Vaccine Misinformation Online

Chris Elmore Excerpts

Monday 19th October 2020 Commons Chamber

[Chris Elmore (Ogmore) (Lab)]

Mr Deputy Speaker, may I thank you and Mr Speaker for granting this debate? It is great to see Members from across the House in attendance this evening, and I hope that the issue that I am going to talk about will have widespread cross-party support.

I will cut straight to the chase: I have no time whatsoever for so-called anti-vaxxers, but I am afraid that the swelling evidence we have seen over the past few months of the pernicious impact of misinformation about vaccines now demands our attention, and it demands action.

Day after day, week after week in this place, we rightly come together to debate and discuss the best ways we can get on top of this virus and, ultimately, defeat it. Each one of us in this place knows that there is no silver-bullet solution to this public health and economic crisis, but we also know that identifying a clinically safe and effective vaccine is the damned nearest we are likely to get. However, I am afraid that the rapid and incessant corrosion of public confidence in vaccines propagated by the anti-vax movement risks threatening the success of the most powerful future tool we could have in our armoury.

Let me say at the outset that I am not against scrutiny of vaccines or people raising legitimate questions that may need answering. The public have a right to scrutinise vaccination policy as much as any other Government policy, but that must be done in an informed and measured way, based on facts rather than nonsensical conspiracy theories involving Bill Gates, or anyone else for that matter. Part of that process has to involve the Government being much more proactive about countering some of the scare stories and falsehoods peddled by the anti-vax movement, which play on people’s understandable fears.

[Anthony Mangnall (Totnes) (Con)]

The hon. Gentleman is making great progress, and he is talking about an issue that is of severe importance to my constituency, which has a 10% lower than average vaccination rate for measles, mumps and rubella. The misinformation that is being spread is palpable, and it is dangerous not only to schoolchildren but to adults. Will he therefore expand a little on the role of education in ensuring that we can inform people and re-energise their understanding and confidence that they are taking vaccines that will help them?

[Chris Elmore]

I agree with the hon. Gentleman and thank him for that intervention, for two reasons. First, it is very worrying that the UK no longer has measles-free status. That is a real worry for us all. Secondly, on education, there is a huge piece of work to be done where people are rightly questioning vaccine development processes. We are taught that it takes many years to develop vaccines. However, what people are not acknowledging through their legitimate questions is that the whole world is now looking for a vaccine. There is more funding and more availability of scientists working towards trying to solve this problem, so I agree with the hon. Gentleman entirely.

In private, I think even Ministers would agree that far too much of the Government’s response to the crisis has been typified by being too slow: too slow to lockdown, too slow to support business, too slow to test and trace effectively—but possibly too fast to Barnard Castle. But when all is said and done, I genuinely appreciate the huge pressure Ministers have been under over the past seven months. Mistakes are inevitable and hindsight is all too often a wonderful thing. The message I want to send to those on the Government Benches is that when it comes to the anti-vax movement, we do not need the benefit of hindsight. We simply cannot afford to be too slow yet again. We know that dangerous misinformation is eroding public trust in a potential future vaccine. We know that a lot of misinformation is being spread online and we know that the social media giants are systematically failing to act.

[Ruth Jones (Newport West) (Lab)]

My hon. Friend is making a powerful speech on a very timely topic. I was a paediatric physiotherapist and I have seen the devastating effects of brain damage caused by simple diseases such as measles. Does he agree that we need to publicise the lasting ill effects of measles and long covid, and demonstrate the benefits of vaccines?

[Chris Elmore]

I agree entirely with my hon. Friend. I have been contacted by other Members who could not attend this evening. My hon. Friend the Member for Bristol West (Thangam Debbonaire) has received correspondence from parents saying that they will not have the MMR, for reasons that can only be deemed to be false. As I said to the hon. Member for Totnes (Anthony Mangnall) and as I am sure the Minister will say, it is perfectly legitimate to question vaccines. What is not legitimate is to base views on falsehoods. My hon. Friend the Member for Newport West (Ruth Jones) is quite right, through her professional career before coming to this place, that catching measles can have a long-term negative impact.

With the benefit of foresight, and given the additional oxygen that the wild, ill-informed and baseless conspiracy theories will inevitably continue to receive over the next six months, the Government must bring forward a holistic cross-Government plan to counter this growing movement and bring the social media giants to heel. The anti-vax movement is nothing new—in fact, it has been around since the days of smallpox—but what we must not lose sight of in 2020 is the exponential levels of oxygen that the internet and in particular social media platforms give to such damaging falsehoods. As chair of the all-party group on social media, I have been keenly following the activities of various platforms since the pandemic began. It must be said that many sites have been doing some really positive work to try to promote reliable sources of information at a time when the need to tackle misinformation could scarcely be more crucial. Yet what many of the social media giants are repeatedly failing to do is proactively take down the burgeoning levels of misinformation about coronavirus vaccines spread on their platforms.

Anti-vax misinformation may not be displayed on billboards around the country, but growing evidence suggests it is starting to reach and influence as many people as if it were. We have already seen this digital pandemic spilling out on to our streets. The frankly scary protests we are seeing in ever greater numbers should alarm us all and underline the need for decisive action.

[Jim Shannon (Strangford) (DUP)]

Will the hon. Gentleman give way?

[Chris Elmore]

I could never not give way to the hon. Gentleman.

[Jim Shannon]

I congratulate the hon. Gentleman on bringing forward this topical and pertinent issue. The Centre for Countering Digital Hate says that 31% of the British public would be hesitant to have a coronavirus vaccine if one becomes available. Does he not agree that that is incredibly disheartening? The Government must wholeheartedly, with transparent information, enter into this online debate now before people’s minds are warped by anti-vaxxers who have had success in seeing MMR take-up drop from 95% to 87%. We cannot allow them to take hold of the coronavirus debate, given the massive consequences for the general public right across the whole of the United Kingdom of Great Britain and Northern Ireland.

[Chris Elmore]

I thank the hon. Gentleman. I have done significant work with the CCDH over recent months to try to look at this very issue. He may have taken my very next sentence almost word for word—would you believe it, Mr Deputy Speaker?—so I will not repeat it, but I agree with him. The serious point is that we need to tackle the issue now, through Members of Parliament, the Government, the official Opposition and the smaller parties, such as the one he represents. We all have a duty in this House to make sure we get the truth out about vaccine development and all its benefits.

Online vaccine misinformation is not merely a risk to those individuals who will not be vaccinated; it presents a risk to each and every one of our constituents and their loved ones, as the hon. Member for Strangford (Jim Shannon) said. The CCDH’s study showed that anti-vax social media accounts have 58 million followers, and that number is growing rapidly. The 147 largest accounts have amassed more than 7.8 million new followers since 2019, representing a staggering increase of 19%.

Facebook is overwhelmingly the leading host of such potentially dangerous information, but that platform is by no means alone. Across YouTube, Instagram, Twitter and various other popular social media sites, this virus of misinformation now presents a real threat to our ability to control the real and deadly coronavirus. It is clear that that is borne out in our communities. Research from the Royal Society for Public Health shows that as many as two in five parents with children under 18 in the UK have reported exposure to negative messages about vaccination online sometimes or often.

The problem did not arise overnight, yet it is exponentially on the rise and has, in part, been fuelled by many oxygenators in the public eye. The list of celebrities who have shared anti-vax content or their anti-vax views online grows painfully longer as we continue to respond to this crisis—Madonna, Lewis Hamilton, Novak Djokovic and Kanye West are just some of the biggest names with the largest followings. When we delve deeper into this web, the number of influential people helping to propagate at best ill-informed and at worst downright conspiracy theorist nonsense is truly alarming. I know that several celebrities have since clarified their stance after public pressure, but that is often when much of the damage has already been done. It is not surprising that the World Health Organisation found last year that vaccine hesitancy was one of the top 10 threats to global public health.

Politicians have a role too, of course. It is not useful to have a President of the United States who increasingly gives the impression that he is rushing to approve a vaccine for political expediency, rather than purely for the sake of public health. That only further corrodes trust in the international scientific community, who I have no doubt are working with the utmost integrity and precision. That shows why the rigorous process through which a vaccine receives approval urgently needs to be better communicated to the public. People need to feel reassured about the safeguards that are in place to ensure that new treatments and vaccines meet robust national and international standards. Ministers say that they are doing that, but this strategy is being enveloped in the increasingly chaotic communications that emanate from No. 10 and right across Government.

I have seen how challenging messaging on this issue can be. Since repeatedly raising issues around anti-vaxxers in this place and beyond, I have received countless messages from people actively promoting the conspiracy theories. At one point, there was even a suggestion that I was no better than the Nazis. For me, that has only underlined how important it is that we take much firmer action to counter much of the ill-informed nonsense we see online.

As I have repeatedly said, the social media giants are largely failing proactively to take down the burgeoning levels of misinformation about coronavirus vaccines that is shared and promoted on their platforms. I welcome Facebook’s decision last week to ban anti-vax adverts from its platform, but that plainly does not go far enough. We are now seven months into this pandemic, and Facebook has continually dragged its feet on anti-vax misinformation. Banning ads alone will not starve the many anti-vax Facebook groups of the oxygen they thrive on. The fact that Mark Zuckerberg is still willing to trouser money from ads that push back against Government policies that promote vaccines underlines just how much further we have to go. Mr Zuckerberg has said that Facebook will not actively take down all anti-vax misinformation. For me, that would represent a breach of the statutory duty of care that the Government’s new legislation is set to impose on the tech giants next year.

As has become typical with Mr Zuckerberg, instead of providing clear leadership and action, he is offering mere qualification and dangerous prevarication. If he does so because of financial concerns, that is shameful. If he does so because he actually believes it, that is terrifying. It is pleasing to see that Facebook, Twitter and others are starting to hide posts with warnings when claims are disputed or palpably false. I firmly believe that regardless of who has posted the content, they should continue do so without fear or favour. Whether it is posted by Presidents, F1 drivers or Joe Bloggs from No. 73, this poison of misinformation must be countered before it is allowed to become yet more potent.

I know that the Government have held meetings with representatives from the social media companies on this issue, and I would be grateful if the Minister could outline the outcome of those discussions. In July, the Secretary of State for Health and Social Care met Sir Nick Clegg—formerly of this parish, and now Facebook’s vice-president for global affairs and communications—about this issue. I have repeatedly asked for clarity about the outcome of that meeting. I have been told by the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), via written questions that a “wide-ranging discussion” took place and that the Government are working with Facebook to

“promote positive messages about vaccination.”

Today, I ask the Minister to go into more detail about that wide-ranging discussion and the precise firm commitments that were made. In particular, was section 230 of the US Communications Decency Act 1996 discussed? What changes, other than those that I have stated, has Facebook implemented since that meeting?

Social media companies can do more. Only this week, YouTube updated its medical misinformation policy and now prohibits content that includes claims about covid-19 vaccinations that contradict expert consensus, local health authorities or the World Health Organisation. For example, content claiming that a vaccine will kill people or implant a microchip in a recipient’s body will be removed under the expanded policy.

YouTube says it has done that to allow it to take robust action should anti-vaccination conspiracy theories continue to grow as progress towards a potential vaccine is made. Of course, we will have to see how proactively it is enforced, but it is a really welcome step that will help to dilute the deluge of misinformation that is plaguing many platforms. I commend YouTube for its action and I urge the other big players to follow its lead and go further where necessary.

Misinformation is just one of the many dangers that people face online, which is why I have been calling for Government action on online harms since I first set up the APPG in 2018. The online harms White Paper is certainly a step in the right direction, but the pandemic has underlined how delaying the legislation only allows pent-up problems to deepen before our very eyes.

We know that social media giants will not adopt the changes that we all need without them being written into law, so why are we waiting so long for that to happen? Social media platforms need to have a statutory duty of care for their users, and people must be provided with the same level of safety online as offline, but the changes that the Government will hopefully implement in the coming months cannot stop there. Ministers must establish a social media health alliance to fund research and education initiatives and establish clearer guidance for the public.

When we consider how quickly technology and social media have changed in the past decade, we can imagine how unrecognisable they could be by 2025, 2030 or further in the future. Funding research through a health alliance would us help to stay ahead of the game and aware of any emerging threats, and it would give us much needed time to take action. No hon. Member would say that cyber-space has not rapidly got out of control. That wild west will continue to grow yet wilder unless we fund vital research foresight.

We do not have to fund it, however. Again, that is where social media giants need to be made to step up and fulfil their moral responsibilities. The alliance can be funded by, say, a small 0.5% levy on the profits that social media platforms make. Social media users generate multimillion-pound profits for the tech giants every year; the least they can do is reinvest a negligible portion of their prosperity to help to improve the health, well-being and safety of their customers.

What else can the Government do? I understand that the Cabinet Office is working closely with the WHO and academics from the University of Cambridge to help to counter some of the antivax discourse, and I am aware that there are already some good examples of the Government trying to do this. The University of Cambridge’s new Go Viral! game, supported by the Cabinet Office, aims to help the public to better understand the techniques used to spread fake news and to identify and disregard misinformation related to the coronavirus pandemic. That is a good individual example of how communications can be tailored to different audiences to help to counter misinformation about vaccines and covid-19 more widely, but the Government need many more examples that are suitable for a range of audiences and much more widely promoted.

It would be useful if the Minister gave the House an update on that work and detail what practical steps the Government are putting in place to ensure that the issue is being taken seriously. I know that the Department is working with Public Health England, NHS Improvement and the Department for Digital, Culture, Media and Sport on those issues, but I would like to hear more about what the Government are doing with the devolved Administrations.

The WHO calls the three key components that contribute to a decision not to vaccinate the three c’s: confidence, complacency and convenience. There can be confidence in the safety and efficiency of a vaccine, but also in the system that regulates and provides it. Complacency happens because, due to the success of vaccination, many people do not have experience of diseases that vaccination prevents, such as polio or tuberculosis. Therefore, they underestimate the potential impact of catching the disease. Convenience includes factors such as the cost and ease of obtaining a vaccination. When the Minister responds, I would be grateful if she explained precisely how the Government are addressing each of the three c’s. If they are not, I would like her to explain why.

We have all seen how Government communications can reach a wide audience when the Government have the political will to give campaigns the resources they need, from “Get ready for Brexit” to “Stay at home, protect the NHS, save lives”. Government information can reach a wide audience if Ministers put their minds to it, so today I am calling on the Minister to bring forward an holistic, six-month, cross-Government strategy to better inform the public about the vigorous clinical procedures that are being followed in approving any covid-19 vaccine. Whether it be through myth-busting or making the process more transparent to the public at large, the Government need to start getting back on the front foot. A tidal wave of misinformation has already arrived on our shores, and without a clear communication strategy in advance of providing an effective and safe vaccine, I fear that a further tsunami of anti-vax falsehoods will fatally undermine the public health and economic wellbeing of our country. The Government promised to do “whatever it takes” to help the British people through this crisis. We know the threat that these anti-vax falsehoods pose, and it is self-evident that Ministers must do whatever it takes to counter this damaging discourse. We can and must break the circuit of this digital pandemic. If we fail, yet more lives and livelihoods could be lost.