Symphony of Science: Still milking it

If you look at the views for each installment of the “Symphony of Science” videos, they drop off dramatically and steadily. There’s a reason why.

Cancer claims and reality

Yahoo! Health has a short article up that I just love. It helps to demonstrate some of the points I’ve recently been making about how science works, and it makes a good example of how easily misinformation can spread among the lay population when there isn’t proper follow-up into the reality of the evidence.

Antiperspirant and Deodorant

The link: A decade ago, an E-mail warning women that using antiperspirant could cause breast cancer went viral. Since then, some research has suggested that aluminum in antiperspirants and preservatives called parabens in both antiperspirants and deodorants mimic the hormone estrogen, which in high amounts can increase a woman’s breast cancer risk.

The reality: There is no evidence that antiperspirants or deodorants cause cancer. Although a 2004 study heightened concern when researchers found parabens in breast cancer tissue samples, suggesting the chemicals may have caused the tumors, the investigators did not check for the presence of parabens in healthy tissue. Evidence suggests that 99 percent of us are exposed to parabens from numerous sources, including various cosmetics and foods, according to the American Cancer Society. Little evidence indicates they may be harmful. The organization says more study is needed to be certain that there is no risk. A 2002 study of hundreds of women with and without breast cancer, found no sign the antiperspirants or deodorants upped cancer risk.

A basic of science

I often find myself reminded of a post I made on just the third day in the life of FTSOS. It was about a media report on a recent study that said a certain pesticide found in anti-bacterial soaps may actually contribute to the development of antibiotic resistance by bacteria. It was a fine study, but it was far from conclusive. (The news article wasn’t so cautious in its assertions.) Perhaps it would be best if people only used regular old soap, what with that not really qualifying as a real sacrifice, but as for the science, I was far from ready to say that that pesticide was a contributor to antibiotic resistance among bacteria in any significant way in the given environment.

And the reason is quite simple: science does not rely upon individual studies. Of course, we may be able to point back to the results from one lab or one group of researchers as published in a single study as the linchpin that opened up a whole new branch of study. But that doesn’t mean we believe that paper as being conclusive on its own. It only works when we have a body of evidence. In most cases that means a number of studies looking at the same or a similar problem and coming to the same or very similar conclusions. For a single paper that proves itself a linchpin, that means we need a number of other studies which use its findings as their basis. For instance, green fluorescent protein, or GFP, was shown to work as a marker of gene expression in a pretty definitive study. It has about a bajillion (rough estimate) other studies on it, but no one needed to reproduce the study which won one research team the Nobel Prize in chemistry. But people did use that study as a basis for about a gagillion (rough estimate again) studies. If the original study was wrong or faked or otherwise limited, we would be well aware of that by now because of all those subsequent studies. That is one way to compose a body of evidence.

To put this another way, take the studies on intercessory prayer and its efficacy. We have some that show positive results. Look, God is here to help! But then we have others that show negative results. Oh, no! God must be angry! And then we have a whole bunch which shows a null result. Uh…God must be indifferent. So how do we interpret these results?

Remember, we need to be looking at the evidence as a body. As one of those intolerant, bigoted, hate-filled evilutionist atheists, I would find it humorous if prayer gave negative health results. But I don’t get to have that laugh. Instead, I have to conclude that prayer has no detectable effect on health. None of the studies are conclusive; they suffer from bias, or are statistically insignificant in either direction, or just show a blatant null result. The most likely conclusion is that prayer does nothing. No study has convinced me otherwise, and most of the studies have shown prayer to be inconsequential to the well being of people anyway.

What I hope this post enables readers to do is recognize a fundamental aspect of how science works so that next time they see a study which concludes a link between this or that, they know what to think. That doesn’t mean it is okay to just dismiss a non-bias confirming study (i.e., a study that doesn’t give a result one likes). It just means that it is always necessary to look at the entire body of evidence before drawing a conclusion.

The mediocrity principle

Edge has published the answers it received to its annual question. This year they asked what scientific concept would improve everybody’s cognitive toolkit. I’m still going through them, but I especially like PZ Myers’ answer.

The mediocrity principle simply states that you aren’t special. The universe does not revolve around you, this planet isn’t privileged in any unique way, your country is not the perfect product of divine destiny, your existence isn’t the product of directed, intentional fate, and that tuna sandwich you had for lunch was not plotting to give you indigestion. Most of what happens in the world is just a consequence of natural, universal laws — laws that apply everywhere and to everything, with no special exemptions or amplifications for your benefit — given variety by the input of chance. Everything that you as a human being consider cosmically important is an accident. The rules of inheritance and the nature of biology meant that when your parents had a baby, it was anatomically human and mostly fully functional physiologically, but the unique combination of traits that make you male or female, tall or short, brown-eyed or blue-eyed were the result of a chance shuffle of genetic attributes during meiosis, a few random mutations, and the luck of the draw in the grand sperm race at fertilization.

The rising cost of cancer

Cancer costs more and more every year for a couple of key reasons. First, people are always getting tested and diagnosed at higher rates. This is a big reason why cancer rates were seemingly so low just 100 years ago. Second, cancer is most prevalent as we age. As the baby boomers grow older, we are going to find more and more incidences of cancer. (There are, of course, more reasons, including inflation and other economic factors.)

Government researchers have recently figured several estimates for the cost of cancer care in 2020. They include:

* Using data from a 2005 national database, the team estimated medical costs associated with cancer were $127.6 billion in 2010.

* Assuming stable costs and survival rates, cancer costs will reach $158 billion in 2020.

* If the costs of cancer diagnostic tests and treatments rise 2 percent per year, the cost of treating cancer could rise to $173 billion by 2020.

* If treatment costs rise 5 percent per year, treating cancer in the United States could jump to $207 billion a year.

* In 2010, breast cancer was the most costly to treat at an estimated $16.5 billion, followed by colorectal cancer at $14 billion, lymphoma at $12 billion, lung cancer at $12 billion and prostate cancer at $12 billion.

* If cancer incidence and survival rates remain stable, the number of cancer survivors in 2020 will increase by 31 percent to about 18.1 million.

* Because of the aging of the U.S. population, the largest increase in cancer survivors over the next 10 years will be among Americans age 65 and older.

Short of a cure, the best way we can reduce these numbers will be to do all we can to avoid known carcinogens. That means doing everything we can to limit smoking. (I favor an outright ban.) It means discouraging tanning booths. (I favor an outright ban.) It means encouraging people to use sunscreen. (A requirement would be far from anything practical, thus I do not favor it.) It means getting kids to eat healthier. It means getting adults to eat healthier. It means doing a whole lot of things we all know we ought to be doing.

I expect a continued rise in costs.

An elaborate fraud

Andrew Wakefield is the disgraced research who claimed to have found a link between vaccines and autism in a 1998 study. This resulted in many deaths, increased illness, and his removal from the medical register in the U.K. Now a little investigative journalism has found that Wakefield outright made up a lot of his data.

A new examination found, by comparing the reported diagnoses in the paper to hospital records, that Wakefield and colleagues altered facts about patients in their study.

The analysis, by British journalist Brian Deer, found that despite the claim in Wakefield’s paper that the 12 children studied were normal until they had the MMR shot, five had previously documented developmental problems. Deer also found that all the cases were somehow misrepresented when he compared data from medical records and the children’s parents.

And then children died because of Andrew Wakefield. I wonder when the public will get an apology from the media for promoting this pure horseshit? I’m not holding my breath.

In an accompanying editorial, BMJ editor Fiona Godlee and colleagues called Wakefield’s study “an elaborate fraud.” They said Wakefield’s work in other journals should be examined to see if it should be retracted.

I only include this because I had a different original source, so I hadn’t read this part of the article when I made the title to this post. I guess it’s just the most accurate way of describing the work of Andrew Wakefield.

Update: via PZ, watch Anderson Cooper engage in some responsible journalism by not letting Wakefield off the hook.

Real medical professionals: Flu season is picking up

So get vaccinated.

Flu season appears to be picking up.

The Centers for Disease Control and Prevention says five states had widespread reports of flu last week, up from zero two weeks earlier.

A CDC report released Thursday says four of the states were in the South — Alabama, Mississippi, Georgia and Virginia. The other was New York.

The report also says that tests of about 120 virus samples show the circulating flu strains seem to be well-matched to this season’s flu vaccine.

Health officials say an estimated 23,600 flu-related deaths occur each year.

(Emphasis mine.)

I think we can add a few to that number thanks to the irresponsibility of the anti-vax crowd.

A third of babies are fat

And not just in that cute, chubby sort of way.

Almost one-third of 9-month-olds are obese or overweight, as are 34 percent of 2-year-olds, according to the research, which looked at a nationally representative sample of children born in 2001. The study is one of the first to measure weight in the same group of very young children over time, said lead researcher Brian Moss, a sociologist at Wayne State University in Detroit. The results showed that starting out heavy puts kids on a trajectory to stay that way.

“If you were overweight at nine months old, it really kind of sets the stage for you to remain overweight at two years,” Moss told LiveScience.

Michelle Obama’s child nutrition act looks better and better every single day. But maybe we should be listening to the conservatives, no? Perhaps for the WIC program, we could allow mother’s to buy their kids soda and candy. It’s all about liberty! after all, right?

Even real doctors can indulge in quackery

My local paper recently ran a piece about a doctor, Dustin Sulak, whose practice has exploded since Maine expanding its medical marijuana laws. While the man is a legitimate doctor – and while I support his efforts to responsibly prescribe marijuana to those who need it – I found a couple of parts of the article tremendously disappointing.

On the wall of Sulak’s examination room, next to his diplomas and state license, are framed certificates naming him a Reiki master and a clinical hypnotherapist.

An advocate for alternative medicine, Sulak gives his patients advice about healthier lifestyle choices, and many of them leave his office with bottles of supplements sold at the reception desk.

There is no evidence for the efficacy of Reiki and it rests on no scientific grounds in any regard. In fact, a major basis for it is the existence of Chakras. And guess what? They’re made up.

As far as hypnotherapy is concerned, I’m told by a psychology graduate student (who has recently received his master’s degree and is on his way to becoming a doctor) that in order for hypnosis to be practiced with any worth, it is generally necessary that the practitioner be a psychologist. I do not believe Dr. Sulak has those credentials, but I am not certain. At any rate, Dr. Sulak may be effective in his use of this practice. (See clarification here.)

Where the article says he is an advocate for alternative medicine and he recommends healthy lifestyle choices, it makes me rather queasy to see the paper trying to associate the two notions. First, if alternative medicine was medicine, we would just call it medicine. Second, any doctor will recommend healthy lifestyle choices. But it is unclear what that means in this context.

I’m also not a fan whatsoever of his anti-sunscreen position. Sunscreen ought to be used whenever long exposure to the sun is likely. That prevents cancer. End of story.

Also, he says this about cell phones:

I recommend using speaker phone, or a headset that has a plastic tube or a ferrite bead to prevent transmission of radiation into the ear. Please keep your cell phones away from children’s heads and pregnant mothers’ bellies!

For one of my cancer classes I recall the professor asking us to look into the evidence for a cell phone-cancer link and to let him know what we thought, how we felt about potential bans, etc. I had to say, the evidence was exceedingly weak. We have been using cell phones for a couple decades (we all remember Saved by the Bell), and we’ve been using them heavily for the past decade. Well over 4 billion people are on them daily. We have a load of studies. We have give ample opportunity for cancer to rear its tenacious head; no causative link exists. Let’s be done with this unwarranted fascination until there is some positive evidence to examine. Please.

Dr. Sulak also seems skeptical of vaccines, but he is far from explicit, only posting a few videos critical of the reaction to H1N1. The government’s response was generally appropriate (though we did end up throwing away a lot expired vaccines) and I hope to see something similar if we find ourselves on the brink of another potential – and preventable – epidemic. Besides, the anti-vax crowd has already caused enough deaths.

In summary, I’m rather skeptical of parts of Dr. Sulak’s practice, but virtually none of it could be called quackery. Unfortunately, the key word in that sentence is “virtually”. His use of Reiki is out-and-out, pure quackery. The ‘field’ rests on notions of palm healing, the proposition of fictional Chakras, and it has no physical basis. Reiki is not science and it has no place in real medicine.

Follow-up: HIV, controllers, and progressors

I’ve just got a quick link to add to my post earlier this month on HIV. There is also a post on the NOVA website from Kate Becker, a science writer I’ve come to enjoy quite a bit. She covers science as well as anyone.