Amid the storm of US election headlines in recent weeks, a snippet of news began bubbling up on social media that, only a few years ago, would have whipped up a frenzied media hurricane. President Biden had tested positive for Covid and videos posted on X showed him boarding and exiting Airforce One, but without a mask.
“Listen to the scientists, support masks,” Biden said at a campaign rally, four years ago, berating Trump for not wearing a mask after he had caught Covid. “Support a mask mandate nationwide,” Biden thundered to cheers and adulation. His campaign message captured a “follow the science” sentiment among Left-leaning American voters who derided anyone questioning mask effectiveness with the label “anti-mask”. This, despite a smattering of articles in Scientific American, Wired, New York Magazine and The Atlantic reporting that scientific studies found masks didn’t seem to stop viruses.
The debate over mask effectiveness took an odd turn last year when ardent mask advocate, Zeynep Tufekci, wrote a New York Times essay claiming “the science is clear that masks work”. Tufekci’s piece denigrated and belittled a scientific review by the prestigious medical nonprofit, Cochrane, for concluding that the evidence is “uncertain”.
Shortly after Tufekci published her essay, Cochrane’s editor-in-chief, Karla Soares-Weiser, dashed out a statement, to assure mask advocates that Cochrane would update the review’s language. Cochrane reviews are widely considered as the “gold standard” for high‐quality information to inform medicine, and their process is laborious, with multiple rounds of internal checks and expert peer review. Having Cochrane’s head make a personal pronouncement about a published review is unprecedented — akin to having the executive editor of The New York Times write an essay expressing personal opinions about one of the paper’s own deep-dive investigations.
The incident also marked an odd point in the timeline of mask use. Before the pandemic, few, if any, prominent organisations promoted masks to stop influenza or other respiratory viruses. As the WHO concluded in their 2019 pandemic preparedness plan: “There have been a number of high-quality randomised controlled trials (RCTs) demonstrating that personal protective measures such as hand hygiene and face masks have, at best, a small effect on influenza transmission.” So, it was not surprising that both Tufekci’s claims “masks work” and Karla Soares-Weiser’s allegations that something was wrong with the Cochrane mask review were later found themselves to have no real evidence.
Earlier this year, Soares-Weiser issued another statement, this time explaining the mask review was fine and no changes would be made. Despite the 180, damage to Cochrane’s mask review had already been done. Google sends you straight to Tufekci’s New York Times essay alleging problems in the Cochrane review.
But why did Soares-Weiser change her mind?
I have discovered, through hundreds of emails provided to me by freedom of information requests and a Cochrane whistleblower, that Tufekci bumped Soares-Weiser into making the statement against Cochrane’s own mask review — a move that landed like a grenade inside the organisation.
While Soares-Weiser runs Cochrane, scientists with expertise in each specific subject matter write and edit the reviews. When she rushed out her statement complaining about the mask review, the review authors charged that Cochrane had thrown science under the bus by working with “controversial writer” Zeynep Tufekci; meanwhile, the editor of the mask review reminded Cochrane’s leadership that changes were only being considered because of “intense media coverage and criticism”, not because there were any problems in the review’s science. “I had a very challenging meeting with the [governing board] yesterday,” Soares-Weiser wrote a few days afterwards. “I am holding on, stressed, but OK.”
But the story doesn’t end there. Because the attack by Soares-Weiser and Cochrane’s leadership on their own mask review is illustrative of how media and political pressure undermined and suppressed inconvenient scientific conclusions during the pandemic — and are still attempting to do so. The incident also raises questions about media ethics and whether Cochrane’s leadership is still fit for purpose.
When Cochrane published their 2023 mask review, it was the seventh iteration of a process that began 18 years previously. Back in 2006, Cochrane researchers raked through the scientific literature to see if they could determine what interventions could halt the spread of viruses. They found no good evidence that masks work. The scientists then updated their review in 2007, 2009, 2010, 2011, and 2020.
With all six updates, each time scouring any new peer-reviewed studies, Cochrane researchers concluded the same: there is no good scientific evidence that masks work to control viruses. And each time, the scientific community yawned. Because until the Covid pandemic, nobody had conceived of a political movement to advocate for masks. Not even Zeynep Tufekci.
“Don’t worry if you cannot find masks,” Tufekci wrote in a February 2020 article for Scientific American. “For non–health care people, washing your hands often, using alcohol-based hand-sanitiser liberally and learning not to touch your face are the most important clinically-proven interventions there are.” Promoting the article on X, Tufekci reiterated this point: “Clinical studies show hand-washing is the crucial step not masks.”
But the following month, a New York Times media reporter praised Tufekci for reversing her former opinion in a 1 March tweetstorm. This was followed by a 17 March essay for The New York Times that convinced the CDC to alter federal guidance and advise Americans to mask.
What makes this all alarming is that Tufekci is an academic sociologist, with no training in medicine or public health. And yet, she managed to alter public health policy with a bunch of tweets and an essay followed, two months later, by a co-authored scientific preprint that promoted mask mandates. “We recommend that public officials and governments strongly encourage the use of widespread face masks in public, including the use of appropriate regulation,” it said.
The study’s lead author is Jeremy Howard, a mask advocate and Australian software entrepreneur, who, like Tufekci, has no training in public health or medicine. The review was later published in a medical journal and remains the only article I could find that Tufekci has published in the scientific literature on masks.
Despite such a thin publishing record in the scientific literature, the Raleigh News & Observer (an influential paper among academics) anointed Tufekci a Covid media hero who had challenged the medical and public health establishment and got the facts right — but with essays, not science. “Instead of conducting lab experiments related to Covid-19, she used her platform on Twitter and in the opinion sections of Scientific American, The Atlantic and The New York Times to inform the public with practical advice about what to do and why.”
In retrospect, it’s hard to read this article — celebrating an academic for doing science by essay — and not wonder if it’s a satirical piece for The Onion: “Monkey Solves Grand Unified Theory of Physics in a Single Tweet.” Nonetheless, Tufekci played along with the gag, amazed at her magical ability to solve complex scientific problems without doing any actual science — just writing essays.
“I never thought in a million years I’d be writing something that basically said the World Health Organization and CDC and medical establishment in the United States and Europe are wrong,” she told the paper. But one tiny obstacle stood between Tufekci and full acceptance of mask mandates: Cochrane.
When Cochrane released their mask update in January 2023, which again said the efficacy of masks was uncertain, critics of pandemic policies naturally used these scientific conclusions to cast doubt on the mask advocates. “Mask mandates were a bust,” wrote New York Times columnist Brett Stephens, citing an interview by Tom Jefferson, the lead author of the Cochrane mask review. “Those skeptics who were furiously mocked as cranks and occasionally censored as ‘misinformers’ for opposing mandates were right.”
Tufekci’s rise to public prominence is tied closely to her mask advocacy. Reading this column in The New York Times, the most prominent paper in the country, and where she also worked, must have been irksome for her. Three days after the Stephens column, Tufekci emailed Cochrane for an interview. But rather than contacting Jefferson or any of the scientists who authored the review, Tufekci went straight to Michael Brown, one of Cochrane’s editors. She also asked if he would introduce her to Cochrane editor-in-chief, Karla Soares-Weiser, to which Brown agreed.
Some days later, Karla Soares-Weiser emailed a Cochrane official that she had been “back and forth with NYT about the mask review”, asking for help responding to questions. “I’m navigating a difficult situation,” Soares-Weiser emailed. Tufekci meanwhile, had contacted Jefferson for comment, but he ignored her.
The very following day, the Times published Tufekci’s “masks work” essay. Given the way American journalism works, the piece had most likely been written and edited before she had contacted Jefferson the night before for comment. Although 12 different scientists had been involved in writing and researching the Cochrane mask review, Zeynep singled out Jefferson. She named him several times in her essay for making alleged false statements about the pandemic. Hours later, Cochrane rushed out Soares-Weiser’s statement, and then apologised to the review authors. “We hoped to inform you all before publication but have been blindsided by the NYT and have scrabbled to upload our statement,” Cochrane emailed the review authors.
This did not go down well with the authors. “I will not speak for the others but am deeply distressed by this course of events which have occurred without our knowledge,” replied Jon Conly, a professor and former head of the department of medicine at the University of Calgary. He insisted that Cochrane had thrown the review authors under the bus. “Very naive to think you and the [editor in chief Soares-Weiser] spoke to the media at NYTs (without informing us) and would trust them and that they would not immediately publish what you said, especially with this woman who is well known as a controversial writer.”
“There was no intention to ‘throw you or anyone under the bus’,” Brown responded, “since I would be throwing myself under the bus as the sign-off editor.” He added that he had told Tufekci that he stood by the review and had asked her to contact the review authors for their statements.
Conly confirmed to me later that Tufekci — who did not respond to repeated requests for comment — never contacted him, even though he is named as the review’s corresponding author, who Tufekci should have contacted for comment. “Not sure who Tufekci would have corresponded with to find any of the authors who would have agreed with her,” Conly said.
As I have seen from internal correspondence, Cochrane’s editors then began discussing how to manage blowback from Soares Weiser’s statement. Brown reminded them the update used the same language from 2020 and that revisions were now being suggested because Cochrane was flinching from media critics, not because the science was wrong. “Although I agree that the proposed changes to the [summary] add clarity, it was only under intense media coverage and criticism that these revisions were suggested,” Brown wrote.
Seeking another angle to quell criticism of Soares-Weiser’s statement, Lisa Bero, a professor medicine at the University of Colorado who serves as Cochrane ethics advisor, suggested that Cochrane publish comments being submitted by outsiders that were also critical of the mask review. “That should be published as soon as possible (following screening for libel or profanity),” Bero emailed. “It is important for readers to know that criticism has not just come through the media, but through the formal channels that we have.”
But according to Conly, the review had already undergone extensive, detailed peer review. “If the editor-in-chief and ethics officer were colluding to find criticism afterwards,” he told me, “that would appear to be unethical.”
Meanwhile, Soares-Weiser’s statement and Tufekci’s article were having a significant effect outside the organisation, spurring several news articles as well as ridicule of the mask authors on social media. Pulitzer Prize-winning reporter and author of several books on pandemics, Laurie Garret, accused the mask authors of fraud. “[T]hese bozos have undermined public faith in [masks] & biz/govt willingness to promote use,” she posted on X. (It is notable that, prior to the pandemic, Garrett posted on X in 2018 that masks don’t work for influenza and other respiratory viruses. “We have also known for 100+ years that masks do no good.”)
The argument was even reverberating through politics. Testifying in her final appearance before Congress, CDC Director, Rochelle Walensky, cited Soares-Weiser’s statement, falsely stating that Cochrane had “retracted” the mask review. Congressional staff were forced to correct her testimony: “The lack of trust in public health officials is becoming an enormous problem,” a congressional staffer later wrote.
Word of Soares-Weiser’s actions even reached the highest levels of the British government. That summer, while she was in London for a Cochrane event, an MP invited her to Parliament’s Portcullis House to explain her statement. However, according to a staffer in Parliament, Soares-Weiser dodged the invite and never appeared.
Although he was noted prominently in the “masks work” essay, Cochrane’s Michael Brown told me the Times had engaged in a lot of of “spinning” of his comments and he hadn’t been aware that Tufekci had campaigned for mask mandates, nor that she had published a review whose conclusions contradicted those of Cochrane. In her initial email to Brown, Tufekci had highlighted her ostensibly scientific background, introducing herself as both a New York Times columnist and an academic with a background in statistics and causal inference, and an interest in scientific reviews. “I use and participate in reviews myself (I’m writing one in my own field soon) and thus am familiar with many of the challenges and issues.”
This is something of an embellishment of Tufekci’s bona fides. According to Google Scholar, she has published no academic articles this year and the only one she published in all of 2023 was an opinion piece in Nature. As for the review article Tufekci had pointed to, it has never appeared.
“I’m a trusting person,” Brown told me, explaining that he had never looked up Tufekci’s history before speaking with her. “She’s definitely more of a journalist than a scientist. I didn’t agree with her, the way she then spun it: masks work.”
“The bottom line is that [our] review was well-done,” Brown said. As for the proposed changes to review’s language, Brown explained that the summary language had been written by Cochrane staff reporting to Karla Soares-Weiser, not Tom Jefferson and the other review authors.
“She sort of got caught in the crossfire,” Brown said of Soares-Weiser, adding that colleagues pressured her because they didn’t like the conclusions that there is no evidence masks work. “Which is really hard for her, for someone in her position as editor in chief.”
Brown made his views on the science clear last September when he emailed the organiser of a talk he was giving that masks “do not make a major impact at the community level when promoted as a public health intervention”. He also told me that a recent scientific review in the Annals of Internal Medicine complemented the findings of Cochrane. “In the end, the conclusions were the same.”
But while Cochrane has ceased attacking its own mask review, The New York Times continues to promote the “masks work” narrative — despite evidence to the contrary. Last May, the paper ran an essay by Tulane University’s John M. Barry. In his piece, Barry wrote: “Masks present a much simpler question. They work. We’ve known they work since 1917, when they helped protect soldiers from a measles epidemic.”
And yet, we know this is not true. Even Barry does. As he wrote his bestselling tome, The Great Influenza: “The masks worn by millions were useless as designed and could not prevent influenza. Only preventing exposure to the virus could.”
But as has become clear, and as Brown confirmed in our conversation, masks are no longer about science: “Instead of just talking about the science, it became a political thing. And people fell on one side or the other,” he said. “And they said some things, and then they have to back up what they’ve said previously. And they’re just digging a hole deeper and deeper.”
What The New York Times did was to embrace a scientific opinion — masks work! — and then defend that notion like a divine ruling — ignoring contrary evidence and attacking researchers such as Tom Jefferson who have spent decades toiling away on a once-obscure topic. “This is what the future holds,” Jefferson told me. “It’s an upside-down world. It’s the death of science.”
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Source: UnHerd Read the original article here: https://unherd.com/