The Infodemic in Cancer in Brazil: A Critical Look at Impacts of Disinformation and Combat Strategies

Authors

  • Giovani Miguez da Silva Instituto Nacional de Câncer (INCA), Coordenação de Ensino (Coens). Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-8492-1186

DOI:

https://doi.org/10.32635/2176-9745.RBC.2026v72n1.5464

Keywords:

Infodemic, Disinformation, Syndemic, Neoplasms/prevention & control, Health Literacy

Abstract

The oncological infodemic in Brazil poses a systemic threat to cancer control, undermining public policies, jeopardizing treatment adherence, and eroding trust in care. This article argues that the digital ecosystem, driven by surveillance capitalism, prioritizes engagement over truth, acting as an “informational carcinogen”. Drawing on national and international evidence, it shows that cancer-related disinformation spreads more widely than accurate content, directly affecting patients’ treatment journey. Health literacy emerges as a critical clinical variable: limited levels hinder comprehension of medical instructions and increase susceptibility to falsehoods. The article adopts a syndemic perspective, demonstrating how disinformation, social inequality, and illness interact to intensify harm. To address this challenge, it proposes a strategic framework built on three pillars: regulation (algorithmic transparency and platform accountability), intelligence (active infodemiology and social listening), and education (public policies for health and media literacy). Practical applications are suggested for care pathways such as HPV vaccination and outpatient oncology services. Ultimately, the article advocates that listening, translating, and acting must become essential clinical verbs to restore trust among science, healthcare, and society.

Downloads

Download data is not yet available.

References

World Health Organization [Internet]. Genève: World Health Organization; [sem data]. Infodemic [acesso 2025 set 1]. Disponível em: https://www.who.int/health-topics/infodemic#tab=tab_1

Johnson SB, Parsons M, Dorff T, et al. Cancer misinformation and harmful information on Facebook and other social media: a brief report. J Natl Cancer Inst. 2022;114(7):1036-9. doi: https://doi.org/10.1093/jnci/djab141 DOI: https://doi.org/10.1093/jnci/djab141

Empresa Brasil de Comunicação [Internet]. Brasília: Agência Brasil; [sem data]. Desinformação é maior entrave para controle do câncer do colo do útero, 2022 fev 3. [acesso 2025 set 1]. Disponível em: https://agenciabrasil.ebc.com.br/saude/noticia/2022-02/desinformacao-e-maior-entrave-para-controle-do-cancer-do-colo-do-utero

Ballalai I, Lins RS. Infodemic management and government disinformation: the brazilian experience. Asian Bioeth Rev. 2025;17(3):515-25. doi: https://doi.org/10.1007/s41649-024-00353-x DOI: https://doi.org/10.1007/s41649-024-00353-x

Singer M, Bulled N, Ostrach B, et al. Syndemics and the biosocial conception of health. Lancet. 2017;389(10072):941-50. doi: https://doi.org/10.1016/s0140-6736(17)30003-x DOI: https://doi.org/10.1016/S0140-6736(17)30003-X

Paes NF, Neves CT, Demartini KTM, et al. Letramento funcional em saúde e fatores associados em pacientes com Câncer de um Hospital Universitário. Rev Bras Cancerol. 2024;70(1):e-094497. doi: https://doi.org/10.32635/2176-9745.RBC.2024v70n1.4497 DOI: https://doi.org/10.32635/2176-9745.RBC.2024v70n1.4497

Lima FLT, Souza TA. Prevenção e controle do câncer em tempos de capitalismo de vigilância: caminhos para o combate à desinformação. Rev Bras Cancerol. 2025;71(1):e-014829. doi: https://doi.org/10.32635/2176-9745.RBC.2025v71n1.4829 DOI: https://doi.org/10.32635/2176-9745.RBC.2025v71n1.4829

Eysenbach G. Infodemiology: the epidemiology of (mis)information. Am J Med. 2002;113(9):763-5. doi: https://doi.org/10.1016/s0002-9343(02)01473-0 DOI: https://doi.org/10.1016/S0002-9343(02)01473-0

Vosoughi S, Roy D, Aral S. The spread of true and false news online. Science. 2018;359(6380):1146-51. doi: https://doi.org/10.1126/science.aap9559 DOI: https://doi.org/10.1126/science.aap9559

Epstein Z, Sirlin N, Arechar A, et al. The social media context interferes with truth discernment. Sci Adv. 2023;9(10):eadd2463. doi: https://doi.org/10.1126/sciadv.abo6169 DOI: https://doi.org/10.1126/sciadv.abo6169

Johnson SB, Park HS, Gross CP, et al. Use of alternative medicine for cancer and its impact on survival. J Natl Cancer Inst. 2018;110(1):121-4. doi: https://doi.org/10.1093/jnci/djx145 DOI: https://doi.org/10.1093/jnci/djx145

Pinto P, Magalhães E. O enfrentamento à desinformação sobre saúde pública no Brasil: registros entre 2020 e 2022. Rev Eco-Pós. 2023;26(1):140-67. doi: https://doi.org/10.29146/eco-ps.v26i01.28051 DOI: https://doi.org/10.29146/eco-ps.v26i01.28051

Silva GM. Cuidado informacional: proposta para uma comunicação em saúde epistemicamente justa a partir do cuidado oncológico. JMBR. 2025;2(5):442-60. doi: https://doi.org/10.70164/jmbr.v2i5.899 DOI: https://doi.org/10.70164/jmbr.v2i5.899

Passamai MPB, Sampaio HAC, Dias AMI, et al. Letramento funcional em saúde: reflexões e conceitos sobre seu impacto na interação entre usuários, profissionais e sistema de saúde. Interface (Botucatu). 2012;16(41):301-14. doi: https://doi.org/10.1590/S1414-32832012005000027 DOI: https://doi.org/10.1590/S1414-32832012005000027

Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. doi: https://doi.org/10.1093/eurpub/ckv043 DOI: https://doi.org/10.1093/eurpub/ckv043

Rodrigues BC, Sales AEC, Rodrigues BC, et al. Avaliação do Letramento em Saúde em pacientes com câncer hematológico submetidos ao transplante de células-tronco hematopoiéticas. Rev. Bras. Cancerol. 2022;68(1):e-251657. doi: https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657 DOI: https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657

World Health Organization [Internet]. Genève: World Health Organization; [sem data]. New infodemic management tools to support pandemic planning and preparedness for pandemic influenza and respiratory pathogen disease events. 2023 out 25 [acesso 2025 set 1]. Disponível em: https://www.who.int/news/item/25-10-2023-new-infodemic-management-tools-to-support-pandemic-planning-and-preparedness-for-pandemic-influenza-and-respiratory-pathogen-disease-events

World Health Organization [Internet]. Genève: World Health Organization; [sem data]. Highlighting a population’s health information needs during health emergencies through new infodemic management tools and frameworks. 2023 abr 13 [acesso 2025 set 1]. Disponível em: https://www.who.int/news/item/13-04-2023-highlighting-a-population-s-health-information-needs-during-health-emergencies-through-new-infodemic-management-tools-and-frameworks

Ministério das Comunicações (BR). Estratégia brasileira de educação midiática [Internet]. Brasília, DF: SECOM; 2023 [acesso 2025 set 1]. Disponível em: https://www.gov.br/secom/pt-br/arquivos/2023_secom-spdigi_estrategia-brasileira-de-educacao-midiatica.pdf

Zanchetta MS, Santos WS, Moraes KL, et al. Incorporação do letramento em saúde comunitária ao sistema único de saúde: possibilidades, controvérsias e desafios. J Nurs Health. 2020;10(3). doi: https://doi.org/10.15210/jonah.v10i3.19285 DOI: https://doi.org/10.15210/jonah.v10i3.19285

Pinto PA, Salomão SL, Bezerra AG da S. O SUS e a encruzilhada da desinformação sobre saúde: estratégias do contexto pós-pandêmico. Organicom. 2024;21(45):102-17 [acesso em 2025 set 15]. Disponível em: https://orcid.org/0000-0002-9699-7073 DOI: https://doi.org/10.11606/issn.2238-2593.organicom.2024.225113

Zielinski C. Infodemics and infodemiology: a short history, a long future. Rev Panam Salud Publica. 2021;45:e40. doi: https://doi.org/10.26633/rpsp.2021.40 DOI: https://doi.org/10.26633/RPSP.2021.40

Published

2025-12-10

How to Cite

1.
Silva GM da. The Infodemic in Cancer in Brazil: A Critical Look at Impacts of Disinformation and Combat Strategies. Rev. Bras. Cancerol. [Internet]. 2025 Dec. 10 [cited 2025 Dec. 13];72(1):e-205464. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/5464

Issue

Section

OPINION ARTICLE