COVID-19: Fear, quackery, false representations and the law.

Fear, anxiety and even paranoia can proliferate during a pandemic. Such conditions, even when subclinical, tend to be a product of personal and predispositional factors, as well as shared cultural influences, including religious, literary, film, and gaming, all of which can lead to emotional and less than rational responses. They can render people vulnerable to engage in implausible conspiracy theories about the causes of illness and governmental responses to it. They can also lead people to give credence to simplistic and unscientific misrepresentations about medications and devices which are claimed to prevent, treat or cure disease. In turn such vulnerability creates predatory opportunities for the unscrupulous. This article notes the eruption of quackery during the 1889-1892 Russian Flu and the 1918-1920 Spanish Flu and the emergence during 2020 of spurious claims during the COVID-19 pandemic. It identifies consumer protection strategies and interventions formulated during the 2020 pandemic. Using examples from the United States, Japan, Australia and the United Kingdom, it argues that during a pandemic there is a need for three responses by government to the risks posed by conspiracy theories and false representations: calm, scientifically-based messaging from public health authorities; cease and desist warnings directed toward those making extravagant or inappropriate claims; and the taking of assertive and well publicised legal action against individuals and entities that make false representations in order to protect consumers rendered vulnerable by their emotional responses to the phenomenology of the pandemic.

Bibliometrics and visual analysis of international food safety research

Since the 1990s, food safety has caused widespread concern from all walks of life. According to the theory of bibliometrics and scientific knowledge map and knowledge mining method, this paper quantitatively analyzed and visualized 3024 food safety papers and 31032 references in the core collection of Web of Science (WoS) to explore their research status, topic evolution and development trend. The number of academic papers in the field of international food safety increased by 11 times during the past 31 years;the knowledge structure of this field consists of foodborne pathogenic bacteria, food safety cognition, public health and food safety management;its research topics showed an evolution from consumer behavior and food-borne diseases to food safety risk management, food safety governance, food traceability system, food testing, to food global value chain, heavy metal excess, pesticide residues, food safety culture, to blockchain technology, Corona virus disease 2019 (COVID-19) epidemic, food fraud;food safety knowledge and willingness to pay premium, food contamination, aquatic seafood safety, vegetable safety, blockchain, COVID-19 represent the frontier trends, so as to provide references for academic research and government supervision in this field.

A case series of drug induced liver injury leading to ACLF after complementary & alternative medicine over-use for COVID-19

Background and Aims: ACLF is a condition in which 2 insults to liver operate simultaneously, 1 being chronic, and other acute. Complementary & alternative medicine (CAM) are important causes for ACLF. India is the birth place of Ayurveda & CAM is considered safe by the common population with around 80% of the population relying on it. CAM consumption has increased in recent years. Due to the pandemic and the focus on improved immunity, the consumption of CAM has gone up. India has reported 4.8 lakh COVID 19 related deaths till December 2021. However, WHO has estimated 4.7 million deaths directly or indirectly related to COVID-19. We documented a case series of CAM related DILI-ACLF, with CAM being consumed for COVID prevention Methods: ACLF established with APASL defining criteria. USG was done to assess for features of CLD. Liver biopsy was done where feasible. Results: Case 1-39-year-old diabetic taking Giloy Kwath for 2 months for COVID prevention. Presenting with jaundice & ascites having MELD score 18 and CTP class B, he had NASH related cirrhosis on biopsy and is still on follow up. Case 2- f/u/c of CTP A alcoholic cirrhosis who consumed a crushed herb for protection against COVID given by a quack for 3 months, with no alcohol intake in 2 years. He presented with jaundice and encephelopathy, had MELD score 38 & CTP C & succumbed to illness. Case 3 49-year-old lady consuming Giloy Kwath for 4 months for COVID prevention. She was diagnosed with AIH type 1 with MELD score 39. She succumbed to illness with post-mortem liver biopsy showed features of AIH cirrhosis Conclusion: CAM is the most common cause of drug induced ACLF. CAM consumption increased during the pandemic and may have lead to increase in indirect COVID related deaths

African Swine Fever-How to Unravel Fake News in Veterinary Medicine.

In recent years, fake scientific news has spread much faster through the Internet and social media within the so-called "infodemic". African Swine Fever (ASF) is a perfect case study to prove how fake news can undermine the public health response, even in the veterinary field. ASF is a highly contagious infective disease affecting exclusively domestic and wild pigs such as wild boars. ASF can cause social damage and economic losses both directly (due to the high mortality rate) and indirectly (due to international sanctions). Although ASF is not a threat to human health, since 2018 newspapers have often reported false or misleading news, ranging from misinterpreted findings/data to fake or alarmistic news. In some cases, fake news was spread, such as the use of snipers at the border of nations to kill wild boars, or those reports concerning possible risks to human health. In order to provide real and fact-based news on epidemics, some organizations have created easy-to-read infographic and iconographic materials, available on their websites, to help the readers identifying the fake news. Indeed, it is crucial that governments and scientific organizations work against fear and anxiety, using simple and clear communication.

Quality assessment of honey in three different geographical areas from Republic of Moldova

One of the empirical and image products of the Republic of Moldova is bee honey. Its assortment is due to the variety of landforms, as well as the diversity of flora specific to geographical regions. During the Covid-19 pandemic, domestic consumers had limited access to bee honey. This was caused by the restrictions imposed in order to organize fairs and agricultural markets which are one of the main sources for the purchase of bee products in the Republic of Moldova. At the same time, the analysis of trademarks in supermarkets highlighted the preferences of honey consumption as follows: polyfloral honey-28.57%, lime honey-20.40% and acacia honey-14.28%. In order to evaluate the quality of honey from small producers and highlight the specific characteristics of geographical areas, 60 samples were analyzed that included 3 types of honey: polyflora, sunflower and linden collected from 3 different geographic areas: Soroca area (North), area Ungheni (Center), Stefan Voda area (South). Honey samples were declared harvest of 2020. They were analyzed physico-chemically using methods provided by national and EU standards. The results obtained from the analysis of pollen in honey confirm the botanical origin declared by beekeepers and allowed to highlight the types of pollen specific to each area. Following the determination of qualitative indices: reaction with ethyl alcohol, with resorcinol;insoluble matter, cereal flour, gelatin and starch, it was found that the most inconsistencies were found in linden honey. Some indicators were close to the maximum permissible values specified in regulatory documents. The water content found in the honey samples was quite varied, and ranged from 16.05% +or- 0.11% to 19.89% +or- 0.13%, but these samples were within the limits of the standards. Total acidity ranged from 6.19 +or- 0.13 to 27.20 +or- 0.03 which falls within the established norms (up to 50.00 cm3 NaOH solution in (milliequivalents) per 100 g of honey). According to the SIE Lab space, all samples have a yellowish tint, this is indicated by positive values on the b* axis. However, honey samples from the southern region of Moldova showed the presence of greenish pollen, as evidenced by the reduced values on the a* axis. Our research reveals the quality level of honey from three different areas of the Republic of Moldova and the variation of quality parameters due to factors such as geographical region, climatic conditions, botanical origin and handling or storage conditions.

Unicorn Poo and Blessed Waters: COVID-19 Quackery and FDA Warning Letters.

BACKGROUND: The COVID-19 pandemic has created a global setting of clinical crisis and human anxiety. Without available safe and effective vaccines and cures, an unscrupulous marketplace has emerged selling COVID-19 quackery (fraudulent misrepresentation of preventions and treatments). METHODS: US Food and Drug Administration (FDA) Warning Letters issued from March 2020 to July 2020 were analyzed for themes pertaining to unapproved, adulterated, and misbranded COVID-19 products. RESULTS: During this period, the FDA issued 3,139 Warning Letters of which 98 (3.14%) of these were focused on COVID-19-related drugs, devices, biologics, and dietary supplements (products and ingredients). Specifically, these Warning Letters revealed regulatory nonconformities involving 40 identified herbs, 22 minerals/compounds, 6 devices and biologicals, and 3 vitamins. Products included hand sanitizers; COVID-19 antibody test kits; herbal teas and tinctures; nasal gel; toothpaste; and 1 vaccine. Nine Warning Letters were issued for products being sold via the Amazon online shopping platform. CONCLUSION: A small percentage of FDA Warning Letters recently have been focused on COVID-19. These Letters expose the blatant and potentially harmful quackery of vendors across the world who prioritize financial gain over clinical beneficence. Patient history-taking should include queries about non-traditional and unapproved products to identify, document, and report potentially harmful quackery. FDA Warning Letters are a component of meaningful corrective action; however, greater effort in spreading awareness of such misrepresented, unapproved, and adulterated products is needed to deter purchases of such products.