Extra mural

Science in society – politics, development and social justice.

Polio – forgotten but not gone

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A young girl's right leg bends backwards at the knee like a bow as her father leads he by the hand down a clinic corridor

Consequence of polio - too many children must suffer a similar fate

For centuries polio has maimed and killed children across the world. Like all diseases it struck out at all echelons of society, from Presidents down, but it disproportionately affected the poor.

The virus transmits because of insanitary and unhygienic conditions. It is spread in faeces, infecting a victim with their food or water. It shreds the nervous system, attacking motor-neurons, paralysing the victim.

Polio kills the poorest and most marginalised of the world’s population. Those who do not drink clean water; who cannot wash their hands; those who are compelled to live in filth bereft of sanitation.

It is grievously unfair that children still suffer from this disease. This pathogen that only infects humans, that does not live long outside of its human host, that we have had a vaccine to combat for nearly 60 years.

Up to 90 per cent of those infected show no symptoms. This virus passes by so many; silently passing through en route to those few to destroy their fragile bodies. Read the rest of this entry »

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A spot of self aggrandising and a few hundred words for your pleasure

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So I’ve been quite quiet of late. Extra mural has gathered dust and pretty much gone into a hibernating state. Well, I have been busy you see.

Medical Media Watch has taken shape, Elements is still growing stronger every day, and the good people of the Financial Times took a holiday from reason and decided I was worthy of being printed.

We await the ABC figures to see how much of a hit the FT took. I’m thinking they’ll drop a few thousand copies in New York for sure.

But here is some writings for you to enjoy, or at least read. Genuine, Extra mural penned, fodder for your brain spaces.

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A tap with clear, clean water pouring from it

Potable water is essential for health and prosperity. Dirty water carries disease and poverty. Easy to understand yet the benefit is not appreciated by millions

We live in a time of unparalleled technological advance. Our knowledge of the Universe is immense, growing greater each day.

On a whim we can connect with minds from across the planet. In smallpox we have bested a killer more blood-soaked than any artifice of man. In one giant leap we broke the surly bonds of Earth, reaching out to touch the face of God.

We wallow in our own majesty.

It is too easy to forget the challenges we overcame to sit pretty in this developed world. The aching poverty and suffering of the industrial revolution that brought such desperate hardship. Read the rest of this entry »

Written by nascenthack

February 27, 2011 at 12:55 pm

Tootling on a trumpet known to me…

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…But not in the biblical sense.

No, this is just a spot of shameless self-publicising, show-boating if you will, for I am an author of a blog post on the august,informative and entertaining BBC Focus magazine website!

Get your fix of further Extra mural right along through here.

There; tootling has abated, we’ll be back to the regular service of (almost) science (nearly) journalism toot sweet.

EM

Written by nascenthack

January 26, 2011 at 11:13 pm

Truth, uncertainty and belief – Edge Magazine’s big question of 2011

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The days of the New Year drift by; I tick off one more birthday in my ever dwindling years before I succumb to the cold embrace of the grave; February trundles into sight with the horrors of Valentine’s Day. It is therefore time to dive head first once more into the world of all things sciencey to dredge up a tasty morsel or two.

Not two days ago your tragically aged author dids’t converse mightily for over an hour with his long suffering girlfriend about science and its place in the world. An anthropologist (don’t hold it against her), said girlfriend offered many an interesting point on the nature of belief, the arrogance of science as a discipline and the faith that is put in science by lay individuals. Following this intellectual contretemps I did retire to lick my wounds and it is with surprise and satisfaction that over my morning victuals I open my Saturday Guardian to see the very point I set as a foundation for my defence against the marauding social scientist being held aloft by some estimable men of science. Read the rest of this entry »

Written by nascenthack

January 16, 2011 at 5:48 pm

Crime and statistics – Is Britain obsessed with violence?

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Statistics are a considerable part of my dealings with science; they are obviously a fundament of hypothesis driven research, enabling quantifiable results to be analysed and detailed conclusions be drawn. You may have guessed by this cod description that they are not my strongest suit and therefore a source of morbid, masochistic fascination. They are also a considerable source of contention and discourse within scientific communities.

Hearing Lord Blair of Boughton, formerly Sir Ian Blair, Commissioner of the Metropolitan Police, discuss crime statistics on Radio 3’s Nightwaves programme gave me considerable pause for thought. Here was a realm where statistics are apparently without equivocation.

Of course this is not true, by definition statistics are equivocal. Read the rest of this entry »

Written by nascenthack

November 26, 2010 at 6:48 pm

Reuters report US threat from Haiti cholera is low – phew.

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Now an owner of a smartphone, I receive my emails to my pocket. Reuters send me a morning digest newsletter each day. The fourth item of the 12/11/10 email, from a list of eight chosen stories from around the world, was under an unabashed headline: “Haiti cholera toll at 800, US risk seen low”. The article fits the title. It was accompanied by a stark photograph of a man face down in a filthy gutter, possibly one of the 800 dead.

David Daigle, a spokesman from the US Centre for Disease Control and Prevention, told Reuters: “Good sanitation which includes plumbing, separation of faecal wastes and similar measures, and access to safe drinking water in the United States would work against widespread transmission”. Thompson Reuters’ story, carried by outlets across the world and aggregators all over the web, is emblematic of a pervasive problem in the media. It is not ubiquitous but it is, at times, intolerable: the west is best and takes the lead in a story.

The parochialism of Western media is something Nick Davies talks about  in his book Flat Earth News. By giving the Haiti the US lead in its angle demonstrates a clear effort on the part of Reuters to fit its product to its clients. Read the rest of this entry »

Written by nascenthack

November 22, 2010 at 3:53 pm

Posted in Disease, Media

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Further dispatches from the Battle of Ideas

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Returning if you will to the subject of the previous post, I would like to recount something of what came out of the sixth annual Battle of Ideas (BoI).

Some panellists and audience members were in agreement that transparency and privacy are not in a polarised competition; some processes must be transparent but some details must be secret. It was suggested that private enterprise more than public life needs a more nuanced compromise between the two.

I do not think it is a question of transparency versus privacy at all. I believe it is a question of honesty versus dishonesty, clarity versus obfuscation. I believe this should apply to both public and private sections of society. As David Aaronovitch explained in the privacy versus transparency debate, to stringently demand full disclosure from the public figure only increases the privacy of the private figure. A Member of Parliament earns around £65,000 a year – how much do you know about the salary of a newspaper editor, TV executive(1) or director of a major corporation?

As is the nature of events like the BoI, I left with many questions bobbing around my rather punch-drunk brain. Do we need more transparency then? For example should policy decisions be made with all-encompassing transparency? Questioning the merits of evidence based policy is an area into which I had not previously ventured. As a trainee scientist I had always fancied the idea that science has or will have all the answers, if you give it time. For government to ignore research or disposes scientists of what I saw as their rightful place at the top of the intellectual heap seemed appalling and idiotic. Denigrate science will you? Who the hell do you think you are?

It was this that drove me to write a naïve if robustly worded comment piece for my student newspaper(2), calling for Alan Johnson’s head after he sacked Professor David Nutt.

I do not recant my call for Mr Johnson to be sacked, he was wrong to fire Professor Nutt, but I do wish to change my motives. I would like to replace my belief in the inviolable sanctity of scientific research with my understanding that this was an act of political cowardice by the present Shadow Chancellor.

At present, generally speaking, I think only those qualified as scientists are considered capable of casting judgement on the work of scientists. This excludes the ranks of journalists who call this their patch. The churning tendencies of the reporter, sifting through press releases and splurging out copy, that fulfils their primary goal of selling newspapers or gaining viewers makes them not quite apart from the establishment.

There is no room for the connoisseur in science, as Professor Steve Rayner of the University of Oxford put it from his seat on a BoI panel. Convenient for the research world that inherently requires a high degree of understanding. Understanding, it is presumed, that surpasses the ill-informed general public with their preconceptions and prejudice, who are kept out of the way of progress and the advance of knowledge. But a connoisseur is well informed by definition, and without the informed but removed judgement of the amateur there stands a professional hegemony. This leads to ‘Evidence’ being held in daunted awe as undeniable and unassailable.

To me this is to the detriment of both science and society. By excluding informed comment and raising ‘Evidence’ to a pedestal means the thorough scrutiny research must be subjected to will not come from all sections of society. If policy is to be formed from this evidence then the policy decision will join the research on which it is based, up on its glossy plinth. This can only be a bad thing.

All this reduces politics and science to policy and evidence. It places undue stress on scientists to provide the ‘bottom line’ figure. I believe science panders to the demands for certainty and absolute clarity in its answers which costs it, and scientists, the respect of the people (3).

As we are a democracy not a technocracy the will and feelings of the electorate must form part of the decision-making process of politicians. So too must evidence; it cannot be excluded as much as it cannot be the sole basis of decisions.

Returning to the case of Professor Nutt; the evidence and the considered opinion his committee provided should have formed one pillar of then Home Secretary Johnson’s decisions on the criminal status of controlled substances. But it had to stand alongside Johnson’s understanding of the views of the people and his appreciation of the wider ethical debate of individual freedoms. His final decision apparently defied the evidence and Johnson had to stand behind his decision and defend it in rational debate. He did not.

I think it is this lack of honesty that costs politicians our trust. I believe that there is a misunderstanding that science can provide answers and certainty and when this inevitably is disillusioned this costs scientists our trust.

I believe it is not a battle of transparency versus privacy but honesty and trust versus confusion and cowardice that underpins some of the important issues confronting us today. When science panders to demands of certainty and security it cannot provide and when politicians duck issues, we all notice.

  1. Excluding the BBC make of executive that is
  2. The Student: the oldest student newspaper in Britain which counts among its former editors Gordon Brown and William Gladstone. It does not count among its assets a proper online archive of articles so I cannot link you to my earlier forays into the hack’s realm
  3. An example of this could come from the 2001 Foot-and-Mouth Disease epidemic. Throughout the epidemic’s progress scientists were called upon to declare when it had reached its height, when it was likely to be over, even when Tony Blair could call an election. A graph was released by epidemiologists that plotted the decline in cases over time. The graph did not show the error bars for each data entry. That is the statistical range of each point where it could fall within. As such it was simple line graph that happened to show the end of the epidemic, the point where the number of cases was zero, falling on the day of the general election. Journalists call foul and science has egg on its face. This is as told to me by Professor Mark Woolhouse, University of Edinburgh Chair of Infectious Disease Epidemiology, in my final year epidemiology lectures. Alas I no longer hold the lecture slides on my computer, they are lost to the sands of time. I deleted them along with all the others when I purged my hard drive following graduation in an electronic equivalent of chucking all my notes in the air as I walk out the door. Oh foolish youth

Written by nascenthack

November 4, 2010 at 10:33 pm