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1st appeared 25 January 1999

Media Presents Good Information on Genetics, But Also Inflames Fears

The media have done a good job of informing the public about genetics, but have also inflamed fears and exaggerated concerns about numerous genetics issues, according to Charles Epstein, professor of pediatrics and co-director of the Program in Human Genetics at UCSF.

Epstein spoke at a session on "Genetic Discoveries, the Media, and Public Anxiety," at the American Association for the Advancement of Science yesterday (Jan. 24).

"I would give the media reasonably good marks on the information score, and in some cases excellent marks," said Epstein, who is a specialist in the study of genetic disorders, including Down syndrome. "But on the issues of generating fear and exaggerating what science has done or can't do, the writers and producers of the media have not, in my opinion, lived up to their responsibilities. Whether done inadvertently or deliberately, the raising of fearful specters about genetics has served only to make rational discussion difficult, if not impossible, and to polarize debates that need consensus."

Epstein suggested that far too often periodical covers, headlines and graphics prove to be misleading banners for stories that are actually reasonable and measured in content, demonstrating his point by using slides of covers, headlines, graphics and comics from Time magazine, The Economist and The New York Times.

"When it comes to genetics, the tendency very often seems to be to emphasize that which is dangerous or frightening, especially in the headlines and graphics and, given the rapidly emerging power of modern genetic technology, fearful prospects are easily engendered."

To wit, on the cover of Technology Review several years ago, he noted, a DNA helix replaced the serpent in the Garden of Eden; a cover of The Economist read "The genetic illusion," and showed man ensnared in fetters composed of DNA helices. The latter suggested, said Epstein, that there is "something malevolent about DNA, that genetic knowledge is dangerous; that it will enslave us."

These messages are powerful, said Epstein, and convey troubling views of what genetic knowledge might portend, "even though they probably go beyond what the articles actually say. Unfortunately, he added, "their impact is unavoidable."
Epstein did not discount the public's fears, characterizing them as two-fold: first that it may ultimately become possible to manipulate and create life itself, thereby broaching the domain traditionally reserved for whatever deity one believes in. And second, that control of out genetic constitution could lead to the most pronounced misapplication of genetics -- the eugenics movement.

"Nowhere is this fear so acute at present as in certain elements of the Ashkenazi Jewish community," he said. "The media have a responsibility to inform and teach the public about what is being done and to take cognizance of and give expression to public fears and concerns."

Epstein also emphasized that it is the responsibility of the scientific community to engage in discussion with the public on genetics issues. "We, as scientists, do both the public and ourselves a great disservice if we persist in regarding any questioning of what we are doing or of where our work might lead as being antiscientific and as an infringement on our rights as scientists and on our academic freedom, if you will. We need to listen to what is being said and to engage in an honest and meaningful debate."

Scientists themselves bear some of the responsibility for the mistrust of the science of genetics because of their own hyperbole and inflated claims, he said. He cited a report prepared several years ago by the Panel to Assess the NIH Investment in Research on Gene Therapy, the so-called Orkin/Motulsky Committee, in which it was suggested that "over-zealous representation of clinical gene therapy has obscured the exploratory nature of the initial studies, colored the manner in which findings are portrayed to the scientific press and public, and led to the widely held, but mistaken, perception that clinical gene therapy is already highly successful."

"Such misrepresentation threatens confidence in the field and will inevitably lead to disappointment in both medical and lay communities," the report continues. "Of even greater concern is the possibility that patients, their families, and health providers may make unwise decisions regarding treatment alternatives, holding out for cures that they mistakenly believe are `just around the corner.'"

Source: Jennifer O'Brien, News Services


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