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Abstract Understanding how misinformation affects the spread of disease is crucial for public health, especially given recent research indicating that misinformation can increase vaccine hesitancy and discourage vaccine uptake. However, it is difficult to investigate the interaction between misinformation and epidemic outcomes due to the dearth of data-informed holistic epidemic models. Here, we employ an epidemic model that incorporates a large, mobility-informed physical contact network as well as the distribution of misinformed individuals across counties derived from social media data. The model allows us to simulate various scenarios to understand how epidemic spreading can be affected by misinformation spreading through one particular social media platform. Using this model, we compare a worst-case scenario, in which individuals become misinformed after a single exposure to low-credibility content, to a best-case scenario where the population is highly resilient to misinformation. We estimate the additional portion of the U.S. population that would become infected over the course of the COVID-19 epidemic in the worst-case scenario. This work can provide policymakers with insights about the potential harms of exposure to online vaccine misinformation. 

Newsfeed algorithms frequently amplify misinformation and other low-quality content. How can social media platforms more effectively promote reliable information? Existing approaches are difficult to scale and vulnerable to manipulation. In this paper, we propose using the political diversity of a website’s audience as a quality signal. Using news source reliability ratings from domain experts and web browsing data from a diverse sample of 6,890 US residents, we first show that websites with more extreme and less politically diverse audiences have lower journalistic standards. We then incorporate audience diversity into a standard collaborative filtering framework and show that our improved algorithm increases the trustworthiness of websites suggested to users—especially those who most frequently consume misinformation—while keeping recommendations relevant. These findings suggest that partisan audience diversity is a valuable signal of higher journalistic standards that should be incorporated into algorithmic ranking decisions.