Health Misinformation Detection

Health-misinformation analysis presents a dual challenge: misleading claims can affect public well-being, while systems designed to detect them may expose sensitive user-submitted text. This motivates privacy-preserving inference for public-health applications in which user queries may contain confidential medical information and trained models and reference databases are maintained on organizational servers. We design a privacy-preserving text inference framework based on CKKS homomorphic encryption for health-misinformation classification and semantic retrieval. The classification pipeline fuses BioBERT embeddings, PCA-reduced MPNet embeddings, and SVD-reduced TF-IDF features, while the retrieval pipeline combines MPNet embeddings with ISCC-SCT semantic fingerprints through late fusion. We evaluate predictive performance and benchmark plaintext versus ciphertext-based execution. The hybrid classifier achieved an accuracy of 0.971 and a macro-F1 score of 0.950, with identical reported metrics under plaintext and ciphertext-based inference. The hybrid late-fusion similarity model achieved a Pearson correlation of 0.8691 with human sentence-pair similarity scores on STS-B. For ciphertext-based retrieval, we evaluated naive and optimized implementations. The optimized implementation uses CKKS single instruction, multiple data (SIMD) packing to compute and return multiple similarity scores together, reducing single-query latency over 7,128 indexed items from 222.028 to 5.168 seconds and communication overhead from 6.11 GB to 2.13 MB. These findings demonstrate the technical feasibility of privacy-preserving text inference for health-misinformation applications and characterize its predictive utility and efficiency trade-offs.

Increasing architectural complexity is often assumed to improve health misinformation detection, yet reported gains are difficult to interpret when studies use different corpora, preprocessing pipelines, data splits, and leakage controls. This study provides a controlled cross-corpus benchmark of five compact neural architectures (1D-CNN, LSTM, BiLSTM, CNN-LSTM, and CNN-BiLSTM), a soft-voting neural ensemble, and three classical machine-learning baselines using COVID19-FNIR and CONSTRAINT. Exact-text duplicate controls were applied before modelling; all neural systems used a common preprocessing and optimisation protocol, and neural results were repeated across three random seeds. On COVID19-FNIR, the deep ensemble achieved a mean macro-F1 of 0.9963 and ROC-AUC of 0.9994, while individual neural models ranged from 0.9945 to 0.9957 macro-F1. On CONSTRAINT, the ensemble achieved macro-F1 of 0.9272 and ROC-AUC of 0.9811, whereas a linear SVM achieved macro-F1 of 0.9574 and ROC-AUC of 0.9931. Architecture rankings changed across corpora, and simple sparse linear models remained highly competitive. The findings show that model complexity does not provide a stable performance advantage and that benchmark construction can dominate architecture choice. The study contributes a reproducible, leakage-controlled basis for evidence-driven model selection in health misinformation classification

Large language models (LLMs) are increasingly used to assess long-form medical videos, but their effectiveness may depend on whether transcripts are provided in full or compressed through summarization, retrieval, or claim screening. This study examines how such transcript compression affects LLM-based veracity classification of Japanese medical YouTube videos. We compare four transcript input designs: full transcripts, LLM-generated summaries, RAPTOR-based retrievalaugmented generation (RAG), and Screening, which extracts candidate medical and health-related sentences. Using 74 long-form videos labeled as Real or Fake, we evaluate classification performance and analyze linguistic changes using J-LIWC, hedge expressions, and institutional or technical terms. The full-transcript Baseline achieved the best performance, whereas all compressed inputs increased false negatives, meaning that Fake videos were more likely to be misclassified as Real. Summary caused the largest performance drop, while Screening performed best among the compressed inputs but still omitted many medically relevant sentences. Linguistic analyses showed that these errors were not explained by a simple increase in certainty. Instead, Summary reduced affective, social, temporal, cognitive, and conversational cues, while Summary and RAG made institutional and technical terms more salient. These findings suggest that transcript compression can represent Fake videos as more coherent and authoritative inputs, thereby weakening cues needed for misinformation detection

This paper presents a multi-branch fusion framework for detecting and characterising the propagation of health misinformation in online social networks (OSNs). Grounded in the Elaboration Likelihood Model (ELM) and the Theory of Planned Behaviour (TPB), the model fuses transformer-based semantics with rhetorical cues, stance representations, and psychologically motivated proxies in a unified multi-task architecture. In addition to binary classification, we introduce the Cognitive Propagation Score (CPS), an interpretable post-hoc auxiliary score computed from psychologically motivated, text-derived cues capturing argument complexity, emotional intensity, and content-derived virality potential, to support diffusion-risk reasoning when engagement ground truth is incomplete or unavailable. Experiments on three benchmark datasets, Constraint, COVID--19_FNIR, and Monkeypox, show strong classification performance, achieving ROC--AUC up to 0.9999 on COVID--19_FNIR, while propagation-oriented ranking achieves near-perfect agreement when engagement-derived supervision is available (Monkeypox, Spearman's $ρ= 0.9952$) and similarly high ranking alignment under proxy-based supervision on COVID--19_FNIR ($ρ= 0.9954$). Compared with representative literature baselines, the fusion model improves detection on Constraint and COVID--19_FNIR, while Monkeypox remains more challenging, reflecting domain- and signal-specific differences. Ablation analysis further indicates that psychological and rhetorical branches provide complementary gains beyond semantic embeddings. Overall, the framework bridges cognitive theory and neural modelling to improve transparency and to support scalable misinformation monitoring, with future work required to validate CPS against human-centred diffusion judgements.

Health misinformation circulating during pandemics can gain traction rapidly, creating harmful narratives that compete with public health guidance. Most topic-modelling pipelines treat engagement as an external outcome, limiting their ability to prioritise semantically coherent topics that are also rapidly diffusing. We introduce BERTopic-VP, a virality-prioritised topic-modelling framework that combines contextual embedding-based clustering (BERTopic) with a post hoc Virality Prioritisation (VP) layer. The pipeline is complemented by a two-stage hybrid misinformation detection module that fuses a supervised content-based classifier with an external verification signal derived from public-health knowledge bases. Applied to three benchmark datasets, COVID-19_FNIR, Monkeypox, and Constraint, the framework achieves strong classification performance, with F1 up to 0.950 and ROC-AUC up to 0.989, while identifying high-impact clusters under top 1%, 5%, and 10% VP thresholds. For datasets without native engagement metadata, prioritisation is based on a logistic propensity-to-spread score, used as an ordinal proxy for diffusion potential rather than a direct measure of engagement. The results show that integrating semantic structure, virality-aware ranking, and affective-linguistic profiling enables scalable and interpretable comparative analysis of misinformation across pandemics. The proposed framework supports monitoring-oriented early warning by surfacing low-volume but high-risk narratives for analyst review.

The rapid spread of false and misleading health information through digital platforms has become a major public health challenge, particularly during infectious disease outbreaks where delayed verification can influence public behaviour and hinder effective disease control. Although recent advances in automated health misinformation detection have shown encouraging results, most existing approaches rely heavily on global biomedical resources and often fail to capture the local context needed to verify claims in developing countries. This study presents a retrieval-augmented transformer framework designed to verify health-related claims using trusted evidence from the World Health Organization and the Nigeria Centre for Disease Control and Prevention. The framework combines semantic evidence retrieval with transformer-based classification to determine whether a claim is true, false, or misleading. To evaluate the proposed approach, a manually annotated dataset of 67 verified health claims covering coronavirus disease, Lassa fever, cholera, measles, and monkeypox was compiled from Nigerian fact-checking sources. Three transformer models and a retrieval-augmented configuration were evaluated. The Bidirectional Encoder Representations from Transformers model achieved the best performance, with an accuracy of 71% and a weighted F1-score of 0.66. Although retrieval augmentation did not improve classification performance because the current evidence repository was limited in size and coverage, the findings highlight the importance of comprehensive and authoritative knowledge sources for reliable health misinformation verification. The proposed framework provides a practical foundation for developing context-aware and evidence-driven health misinformation verification systems for Nigeria and other resource-constrained settings.

Artificial Intelligence (AI) technologies, while serving as a foundational enabler for modern social media and digital health services, exert a bivalent effect by simultaneously acting as a combatant against and a spread vector for misinformation. A prevalent challenge in mitigating this issue arises in non-English contexts and low socioeconomic classes, where limited data hinders the training of AI models for effective detection. Consequently, culturally and linguistically diverse (CALD) communities struggle to access trustworthy health information through AI-driven tools. Current AI tools underperform due to a lack of training data and are largely unable to consider language nuances and traditions in non-English contexts. This research addresses these gaps by proposing a CALD-friendly AI-based health misinformation detector and providing a dashboard for medical professionals to analyse this misinformation, a critical step toward mitigating a growing concern among CALD populations. To this end, we conduct a series of experiments using a Bangla-translated health misinformation dataset to evaluate the performance of various Small Language Models (SLMs). SLMs are particularly relevant in this context given the frequent underperformance of Large Language Models (LLMs), which often stems from insufficient domain-specific knowledge and the prohibitive costs of resource-intensive fine-tuning. The results demonstrate that Phi-4 is the superior model, achieving an ideal balance between precision and recall in claim extraction. Then, to mitigate the limitations of SLMs, we design and test a novel health misinformation detection framework grounded in Responsible Natural Language Processing (NLP), which incorporates cultural sensitivity, potential for harm, and communication quality, thereby providing a holistic lens for evaluating misinformation in low-resource languages.

Social media platforms have become primary channels for health information in the Global South. Using gomutra (cow urine) discourse on YouTube in India as a case study, we present a post-facto Large Language Model (LLM)-assisted discourse analysis of 30 multilingual transcripts showing that promotional content blends sacred traditional language with pseudo-scientific claims in ways that sophisticated debunking content itself mirrors, creating a rhetorical register that LLMs, trained predominantly on Western corpora, are systematically ill-equipped to analyse. Varying prompt tone across three LLMs (GPT-4o, Gemini 2.5 Pro, DeepSeek-V3.1), we find that culturally embedded health misinformation does not look like ordinary misinformation, and this cultural obfuscation extends to gendered rhetoric and prompt design, compounding analytical unreliability. Our findings argue that cultural competency in LLM-assisted discourse analysis cannot be retrofitted through prompt engineering alone.

We introduce WhaVax, a new expert-annotated dataset of vaccine-related WhatsApp messages collected from large Brazilian public groups spanning multiple pandemic years. The dataset was constructed through a rigorous, carefully designed pipeline that integrates keyword-based data collection, semantic deduplication to remove near-duplicate content, and a multi-stage annotation protocol conducted by medical specialists. This process produced a high-quality gold-standard corpus, characterized by substantial inter-annotator agreement and strong reliability for downstream analysis. Additionally, we provide a detailed characterization of WhatsApp misinformation, revealing distinctive linguistic, structural, lexical, temporal, and group-level patterns, as well as a meaningful layer of ambiguous cases that reflect the complexity of health discourse in private messaging. We also benchmark classical models, fine-tuned Small Language Models, and zero- or few-shot Large Language Models under realistic data-scarcity constraints, demonstrating that strong embeddings and LLM approaches perform competitively, while domain alignment and data availability remain critical factors. This study provides a rare, high-quality resource to support misinformation research and computational modeling in encrypted communication environments.