What monkeypox tells us about the failure of UK journalism
Fears for a new infectious disease with echoes of AIDS were front-page news before the NHS acted swiftly and effectively. Why isn't this common knowledge?
In May 2022, the UK’s legacy media exploded with talk of a
mysterious new disease that appeared to be circulating among gay and
bisexual men. Monkeypox (recently renamed
Mpox) quickly became front-page news because it echoed both
Covid-19 and the initial stages of the HIV epidemic in the early
1980s.
But what happened
next tells us as much about the failure of traditional forms of
journalism to explain the world to us as it does about mpox itself.
If you’re not
LGBTQ+, it’s likely that you won’t have heard mention of mpox
since last summer. For many who aren’t part of the community most
affected by the epidemic (and for many who are), the story just
vanished.
What happened?
While mpox is still causing serious harm in the global south, the
infectious disease was effectively eradicated in the UK (for this
specific outbreak, at least). Using what health leaders had
learnt from Covid-19 the NHS put in place a genuinely effective
track-and-trace program, and the vastly smaller scale of the mpox
outbreak meant the response was unaffected by the industrial-scale
greed, corruption and profiteering that hampered the response to
Covid.
Rapid response
The UK has had 3,732
confirmed cases of mpox since 6 May 2022. Almost all of these
were among men
who have sex with men, and transmission was more likely to occur
in group
sex settings and at gay saunas or sex clubs.
A month into the outbreak in June last year, the UK Health Security Agency (who respond to epidemics and pandemics) carried out a rigorous investigation into the 366 confirmed cases at that point. They found that four-fifths of cases were in London, and that 99% of all cases were among men who have sex with men (around 44% of whom had recently visited saunas, dark rooms or sex clubs).
This detailed analysis, which included 45 one-on-one interviews,
allowed the NHS to take action fast. First, they carried out the
painstaking
work of track-and-trace – ringing up each confirmed case and
trying to trace their recent sexual partners. They were helped by
mpox being much less transmissible than Covid-19, meaning that it
rarely passed from one person to another other than through sex.
The NHS then rolled
out a vaccination program. Sensibly, given the evidence, this was
targeted at gay and bisexual men (despite the bizarre and misguided
claim on social media and some parts of the legacy media that this
was somehow homophobic). I had my first of two jabs in October
2022 (given that the majority of cases were in London, the vaccine
roll-out was focused there initially).
Values and fears
This approach
worked. Over time, cases fell dramatically to near-negligible levels.
Throughout most of 2023 there were only one
or two new cases a week, and in many weeks, zero (numbers peaked
in late October with ten new confirmed cases in a week, before
tailing off again). The epidemic has been effectively dealt with.
This has barely been reported in the media, despite the initial panic when the recent outbreak started. The reasons why speak to deep, systemic problems with journalism in this country – a model that is now so broken that it utterly fails in its job to help us understand the world and the events that happen within it.
Firstly, traditional forms of journalism over-report a threat and
under-report solutions that deal with that threat. Put simply, the
story is more ‘newsworthy’ when its a serious danger than when
that danger has been effectively responded to: ‘If
it bleeds, it leads’. Monkeypox was never going to be a serious
risk to anyone in the UK other than men who have sex with men, but it
was in the commercial interests of the legacy media – especially
the tabloid press – to make the outbreak front-page news.
Secondly, the fact
that the epidemic was dealt with swiftly and effectively by the
public sector ran counter to the narratives and values of the legacy
media. Chronic underfunding by successive governments, and the very
real problems that has created in the health service, has created a
false narrative that the entire NHS is in a bad state and
incompetent.
But the NHS’s
rapid, effective and unremarkable handling of the mpox epidemic
doesn’t make sense within this narrative, so it isn’t reported.
Hidden interests
Documentary-maker Adam Curtis has said that journalists have given up on explaining what happens in the world as being the result of complex and often contradictory systems, and have instead resorted to fitting all events into simple overarching narratives (“The NHS is collapsing” is an example). Any events that don’t fit with the narrative have to be excluded or go unreported – otherwise this approach doesn’t work.
But it goes deeper than that. Below these narratives are a set of
beliefs that drive them. The underlying beliefs in this case are that
the public sector is inefficient and incompetent compared to the
private sector, and can’t be trusted to do anything right. These
beliefs are rooted in the dominant
ideology of neoliberalism.
Stories that appear
to support this belief are given front-page prominence (the
government’s incompetent handling of Covid-19), while stories that
contradict it (the government’s handling of mpox) are buried. More
often than not, the beliefs that legacy journalists adhere to on a
subconscious level are wildly inaccurate (Mariana Mazzucato’s book
The Entrepreneurial State shows how, in reality, the public
sector is usually much more competent, efficient and innovative than
the private sector).
Why are these beliefs so embedded in our legacy media? Most newspapers in the UK are owned by large corporations or billionaires, and it’s simply in their business interests to support and propagate a set of values that say that private enterprise is good, and that the public sector’s main job should be to get out the way of the wealth creators.
But the evidence emerging from the Covid-19 Inquiry shows that the
opposite is true – that the lethal incompetence at a vast scale
that characterised the government’s response to the pandemic was
largely driven by the private sector. This includes both the
limitless greed and profiteering in PPE procurement and the fiasco
of the outsourced ‘Test and Trace’ service. The part that the NHS
ran in-house, the vaccine roll-out, is widely
acknowledged by experts as the only part that worked well.
Misinformed or ill-informed
If they were doing
their jobs properly, journalists would explain this to you. They
would tell you stories that reflect the complex and sometimes
contradictory nature of reality, rather than just the specific
stories that fit comfortably into their predetermined narratives. In
time, this approach would help shift underlying values and beliefs
that are, at best, inaccurate, and at worst actively harmful to us as
humans.
At Now Then we’re
going to be telling new
kinds of stories in 2024 that unravel complex systems and play an
active role in building a better world. This will move past the
sensationalism, fear-mongering and cherry-picking that characterises
the UK’s legacy media, and a form of journalism that is inadequate
at explaining the world to us.
The dire reporting
of the mpox outbreak is typical of an approach that impairs our
understanding of all sorts of issues, whether health, finance,
politics, or the dozens of other areas where newspapers keep us
misinformed or ill-informed.
Sometimes journalists actively mislead us, because it’s not in the business interests of their billionaire paymasters for us to understand the corrosive effect of greed and extreme inequality. At other times, when the story no longer fits their narrative, it simply disappears.