Introduction
The COVID-19 pandemic has affected the economic and political landscape of the world (Blofield et al., 2020; Greer et al., 2020). Low- and middle-income countries (LMICs) have been particularly vulnerable to the effects of the disease (Breevoort et al., 2020; Dahab et al., 2020; Elhadi et al., 2020; Loayza and Pennings, 2020). Yet, LMIC regions have different approaches to disease response, control and monitoring. For instance, while Africa centralizes these roles in the Africa Centers for Disease Control (Africa CDC) (Wadvalla, 2020), Latin American countries lack a common health administration, making them more susceptible to complications due to poverty, comorbidity and political dynamics (Pablos-Mendez et al., 2020).
Traditional and social media have been important to disseminate information related to disease containment and treatment (Basch et al., 2020; Hopman et al., 2020). Yet, these tools have also served to spread misinformation, conspiracy theories and “miracle cures” for COVID-19 (Malinverni and Brigagão, 2020; Moreno-Castro et al., 2020; Oliveira et al., 2020; Pereira et al., 2020). In Latin America, there are several instances in which media trends have shaped policy and resulted in dangerous interventions to fight the pandemic (Oliveira et al., 2020). These have included the administration of hydroxychloroquine and ivermectin (Mega, 2020), as well as the use of untested convalescent plasma as therapy for COVID-19 (Ferreira and Mostajo-Radji, 2020).
While the world was horrified by President Donald Trump's suggestion of drinking household disinfectants to prevent COVID-19 (Litman et al., 2020), less has been mentioned about the extensive use of chlorine dioxide as treatment in Latin America. Chlorine dioxide is a disinfectant commonly used to clean medical equipment and treat residual waters (Smith et al., 2001). At high concentrations and non-physiological pH, chlorine dioxide effectively inhibits microbial and viral activity (Hauchman et al., 1986; Zoffoli et al., 2005). Exposure to high doses of chlorine dioxide has been shown to cause thyroid suppression, DNA damage and neurotoxicity in several animal models (Bercz et al., 1982; Abdel-Rahman et al., 1984; Orme et al., 1985; Harrington et al., 1986; Toth et al., 1990). It is therefore understood that chlorine dioxide is not safe for human consumption.
At the global scale, the dissemination of pseudoscience and post-truth phenomena is often associated with income inequalities (Rijs and Fenter, 2020). Interestingly, however, while Latin American countries often have similar levels of inequality, the use of chlorine dioxide as COVID-19 treatment varied significantly across countries (Table 1). In this article, I use chlorine dioxide consumption to further dissect the contribution of additional variables to pseudoscience dissemination, including scientific literacy and the democratic state of internal politics.
Table 1
| Country | Global innovation index | Global innovation rank | Gini index | Freedom in the world index | COMUSAV chapter | Proposed and discussed in congress | Income | Chlorine dioxide consumption |
|---|---|---|---|---|---|---|---|---|
| Chile | 33.86 | 54 | 44.40 | 90 | Yes | Proposed but not discussed | High income | Low |
| Mexico | 33.60 | 55 | 45.40 | 62 | Yes | No | Upper-middle income | Medium |
| Costa Rica | 33.51 | 56 | 48.00 | 91 | Yes | No | Upper-middle income | Low |
| Brazil | 31.94 | 62 | 53.90 | 75 | Yes | No | Upper-middle income | Low |
| Colombia | 30.84 | 68 | 50.40 | 66 | Yes | No | Upper-middle income | Low |
| Uruguay | 30.84 | 69 | 39.70 | 98 | Yes | No | High income | Low |
| Panama | 29.04 | 73 | 49.20 | 84 | Yes | No | High income | Low |
| Peru | 28.79 | 76 | 42.80 | 72 | Yes | Discussed but not approved | Upper-middle income | High |
| Argentina | 28.33 | 80 | 41.40 | 85 | Yes | Proposed but not discussed | Upper-middle income | Medium |
| Dominican Republic | 25.10 | 90 | 43.70 | 67 | Yes | No | Upper-middle income | Medium |
| El Salvador | 24.85 | 92 | 38.60 | 66 | No | No | Lower-middle income | Medium |
| Paraguay | 24.14 | 97 | 46.20 | 65 | Yes | No | Upper-middle income | Low |
| Ecuador | 24.11 | 99 | 45.40 | 65 | Yes | Yes | Upper-middle income | High |
| Honduras | 22.95 | 103 | 52.10 | 45 | Yes | No | Lower-middle income | High |
| Bolivia | 22.41 | 105 | 42.20 | 63 | Yes | Discussed and approved | Lower-middle income | High |
| Guatemala | 22.35 | 106 | 48.30 | 52 | Yes | No | Upper-middle income | High |
Positions of Latin American countries in international rankings and their chlorine dioxide consumption.
A list of all Latin American countries ranked by their position in the Global Innovation Index, as well as the Gini Index and the Freedom in the World Index. Additionally, information on whether COMUSAV has an active chapter in these countries, as well as whether there were discussions on approving chlorine dioxide in congress is included. Only countries considered in all 3 rankings are included. Of note, as COMUSAV is not formally registered in any country. The information of whether there is an active chapter in a country was obtained from its official website comusav.com. Importantly, no information is available on the degree of activity that individual chapters have.
Brief History Of Chlorine Dioxide And Its Use In Medicine
Chlorine dioxide is obtained by the chemical reaction of sodium chlorite with an acid (Burela et al., 2020; Galloso, 2020). In his book “Master Mineral Solution of the 3rd Millennium,” Jim Humble claims that he stumbled upon chlorine dioxide as a miracle solution to malaria when four members of his camp came down with the disease in Guyana (Humble, 2011). He then refined his formula through trial-and-error testing in Latin America and Africa (Humble, 2011). Since then, the use of chlorine dioxide has been promoted as a cure for cancer, HIV, hepatitis, malaria, H1N1, Ebola, acne, autism and other disorders (Humble, 2011; Harrison and Zane, 2017). The major proponent of this compound as a medication is the “Genesis II Church of Health and Healing,” of which Humble is one of the founders (Harrison and Zane, 2017). Self-defined as a “non-religious church,” this organization considers chlorine dioxide to be a sacrament that is administered in exchange for donations (Braga, 2020).
There are several documented cases, both in the scientific literature and in the popular media, of strong side effects caused by chlorine dioxide intoxication (Montoya and Rocha, 2020). According to court documents, in the United States alone, poison control centers have handled over 16,000 cases of chlorine dioxide intoxication since 2014 (Braga, 2020; Orshan, 2020). Some of the common symptoms of intoxication include severe vomiting and diarrhea, anemia, severe liver failure, low blood pressure, arrythmia and methemoglobinemia (US Food and Drug Administration, 2020).
During the COVID-19 pandemic, proponents of chlorine dioxide resurfaced, claiming that this compound could prevent and treat SARS-CoV-2 infections (Karnik-Henry, 2020). While no evidence was presented to support those claims, one observational clinical trial was registered in clinicaltrials.gov which aimed to determine the effectiveness of oral chlorine dioxide administration to treat COVID-19 in 20 volunteers. This study, which was to take place in Colombia, was sponsored by the Genesis Foundation. Yet, to date, no results have been reported (US National Library of Medicine, 2020).
Use Of Chlorine Dioxide For Covid-19 Prevention And Treatment In Latin America
In Latin America, the biggest proponent of chlorine dioxide is the “Coalicion Mundial Salud y Vida” (translated to “Global Health and Life Coalition” - COMUSAV). Created in 2020, this coalition has over 3,500 members and chapters in 16 Latin American countries, although it is not formally registered in any country (Gonzalez, 2020). COMUSAV defines itself as a coalition that encompasses “open-minded” physicians, researchers, health professionals and enthusiasts promoting integral health approaches and homeopathic practices (Lammoglia, 2020). The leaders of COMUSAV are practicing physicians who treat thousands of patients with chlorine dioxide (Gonzalez, 2020). Several of its members have been outspoken at promoting unproven therapies, such as the use of scorpion venom to treat cancer (Musacchio, 2020), as well as rejecting the application of vaccines against the SARS-CoV-2 virus (Molina, 2020). COMUSAV claims to have done chlorine dioxide toxicology studies in chicken embryos infected with avian coronavirus, although those results have not been published in a peer-reviewed journal (La Red, 2020). Moreover, COMUSAV falsely claimed that these results demonstrate chlorine dioxide is safe to administer to other animals, including humans and that the results are extrapolatable to other coronaviruses, such as SARS-CoV-2 (La Red, 2020).
Many Latin American countries debated the use of chlorine dioxide to treat COVID-19. For example, in Peru congressman and physician Posemoscrowte Chagua requested the congress to create a “neutral” special commission to evaluate the effects of chlorine dioxide in the treatment of COVID-19 (Redaccion Gestion, 2020). The health commission of the congress evaluated the proposal and proponents of chlorine dioxide were invited to present their viewpoints to lawmakers (Loayza, 2020). The commission eventually suspended the investigation and did not approve the use of chlorine dioxide in Peru (El Universo, 2020). In Argentina, congresswoman Monica Frade requested the central government to authorize the chlorine dioxide as a medication, although the request was unsuccessful and the topic was not further discussed in congress (El Intransigente, 2020). In Chile, congressman Florcita Alarcon presented a similar request (Dote, 2020), which was also rejected (Camara de Diputados de Chile, 2020). In Costa Rica, the main proponent was former presidential candidate Rolando Araya who claimed he “didn't need to be a doctor to know it works” (Roque, 2020). While these motions were particularly effective at promoting the public image of specific political figures, they failed to gain formal authorization to commercialize chlorine dioxide as a medication. However, this compound was extensively sold in illegal markets and promoted in social media (Oliveira et al., 2020).
Within Latin America, Bolivia represents a particularly interesting case, as it is the only country in which congress approved the use of chlorine dioxide in the prevention and treatment of COVID-19 (Porter and Moynihan, 2020; Trigo et al., 2020). Bolivia has a complicated political landscape. Until November 2019, President Evo Morales and his political party “Movimiento al Socialismo”(translates to “Movement toward socialism” —MAS) governed the country for almost 14 years. Yet, after the Organization for American States (OAS) found indictments of fraud in the October 2019 presidential elections, Morales and his closest allies resigned and fled the country amid massive protests and loss of support from the police and the armed forces (Escobari and Hoover, 2019). Through constitutional succession, Jeanine Añez assumed the interim presidency of Bolivia (Sohr, 2019). However, the members “Plurinational legislative assembly” (PLA), the majority of which were from MAS, did not resign. In the mist of the presidential elections, MAS-dominated PLA approved a bill to “exceptionally elaborate, commercialize and supply chlorine dioxide for COVID-19” (Porter and Moynihan, 2020; Trigo et al., 2020). While President Añez never signed the bill to legalize the use of chlorine dioxide as a drug (King, 2020), several governors, majors and political candidates, most of which were from MAS, distributed this compound in their respective regions (Associated Press, 2020).
The Reasons Behind Chlorine Dioxide Consumption In Latin America
When trying to pinpoint the reason behind the spread of pseudoscience and misinformation in the context of COVID-19, science advisors and epidemiologists have focused on income inequality as an important measurement (Rijs and Fenter, 2020). Indeed, one survey of over 20,000 scientists has shown a strong correlation between governmental acceptance of science advise and the Gini Index (GI), a standard measurement of a country's income inequality (Rijs and Fenter, 2020; Ward, 2020). Yet, on several occasions the GI has not been accurate at measuring phenomena between different Latin American countries, due to the large informal sector of the economy and the fact that most Latin American countries score similarly in this index (Dobson and Ramlogan-Dobson, 2010; Hartmann et al., 2016) (Table 1). Not surprisingly, when comparing the GI to the penetrance of chlorine dioxide consumption in the population (as measured by news and blog articles), there is no obvious correlation (Figure 1A).
Figure 1
Chlorine dioxide consumption in Latin America. Latin American countries had different degrees of chlorine dioxide consumption during the COVID-19 pandemic and are classified as “low,” “medium,” or “high” according to the number of media articles and blog posts related to this chemical as a potential COVID-19 treatment. Comparison to (A) Gini Index, (B) Global Innovation Index, and (C) Freedom in the World Index. Red dot represents Bolivia, as the only country in which chlorine dioxide was approved by congress as a COVID-19 treatment. For raw values, refer to Table 1.
Previously, the Global Innovation Index (GII) has been used to assess the degree of science literacy in a population (Filho and Heerdt, 2018; Ferreira et al., 2019). GI and GII are unrelated, as countries like the United States and China with a relatively unequal societies, rank high in GII, due to their strong science agencies and research facilities. Latin American countries, on the other hand, consistently rank among the worst performers in this index (Crespo and Crespo, 2016; Ferreira et al., 2019). Science literacy and education are anticorrelated to pseudoscientific beliefs in the population (Carosso et al., 2019). As result, when comparing chlorine dioxide consumption in individual Latin American countries to their performance in the GII it becomes evident that poorly GII performing countries had a high penetrance of chlorine dioxide consumption (Figure 1B).
Recently, the degree of freedom of speech and democracy, as measured by the Freedom in the World Index (FWI), has been used to better understand the COVID-19 response of individual governments, particularly in reporting case numbers and death tolls (Hussein et al., 2020). Unlike in the GI and GII, Latin American countries have very different degrees of FWI, with some countries considered “Free” such as Chile, while others considered “Not Free” like Cuba and Venezuela (Santiago et al., 2020). Of note, populist governments tend to score low in the FWI (Waisbord, 2018) and pseudoscientific beliefs are often seen in cultures and regions with low freedom of speech (Anthony, 1999). Interestingly, there was minimal chlorine dioxide consumption in countries that scored high in the FWI, while low scoring countries showed the highest consumption (Figure 1C). Together, one can only conclude low science literacy and low freedom of speech, and not income inequality, were determinant in the pseudoscientific belief that chlorine dioxide could be consumed for the prevention and treatment of COVID-19.
Discussion
COVID-19 has often been described as the first post-truth pandemic (Parmet and Paul, 2020; Shelton, 2020). Several studies have identified sources of this phenomenon, including contradicting information in social media, failure of governmental officials to accurately predict the spread of the disease, mistrust in the WHO, and increased economic inequalities (Parmet and Paul, 2020; Puri et al., 2020).
In the times of crises, scientists are key figures to serve as advisors to governments and common citizens (Awandare et al., 2020). Unlike popular media, which depicts messages based in emotions, evidence-based science communication is factual, therefore reducing fear and uncertainty (Szczuka et al., 2020). In Latin America, the communication strategy of chlorine dioxide proponents followed an approach in which pseudoscientists were presented as experts in the media, whose messages were considered equal to those of epidemiologists, public health officials and science diplomats (Associated Press, 2020; Awandare et al., 2020; Barber and Mostajo-Radji, 2020). This strategy became most effective in countries with low scientific literacy (Figure 1).
Anxiety and desperation have been extensively observed throughout the world during the COVID-19 pandemic (Ornell et al., 2020). These feelings have been accompanied with an increase in the search of homeopathic solutions to overcome the disease, particularly in regions with weak and saturated healthcare systems that have undergone strict lockdowns (Escola-Gascon et al., 2020; Espin, 2020; Vega-Dienstmaier, 2020). Several governmental global leaders have taken advantage of this phenomenon in order to promoter their personal image (Parmet and Paul, 2020), specially during elections periods.
As we approach a time period in which massive vaccinations against the SARS-CoV-2 virus will be needed, understanding the roots, as well as the causes of dissemination, and politicization of scientific misinformation will be key to overcome this pandemic.
Statements
Author contributions
MM-R did the research and wrote this manuscript.
Acknowledgments
I would like to thank Giovanni Carosso, Leonardo Ferreira, Gustavo Serrano, and Pablo Contreras for insightful comments on this manuscript.
Conflict of interest
MM-R is the former Bolivian science, technology and innovation ambassador.
References
1
Abdel-RahmanM. S.CouriD.BullR. J. (1984). Toxicity of chlorine dioxide in drinking water. J. Am. College Toxicol. 3, 277–284. 10.3109/10915818409009082
2
AnthonyD. (1999). Pseudoscience and minority religions: an evaluation of the brainwashing theories of jean-marie abgrall. Soc. Justice Res. 12,: 421–456. 10.1023/A:1022081411463
3
Associated Press (2020). Desperate Bolivians seek out toxic bleach falsely touted as Covid-19 cure. The Guardian. Available online at: https://theguardian.com/world/2020/jul/17/bolivia-coronavirus-toxic-bleach-chlorine-dioxide (accessed October 25, 2020).
4
AwandareG.AndréE.Corrales-AguilarE.ChenC.-J.Mostajo-RadjiM. A.JancorieneL.et al. (2020). Science advisers around the world on 2020. Nature588, 586–588. 10.1038/d41586-020-03557-x
5
BarberK.Mostajo-RadjiM. A. (2020). Youth networks' advances toward the sustainable development goals during the COVID-19 pandemic. Front. Sociol. 5:589539. 10.3389/fsoc.2020.589539
6
BaschC. H.HillyerC. C.JaimeC. (2020). COVID-19 on TikTok: harnessing an emerging social media platform to convey important public health messages. Int. J. Adolescent Med. Health.10.1515/ijamh-2020-0111. [Epub ahead of print].
7
BerczJ. P.JonesL.GarnerL.MurrayD.LudwigD. A.BostonJ. (1982). Subchronic toxicity of chlorine dioxide and related compounds in drinking water in the nonhuman primate. Environ. Health Perspect. 46, 47–55. 10.1289/ehp.824647
8
BlofieldM.HoffmannB.LlanosM. (2020). Assessing the Political and Social Impact of the COVID-19 Crisis in Latin America. (GIGA Focus Lateinamerika, 3). Hamburg: GIGA German Institute of Global and Area Studies - Leibniz-Institut für Globale und Regionale Studien, Institut für Lateinamerika-Studien. Available online at: https://nbn-resolving.org/urn:nbn:de:0168-ssoar-67260-7 (accessed December 13, 2020).
9
BragaM. (2020). 'You have no authority over us': Church leader, sons jailed for insisting chemical's power to heal trumps laws of the state. USA Today. Available online at: https://www.usatoday.com/story/news/investigations/2020/09/04/church-leader-sons-jailed-defying-fda-touting-coronavirus-cure/5660825002/ (accessed October 21, 2020).
10
BreevoortA.CarossoG. A.Mostajo-RadjiM. A. (2020). High-altitude populations need special considerations for COVID-19. Nat. Commun.11:3280. 10.1038/s41467-020-17131-6
11
BurelaA.Hernandez-VasquezA.ComandeD.PeraltaV.FiestasF. (2020). Dióxido de cloro y derivados del cloro para prevenir o tratar la COVID-19: revisión sistemática. Rev. Peru. Med. Exp. Salud Publica.37, 195–200. 10.17843/rpmesp.2020.374.6330
12
Camarade Diputadosde Chile (2020). Oficio No 65693. Camara de Diputados de Chile. Available online at: https://www.camara.cl/verdoc.aspx?prmTIPO=OFICIO&prmID=166016&DESTINOID=121729 (accessed February 18, 2021).
13
CarossoG. A.FerreiraL. M. R.Mostajo-RadjiM. A. (2019). Developing brains, developing nations: can scientists be effective non-state diplomats?Frontiers in Education4:95. 10.3389/feduc.2019.00095
14
CrespoN. F.CrespoC. F. (2016). Global innovation index: moving beyond the absolute value of ranking with a fuzzy-set analysis. J. Bus. Res. 69, 5265–5271. 10.1016/j.jbusres.2016.04.123
15
DahabM.van ZandvoortK.FlascheS.WarsameA.RatnayakeR.FavasC.et al. (2020). COVID-19 control in low-income settings and displaced populations: what can realistically be done?Confl. Health. 14:54. 10.1186/s13031-020-00296-8
16
DobsonS.Ramlogan-DobsonC. (2010). Is there a trade-off between income inequality and corruption? Evidence from Latin America. Economic Letters107, 102–104. 10.1016/j.econlet.2009.12.038
17
DoteS. (2020). Dióxido de cloro: la peligrosa sustancia defendida por Florcita Motuda para tratar el coronavirus. El Dinamo. Available online at: https://www.eldinamo.cl/nacional/2020/08/14/coronavirus-chile-dioxido-de-cloro-la-peligrosa-sustancia-defendida-por-florcita-motuda/ (accessed October 25, 2020).
18
El Intransigente (2020). Escándalo en el Congreso: una diputada reclamó al gobierno avalar el dióxido de cloro. Available online at: https://elintransigente.com/2020/10/escandalo-en-el-congreso-una-diputada-reclamo-al-gobierno-avalar-el-dioxido-de-cloro/ (accessed October 25, 2020).
19
El Universo (2020). Más países prohíben la utilización del dióxido de cloro como tratamiento contra el COVID-19. Available online at: https://www.eluniverso.com/noticias/2020/07/11/nota/7902882/covid-19-dioxido-cloro-tratamiento-peru-bolivia-ecuador/ (accessed February 18, 2020).
20
ElhadiM.AhmedM.AlkeelaniM.AlsuyihiliA.KhaledA.BuzregA.et al. (2020). Concerns for low-resource countries, with under-prepared intensive care units, facing the COVID-19 pandemic. Infect. Dis. Health25, 227–232. 10.1016/j.idh.2020.05.008
21
EscobariD.HooverG. A. (2019). Evo morales and electoral fraud in bolivia: a natural experiment and discontinuity evidence. SSRN. Available online at: https://ssrn.com/abstract=3492928 (accessed October 14, 2020).
22
Escola-GasconA.MarinF. X.RusinolJ.GallifaJ. (2020). Pseudoscientific beliefs and psychopathological risks increase after COVID-19 social quarantine. Global. Health16:72. 10.1186/s12992-020-00603-1
23
EspinE. (2020). Los tratamientos pseudocientíficos en la pandemia de COVID-19: Aplanar la curva de la “infodemia” también salva vidas. Bionatura.10.21931/RB/2020.05.03.2
24
FerreiraL. M. R.CarossoG. A.DuranN. M.Bohorquez-MassudS. V.Vaca-DiezG.Rivera-BetancourtL. I.et al. (2019). Effective participatory science education in a diverse Latin American population. Palgrave Commun.5:63. 10.1057/s41599-019-0275-0
25
FerreiraL. M. R.Mostajo-RadjiM. A. (2020). Plasma-based COVID-19 treatments in low-and middle-income nations pose a high risk of an HIV epidemic. NPJ Vaccines5:58. 10.1038/s41541-020-0209-2
26
FilhoM. F.HeerdtM. L. (2018). Innovation emergence: public policies versus actors' free interaction. Systems6:13. 10.3390/systems6020013
27
GallosoM. C. (2020). Riesgo en la manipulación y consumo del dióxido de cloro y clorito de sodio. Revista de la Sociedad Quimica del Peru. 86, 91–92. 10.37761/rsqp.v86i2.277
28
GonzalezR. H. (2020). El dióxido de cloro está revolucionando a la medicina. Available online at: https://www.metrolibre.com/nacionales/183948-el-di%C3%B3xido-de-cloro-est%C3%A1-revolucionando-la-medicina.html (accessed October 22, 2020).
29
GreerS. L.KingE. J.Massard daE.Peralta-SantosA. (2020). The comparative politics of COVID-19: the need to understand government responses. Glob. Public Health15, 1413–1416. 10.1080/17441692.2020.1783340
30
HarringtonR. M.ShertzerH. G.BerczJ. P. (1986). Effects of chlorine dioxide on thyroid function in the African green monkey and the rat. J. Toxicol. Environ. Health19, 235–242. 10.1080/15287398609530923
31
HarrisonK. L.ZaneT. (2017). Focus on science: Is there science behind that? Bleach therapy. Sci. Autism Treatment14, 18–24.
32
HartmannD.Jara-FigueroaC.GuevaraM.SimoesA.HidalgoC. A. (2016). The structural constraints of income inequality in Latin America. Integration Trade J.40, 70–85.
33
HauchmanF. S.NossC. I.OlivieriV. P. (1986). Chlorine dioxide reactivity with nucleic acids. Water Res. 20, 357–361. 10.1016/0043-1354(86)90084-9
34
HopmanJ.AllegranziB.MehtarS. (2020). Managing COVID-19 in low- and middle-income countries. JAMA323, 1549–1550. 10.1001/jama.2020.4169
35
HumbleJ. (2011). Master Mineral Solution of the 3rd Millennium. Osmora.
36
HusseinM. R.AlSulaimanT.HabibM.AwadE. A.MorsiI.HerboldJ. R. (2020). The relationship between democracy embracement and COVID-19 reported casualties worldwide. MedRXiv.10.1101/2021.01.11.21249549
37
Karnik-HenryM. S. (2020). Acidified sodium chlorite solution: a potential prophylaxis to mitigate impact of multiple exposures to COVID-19 in frontline health-care providers. Hosp. Pract.48, 165–168. 10.1080/21548331.2020.1778908
38
KingL. (2020). Bleach approved as coronavirus treatment in Bolivia despite leaving people in hospital. Mirror. Available online at: https://www.mirror.co.uk/news/world-news/bleach-approved-treatment-coronavirus-bolivia-22533525 (accessed October 25, 2020).
39
La Red (2020). Comusav dice haber vencido al COVID-19 con Dióxido de Cloro (CDS). La Red. Available online at: https://lared.com.gt/comusav-dice-haber-vencido-al-covid-19-con-dioxido-de-cloro-cds/ (accessed October 25, 2020).
40
LammogliaE. (2020). ¿Por qué? prohíbe COFEPRIS el Dióxido de Cloro, el uso de medicamentos homeopáticos… COMUSAV. Available online at: https://comusav.com/por-que-prohibe-cofepris-el-dioxido-de-cloro-el-uso-de-medicamentos-homeopaticos/ (accessed October 25, 2020).
41
LitmanL.RosenZ.RosenzweigC.Weinberger-LitmanS. L.MossA. J.RobinsonJ. (2020). Did people really drink bleach to prevent COVID-19? A tale of problematic respondents and a guide for measuring rare events in survey data. MedRXiv.10.1101/2020.12.11.20246694
42
LoayzaG. T. (2020). El pseudomédico y los doctores espirituales invitados a comisión del Congreso. Wayka.pe. Available online at: https://wayka.pe/el-pseudomedico-y-los-doctores-espirituales-invitados-a-comision-del-congreso/ (accessed February 18, 2021).
43
LoayzaN. V.PenningsS. (2020). Macroeconomic policy in the time of COVID-19. World Bank. Policy notes28, 1–9. 10.1596/33540
44
MalinverniC.BrigagãoJ. I. (2020). COVID-19: scientific arguments, denialism, eugenics, and the construction of the antisocial distancing discourse in Brazil. Front. Commun.5:582963. 10.3389/fcomm.2020.582963
45
MegaE. R. (2020). Latin America's embrace of an unproven COVID treatment is hindering drug trials. Nature586, 481–482. 10.1038/d41586-020-02958-2
46
MolinaE. (2020). Las vacunas, el tema predilecto de los conspiranoicos. ABC. Available online at: https://www.abc.es/ciencia/abci-emilio-molina-vacunas-tema-predilecto-conspiranoicos-202012201119_noticia.html (accessed February 18, 2021).
47
MontoyaS. C. N.RochaM. T. (2020). Alerta RACIM: productos a base de clorito de sodio/dióxido de cloro. Repositorio Digital Universidad Nacaional de Cordoba. Available online at: https://rdu.unc.edu.ar/handle/11086/16211 (accessed October 21, 2020).
48
Moreno-CastroC.Vengut-ClimentE.Cano-OrónL.Mendoza-PoudereuxI. (2020). Exploratory study of the hoaxes spread via WhatsApp in Spain to prevent and/or cure COVID-19. Gac. Sanit. 10.1016/j.gaceta.2020.07.008. [Epub ahead of print].
49
MusacchioH. (2020). Cofepris vs. dióxido de cloro. Excelsior. Available online at: https://www.excelsior.com.mx/opinion/humberto-musacchio/cofepris-vs-dioxido-de-cloro/1396877 (accessed October 25, 2020).
50
OliveiraT. M.MartinsR. Q. R.TothJ. P. (2020). Antivacina, fosfoetanolamina e Mineral Miracle Solution (MMS): mapeamento de fake sciences ligadas à saúde no Facebook. Rev. Eletrônica Comunicação Informação Inovação Saúde14, 90–111. 10.29397/reciis.v14i1.1988
51
OrmeJ.TaylorD. R.LaurieD.BullR. J. (1985). Effects of chlorine dioxide on thyroid function in neonatal rats. J. Toxicol. Environ. Health15, 315–322. 10.1080/15287398509530657
52
OrnellF.SchuchJ. B.SordiA.KesslerF. H. P. (2020). “Pandemic fear” and COVID-19: mental health burden and strategies. Brazilian J. Psychiatry42, 232–235. 10.1590/1516-4446-2020-0008
53
OrshanA. F. (2020). Government's memorandum in support of detention. United States of America vs. Mark Scott Grenon, Jonathan David Grenon, Jordan Paul Grenon and Joseph Timothy Grenon. United States District Court Southern District of Florida. Case No. 20-3050-MJ-OTAZO-REYES. Available online at: https://www.documentcloud.org/documents/7048361-Motion-for-Detention.html (accessed on October 21, 2020).
54
Pablos-MendezA.VegaJ.ArangurenF. P.ArangurenH.RaviglioneM. C. (2020). COVID-19 in Latin America. BMJ370:m2939. 10.1136/bmj.m2939. 10.1136/bmj.m2939
55
ParmetW. E.PaulJ. (2020). COVID-19: the first posttruth pandemic. Am. J. Publich Health110, 945–946. 10.2105/AJPH.2020.305721
56
PereiraP. S.SilveiraA. S.PereiraA. (2020). Disinformation and the ideological gap in the perception of risks from COVID-19. Front. Sociol. 5:560681. 10.3389/fsoc.2020.560681
57
PorterT.MoynihanQ. (2020). How an entire nation embraced toxic bleach as a COVID-19 miracle cure after a tide of misinformation that authorities couldn't counter. Available online at: https://www.businessinsider.com/bolivia-bleach-coronavirus-embraced-misinformation-2020-9 (accessed on January 20, 2021).
58
PuriN.CoomesE. A.HaghbayanH.KeithG. (2020). Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Hum. Vaccin. Immunother. 16, 2586–2593. 10.1080/21645515.2020.1780846
59
Redaccion Gestion (2020). UPP presentó moción para investigar al dióxido de cloro pese a advertencies. Gestion. Available online at: https://gestion.pe/peru/upp-presento-mocion-para-investigar-al-dioxido-de-cloro-pese-a-advertencias-congreso-de-la-republica-nndc-noticia/ (accessed October 25, 2020).
60
RijsC.FenterF. (2020). The academic response to COVID-19. Front. Public Health8:621563. 10.3389/fpubh.2020.621563
61
RoqueV. M. (2020). Araya sobre uso de dióxido de cloro: No necesito ser médico, solo me basta con leer. Columbia. Available online at: https://www.columbia.co.cr/noticias/economia/politica-nacional/20443-araya-sobre-uso-de-dioxido-de-cloro-no-necesito-ser-medico-solo-me-basta-con-leer (accessed on October 25, 2020).
62
SantiagoR.FuinhasJ. A.MarquesA. C. (2020). The impact of globalization and economic freedom on economic growth: the case of the Latin America and Caribbean countries. Economic Change Restructuring53, 61–85. 10.1007/s10644-018-9239-4
63
SheltonT. (2020). A post-truth pandemic?Big Data Soc. 7, 1–12. 10.1177/2053951720965612
64
SmithA. J.BaggJ.HoodJ. (2001). Use of chlorine dioxide to disinfect dental unit waterlines. J. Hospital Infect. 49, 285–288. 10.1053/jhin.2001.1085
65
SohrR. (2019). Cambio de regimen en Bolivia. Mensaje68:18.
66
SzczukaJ.MeinertJ.KrämerN. (2020). Listen to the Scientists: effects of exposure to scientists and general media consumption on cognitive, affective and behavioral mechanisms during the COVID-19 pandemic. PsyArXiv.10.31234/osf.io/6j8qd
67
TothG. P.LongR. E.MillsT. S.SmithM. K. (1990). Effects of chlorine dioxide on the developing rat brain. J. Toxicol. Environ. Health. 31, 29–44. 10.1080/15287399009531435
68
TrigoM. S.KurmanaevA.CabreraJ. M. L. (2020). Coronavirus en América Latina: algunas autoridades respaldan tratamientos cuestionables. NY Times. Available online at: https://nytimes.com/es/2020/07/23/espanol/america-latina/bolivia-cloro-coronavirus-ivermectina.html (accessed October 25, 2020).
69
US Food Drug Administration (2020). Coronavirus (COVID-19) Update: FDA Warns Seller Marketing Dangerous Chlorine Dioxide Products that Claim to Treat or Prevent COVID-19. US Food and Drug Administration. Available online at: https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-warns-seller-marketing-dangerous-chlorine-dioxide-products-claim (accessed October, 21, 2020).
70
US National Library of Medicine (2020). Determination of the Effectiveness of Oral Chlorine Dioxide in the Treatment of COVID 19. ClinicalTrials.gov Identifier: NCT04343742. US National Library of Medicine. Available online at: https://clinicaltrials.gov/ct2/show/NCT04343742(accessed October 21, 2020).
71
Vega-DienstmaierJ. M. (2020). Teorías de conspiración y desinformación en torno a la epidemia de la COVID-19. Revista Neuropsiquiatria83, 135–137. 10.20453/rnp.v83i3.3792
72
WadvallaB. A. (2020). How Africa has tackled covid-19. BMJ370:m2830. 10.1136/bmj.m2830
73
WaisbordS. (2018). Why populism is troubling for democratic communication. Commun. Culture Critique11, 21–34. 10.1093/ccc/tcx005
74
WardT. (2020). The less equal we become, the less we trust science, and that's a problem. The Conversation. Available online at: https://theconversation.com/the-less-equal-we-become-the-less-we-trust-science-and-thats-a-problem-151691?fbclid=IwAR2qhahHatJ7MILymz6BtGD27Lw03Jlwz23lQHNtG3RrOYB5k1s6BfcTSd0 (accessed January 18, 2021).
75
ZoffoliJ. P.LatorreB. A.DaireN.ViertelS. (2005). Efectividad del Dióxido de Cloro, en Función de la Concentración, pH y Tiempo de Exposición, en el Control de Botrytis cinerea, Penicillium expansum y Rhizopus stolonifera. Ciencia Investigación Agraria32, 181–188. 10.7764/rcia.v32i3.1300
Summary
Keywords
COVID-19, chlorine dioxide, pseudoscience, Latin American politics, Bolivia
Citation
Mostajo-Radji MA (2021) Pseudoscience in the Times of Crisis: How and Why Chlorine Dioxide Consumption Became Popular in Latin America During the COVID-19 Pandemic. Front. Polit. Sci. 3:621370. doi: 10.3389/fpos.2021.621370
Received
26 October 2020
Accepted
15 March 2021
Published
12 April 2021
Volume
3 - 2021
Edited by
Netra B. Chhetri, Arizona State University, United States
Reviewed by
Florian Rabitz, Kaunas University of Technology, Lithuania; Maria Esteli Jarquin Solis, University of Costa Rica, Costa Rica
Updates
Copyright
© 2021 Mostajo-Radji.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Mohammed A. Mostajo-Radji mohammed@clubesdecienciabolivia.com
†Present address: Mohammed A. Mostajo-Radji, Genomics Institute, University of California Santa Cruz, Santa Cruz, CA, United States
This article was submitted to Politics of Technology, a section of the journal Frontiers in Political Science
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