Showing posts with label denialism. Show all posts
Showing posts with label denialism. Show all posts

Saturday, 15 August 2020

Life in the Pandemic X: Exacerbating uncertainty

 Many things in life are uncertain (apart from death and taxes obviously). And many things are uncertain in science. Indeed identifying, controlling and quantifying uncertainty is a key aspect of the practice of science. We’re so keenly aware of uncertainty that we try to dissuade students of talking about science “proving” things, as though in any given situation absolutely all uncertainty can be removed. We don’t think that it can be, and we can therefore never be “certain”. What we seek to do is accumulate evidence supporting a particular explanation for a given phenomenon so that it moves from being highly provisional (a hypothesis), to being fairly probably the correct explanation (a supported hypothesis), to being the best and most highly supported explanation we have (at which point it’s  usually elevated to the status of a theory). This takes time and effort. Even so, we also accept that the most accepted theory, with apparently lots of supporting evidence, can always be superseded by a new theory. This might be an extension of the original theory, or indeed a contradiction of it. But this whole approach raises  problems. It is tricky to explain (as you may have noticed), and it’s not the way most people think or speak most of the time. These problems (and why they matter) have been amply exposed by the pandemic.

Let’s start with the language problem. There are situations where certainty is conflated with clarity. In a startling reversal of form for the particular bunch of politicians currently running the UK, the pandemic mantra has been “We’re following the science, therefore….”. This is a reversal because it suited them in a previous situation (ie the Brexit debate), to downplay the view of “experts”. But as I’ve noted before, in the pandemic, this has changed. Experts are in; but uncertainty is not out.

Politicians and the media, are very keen on what they call clarity. But COVID19 is a virus new to  humans, and therefore new to science. Nothing was known, indeed could be known, about it (although things could be inferred). Early in the pandemic, at the time when many key decisions were being taken, the science was more than usually uncertain, and therefore the scientific advice to politicians had to be highly caveated (this is an assumption on my part, I wasn’t privy to it). But this doesn’t make for snappy press conferences. And it almost certainly guaranteed that the advice would change, and therefore the instructions issued by politicians would have to change (example: face masks). The media don’t particularly help in such situations. Their stock in trade is the language of u-turn and climb-down. It might have been wise to clearly communicate from the start that the course of action being embarked upon was based on a consensus of what, given the evidence at the time, was reasonable. Not certain, but reasonable. Problem is, would any of us reacted as we need to if the politicians had spoken this way?

To be fair to them, there have been some sceptics and deniers who have been happy to jump up and down and accuse them of exaggerating the danger of the situation for nefarious political ends. They have pointed out that for all the talk of half a million UK dead and the NHS overwhelmed, this was not the disaster that developed. But this is to miss the point. The one experiment that could not be done was the one that involved doing nothing and essentially letting COVID19 run its course. So on the basis of (suitably caveated) advice, we had our lockdown. And while we can’t be certain (that is, after all, the point I’m making), the difference in case and death curves (eg see here) between most EU countries (including the UK) and others like the US and Brazil, suggests that this was indeed a sensible course of action. As an aside, we have to now hope that we don’t blow it, and revert to the earlier trajectory that could lead to disaster. However, at least some of the critics seem to suggest that with all the uncertainty involved, essentially nothing should have been done. Action should only have been taken once all doubt had been removed. But then that would have meant nothing would have been done. And many thousands more would have died, deaths that we have almost certainly avoided. It will perhaps be possible to demonstrate this statistically, once more  evidence has accumulated. But at the point the big political and economic decisions had to be taken, actual evidence was scarce.

We have heard this sort of call to wait for certainty before, both in another contemporary context and historically. And it’s here that the language problem, and the complexity problem intersect. Climate change, its cause, effects and what we should do about it (if we can do anything about it), is undoubtedly complex. The idea that it is caused by human activity (primarily the burning of fossil fuels from the industrial revolution on, increasing atmospheric CO2) has been a matter of overwhelming scientific consensus for decades ie we’ve gone beyond hypothesis, supported hypothesis, and theory to consensus. Even still, scientists in this area will probably be unwilling to say they have no doubts, that the relevant theory/theories have been “proved” in some absolute sense. That’s just not the appropriate language of science. But that allows others to come along and say that the science is uncertain, there are alternative explanations or the whole thing is just a hoax. Here, a legal analogy might help.

I served on a murder jury some years ago. We were faced with the weighty decision of whether the prosecution had proved its case beyond reasonable doubt. Notice that you can still convict and have doubt. The question is whether the case is proved beyond reasonable doubt. One can always come up with lots of “could be’s” and “might have beens”. But if they fly in the face of the evidence, or are not supported by evidence, then they are not reasonable. And if they are not reasonable, they is no reason to pronounce the defendant “not guilty”. If the scientific consensus around climate change were a defendant in the dock, although there are doubts and uncertainties, they would be ruled out by the evidence as unreasonable, a guilty verdict handed down, and the jury would go away and sleep soundly, their duty done. And yet the uncertainty, complexity, and the language of science conspire to provide a space for those who say we should do nothing because we are not 100% certain, precisely at the time when action has to be taken.

At least some who operate in this space are following in a fairly inglorious tradition that has been exposed several times. They seek to foment doubt and increase complexity, obfuscate evidence and exacerbate uncertainty. They explicitly seek to sow doubt, of the unreasonable sort. The approach was famously summarised by a cigarette company executive in the 1960’s in a now infamous memo which stated “Doubt is our product since it is the best means of competing with the ‘body of fact’ that exists in the mind of the general public.”(1). What followed was essentially a well funded disinformation campaign of epic proportions. Meanwhile, cigarettes continued to be manufactured, sold and consumed and contributed to the early deaths of millions. The story of this and similar campaigns is expertly revealed in its gory detail by David Michaels in his books (2,3). And there’s evidence that there are commercial and other interests playing the same game with climate change. Stir up doubt, exacerbate the uncertainty, and the public will conclude that either the issues are so complicated and unclear that it would be premature to take action (like ban smoking or increase tax on gas guzzlers), or that the inconvenience of action is not worth uncertain benefits.

This kind of thing is happening in the pandemic. Reasonable people are not taking reasonable actions because, particularly in the US, misinformation is being spread and uncertainty is being exacerbated. The scary bit is that when the much hoped-for vaccine becomes available, we all know it’s likely to start over vaccination against COVID19. But, to resort to some unscientific language, you can be sure that wearing a mask and washing your hands frequently at the moment, and getting vaccinated once one or more vaccines have passed through the requisite trials, is a really good idea. I don’t doubt it.

 1. Michaels D (2005) Doubt is their product. Scientific American 292(6):96-101 (available on Research Gate: https://www.researchgate.net/publication/7806937_Doubt_Is_Their_Product)

 2. Michaels D (2008) Doubt is Their Product. Oxford Univ. Press

 3. Michaels D (2020 )The Triumph of Doubt: Dark Money and the Science of Deception Oxford Univ. Press

Saturday, 3 June 2017

Of peacock tears, cows and global warming


First of all, a potential fake news alert. A story concerning retiring judge Mahesh Chandra Sharma of the Rajasthan State High Court went viral this week. Some of the reported quotations attributed to said judge follow:

“The peacock is a lifelong celibate. It never has sex with the peahen. The peahen gets pregnant after swallowing the tears of the peacock.”

 “(Mother cow) is the only animal that inhales as well as exhales oxygen.”

 “Cow urine has the miraculous property of destroying any kind of germs. It provides strength to mind and heart. It stops ageing,” he said, adding that its horns “acquire cosmic energy“.

 “Houses plastered with cow dung are safe from radio waves.”

The reporting of these comments provoked a bit of an international media storm, well divorced from the initial context. The judge was hearing a case involving the care of cows in government shelters. Not a big issue you might think. But you would only think that if you were not an Indian Hindu, to whom cows, their status and treatment, matter a whole lot more than to your average Westerner. While as far as I can see the judge exists and said these things, a bit of care still has to be taken in interpreting the comments. After all, the original judgement was handed down in Hindi. That said, and taking them at face value, it’s a reminder that there are people and places that have been bypassed by a couple of centuries of scientific progress.

Ignorance is neither innocent nor harmless. It also has a close cousin – denialism. Particularly within healthcare and medicine, there are a number of denial movements which have either cost, are costing or will cost lives. HIV denialism took root in South Africa for a while, and with political support from former president Thabo Mbeki, delayed the introduction of antiretroviral treatment. According to a study by Chigwedere et al (2008)1, that delay may have cost 300,000 lives. Currently, lives are being lost because of the activity of the anti-vaccines movement. Parents are being persuaded not to have their children vaccinated, whether against measles in the US and Europe, or polio in Africa and parts of the sub-continent, in the face of scientific evidence and consensus. This all takes on a further worrying complexion when the deniers team up with purveyors of snake oil and sugar water, and seek to provide “alternative” remedies, usually at a profit. Like alternative facts, alternative remedies rarely have any positive effects.

In the West what is interesting is that this decline in the public traction that scientific evidence seems to have, at least in some quarters, parallels the decline in the influence of Biblical Christianity, or more particularly the values that flow from it. Arguments have raged for a while about the influence of these values on the rise of science. For all that the conflict metaphor has come to dominate at least the popular conception of the relationship between science and Christianity, it was in “Christian” Europe that the modern scientific enterprise emerged, having faltered in the Muslim world after a good start. Among others Hooykaas2 claimed that this was no accident. Perhaps we’re now in a position to begin observing what happens as nature becomes remythologised (seemingly a problem in Rajasthan) and a personal commitment to truth is devalued.

In addition, this week saw international ructions as result of President Trump announcing that the US would pull out of the Paris climate change agreement. This is further evidence of the success of a denial movement, partly motivated by commercial and industrial interests. Again there’s a weight of scientific evidence to be processed, not all of which is unequivocal. Few of us have either the expertise, the time or the inclination to examine the evidence for ourselves and therefore remain relatively ignorant of it. And there’s a small, but apparently influential group of dissidents, who reject both the scientific and the current political consensus. They cite alternative evidence, or provide alternative interpretations of the evidence. And of course, given our relative ignorance, we can fall prey to their efforts. Sometimes, we’re happy to cooperate in this if it supports our prejudices, or looks like it’s in our local, personal, narrow economic self-interest.

Of course, even if the science were 100% clear on one side of the argument (it’s probably more like 95%), in areas where political action is required, there are other considerations that have to come into play. History, economics, fairness and more besides go into making political decisions. That said, the evidence that humanity is warming the planet in a damaging way, while complicated, is fairly compelling.  If the consensus is wrong, then lots of money will be spent to achieve ends that while probably useful we could equally well live without. But if the consensus is right, but proper action is undermined by the deniers, then the consequences will be catastrophic in some places, grim in many others and expensive everywhere. But of course, because the consequences will unfold over a long period of time, the deniers will be long gone.

Maybe the truth of the matter is that ignorance is never bliss. But the only alternative is hard work educating the next generation and for that matter hard work informing ourselves.

1.       Chigwedere P et al (2008) Estimating the lost benefits of antiretroviral drug use in South Africa. J. Acquir Immune Defic Syndr 49(4):410-5. [Link]

2.       Hooykaas R (1972) Religion and the rise of modern science. Scottish Academic Press.