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Social media users who share conspiracy theories and pseudoscientific claims about the Zika virus may undermine upcoming efforts to keep the disease from spreading, according to a study published online today by the journal Vaccine.

The researchers behind the study—from Johns Hopkins University, George Washington University, and the University of Georgia—say the misinformation they detected by analyzing thousands of Twitter posts could cause many vulnerable people to refuse future Zika vaccinations.

The researchers also encouraged public health authorities to use this same real-time social media monitoring method to keep track of—and respond quickly to—unsubstantiated claims that could hinder upcoming inoculations.

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