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Social media presents several advantages to public health science communication. But it would be wrong not to acknowledge that there are also challenges to the media. Below I have listed some of them. As with the advantages, I am sure there are many more challenges than those below, so please do add to the list or disagree if you think what I have put down is incorrect.

Values, opinions, feelings and politics

As with many other social sciences, research in public health exists and operates in a political context where values, opinions, and ethical considerations play a big role. In addition, health is not only owned by doctors and researchers, but is a topic and condition that is relevant to all human beings, which means that almost everyone have an opinion or personal feelings entangled into it. Health is a mayor topic in politics, economics, human development etc. The multiple number of stakeholders challenges communication of public health sciences. Few people would be outraged by a scientific debate among mathematicians, but in public health the story is another. New research projects or findings can quickly turn into debates influenced by other stakeholders in health and by non-scientific arguments. Open platforms like social media used to present and discuss public health sciences may open up for such debates with potential inputs all segments of the population. Such debates can be time-consuming, problematic both politically and scientifically and in the end not benefit neither the scientific process or the researcher.

Fear of drowning and loosing time

“I don’t have time to be on Twitter.”, “I’m already behind in reading reports and journals”. These are some of the worries many researchers and public health specialists raise when they are confronted with using social media in their academic practice. And although their fear of time consumption and information overload may be exaggerated, it is true, that especially in the beginning it does require time to get acquainted with social media for scientific purposes and to build up an online network. Since social media does provide new information, it will often be an additional information source, which requires time. Proper introduction in how to use social media for research purposes could overcome this however. And in the end I would argue that it can actually save time (and money). For example time and money saved on following a conference through Twitter rather than physically being present at the conference. In addition, social media can actually be a way to filter all the available material through its search functions and by following people who are interested in the same area as one self.

Lack of control with the media

Many research institutions have social media policies setting out rules for what kind of media can be used and for what purposes. Some of them are pretty strict and leaves it to the communication departments to be in control of what goes out on social media. Due to the openness and interactive characteristic of the media it does of course open up for risks such as scooping of research findings, false accusations and irrelevant or perhaps harmful communication. Avoiding these situation depends to a large extend on the users responsible behavior when communicating through social media and proper guidance on how to use it.