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Responding to Fake News: The Use of Facebook for Public Health Communication During the COVID-19 Pandemic in Italy

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Communicating COVID-19

Abstract

Social media platforms have created new challenges for communication during crises related to health issues. In general, public health organisations have often been slow to respond to health concerns on social media for lack of visions, competencies, and/or skills to strategically inform and engage with citizens in new challenging environments where digital publics can make their voices heard by medical experts and health institutions. At the same time social media represent channels where lay people can connect easily with rumours, unverified information, or misinformation related to health issues. This requires a new strategic approach by governments and public health organisations to mitigate the spread of misinformation, especially in times of uncertainty and fear, such as COVID-19. Offering an analysis of pandemic-related posts on Facebook by the Italian Ministry of Health and the 20 Italian regions responsible for public health communication, this chapter highlights how the Italian public health authorities have managed this pandemic on their official social media channels. The case study is particularly interesting since Italy was the first Western country to be affected by COVID-19 and by the connected infodemic that struck the country, already immersed in a general information crisis related to health and science issues.

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Notes

  1. 1.

    We used the ISTAT (the Italian National Institute of Statistics) distinction between Northern Italy (including Northwestern Regions, or Liguria, Lombardia, Piemonte, Valle d’Aosta, and Northeastern Regions, or Emilia-Romagna, Friuli-Venezia Giulia, Trentino-Alto Adige, Veneto), Central Italy (Lazio, Marche, Toscana and Umbria), and Southern Italy (Abruzzo, Basilicata, Calabria, Campania, Molise, Puglia), which includes Island Regions (Sardegna, Sicilia).

  2. 2.

    These post-report messages or campaigns (like the social cards created by the Ministry of Health) were intended to counter fake news. They were produced by other institutional actors (e.g., ministries, universities, and municipalities) with a national or local visibility, or by regional hospitals and health organisations. They also insert mention medical professionals, or experts who can give correct information about the virus to stop the diffusion of false information that could create panic.

  3. 3.

    Italian Ministry of Health. Data are available at https://opendatadpc.maps.arcgis.com/apps/opsdashboard/index.html#/b0c68bce2cce478eaac82fe38d4138b1

References

  • Andersen, K. M., Medaglia, R., & Henriksen, H. Z. (2012). Social media in public health care: Impact domain propositions. Government Information Quarterly, 29, 462–469.

    Article  Google Scholar 

  • Bender, J. L., Jimenez-Marroquin, M. C., & Jadad, A. R. (2011). Seeking support on Facebook: A content analysis of breast cancer groups. Journal of Medical Internet Research, 13(1), e16.

    Article  Google Scholar 

  • Bessières, D. (2018). L’hybridité: une composante ancienne mais aujourd’hui démultipliée de la communication publique. Recherches en Communication, 47, 5–21.

    Article  Google Scholar 

  • Canel, M., & Luoma-aho, V. (2019). Public sector communication. Closing gaps between citizens and public organizations. John Wiley and Sons.

    Google Scholar 

  • Cioni, E., & Lovari, A. (2014). Social media for health communication: Implementation issues and challenges for Italian public health authorities. In M. Househ, E. Borycki, & A. Kushniruk (Eds.), Social media and mobile technologies for healthcare (pp. 237–263). IGI Global.

    Chapter  Google Scholar 

  • Coleman, S., & Shane, P. M. (2012). Connecting democracy. MIT Press.

    Google Scholar 

  • Coombs, W. T. (2019). Ongoing crisis communication: Planning, managing, and responding (5th ed.). Sage.

    Google Scholar 

  • Coombs, W. T. (2020). Public sector crises: Realizations from COVID-19 for crisis communication. Partecipazione e Conflitto, 13(2), 990–1001.

    Google Scholar 

  • CrowdTangle Team. (2020). CrowdTangle. Facebook.

    Google Scholar 

  • Ducci, G. (2017). Relazionalità consapevole: La comunicazione pubblica nella società connessa. FrancoAngeli.

    Google Scholar 

  • Ducci, G. (2020). L’impatto dei social media sul rapporto medico-paziente: ambivalenze nell’uso di WhatsApp da parte dei medici diabetologi in Italia. Salute e Società, 1, 127–142.

    Article  Google Scholar 

  • Ducci, G., Materassi, L., & Solito, L. (2020). Re-connecting scholars’ voices. An historical review of public communication in Italy in the open government framework. Partecipazione e Conflitto, 13(2), 1062–1084.

    Google Scholar 

  • Eysenbach, G. (2009). Medicine 2.0: Social networking, collaboration, participation, apomediation, and openness. Journal of Medical Internet Research, 10(3), 1–9.

    Google Scholar 

  • Giglietto, F., Iannelli, L., Valeriani, A., & Rossi, L. (2019). ‘Fake news’ is the invention of a liar: How false information circulates within the hybrid news system. Current Sociology, 67(4), 625–642.

    Article  Google Scholar 

  • Gollust, S. E., Nagler, R. H., & Franklin Fowler, R. (2020). The emergence of COVID-19 in the US: A public health and political communication crisis. Journal of Health Politics, Policy and Law, 45(6), 967–981.

    Article  Google Scholar 

  • Guidry, J. P. D., Austin, L. L., O’Donnell, N. H., Coman, I., Lovari, A., & Messner, M. (2020). Tweeting the #flushot: Beliefs, barriers, and perceived threats during different periods of the 2018–2019 flu season. Journal of Primary Care and Community Health, 11. https://doi.org/10.1177/2150132720932722

  • Guidry, J. P. D., Jin, Y., Orr, C. A., Messner, M., & Meganck, S. (2017). Ebola on Instagram and Twitter: How health organizations address the health crisis in their social media engagement. Public Relations Review, 43(3), 477–486.

    Article  Google Scholar 

  • Heath, R. L., & O’Hair, H. D. (Eds.). (2009). Handbook of risk and crisis communication. Sage.

    Google Scholar 

  • Jack, C. (2017). Lexicon of lies: Terms for problematic information. Data & Society Research Institute. Retrieved February 20, 2021, from https://datasociety.net/pubs/oh/DataAndSociety_LexiconofLies.pdf

  • Jenkins, H., Ford, S., & Green, J. (2013). Spreadable media. Creating value and meaning in a networked culture. New York University Press.

    Google Scholar 

  • Kim, J. N., & de Zúñiga, H. G. (2020). Pseudo-information, media, publics, and the failing marketplace of ideas: Theory. American Behavioral Scientist, 65(2), 163–179.

    Article  Google Scholar 

  • Kim, J. N., & Lee, S. (2014). Communication and cybercoping: Coping with chronic illness through communicative action in online support networks. Journal of Health Communication, 19(7), 775–794.

    Article  Google Scholar 

  • Krippendorff, K. (2004). Content analysis: An introduction to its methodology. Sage.

    Google Scholar 

  • Lazer, D. M., Baum, M. A., Benkler, Y., Berinsky, A. J., Greenhill, K. M., Menczer, F., & Schudson, M. (2018). The science of fake news. Science, 359(6380), 1094–1096.

    Article  Google Scholar 

  • Liu, B. F., & Kim, S. (2011). How organizations framed the 2009 H1N1 pandemic via social and traditional media: Implications for US health communicators. Public Relations Review, 37, 233–244.

    Article  Google Scholar 

  • Lovari, A. (2017). Social media e comunicazione della salute. Guerini Editore.

    Google Scholar 

  • Lovari, A. (2020). Spreading (dis)trust: COVID-19 misinformation and government intervention in Italy. Media and Communication, 8(2), 458–461.

    Article  Google Scholar 

  • Lovari, A., Martino, V., & Righetti, N. (2020). Blurred shots: Investigating the information crisis around vaccination in Italy. American Behavioral Scientist, 65(2), 351–370.

    Article  Google Scholar 

  • Lovari, A., & Righetti, N. (2020). La comunicazione pubblica della salute tra infodemia e fake news: il ruolo della pagina Facebook del Ministero della Salute nella sfida social al COVID-19. Media, 15, 156–173.

    Google Scholar 

  • Lovari, A., & Righetti, N. (forthcoming). Fake news and pandemic communication. In P. Crawford & P. Kadetz (Eds.), Encyclopedia of health humanities. Basingstoke: Palgrave Macmillan.

    Google Scholar 

  • Lovari, A., & Valentini, C. (2020). Public sector communication and social media: Opportunities and limits of current policies, activities, and practices. In V. Luoma-Aho & M. J. Canel (Eds.), Handbook of public sector communication (pp. 315–328). Wiley-Blackwell.

    Chapter  Google Scholar 

  • Osservatorio News Italia. (2020). La scienza e il COVID-19. Come si informano gli italiani. Retrieved November 7, 2020, from https://newsitaliadotorg.files.wordpress.com/2020/10/fgcult2020.pdf

  • PAHO. (2020). Understanding the infodemic and misinformation in the fight against COVID-19. Pan America Health Organization. Retrieved February 20, 2021, from https://iris.paho.org/bitstream/handle/10665.2/52052/Factsheet-infodemic_eng.pdf

  • Parrott, R. (2009). Talking about health. Wiley-Blackwell.

    Book  Google Scholar 

  • Rogers, R. (2018). Digital methods for cross-platform analysis. In J. Burgess, T. Poell, & A. Marwick (Eds.), The Sage handbook of social media (pp. 91–110). Sage.

    Chapter  Google Scholar 

  • Rothkopf, D. J. (2003, May 11). When the buzz bites back. The Washington Post. Retrieved April 18, 2021, from https://www.washingtonpost.com/archive/opinions/2003/05/11/when-the-buzz-bites-back/bc8cd84f-cab6-4648-bf58-0277261af6cd

  • Sastry, S., & Lovari, A. (2017). Communicating the ontological narrative of Ebola: An emerging disease in the time of ‘Epidemic 2.0’. Health Communication, 32(3), 329–338.

    Article  Google Scholar 

  • Sendra, A., Farré, J., Lovari, A., & Lombi, L. (2021). Post-pandemic routes in the context of Latin countries: The impact of COVID-19 in Italy and Spain. In D. Lupton & K. Willis (Eds.), The COVID-19 crisis: Social perspectives (pp. 156–167). Routledge.

    Chapter  Google Scholar 

  • Shaw, R. J., & Johnson, C. M. (2011). Health information seeking and social media use on the internet among people with diabetes. Online Journal of Public Health Informatics, 3(1), 1–9.

    Article  Google Scholar 

  • Silverstone, R., & Haddon, L. (1996). Design and the domestication of information and communication technologies: Technical change and everyday life. In R. Mansell & R. Silverstone (Eds.), Communication by design: The politics of information and communication technologies (pp. 44–74). Oxford University Press.

    Google Scholar 

  • Tavoschi, L., Quattrone, F., D’Andrea, E., Ducange, P., Vabanesi, M., Marcelloni, F., & Lopalco, P. L. (2020). Twitter as a sentinel tool to monitor public opinion on vaccination: An opinion mining analysis from September 2016 to August 2017 in Italy. Human Vaccines & Immunotherapeutics, 16(5), 1062–1069.

    Article  Google Scholar 

  • Tirkkonen, P., & Luoma-aho, V. (2011). Online authority communication during an epidemic: A Finnish example. Public Relations Review, 37(2), 172–174.

    Article  Google Scholar 

  • United Nations. (2020, March 31). UN tackles ‘infodemic’ of misinformation and cybercrime in COVID-19 crisis. Retrieved February 20, 2021, from https://www.un.org/en/un-coronavirus-communications-team/un-tackling-‘infodemic’-misinformation-and-cybercrime-COVID-19

  • Van de Belt, T. H., Engelen, L. J., Berben, S. A., & Schoonhoven, L. (2010). Definition of Health 2.0 and Medicine 2.0: A systematic review. Journal of Medical Internet Research, 12(2), e18.

    Article  Google Scholar 

  • Vanzetta, M., Vellone, E., Dal Molin, E., Rocco, G., De Marinis, M. G., & Rosaria, A. (2014). Communication with the public in the health-care system: A descriptive study of the use of social media in local health authorities and public hospitals in Italy. Annali Istituto Superiore di Sanità, 50(2), 163–170.

    Google Scholar 

  • Venturini, T. (2019). From fake to junk news: The data politics of online virality. In D. Bigo, E. Isin, & E. Ruppert (Eds.), Data politics: Worlds, subjects, rights (pp. 123–144). Routledge.

    Chapter  Google Scholar 

  • Vraga, E. K., Tully, M., & Bode, L. (2020). Empowering users to respond to misinformation about COVID-19. Media and Communication, 8(2), 475–479.

    Article  Google Scholar 

  • World Health Organization (WHO). (2010). What is a pandemic? Retrieved February 20, 2021, from https://www.who.int/csr/disease/swineflu/frequently_asked_questions/pandemic/e

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Lovari, A., Ducci, G., Righetti, N. (2021). Responding to Fake News: The Use of Facebook for Public Health Communication During the COVID-19 Pandemic in Italy. In: Lewis, M., Govender, E., Holland, K. (eds) Communicating COVID-19. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-79735-5_13

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