• Iben Axén, Cecilia Bergström, Marc Bronson, Pierre Côté, Casper Glissmann Nim, Guillaume Goncalves, Jeffrey J Hébert, Joakim Axel Hertel, Stanley Innes, Ole Kristoffer Larsen, Anne-Laure Meyer, Søren O'Neill, Stephen M Perle, Kenneth A Weber, Kenneth J Young, and Charlotte Leboeuf-Yde.
• Karolinska Institutet, Institute of Environmental Medicine, Unit of Intervention and Implementation Research for worker health, Stockholm, Sweden. Iben.axen@ki.se.
• Chiropr Man Therap. 2020 Nov 18; 28 (1): 65.

BackgroundIn March 2020, the World Health Organization elevated the coronavirus disease (COVID-19) epidemic to a pandemic and called for urgent and aggressive action worldwide. Public health experts have communicated clear and emphatic strategies to prevent the spread of COVID-19. Hygiene rules and social distancing practices have been implemented by entire populations, including 'stay-at-home' orders in many countries. The long-term health and economic consequences of the COVID-19 pandemic are not yet known.Main TextDuring this time of crisis, some chiropractors made claims on social media that chiropractic treatment can prevent or impact COVID-19. The rationale for these claims is that spinal manipulation can impact the nervous system and thus improve immunity. These beliefs often stem from nineteenth-century chiropractic concepts. We are aware of no clinically relevant scientific evidence to support such statements. We explored the internet and social media to collect examples of misinformation from Europe, North America, Australia and New Zealand regarding the impact of chiropractic treatment on immune function. We discuss the potential harm resulting from these claims and explore the role of chiropractors, teaching institutions, accrediting agencies, and legislative bodies.ConclusionsMembers of the chiropractic profession share a collective responsibility to act in the best interests of patients and public health. We hope that all chiropractic stakeholders will view the COVID-19 pandemic as a call to action to eliminate the unethical and potentially dangerous claims made by chiropractors who practise outside the boundaries of scientific evidence.

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