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Stocking up on Fish Mox: a Systematic Analysis of Cultural Narratives about Self-medicating in Online Forums

Department of Sociology and Anthropology, James Madison University, Harrisonburg, VA, USA

Special Issues: Cultural Narratives in Health

This study is a systematic review of cultural narratives that drive American belief in the value and efficacy of stocking up on fish antibiotics for human consumption. Popularized by “doomsday prepper” forums and survivalist medical professionals’ online videos, this narrative suggests that in some scenarios humans may benefit from such treatments—even as they note its contraindication to mainstream public health advice. Discussions in crowd-sourcing forums however, reveal that in practice Americans are using them as a form of home remedy to treat routine infections without missing work or to make up for gaps in insurance coverage. This article argues for greater attention to what makes it plausible and reasonable to treat human conditions with animal medications. It suggests that public health initiatives should address such decisions as emerging from a rational analysis of social and economic conditions rather than dismissing such practices as dangerous to population and individual health outcomes. As social scientists of medicine have long argued, collective narratives about health and medicine illustrate deeply the broader contexts in which communities understand and experience bodily state and shape how communities interact with public health institutions and respond to medical expertise. This study surveys online discussions about “fish mox” to show how participants contest medical expertise and promote a more distributed form of populist expertise. As such, consuming fish mox is both panacea for health inequality and a critique of health institutions for perpetrating such stratification.
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Keywords cultural narratives; self-medication; health inequality; populist expertise; authoritative knowledge; health narrative; digital cultures; disaster preparation; medical anthropology

Citation: Rebecca Howes-Mischel. Stocking up on Fish Mox: a Systematic Analysis of Cultural Narratives about Self-medicating in Online Forums. AIMS Public Health , 2017, 4(5): 430-445. doi: 10.3934/publichealth.2017.5.430


  • 1. Dr. Bones. How To Use Fish-Mox (to treat your sick fish, of course), 2013. Available from: https://www.doomandbloom.net/how-to-use-fish-mox-to-treat-your-sick-fish-of-course/.
  • 2. Michael CA, Dominey-Howes D, Labbate M (2014) The antimicrobial resistance crisis: causes, consequences, and management. Front Public Health 2: 145.
  • 3. Kabel A, Chmidling C (2014) Disaster prepper: health, identity, and American survivalist culture. Hum Organ 73: 258-266.    
  • 4. Jordan B (1997) Authoritative knowledge and its construction. In Davis-Floyd RE and Sargent C, Childbirth and authoritative knowledge: Cross-cultural perspectives, Berkeley: UC Press, 55-79.
  • 5. Briggs CL (2005) Communicability, racial discourse, and disease. Annu Rev Anthropol 34: 269-291.
  • 6. Epstein S (1995) The construction of lay expertise: AIDS activism and the forging of credibility in the reform of clinical trials. Sci Technol Hum Values 20: 408-437.    
  • 7. Sobo EJ (2015) Social cultivation of vaccine refusal and delay among Waldorf (Steiner) school parents. Med Anthropol Q 29: 381-399.    
  • 8. Good BJ (1993) Medicine, rationality and experience: an anthropological perspective. Cambridge: Cambridge University Press.
  • 9. Scheper-Hughes N (1996) Theft of life: the globalization of organ stealing rumours. Anthropol Today 12: 3-11.
  • 10. Briggs CL (2003) Stories in the time of cholera: Racial profiling during a medical nightmare. Berkeley: University of California Press.
  • 11. Reich JA (2014) Neoliberal mothering and vaccine refusal imagined gated communities and the privilege of choice. Gend Soc 28: 679-704.    
  • 12. Fox S, Duggan M (2013) Pew Research Center. Health Online 2013. Available from: http://www.pewinternet.org/2013/01/15/health-online-2013/.
  • 13. Scantlebury A, Booth A, Hanley B (2017) Experiences, practices and barriers to accessing health information: A qualitative study. Int J Med Inf 103: 103-108.    
  • 14. White M, Dorman SM (2001) Receiving social support online: implications for health education. Health Educ Res 16: 693-707.    
  • 15. Bundorf MK, Wagner TH, Singer SJ, et al. (2006) Who searches the internet for health information? Health Serv Res 41: 819-836.    
  • 16. Amante DJ, Hogan TP, Pagoto SL, et al. (2015) Access to care and use of the Internet to search for health information: results from the US National Health Interview Survey. J Med Int Res 17: e106.
  • 17. Wilson SM, Peterson LC (2002) The anthropology of online communities. Annu Rev Anthropol 31: 449-467.
  • 18. Goff BJ, Koff JM, Geiling JA (2002) Obtaining antibiotics without a prescription. N Engl J Med 347: 223-223.
  • 19. Ayo N (2012) Understanding health promotion in a neoliberal climate and the making of health conscious citizens. Crit Public Health 22: 99-105.    
  • 20. Rose N (2009) The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton: Princeton University Press.
  • 21. Rosenthal E (2017) An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. New York, NY: Penguin Press.


This article has been cited by

  • 1. Eric F Egelund, Anthony M Casapao, “Pet Nemo’s Pills”: The Last Loophole in Antimicrobial Stewardship?, Clinical Infectious Diseases, 2020, 70, 1, 177, 10.1093/cid/ciz388

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Copyright Info: 2017, Rebecca Howes-Mischel, licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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