Scholarly communications harmed by covid-19
BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n742 (Published 22 March 2021) Cite this as: BMJ 2021;372:n742Read our latest coverage of the coronavirus outbreak
Linked Opinion
An open plea for dignity and respect in science

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Dear Editor
The editorial by Bhopal and Munro [1] has generated substantial debate on this important topic. I read the rapid responses from Dr Berger [2,3] with interest and would like to offer a contrasting view on the call for retraction. Fortunately, the Committee on Publication Ethics (COPE) provide guidance regarding the retraction of scholarly articles. In the most recent version of ‘Retraction Guidelines’ [4], COPE clearly define the reasons for which editors should consider retracting a publication:
• “They have clear evidence that the findings are unreliable, either as a result of major error (eg, miscalculation or experimental error), or as a result of fabrication (eg, of data) or falsification (eg, image manipulation)
• It constitutes plagiarism
• The findings have previously been published elsewhere without proper attribution to previous sources or disclosure to the editor, permission to republish, or justification (ie, cases of redundant publication)
• It contains material or data without authorisation for use
• Copyright has been infringed or there is some other serious legal issue (eg, libel, privacy)
• It reports unethical research
• It has been published solely on the basis of a compromised or manipulated peer review process
• The author(s) failed to disclose a major competing interest (aka, conflict of interest) that, in the view of the editor, would have unduly affected interpretations of the work or recommendations by editors and peer reviewers”
These retraction criteria appear to be echoed on the BMJ website which states: "Retractions are considered by journal editors in cases of evidence of unreliable data or findings, plagiarism, duplicate publication, and unethical research" [5].
Considering this guidance, I can see no reason why the BMJ should be expected to retract an editorial based on a subjective assessment of an author's character, even if this assessment is based on allegations of hypocrisy relating to the subject matter of the editorial. In my view, retracting an article on these grounds risks engaging in a sort of scholarly 'cancel culture'.
Dr Berger states: "Munro and Bhopal’s credibility in this arena is shot" [3]. Such an uncompromising view of the authors credibility, with regards to discussing the nuances of scholarly communication, seems somewhat severe and polarising. Also, does Dr Berger imply that Munro and Bhopal can no longer engage in discussion/offer recommendations regarding scholarly communication in peer-reviewed journals such as the BMJ? If not, when are Munro and Bhopal permitted to engage in such conversations in the published literature? In 5 years’ time? Or after a specific amount of repenting for previous transgressions?
I think we need to be very clear regarding what constitutes a valid reason for retracting a published manuscript; to the best of my knowledge, it does not appear to be appropriate in this case.
References:
1. Bhopal R, Munro APS. Scholarly communications harmed by covid-19. BMJ. 2021 Mar 22;372:n742. https://doi.org/10.1136/bmj.n742
2. Berger D. Re: Scholarly communications harmed by covid-19. 25 March 2021. Available at: https://www.bmj.com/content/372/bmj.n742/rr-1
3. Berger D. Munro and Bhopal's editorial must now be retracted. 29 March 2021. Available at: https://www.bmj.com/content/372/bmj.n742/rr-5
4. Committee on Publication Ethics (COPE) Council. COPE Retraction guidelines — English. Version 2: November 2019. Available at: https://doi.org/10.24318/cope.2019.1.4
5. The BMJ. Corrections and retractions. Available at: https://www.bmj.com/about-bmj/resources-authors/article-submission/corre...
Competing interests: No competing interests
Dear editor,
Scholarly communications harmed by covid-19: authors respond to feedback
We appreciated the constructive rapid responses to our editorial. Dr JK Anand emphasises the need for civility in all walks of life and not just between academics. John Stone calls for more humility as well as civility with special reference to the debate about vaccines but he states an important broader principle i.e. simply appealing to authority rather than providing the evidence is potentially disrespectful to the public.
Dr Samuel P Trethewey points out that the pandemic has required a crash course in epidemiology, evidence-based medicine and the wider socio-political aspects of health and disease taking people out of their specialist areas and setting the stage for communication difficulties especially on platforms like Twitter, which “value brevity over nuance”. He makes an important distinction between misinformation and disinformation (deliberate) that we had not thought through but it seems vital. As he says correction of misinformation should be done respectfully and objectively, with the overall goal of educating, not lambasting.
Dr D Graham Mackenzie provides many insights on how to use the Twitter platform better, concluding that tweeting and searching more effectively would help shift the focus from those who spread disinformation.
In writing our editorial we were catalysing debate. We thank the rapid responders for moving the discussion forward and we invite others to contribute. We urge colleagues to share their thoughts on the substantive messages rather than the messengers. Predictably, this editorial has invoked efforts to undermine the authors rather than the arguments, underscoring the urgency of tackling the problems we identified.
Yours sincerely,
Raj Bhopal
Emeritus professor of public health
Alasdair Munro
Senior clinical research fellow in paediatric infectious diseases
Competing interests: No competing interests
Dear Editor,
The stress-testing of policy and experts through social media critique has been of vital importance during the pandemic and there are important and legitimate reflections to be made on this topic. However, despite the admission of Munro’s hypocrisy, an admission precipitated by an outcry, rather than by any internal crisis of conscience, these authors are still not the right people to make them. In particular, there are nuanced reflections to be made about the role of “politeness” in professional discourse which their conduct marks them as unfit to make.
Too often in this pandemic, reasoned dissent in social media has been met by accusations of “disrespect”, “professional discourtesy” or “bullying” by squadrons of tone police whose real purpose is to mute the critical message, rather than to maintain genteel standards of discourse.
In the Taoist hierarchy of moral values, kindness sits above justice, which itself sits above ritual, the lowest category, and the one in which “politeness” is to be found. It is not the highest virtue to be polite to people who you believe are doing serious harm through their negligence or incompetence. [1] While politeness is not to be discarded out of hand, neither should it take precedence over kindness to one’s fellow beings by attempting to protect them. If harsh words or actions are necessary to prevent harm, if the actions of some have moved so far beyond the moral sphere as to no longer be worthy of the etiquette of the salon, then so be it. The duty of the moral being is to do whatever it takes to do the right thing to prevent the world burning, not to be polite at all costs to the arsonists as they continue to set fires.
Munro and Bhopal’s credibility in this arena is shot. They should now do the graceful thing and retract their editorial. If they will not do so, then the Editor should do it for them.
Yours sincerely,
Dr David Berger
1. Berger, D. Up the line to death: covid-19 has revealed a mortal betrayal of the world’s healthcare workers
BMJ Opinion Jan 29 2021
Competing interests: No competing interests
Dear Editor
May I say a few words about the contributions of Bhopal and Munro?
They talk about scientific discourse..
I put it to them that we ought to be courteous in all discourse.
Please bear in mind that lay people ( not haloed by the prefixes Dr or Professor) might have valuable contributions to make.
Finally the tendency to describe the contributions of anyone opposed to “vaccination” using a particular “vaccine“ in a particular outbreak or epidemic or pandemic as Anti-Vaccine is somewhat uncivil.
Competing interests: I call a spade a spade.
Dear Editor
We thank Dr David Berger for his apt yet delicately phrased observation that one of the authors (Munro) might not have met the very high standards in scientific discourse on the COVID-19 pandemic that our editorial recommends (https://www.bmj.com/content/372/bmj.n742/rr-1).[1]
On reflection upon the feedback, which has also come from other quarters, and the learning from the process of writing the editorial, we agree that the standards we set in the editorial are very high, and Dr Munro admits he has not always lived up to them during his engagement in social media. Both authors are committed to working harder to meet our own high expectations in the future.
This is a time for all of us, including the authors, to reflect on our previous communication styles and how we can improve. We are human beings subject to the same difficult emotions and internal conflicts. It is important now that we as a community recognise the harms that past incivility has caused, and ensure that as a scientific community we endeavour to make our future engagements in the debate just as impassioned, but based on mutual respect and understanding. We thank our colleagues for providing candid, thoughtful yet critical feedback.
Yours sincerely,
Alasdair Munro
Raj Bhopal
1. Bhopal R, Munro APS. Scholarly communications harmed by covid-19. 2021;372:n742. doi: 10.1136/bmj.n742 %J BMJ
Competing interests: No competing interests
Dear Editor
I have read the editorial by Raj Bhopal and Alasdair P S Munro [1] with appreciation of its tolerant tone - I also think a lot of this cuts both ways and I have previously highlighted the great discourtesies accorded to those critical of the programme [2] including the accusation of “digital hate” now being policed by an apparently self-appointed body as mentioned by Padmanabhan Badrinath and Elizabeth Cubitt [3]: some of this rhetoric, notably that espoused by the Prime Minister, is not at all pleasant.
One thing which perhaps ought to be added is the need for some more humility on the part of product advocates about the limitations of what we actually know - for instance as highlighted by Peter Doshi at the recent BMJ symposium ‘Known Unknowns’ [4] - as well as acknowledgment of institutional and financial biases that are a long way short of being resolved [5,6,7,8]. Simply to appeal to authority would be to treat the public with disrespect.
[1] Raj Bhopal and Alasdair P S Munro, ‘ Scholarly communications harmed by covid-19’, BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n742 (Published 22 March 2021)
[2] John Stone, ‘ The vaccine industry should get down off its high horse’, 18 February 2021’, https://www.bmj.com/content/372/bmj.n272/rr
[3] Padmanabhan Badrinath & Elizabeth Cubitt, ‘Shifting sands of the Oxford AstraZeneca vaccine - Is politics silencing the science?’, 16 March 2021, https://www.bmj.com/content/372/bmj.n699/rr-14
[4] Peter Doshi, ‘Known Unknown - BMJ webinar’, 25 February 2021, https://www.youtube.com/watch?v=irSU3a_pVsA (@ approx 13-22mins)
[5] Paul D Thacker, ‘Conflicts of interest among the UK government’s covid-19 advisers’, BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m4716 (Published 09 December 2020)
[6] Paul D Thacker, ‘Tracking down John Bell: how the case of the Oxford professor exposes a transparency crisis in government’,
BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n490 (Published 24 February 2021)
[7] Tim Schwab, ‘Covid-19, trust, and Wellcome: how charity’s pharma investments overlap with its research efforts’,
BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n556 (Published 03 March 2021)
[8] Tim Schwab, ‘Bill Gates’s Charity Paradox’, The Nation March 17, 2020, https://www.thenation.com/article/society/bill-gates-foundation-philanth...
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Competing interests: AgeofAutism.com, an on-line daily journal, concerns itself with the potential environmental sources for the proliferation of autism, neurological impairment, immune dysfunction and chronic disease. I receive no payment as UK Editor. I also moderate comments for the on-line journal ‘The Defender’ for which I am paid. I am also a member of the UK Medical Freedom Alliance
Dear Editor,
It is essential to put on record the following two Twitter threads, which pertain to Munro's conduct on Twitter during the pandemic:
https://twitter.com/dgurdasani1/status/1374423424668372996
https://twitter.com/DrZoeHyde/status/1374700900950810624
I have been active on Twitter and passionate about the lack of protections accorded healthcare workers and others throughout the pandemic. When it is a matter of life and death for many thousands of people, millions even, I argue that passion from engaged commentators is both understandable and to be expected.
In this response I do not try to specify what the standards of discourse should be and I claim no moral high ground for myself in social media discourse. However, those such as Munro, who apparently do, should be circumspect before trying to stake that claim, given that their own interactions are on public record.
Yours sincerely,
Dr David Berger
Competing interests: No competing interests
Dear Editor
The editorial by Bhopal and Munro provides important commentary on scholarly communication in the age of social media and covid-19 [1]. The pandemic has truly tested the limits of public health communication, dominating global scientific discourse and thrusting many clinicians and academics into incredibly complex and nuanced conversations regarding evidence. For many, it has been a crash course in epidemiology, evidence-based medicine and the wider socio-political aspects of health and disease. Crucially, commentators may lack experience in the dissemination of biomedical research and the communication of caveats, limitations and uncertainty. This sets the stage for misinterpretation and misrepresentation.
As the authors of this editorial note, social media platforms like Twitter “value brevity over nuance” [1]; Tweets can be disseminated rapidly without due deliberation. Such styles of communication contrast significantly with the considered and detailed response one might see in a ‘letter to the editor’. Pausing and reflecting before sharing is crucial. The potential perils of rushed and impassioned communication reminds me of the importance of pausing and proof-reading before sending an email in response to criticism or disagreement.
Bhopal and Munro state: "Labelling different interpretations of evidence as 'disinformation' is inappropriate" [1]. I agree that a Tweet containing an honest misinterpretation of evidence should not be labelled as 'disinformation' (false or inaccurate information shared intentionally). However, it may be appropriate to label such a Tweet as ‘misinformation’ (false or inaccurate information shared regardless of intent). In fact, it may be our duty to do so, as advocates in the fight against medical misinformation [2]. This is particularly important in cases where individuals in positions of trust, for example healthcare professionals, propagate dangerous misinformation [3].
Addressing the covid-19 infodemic is a global public health priority. Fighting misinformation has been cited as an important countermeasure in the World Health Organisation framework for managing the covid-19 infodemic [4]. Healthcare professionals and the wider biomedical research community must strive to set an example regarding scholarly communication by engaging in carefully considered, impartial scientific discourse. The correction of misinformation should be done so respectfully and objectively, with the overall goal of educating not lambasting.
1. Bhopal R, Munro APS. Scholarly communications harmed by covid-19. BMJ. 2021 Mar 22;372:n742. https://doi.org/10.1136/bmj.n742
2. Trethewey SP. Strategies to combat medical misinformation on social media. Postgraduate Medical Journal 2020;96:4-6. https://doi.org/10.1136/postgradmedj-2019-137201
3. Rosa Ellis, Dominic Kennedy. Kate Shemirani: antivax leader is banned nurse who fears 5G network. The Times. 12 September 2020. Available at: https://www.thetimes.co.uk/article/suspended-nurse-kate-shemirani-become...
4. Tangcharoensathien V, Calleja N, Nguyen T, et al. Framework for Managing the COVID-19 Infodemic: Methods and Results of an Online, Crowdsourced WHO Technical Consultation. J Med Internet Res 2020;22(6):e19659. https://doi.org/10.2196/19659
Competing interests: No competing interests
Dear Editor
Bhopal and Munro make good points about the need for civil academic discourse on social media. While the undesirable behaviour of a small number of professionals on social media is concerning, there are also challenges for the rest of us in finding the plentiful interesting and useful content that exists on Twitter.
While Twitter is an open platform, much content is never seen, with a small number of tweeters dominating. I have been collecting and curating #covid19uk tweets throughout the pandemic.[1] In February 2021 for example, of 18,923 #covid19uk tweets posted by 8,819 tweeters, 4.7% of tweeters received 80% of retweets while 72% tweeters received no retweets.[2] Many tweeters are posting into the void. Some tips can help find and disseminate content:
- Twitter search is not “fuzzy”. Searching for “covid” does not find “coronavirus” or even “covid19”. Boolean searches help: e.g. “covid OR coronavirus OR covid19”.
- Avoid starting a tweet with “@” e.g. when mentioning another tweeter (e.g. @bmj_latest). The tweet will only be seen by your mutual followers.
- Hyphens do not work in hashtags e.g. “#covid-19”. Alternatives such as Chōonpu (#COVIDー19) or underscore (#covid_19) work in hashtags but are not intuitive. #covid or #covid19 would suffice, but be consistent as explained above.
- Twitter’s “Top” tab does not always display most popular posts. To find relevant content search by topic, influential tweeters and even the URL of related papers/ blogs, checking Twitter’s “latest” tab.
- Replies often omit hashtags, so will not appear in hashtag searches. Though improving, Twitter does not display branching dialogue particularly well, so allow time for such exploration.[3]
- Twitter is more interesting with interaction (replying, retweeting, following). Twitter algorithms appear to “reward” such activity by showing your tweets and profile to a larger audience.
Social media is a potentially useful way to disseminate research and discussion, but we under-utilise its features. Tweeting and searching more effectively would help shift the focus from those who spread disinformation.
Yours faithfully,
D Graham Mackenzie
[1] Mackenzie G. Viewing the covid-19 pandemic through the lens of social media. BMJ Opinion, 2020. https://blogs.bmj.com/bmj/2020/10/12/graham-mackenzie-viewing-the-covid-...
[2] February 2021 – topic #covid19uk tweets. Wakelet summary. https://wakelet.com/wake/ovQ7Mslnopcd-p8Ai6Iwl accessed 23/3/2021
[3] Mackenzie G, Grossman R, Mayol J. Beyond the hashtag – describing and understanding the full impact of the #BJSConnect tweet chat May 2019. BJS Open 2020. https://doi.org/10.1093/bjsopen/zraa019
Competing interests: No competing interests
Re: Scholarly communications harmed by covid-19
Dear Editor
Would you be kind enough to let me say a few more words - to the authors and anyone else who cares to read and think about the article and the rapid responses?
The word ANTIVAXXER gets my goat. It is used by those who cannot bear to see anyone not willing to swallow the idea that everyone should embrace every vaccine.
I am for people being offered a vaccine , advised why it is good for them as INDIVIDUALS.
It is essential that you consider their particular circumstances and discuss the possible adverse reactions.
Any doctor who says, “all vaccines are good” without regard to the individual, is in my view, misusing his authority.
Competing interests: No competing interests