As the coronavirus spread throughout the country in March, Fox News repeatedly promoted the antimalarial drug chloroquine and a derivative, hydroxychloroquine, as treatment and prophylaxis for COVID-19 -- even though neither drug is proved to be effective or approved by the Food and Drug Administration as a treatment for this novel coronavirus.
In a now-familiar sequence of events, President Donald Trump began promoting hydroxychloroquine seemingly after watching positive coverage about it on Fox. The network responded to Trump’s promotion with additional coverage of the drug, and host Laura Ingraham even touted her ability to influence Trump’s thinking on its use. Trump has repeatedly contradicted his own medical experts, including Dr. Anthony Fauci, in making unsupported claims about the drug’s effectiveness.
Hydroxychloroquine sulfate and some versions of chloroquine phosphate are approved by the FDA to treat malaria, but neither drug has been approved to treat COVID-19. The FDA did, however, issue an “emergency use authorization” on March 28 after Fox News promoted the drugs for weeks. The FDA’s authorization enables doctors to prescribe these drugs to coronavirus patients under limited circumstances, but former FDA leaders have criticized the decision, noting that it could actually impede clinical trials, contribute to drug shortages, and undermine the FDA’s scientific authority, while other experts have warned of the risks of off-label drug use.
Evidence supporting the use of hydroxychloroquine and chloroquine is largely anecdotal and mixed, and advocates of the drugs mainly point to flawed studies from France and China to promote their use. (Fox has paid most attention to hydroxychloroquine, which is also commonly used to treat lupus and arthritis, as a potential coronavirus treatment and prophylactic, particularly when used in conjunction with the antibiotic azithromycin, known as Z-pak.) One or both of these drugs may eventually prove effective in treating the coronavirus, but currently there are no results of their effectiveness for COVID-19 from randomized controlled clinical trials, the gold standard for measuring the effectiveness of a treatment. (At publication time, the National Institutes of Health listed 399 clinical trials involving potential treatments for COVID-19, and less than a third of these trials involve hydroxychloroquine or chloroquine.)
Fox’s single-minded promotion of these drugs has far outstripped any evidence supporting their effectiveness for coronavirus treatments:
- During a two-week span between March 23 and April 6, Fox hosts and guests promoted hydroxychloroquine nearly 300 times.
- Of these nearly 300 mentions, the vast majority came from four Fox shows: The Ingraham Angle (84 promotional mentions), Fox & Friends (76, including Fox & Friends First and Fox & Friends Weekend), Hannity (53), and Tucker Carlson Tonight (22).
- Host Laura Ingraham, who was one of the first Fox personalities to introduce her audience to hydroxychloroquine, said that “there are stories of people saying that they've had this Lazarus effect by using this drug.” Weeks later, Ingraham reportedly brought two doctors who had appeared on her show to the White House to discuss the drug with Trump directly.
- Fox prime-time host and unofficial Trump adviser Sean Hannity has frequently told his audience that he would take these drugs if he contracted COVID-19.
- Hannity has also used his radio show to promote these drugs, and he even went so far as to encourage his audience to stock up on chloroquine if they have, or are “at risk” of contracting, COVID-19.
- Television personality Dr. Mehmet Oz has been one of the most persistent promoters of hydroxychloroquine on Fox, and Trump reportedly told his aides to seek Oz’s advice on treating coronavirus patients. According to Media Matters’ internal database, Oz has made at least 23 appearances on Fox News weekday programming between March 12 and April 7 to discuss hydroxychloroquine.
Fox’s and Trump’s promotion of hydroxychloroquine and chloroquine has dangerous consequences. After Trump’s statements, lupus and arthritis patients who use hydroxychloroquine for its FDA-approved purpose have faced drug shortages as doctors and patients started hoarding it, and some people have mistakenly taken harmful chemicals that contained the same active ingredients as the drugs to try to prevent the coronavirus. The CIA has warned that hydroxychloroquine could have dangerous side effects and has urged employees not to take the drug outside of medical studies. Experts have also expressed concern that focusing on one particular drug could blind researchers to other promising treatments.
Below is a comprehensive guide to all the ways Fox News recklessly promoted chloroquine and hydroxychloroquine during critical weeks of the crisis, from March 12 to April 7, 2020. Fox hosts, contributors, and guests relied on anecdotal evidence, dismissed possible side effects, rejected the need for long-term clinical trials, suggested to their audiences that they would personally use the drugs, and lashed out at anyone who raised concerns about Trump’s promotion of these unproven treatments.