№1, 2026

DISINFORMATION DETECTION IN THE MEDICAL DOMAIN: CURRENT APPROACHES, LIMITATIONS, AND FUTURE DIRECTIONS
Vagif Mammadaliyev, Vusal Shahbazov

Medical disinformation poses a serious threat to medical demographic security by distorting health behavior at scale, often amplified by confusion among individuals seeking reliable medical information across diverse topics. These distortions can increase vaccine hesitancy, encourage unproven or harmful practices such as ingesting bleach as a purported COVID-19 treatment, and delay evidence-based care. Medical disinformation also erodes trust in health institutions and contributes to cumulative harms, including increased morbidity and mortality, widening health disparities, and, in some cases, real-world violence linked to conspiracy narratives. Despite rapid advances in automated detection methods, the evidence base remains fragmented, obscuring dominant approaches, required resources, and critical research gaps. This paper presents a systematic review of medical disinformation detection research. Major modeling paradigms and reported evaluation evidence are synthesized, encompassing traditional machine learning, deep learning and transformer-based models, knowledge graph approaches, and fact-checking pipelines, together with the datasets and medical knowledge resources that support them. Commonly used feature types are categorized, their strengths and limitations are assessed, persistent weaknesses in resources and detection pipelines are identified, and targeted recommendations are offered to improve future systems and support more reliable medical informatics that strengthens medical demographic security (pp.81-94).

Keywords:Medical disinformation, Health misinformation, Automatic misinformation detection, Natural language processing, Machine learning, Knowledge graphs, Misinformation datasets
References
  • Abdullayeva S, Online media monitoring and evaluation: comparative approaches (2025) Problems of Information Society, 16(2), 107-115. doi: 10.25045/jpis.v16.i2.12.
  • Ahmed W, Vidal‐Alaball J, Downing J, Seguí FL (2020) COVID-19 and the 5G Conspiracy Theory: Social Network Analysis of Twitter Data. Journal of Medical Internet Research 22(5), 1201–1209. https://doi.org/10.2196/19458
  • Akhavein D, Sheel M, Abímbọ́lá Ṣẹ̀yẹ (2025) Health security—Why is ‘public health’ not enough? Global Health Research and Policy 10(1). https://doi.org/10.1186/s41256-024-00394-7
  • Al-Mugti HS, Aldeghalbey AA, Swaif KA, Alrashdi HH, Mahdi EM, Alharbi MB, Alsaidi AS, Algathradi NY, Alanazi SM, Alsalameh NS, Kariri A, Alasmari EA, Alqarni KA, Asiri EJ, Alhasan JH (2023) Saudi Health System and Health Security Structure: A Scope Review Study Addressing the National Need for Governing the Health Security. Cureus 15(10). https://doi.org/10.7759/cureus.47376
  • Ayoub J, Yang XJ, Zhou F (2021) Combat COVID-19 infodemic using explainable natural language processing models. Information Processing & Management 58(4). https://doi.org/10.1016/j.ipm.2021.102569
  • Barve Y, Saini JR (2023) Detecting and classifying online health misinformation with ‘Content Similarity Measure (CSM)’ algorithm: an automated fact-checking-based approach. The Journal of Supercomputing 79(8), 9127–9156. https://doi.org/10.1007/s11227-022-05032-y
  • Chen C, Wang H, Shapiro MA, Xiao Y, Wang F, Shu K (2022) Combating Health Misinformation in Social Media: Characterization, Detection, Intervention, and Open Issues. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2211.05289
  • Cui L, Lee D (2020) CoAID: COVID-19 Healthcare Misinformation Dataset. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2006.00885
  • Cui L, Seo H, Tabar M, Ma F, Wang S, Lee D (2020) DETERRENT: Knowledge Guided Graph Attention Network for Detecting Healthcare Misinformation, 492–502. https://doi.org/10.1145/3394486.3403092
  • Dai E, Sun Y, Wang S (2020) Ginger Cannot Cure Cancer: Battling Fake Health News with a Comprehensive Data Repository. Proceedings of the International AAAI Conference on Web and Social Media 14(1), 853–862. https://doi.org/10.1609/icwsm.v14i1.7350
  • Dammu PPS, Naidu H, Dewan M, Kim Y, Roosta T, Chadha A, Shah C (2024) ClaimVer: Explainable Claim-Level Verification and Evidence Attribution of Text Through Knowledge Graphs, 13613–13627. https://doi.org/10.18653/v1/2024.findings-emnlp.795
  • Elhadad MK, Li KF, Gebali F (2020) Detecting Misleading Information on COVID-19. IEEE Access 8, 165201–165215. https://doi.org/10.1109/access.2020.3022867
  • Enyan D, Yiwei S, Wang S (2020) FakeHealth [Data set]. Zenodo (CERN European Organization for Nuclear Research). https://doi.org/10.48550/arXiv.2002.00837
  • Falyuna N (2022) Science disinformation as a security threat and the role of science communication in the disinformation society. Scientia et Securitas 3(1), 69–78. https://doi.org/10.1556/112.2022.00086
  • Fridman I, Boyles D, Chheda R, Baldwin-SoRelle C, Smith AB, Lafata JE (2025) Identifying Misinformation About Unproven Cancer Treatments on Social Media Using User-Friendly Linguistic Characteristics: Content Analysis. JMIR Infodemiology 5. https://doi.org/10.2196/62703
  • Graefen B. and Fazal N., (2025) “From global best practices to national implementation: digital health strategies for Azerbaijan, Problems of Information Society, 16(2), 39-46, DOI: 10.25045/jpis.v16.i2.05.
  • Hameleers M (2022) Disinformation as a context-bound phenomenon: toward a conceptual clarification integrating actors, intentions and techniques of creation and dissemination. Communication Theory 33(1), 1–10. https://doi.org/10.1093/ct/qtac021
  • Haouari F, Hasanain M, Suwaileh R, Elsayed T (2020) ArCOV-19: The First Arabic COVID-19 Twitter Dataset with Propagation Networks. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2004.05861
  • Hayawi K, Shahriar S, Serhani MA, Taleb I, Mathew SS (2021) ANTi-Vax: a novel Twitter dataset for COVID-19 vaccine misinformation detection. Public Health 203, 23–30. https://doi.org/10.1016/j.puhe.2021.11.022
  • Hussna AU, Alam MdGR, Islam R, Alkhamees BF, Hassan MM, Uddin MdZ (2024) Dissecting the infodemic: An in-depth analysis of COVID-19 misinformation detection on X (formerly Twitter) utilizing machine learning and deep learning techniques. Heliyon 10(18). https://doi.org/10.1016/j.heliyon.2024.e37760
  • Imamverdiyev Y , Sukhostat L (2023) COVID-19: Cybersecurity Issues in Times of Pandemic. Electronic Government, an International Journal 1(1), 569–590. https://doi.org/10.1504/eg.2024.10060533
  • Kauk J, Humprecht E, Kreysa H, Schweinberger SR (2024) Large-scale analysis of online social data on the long-term sentiment and content dynamics of online (mis) information. Computers in Human Behavior 165. https://doi.org/10.1016/j.chb.2024.108546
  • Kısa S, Kısa A (2024) A Comprehensive Analysis of COVID-19 Misinformation, Public Health Impacts, and Communication Strategies: Scoping Review. Journal of Medical Internet Research 26. https://doi.org/10.2196/56931
  • Kotonya N, Toni F (2020) Explainable Automated Fact-Checking for Public Health Claims. https://doi.org/10.18653/v1/2020.emnlp-main.623
  • Langguth J, Filkuková P, Brenner S, Schroeder DT, Pogorelov K (2022) COVID-19 and 5G conspiracy theories: long term observation of a digital wildfire. International Journal of Data Science and Analytics 15(3), 329–346. https://doi.org/10.1007/s41060-022-00322-3
  • Luo J, Baz DE, Shi L (2024) Utilizing deep learning models for ternary classification in COVID-19 infodemic detection. Digital Health 10. https://doi.org/10.1177/20552076241284773
  • Mammadova M, Jabrayilova Z, Mammadaliyev V (2025) Medical-Demographic Identity of Territorial Units in the Healthcare 4.0 Environment (in Russian), 226–231. https://doi.org/10.25045/SPCDH4.0.2025.47
  • Martinez-Rico JR, Araujo L, Martínez-Romo J (2024) Building a framework for fake news detection in the health domain. PLOS ONE 19(7). https://doi.org/10.1371/journal.pone.0305362
  • Mendes E, Chen Y, Xu W, Ritter A (2023) Human-in-the-loop Evaluation for Early Misinformation Detection: A Case Study of COVID-19 Treatments. https://doi.org/10.18653/v1/2023.acl-long.881
  • Mollas I, Bassiliades N, Tsoumakas G (2023) Truthful meta-explanations for local interpretability of machine learning models. Applied Intelligence 53(22), 26927–26948,. https://doi.org/10.1007/s10489-023-04944-3
  • Nabożny A, Balcerzak B, Morzy M, Wierzbicki A, Savov P, Warpechowski K (2022) Improving medical experts’ efficiency of misinformation detection: an exploratory study. World Wide Web 26(2), 773–798. https://doi.org/10.1007/s11280-022-01084-5
  • Nguyen V, Yip HY, Bodenreider O (2021) Biomedical Vocabulary Alignment at Scale in the UMLS Metathesaurus, 2672–2683. https://doi.org/10.1145/3442381.3450128
  • Nie Y, Bauer L, Bansal M, Pérez‐Rosas V, Kleinberg B, Lefevre A, Mihalcea R, Khouja J, Zhou Y, Zhao T, Jiang M, Binau J, Ma H, Santus E, Schulte H, Serra G, Utsuro T, Zhao J (2020) Proceedings of the Third Workshop on Fact Extraction and VERification (FEVER). https://doi.org/10.18653/v1/2020.fever-1
  • Osareme OJ, Muonde M, Maduka CP, Olorunsogo TO, Omotayo O (2024) Demographic shifts and healthcare: A review of aging populations and systemic challenges. International Journal of Science and Research Archive, 11(1), 383–395. https://doi.org/10.30574/ijsra.2024.11.1.0067
  • Patwa P, Sharma S, Pykl S, Guptha V, Kumari G, Akhtar MS, Ekbal A, Das A, Chakraborty T (2021) Fighting an Infodemic: COVID-19 Fake News Dataset. Communications in Computer and Information Science. Springer. https://doi.org/10.1007/978-3-030-73696-5_3
  • Pelrine K, Imouza A, Thibault C, Reksoprodjo M, Gupta C, Christoph J, Godbout J, Rabbany R (2023) Towards Reliable Misinformation Mitigation: Generalization, Uncertainty, and GPT-4. https://doi.org/10.18653/v1/2023.emnlp-main.395
  • Ramachandram D, Joshi H, Zhu JD, Gandhi D, Hartman L, Raval A (2025) Transparent AI: The Case for Interpretability and Explainability. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2507.23535
  • Sanaullah A, Das A, Kabir MA, Shu K (2022) Applications of machine learning for COVID-19 misinformation: a systematic review. Social Network Analysis and Mining, 12. https://doi.org/10.1007/s13278-022-00921-9
  • Schlicht IB, Fernandez E, Chulvi B, Rosso P (2023) Automatic detection of health misinformation: a systematic review. Journal of Ambient Intelligence and Humanized Computing 15, 2009–2021. https://doi.org/10.1007/s12652-023-04619-4
  • Sell TK, Hosangadi D, Smith E, Trotochaud M, Vasudevan P (2021) National Priorities to Combat Misinformation and Disinformation for COVID-19 and Future Public Health Threats: A Call for a National Strategy. https://centerforhealthsecurity.org/sites/default/files/2023-02/210322-misinformation.pdf
  • Senteio C, Fields SD, Singh RKP, Kamoga RMN, Andrews E, Gandsman D, Halton C, Rysinova V, Snow S (2025) Overcoming health misinformation in marginalized groups: a systematic review. International Journal for Equity in Health, 24(1). https://doi.org/10.1186/s12939-025-02657-2
  • Shahi GK, Nandini D (2020) FakeCovid- A Multilingual Cross domain Fact Check Dataset for COVID-19. Zenodo (CERN European Organization for Nuclear Research). https://doi.org/10.5281/zenodo.3965871
  • Sharifpoor E, Okhovati M, Ghazizadeh-Ahsaee M, Beigi MA (2025) Classifying and fact-checking health-related information about COVID-19 on Twitter/X using machine learning and deep learning models. BMC Medical Informatics and Decision Making, 25(1). https://doi.org/10.1186/s12911-025-02895-y
  • Siani A, Joseph M, Dacin C (2024) Susceptibility to scientific misinformation and perception of news source reliability in secondary school students. Discover Education 3(1). https://doi.org/10.1007/s44217-024-00194-8
  • Smith R, Chen KM, Winner D, Friedhoff S, Wardle C (2023) A Systematic Review Of COVID-19 Misinformation Interventions: Lessons Learned. Health Affairs, 42(2). https://doi.org/10.1377/hlthaff.2023.00717
  • Sotto SD, Viviani M (2022) Health Misinformation Detection in the Social Web: An Overview and a Data Science Approach. International Journal of Environmental Research and Public Health 19(4), 2173–2193. https://doi.org/10.3390/ijerph19042173
  • Suchanek FM, Alam M, Bonald T, Paris P-H, Soria JB (2023) YAGO 4.5: A Large and Clean Knowledge Base with a Rich Taxonomy. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2308.11884
  • Tan ASL, Bigman CA (2020) Misinformation About Commercial Tobacco Products on Social Media—Implications and Research Opportunities for Reducing Tobacco-Related Health Disparities 110(3), 281–283. https://doi.org/10.2105/ajph.2020.305910
  • Vladika J, Schneider P, Matthes F (2023) HealthFC: Verifying Health Claims with Evidence-Based Medical Fact-Checking. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2309.08503
  • Waagmeester A, Stupp GS, Burgstaller-Muehlbacher S, Good BM, Griffith M, Griffith OL, Hanspers K, Hermjakob H, Hudson T, Hybiske K, Keating S, Manske M, Mayers M, Mietchen D, Mitraka E, Pico AR, Putman T, Riutta A, Queralt-Rosiñach N, Schriml LM, Shafee T, Slenter D, Stephan R, Thornton K, Tsueng G, Tu R, Ul-Hasan S, Willighagen E, Wu C, Su AI (2020) Wikidata as a knowledge graph for the life sciences. eLife 9. https://doi.org/10.7554/elife.52614
  • Wadden D, Lo K, Kuehl B, Cohan A, Beltagy I, Wang LL, Hajishirzi H (2022) SciFact-Open: Towards open-domain scientific claim verification. https://doi.org/10.18653/v1/2022.findings-emnlp.347
  • Wang G, Harwood K, Chillrud L, Ananthram A, Subbiah M, McKeown K (2023) Check-COVID: Fact-Checking COVID-19 News Claims with Scientific Evidence. https://doi.org/10.18653/v1/2023.findings-acl.888
  • Weinzierl M, Harabagiu SM (2021) Automatic detection of COVID-19 vaccine misinformation with graph link prediction. Journal of Biomedical Informatics 124. https://doi.org/10.1016/j.jbi.2021.103955
  • Xiang D, Lehmann LS (2021) Confronting the misinformation pandemic. Health Policy and Technology 10(3). https://doi.org/10.1016/j.hlpt.2021.100520
  • Yang C, Zhou X, Zafarani R (2021) CHECKED: Chinese COVID-19 fake news dataset. Social Network Analysis and Mining 11(1). https://doi.org/10.1007/s13278-021-00766-8
  • Zhao Y, Da J, Yan J (2020) Detecting health misinformation in online health communities: Incorporating behavioral features into machine learning based approaches. Information Processing & Management 58(1). https://doi.org/10.1016/j.ipm.2020.102390
  • Zhou X, Mulay A, Ferrara E, Zafarani R (2020) ReCOVery. 3205–3212. https://doi.org/10.1145/3340531.3412880