You searched for:

lancet

Alice in Wonderland and the Lancet study

by Daniel on July 27, 2007

(Initial bad temper warning: I am a little bit cross as I write this, because I think that the distribution of the paper on the Michelle Malkin website was both silly (because the paper has huge flaws that a mass audience can’t possibly be expected to understand) and rude (because at the time when he gave permission for it to be distributed, David was soliciting comments, seemingly in good faith, from the Deltoid community, aimed at improving it before distribution). The Malkin link has meant that this paper has metastatised and I will therefore presumably be dealing with cargo-cult versions of it by people who don’t understand what they’re talking about from now to the end of time. I see that Shannon Love of the Chicago Boyz website is claiming to have been “sweetly vindicated”, FFS. Ah well, the truth has now got its boots on, and big clumpy steel toe-capped boots they are too. C’mon boots, let’s get walking.)
[click to continue…]

Lancet report redux

by Chris Bertram on October 11, 2006

According to a new “report”:http://www.thelancet.com/webfiles/images/journals/lancet/s0140673606694919.pdf (pdf) in the Lancet on post-invasion mortality in Iraq:

bq. We estimate that as of July, 2006, there have been 654 965 (392 979–942 636) excess Iraqi deaths as a consequence of the war, which corresponds to 2·5% of the population in the study area. Of post-invasion deaths, 601 027 (426 369–793 663) were due to violence, the most common cause being gunfire.

With a lower bound of 426,369 for violent deaths, maybe we won’t hear from Fred “This isn’t an estimate. It’s a dart board” Kaplan this time.

Lancet interview

by Chris Bertram on April 20, 2005

Socialist Worker has “an interview with Les Roberts”:http://www.socialistworker.co.uk/article.php4?article_id=6271 who led the team which conducted the Lancet survey which estimated 98,000 excess deaths in Iraq since the war began. (via “Lenin”:http://leninology.blogspot.com/ .)

More Lancet denialism …

by Daniel on March 23, 2005

Like Sisyphus in Camus’ essay, I have come to the conclusion that myself and Tim Lambert only get involved in tackling the neverending wave of idiots who suddenly believe themselves to be statistical savants when reading[1] the Lancet study, because of the pleasure we get when from time to time they stop. This isn’t one of those times.

I think that Patient Zero of the current outbreak is the appalling Reynolds, who has apparently learned statistics over the last year (or at least, I distinctly remember him claiming to be “unable to say” whether John Lott was a hack or not, but here he is, talking stats with the best of them[2]). But for sheer asininity and bombast, you can’t beat Shannon Love (you may remember him as the architect of the “cluster sampling critique”, and if you don’t know what that is, good luck for you), who appears to be claiming that the Lancet team told lies on purpose in order to create propaganda for the Ba’ath party. As Tim says, this would be libellous if it were not so obviously stupid. Mr Love has decided to up the ante and “fisk” the whole report. I’m afraid that I was rather rude to him in his comments thread.

The arbiters of American journalistic standards are on our side now, so I suspect that we are fucked.

[1] I jest, of course. “Reading the study”! I crack me up.
[2] The best of them, to be honest, is still pretty bad.

The Chronicle of Higher Education has an excellent article following up on the Lancet study. That study is still basically unchallenged, by the way; however many epidemiologists you ask, they’re all going to give the same answer, that it was good science.

The Chronicle’s angle is on the strange fact that the Lancet appears to have shown that the Iraq War made an already horrible state of affairs much worse, and that nobody seems to think that this is something worth thinking about. There was a brief kerfuffle of interest around the time of publication, but other than that, the reaction of the world’s media to the fact that we spent $150bn on trying to help the Iraqis but did it so badly that we increased their death rate by over 50%, appears to be “ho hum”.

Les Roberts, the principal author, is going through long dark nights of the soul, wondering if it was a tactical mistake to request accelerated peer review and to have been so vocal about the US elections (btw, the Chronicle reiterates the point we made here earlier; that accelerated peer review is uncommon but by no means unknown with important papers). The Lancet editor Richard Horton refuses to comment, and well he might given that he wrote an entirely misleading summary of the paper which referred to “100,000 civilian deaths” when the paper did not make this distinction.

But there is no way on earth that I am going to write a comment harping on about this or that minor faux pas on the part of the authors.

Because the fundamental point that Roberts makes in the article is absolutely correct; it is a far greater disgrace that 100,000 people[1] can be needlessly killed and everybody carries on as they were before. You don’t have to accept an entirely consequentialist view of wars to accept that the consequences of wars have to be relevant to assessing whether they’ve succeeded or not. The best evidence that we have is that the consequences of this one were bloody disastrous. And as far as I’m aware, the list of war supporters who have seriously engaged with the possibility that this war was a failure numbers two; Marc Mullholland and Norman Geras. Marc mentions the Lancet specifically and ends up worried about his previous position; Norm doesn’t and doesn’t. If you know of any other examples, I’d be very grateful. But I honestly think, that’s it.

Other than that, the response in the world of weblogs has been exactly the same as the rest of the media; in the immediate aftermath of the report, half-assed attempts to rubbish the survey, or links to same. Then, when this didn’t work, just pretend that it’s all been dealt with and move on. Maybe say “I’ll get back to you on that” and never do. After a few months of this concerted inattention, many pro-war voices have even decided it was safe to use the old slogan “well Iraq is certainly a better place because we got rid of Saddam”, when this claim is quite obviously highly debatable (just like “of course the world is a safer place because we got rid of Saddam” …)

It’s an absolute intellectual disgrace. It might be good enough for Her Britannic Majesty’s Foreign Secretary but surely we ought to hold ourselves to higher standards than that. The debate over whether this war worked is vitally important, because we are talking about setting a precedent for an entirely new world of international relations, and the debate is not being carried on honestly. This is quite literally madness, and also quite literally suicidal.

I think I ended every single Lancet post with the observation that you can tell a lot about people’s character by observing the way in which they protect themselves from hostile information. Les Roberts ought to take some grim pleasure in the fact that the world has paid his work possibly the highest compliment that the establishment can pay to a piece of information; they regarded it as dangerous enough to ignore it, even at the cost of their own credibility.

Footnote:
[1]As I’ve mentioned before, I don’t like this 100,000 number, and it is irksome that the Lancet’s lasting legacy has been that the “100,000 dead!” factoid has become a commonly used stick for antiwar hacks to beat prowar hacks with. But as I say above, there is no way that I’m going to pick nits on this sort of thing while there is such a huge act of ongoing intellectual dishonesty on the other side. The pro-war side have brought this on themselves; until they start engaging with the issue, they can live with it.

Congratulations really go to Tim Lambert, who has been playing a fine game of whack-a-mole with respect to Lancet study denialists. The state of the game, as far as I can see it is pretty much as we left it at the last CT summary; the Lancet editors mischaracterized the 100K excess deaths as civilian, but the study itself is sound science. The only methodological critique I regard as currently having any validity is that the clusters were selected based on 2003 census data without adjusting for population movements since the war; this could have resulted in an overestimate or an underestimate; what I’d call an “unknown bias in an unknown direction”. By Sod’s Law (a statistical regularity), this critique was made in the CT comments thread about five minutes before the post fell off the front page; I’d be very interested in continuing that discussion.

But anyway, another party not usually associated with the blogosphere has entered the fray; the Foreign and Commonwealth Office. And their critique is … to be honest, not very good. Detailed comments below the fold.

[click to continue…]

Lancet roundup and literature review

by Daniel on November 11, 2004

Well, the Lancet study has been out for a while now, and it seems as good a time as any to take stock of the state of the debate and wrap up a few comments which have hitherto been buried in comments threads. Lots of heavy lifting here has been done by Tim Lambert and Chris Lightfoot; I thoroughly recommend both posts, and while I’m recommending things, I also recommend a short statistics course as a useful way to spend one’s evenings (sorry); it really is satisfying to be able to take part in these debates as a participant and I would imagine, pretty embarrassing and frustrating not to be able to. As Tim Lambert commented, this study has been “like flypaper for innumerates”; people have been lining up to take a pop at it despite being manifestly not in possession of the baseline level of knowledge needed to understand what they’re talking about. (Being slightly more cynical, I suggested to Tim that it was more like “litmus paper for hacks”; it’s up to each individual to decide for themselves whether they think a particular argument is an innocent mistake or not). Below the fold, I summarise the various lines of criticism and whether they’re valid or (mostly) not.

[click to continue…]

Ahhh, the curse of a title that you like too much to throw away, but not enough to write a relevant post about. Lengthy, multiply footnoted philosophical meanderings, below the fold.

Update: Unaccountably, I forgot to thank “Robotslave” for massive amounts of help provided in this research. Sorry and thanks!
[click to continue…]

Apparently I am on “mea culpa watch” from Tyler Cowen, Picture me at present pursing my lips and flapping my wrist in the international signal for “ooh! Get her!”. I have looked at the NEJM study, had a look at some of the online discussion of it, and I think that few of my friends and few of my enemies will be disappointed to learn that my response is not so much “mea culpa” as “pogue mahone”. In particular, see below the fold for a list of apologies not forthcoming, additional castigation, and new heretics who need to be squelched.
[click to continue…]

Post-Invasion Deaths in Iraq

by Kieran Healy on January 10, 2008

A new study estimates violence-related mortality in Iraq between 2003 and 2006:

Background Estimates of the death toll in Iraq from the time of the U.S.-led invasion in March 2003 until June 2006 have ranged from 47,668 (from the Iraq Body Count) to 601,027 (from a national survey). Results from the Iraq Family Health Survey (IFHS), which was conducted in 2006 and 2007, provide new evidence on mortality in Iraq.

Methods The IFHS is a nationally representative survey of 9345 households that collected information on deaths in the household since June 2001. We used multiple methods for estimating the level of underreporting and compared reported rates of death with those from other sources.

Results Interviewers visited 89.4% of 1086 household clusters during the study period; the household response rate was 96.2%. From January 2002 through June 2006, there were 1325 reported deaths. After adjustment for missing clusters, the overall rate of death per 1000 person-years was 5.31 (95% confidence interval [CI], 4.89 to 5.77); the estimated rate of violence-related death was 1.09 (95% CI, 0.81 to 1.50). When underreporting was taken into account, the rate of violence-related death was estimated to be 1.67 (95% uncertainty range, 1.24 to 2.30). This rate translates into an estimated number of violent deaths of 151,000 (95% uncertainty range, 104,000 to 223,000) from March 2003 through June 2006.

Conclusions Violence is a leading cause of death for Iraqi adults and was the main cause of death in men between the ages of 15 and 59 years during the first 3 years after the 2003 invasion. Although the estimated range is substantially lower than a recent survey-based estimate, it nonetheless points to a massive death toll, only one of the many health and human consequences of an ongoing humanitarian crisis.

150,000 violent deaths in three years is a lot. You’ll recall that the _Lancet_ study estimated about 655,000 excess deaths, which is a lot more. The two numbers aren’t directly comparable because excess deaths due to violence are only one component of all excess deaths (e.g., from preventable disease or other causes attributable to the war). Deaths due to violence rose from a very small 0.1 per 1000 person years in the pre-invasion period to about 1.1 per 1000py afterwards, or 1.67 adjusting for estimated underreporting. This is where the authors get their 151,000 number. The overall death rate rose from about 3.2 per 1000 person years to about 6, an increase of just over 2.8. Depending on whether you use the raw or adjusted estimated rate of violent death this would work out to an overall excess death total of just under 400,000 or just over 250,000. (But this is just a back-of-the-envelope calculation, as the overall death rate isn’t reported.)

[click to continue…]

Beaucoup de Beauchamp

by John Q on August 19, 2007

A bunch of rightwing blogs are getting excited yet again about Scott Beauchamp. For those who haven’t followed the story, Beauchamp is a US soldier in Iraq who wrote some pieces for The New Republic which, among other things, described bad behaviour by US troops, such as deliberately running over stray dogs and taunting a woman disfigured by burns. The pro-war lobby has worn out dozens of keyboards seeking to discredit Beauchamp, his story and the very possibility of running over dogs in an armoured vehicle. Now it appears the US Army has denied Beauchamp’s claims. (To reiterate, I don’t care about or intend to debate, or even to link to, the details of this case).

Some might suggest that the truth or falsity of these stories doesn’t matter much in the light of this. or this or this or this, to list just a few of the disasters have taken place while the wingnutosphere has been defending the US Army’s commitment to animal welfare.

But that would miss the point. What matters, in the world of rightwing postmodernism, is not reality but the way the media reports it. One bogus memo is enough to turn George W. Bush from a scrimshank who used his family connections to line up a cushy billet to avoid war service, and then shirked even that, into a war hero.

So, lets stick to media criticism. Not long after Beauchamp’s piece ran in a single magazine of modest circulation, all the major MSM outlets ran a story by well known critics of the war, Michael O’Hanlon and Kenneth Pollack whose intrepid journey through recently pacified parts of Iraq had convinced them that the surge was working. Here, for example, is their piece in the NY Times.

[click to continue…]

A hard day’s cargo cult science

by Daniel on July 29, 2007

Good news readers! I’ve gone mad! I don’t know what it was that tipped me over the edge but I’m now a signed up 27%er and I’ve decided to start applying my new grasp of the scientific method! After all, our scientific institutions are being destroyed by the leftist politicised science of global warming and the Lancet study, and that’s just not on. Luckily my cheerful attitude and can-do approach to statistics survived my trip to the dark side so I’ve been hard at work all morning applying the sort of tenacious scientific critique that my new status as a crazy person allows me to carry out with no qualifications whatever.

I started with the UK Census. I’ve always thought that there were maybe a few more, or possibly less, ethnic minorities in Camden than the census said, so I phoned them up and asked for the data. The woman on the end of the line pointed me toward their website and noted that there was quite a lot of county-level data there which might be helpful. I explained that no, I wanted the data, by which I meant the actual census forms. They won’t release the data! Really! I shouted that this was a fundamental building block of the scientific method, and that her sinister refusal to hand over the forms to any random person who asked was the equivalent of the Catholic Church burning Galileo[1]. While she was on the line, I asked for the last month’s death figures for Central London – after all, since she’s the central registering authority for births and deaths, she ought to have them at her fingertips as they must magically update every time a hospital morgue writes a certificate. I think she was in tears by the time she slammed the phone down, so Advantage: Blogosphere!

Next on to the Dow Jones Industrial Average people. Did you know that there are three entire missing days from their figures, which suspiciously enough[2] just “happen” to be September 12-15, 2001???????Q? I suppose we are meant to assume that this “missing cluster” was selected at RANDOM!!!!11! Some chance. Clearly the leftist MSMs of Dow Jones International censored these numbers, because they would have added so much to the variance of the DJIA that we could no longer be sure that it wasn’t 36,000! Perfidy! Wal-Mart are releasing their Q2 earnings numbers next week, or at least I should say “releasing” their “numbers”, because as I found out, when you go down to Bentonville demanding a look at the till rolls, you don’t even get let into the car park. Scientific method, my ASS!

Stay tuned for more science, readers, because until this case of Red Bull runs out, I am going to be a blogoscientific force of nature!

[1] Galileo was not actually burned, but I am now a right wing crazy person, so this kind of factul nitpicking no longer bothers me.

[2] The fonts are a lot more fun on this side of the political divide too.

One endless Rathergate

by John Q on July 29, 2007

The rightwing blogosphere, with assistance from the usual MSM types like Howard Kurtz has spent the last week or two trying to discredit a soldier, Scott Beauchamp, who wrote a “Baghdad Diary” for The New Republic, which included various examples of casually callous behavior on the part of US soldiers (nothing on the scale of Abu Ghraib or other proven cases).

For the wingers, this is a continuous pattern. Before this, there was a flap about a report that failures by contractors were resulting in troops in the field not getting adequate food. Before that, it was the Jamil Hussein case, a months-long brawl with AP arising from a report by a stringer about attacks on mosques. Before that, it was reports from Lebanon of ambulances being hit by Israeli fire. And so on.[fn1] There’s too much of this to try and give comprehensive coverage, and I’m not interested in debating the details, but a search on Instapundit will usually get you started.

The Beauchamp case fits the general pattern pretty well. First, the wingers claimed that the Diary was a fabrication and that “Scott Thomas” was the creation of a writer who’d never been near Iraq. Then, when it became evident he was a real person, they rolled out the slime machine to discredit him. Then they engaged in amateur forensics to discredit particular items in his account (acres of screen space have been devoted to the question of whether the driver of a Bradley fighting vehicle can run over a dog). Then they got to the central point – true or false, material like this is bad for the cause and shouldn’t be printed.

All of this, of course, is an attempt to replicate the one undoubted triumph of the blogospheric right, Rathergate. For those who somehow missed it, Dan Rather and CBS fooled by a bogus memo purportedly from Bush’s National Guard commander, and Rather eventually lost his job as a result.

As I said, I’m not interested in, and won’t debate, the details of these stories. The main question is: How anyone could imagine that this kind of exercise can have any value?

[click to continue…]

Deadly data in the transit lounge

by Daniel on April 19, 2007

Really rather shameful. Riyadh Lafta, one of the co-authors of the Johns Hopkins/Lancet studies on excess deaths in Iraq, has been refused a transit visa for his flight to Vancouver to make a presentation on alarming increases in child cancer. He was apparently meant to be passing on some documentation to some other medical researchers who are going to write a paper with him on the subject; the presentation was happening in Vancouver because Dr. Lafta had already been refused a visa to visit the USA.

What on earth can be in this data? Presumably the UK and US authorities have reasoned that Dr Lafta is an ex Ba’ath Party member (as he would have had to have been to hold a position in the Iraqi Health Ministry), and thus the data he is carrying is not really about child cancer at all. Perhaps he is involved in some sort of “Boys from Brazil” type plot to clone an army of super-soldiers from Saddam Hussein’s DNA, and for this reason the UK cannot be exposed to this deadly information for even four hours in the Heathrow transit lounge.

The alternative – that Dr Lafta is being intentionally prevented from travelling in order to hush up his research on post-war deaths (research which even the Foreign Office have now more or less given up on trying to pretend isn’t broadly accurate), or to hush up the news about paediatric cancer for political convenience – is too horrible to contemplate. I’d note that there isn’t an election on in the USA at present, so the denialist crowd can shove that little slur up their backsides this time too.

(thanks to Tim Lambert as always)

In semi-related news, and with apologies to the person who gave me the tip for taking so long to post it, it appears that Professor Michael Spagat, the author of the “main street bias” critique, has a bit of previous form when it comes to making poorly substantiated and highly inflammatory statements about other people’s research. His involvement with the general issue came about because he’d been using some of the IBC data in support of a power law hypothesis[1] about the scaling of violent deaths. This carried on from previous work he’d done on Colombia, where he had also defended his own somewhat tendentious interpretation on the data by slagging off Human Rights Watch. I sense something of a pattern here; I noted in a previous post that although the “main street bias” critique appeared in the Lancet colloquium on the Burnham et al paper, Prof. Spagat himself did not, and I thought at the time it might be because of this habit.

[1] And one of Prof Spagat’s co-authors on the main street bias paper, and a few others in the power law of violence series was Neil Johnson of Oxford University, who was also a co-author of that paper about the Eurovision Song Contest that we had a go at a while ago, and so the circle of minor irritation is complete.

The Times has published a really quite bad piece of science journalism on the subject of the Lancet study. When the topic is sampling theory, your heart really does sink when you see something like this:

Several academics have tried to find out how the Lancet study was conducted; none regards their queries as having been addressed satisfactorily. Researchers contacted by The Times talk of unreturned e-mails or phone calls, or of being sent information that raises fresh doubts.

Yes indeed, out of the population of people with outstanding questions, none of them have had their questions resolved.
[click to continue…]