly followers was observed after start of Pandemic (after Feb 2020) in comparison to before pandemic (Before Feb 2020). Similar trends were observed on other social media platforms of ICMR. Conclusions: The Communications Unit at ICMR geared up with more robust plans and designed several interventions to mitigate the infodemic which helped in evidence based decision making towards outbreak response and action. This highlights the importance of evidence based, crisp, timely and effective communication during the epidemics/pandemics to buid trust and confidence in the community.

How to Build Confidence in Vaccines

Despite overwhelming evidence of vaccine effectiveness in preventing serious vaccine preventable diseases (VPDs), lack of confidence in vaccines is a major threat to the prevention and control of VPDs and antimicrobial resistance globally. Vaccine hesitancy and antimicrobial resistance are inter-related, with high levels of vaccination uptake being a vital pillar of antimicrobial stewardship. Parallel with the COVID-19 pandemic, another 'infodemic' of uncertainty, misunderstanding, lack of trust and loss of confidence in vaccines unfolded. While regulatory authorities are mandated to ensure the safety, efficacy and quality of all approved vaccines, public confidence in vaccine safety and effectiveness is compromised by social media reports, falsely blaming vaccines for serious adverse events following immunisation. Hence, transparent public communication and education on vaccine safety;the risk-benefit balance;and causality assessment outcomes, are essential. A key factor in this context is people's perception of risk, especially where the fear of vaccines has replaced the fear of a VPD. Understanding the factors driving vaccine hesitancy and moving people from the point of being hesitant to the point of accepting vaccination, requires collective multi-pronged strategies from all levels of society, including political, social, religious and educational role players. Targeted approaches should be evidence-based, context-specific, culturally sensitive and tailored for the community, integrating individual, social and environmental factors. While healthcare professionals are the public's most trusted source of information for vaccination decision- making, they are not immune against believing misinformation and developing vaccine hesitancy. Consequently, they must be empowered with the necessary knowledge, skills and confidence to respond appropriately to questions and persuade the public to demand vaccination for themselves and their children. This presentation will focus on strategies to build vaccine confidence and acceptance, promote trust in the healthcare system, and address fears about the consequences of vaccination, aimed at driving vaccine uptake and preventing antimicrobial resistance.Copyright © 2023

The increasing role of electronic media in headache.

Most individuals with access to the internet use social media platforms. These platforms represent an excellent opportunity to disseminate knowledge about management and treatment to the benefit of patients. The International Headache Society, The European Headache Federation, and The American Headache Society have electronic media committees to promote and highlight the organizations' expertise and disseminate research findings. A growing mistrust in science has made dealing with infodemics (i.e., sudden access to excessive unvetted information) an increasing part of clinical management. An increasing role of these committees will be to address this challenge. As an example, recent studies have demonstrated that the most popular online content on migraine management is not evidence-based and is disseminated by for-profit organizations. As healthcare professionals and members of professional headache organizations, we are obliged to prioritize knowledge dissemination. A progressive social media strategy is associated not only with increased online visibility and outreach, but also with a higher scientific interest. To identify gaps and barriers, future research should assess the range of available information on headache disorders in electronic media, characterize direct and indirect consequences on clinical management, and recognize best practice and strategies to improve our communication on internet-based communication platforms. In turn, these efforts will reduce the burden of headache disorders by facilitating improved education of both patients and providers.

Expert Credibility and Sentiment in Infodemiology of Hydroxychloroquine's Efficacy on Cable News Programs: Empirical Analysis.

BACKGROUND: Infodemic exacerbates public health concerns by disseminating unreliable and false scientific facts to a population. During the COVID-19 pandemic, the efficacy of hydroxychloroquine as a therapeutic solution emerged as a challenge to public health communication. Internet and social media spread information about hydroxychloroquine, whereas cable television was a vital source. To exemplify, experts discussed in cable television broadcasts about hydroxychloroquine for treating COVID-19. However, how the experts' comments influenced airtime allocation on cable television to help in public health communication, either during COVID-10 or at other times, is not understood. OBJECTIVE: This study aimed to examine how 3 factors, that is, the credibility of experts as doctors (DOCTOREXPERT), the credibility of government representatives (GOVTEXPERT), and the sentiments (SENTIMENT) expressed in discussions and comments, influence the allocation of airtime (AIRTIME) in cable television broadcasts. SENTIMENT pertains to the information credibility conveyed through the tone and language of experts' comments during cable television broadcasts, in contrast to the individual credibility of the doctor or government representatives because of the degree or affiliations. METHODS: We collected transcriptions of relevant hydroxychloroquine-related broadcasts on cable television between March 2020 and October 2020. We coded the experts as DOCTOREXPERT or GOVTEXPERT using publicly available data. To determine the sentiments expressed in the broadcasts, we used a machine learning algorithm to code them as POSITIVE, NEGATIVE, NEUTRAL, or MIXED sentiments. RESULTS: The analysis revealed a counterintuitive association between the expertise of doctors (DOCTOREXPERT) and the allocation of airtime, with doctor experts receiving less airtime (P<.001) than the nonexperts in a base model. A more nuanced interaction model suggested that government experts with a doctorate degree received even less airtime (P=.03) compared with nonexperts. Sentiments expressed during the broadcasts played a significant role in airtime allocation, particularly for their direct effects on airtime allocation, more so for NEGATIVE (P<.001), NEUTRAL (P<.001), and MIXED (P=.03) sentiments. Only government experts expressing POSITIVE sentiments during the broadcast received a more extended airtime (P<.001) than nonexperts. Furthermore, NEGATIVE sentiments in the broadcasts were associated with less airtime both for DOCTOREXPERT (P<.001) and GOVTEXPERT (P<.001). CONCLUSIONS: Source credibility plays a crucial role in infodemics by ensuring the accuracy and trustworthiness of the information communicated to audiences. However, cable television media may prioritize likeability over credibility, potentially hindering this goal. Surprisingly, the findings of our study suggest that doctors did not get good airtime on hydroxychloroquine-related discussions on cable television. In contrast, government experts as sources received more airtime on hydroxychloroquine-related discussions. Doctors presenting facts with negative sentiments may not help them gain airtime. Conversely, government experts expressing positive sentiments during broadcasts may have better airtime than nonexperts. These findings have implications on the role of source credibility in public health communications.

Narrative Trends over the COVID-19 Pandemic: Digital Social Listening to Inform WHO Infodemic Management.

The COVID-19 infodemic is an overwhelming amount of information that has challenged pandemic communication and epidemic response. WHO has produced weekly infodemic insights reports to identify questions, concerns, information voids expressed and experienced by people online. Publicly available data was collected and categorized to a public health taxonomy to enable thematic analysis. Analysis showed three key periods of narrative volume peaks. Understanding how conversations change over time can help inform future infodemic preparedness and prevention planning.

An Adaptive Digital Intelligence System to Support Infodemic Management: The WHO EARS Platform.

The WHO Early AI-Supported Response with Social Listening (EARS) platform was developed to help inform infodemic response during the COVID-19 pandemic. There was continual monitoring and evaluation of the platform and feedback from end-users was sought on a continual basis. Iterations were made to the platform in response to user needs, including the introduction of new languages and countries, and additional features to better enable more fine-grained and rapid analysis and reporting. The platform demonstrates how a scalable, adaptable system can be iterated upon to continue to support those working in emergency preparedness and response.

Countering Vaccine and Health Mis and Disinformation: An Evidence-Based Approach

COVID-19 was the first pandemic that unfolded in an information environment transformed by the ubiquitous mass and social media. Sensational misinformation and deliberate disinformation proliferated capturing hearts and minds. Traditional medical and public health organization's voices were well-intentioned and informed to communicate about the threat of SARSCoV- 2 infection and appropriate countermeasures (for example, masking and vaccines) but were overwhelmed. This new reality on communicating health and science was called out by the World Health Organization in 2020 as an Infodemic. In 2021, the U.S. Surgeon General issued his first report entitled 'Confronting Health Misinformation: The U.S. Surgeon General's Advisory on Building a Healthy Information Environment' urging at scale investment to tackle misinformation. Yet, while warnings were issued, mis- and disinformation proliferated with a palpable casualty emerging with waning vaccine confidence and uptake globally. This fundamental tenet of public health-vaccination-is at risk as a credible defense against disease and illness. This is not due to the microbial vectors but instead the societal response gathering momentum during the COVID 'infodemic'. This endemic challenge on how we communicate health and science will be described with an evidence-based perspective vetted in the field of communication with conceptual, scientific and theoretical grounding. This presentation will offer approaches to help build scientific, health and vaccine literacy, counter mis- and dis-information and foster strategic health communication capabilities at all levels of society.

Three contextual dimensions of information on social media: lessons learned from the COVID-19 infodemic.

The COVID-19 pandemic has been accompanied on social media by an explosion of information disorders such as inaccurate, misleading and irrelevant information. Countermeasures adopted thus far to curb these informational disorders have had limited success because these did not account for the diversity of informational contexts on social media, focusing instead almost exclusively on curating the factual content of user's posts. However, content-focused measures do not address the primary causes of the infodemic itself, namely the user's need to post content as a way of making sense of the situation and for gathering reactions of consensus from friends. This paper describes three types of informational context-weak epistemic, strong normative and strong emotional-which have not yet been taken into account by current measures to curb down the informational disorders. I show how these contexts are related to the infodemic and I propose measures for dealing with them for future global crisis situations.