More and more, the history of dietary guidelines that our public-health authorities promulgate resembles the Woody Allen comedy Sleeper, in which the main character, awaking from a centuries-long slumber, learns that every food we once thought bad for us is actually good, starting with steak and chocolate. But you wouldn’t know that from government experts’ increasing efforts to nudge us into their approved diets. In 2006, New York City passed the nation’s first ban on the use of trans fats by restaurants, and other cities followed suit, though trans fats constitute just 2 percent of Americans’ caloric intake. Now the Bloomberg administration is trying to push food manufacturers nationwide to reduce their use of salt — and the nutrition panel advising the FDA on the new guidelines similarly recommends reducing salt intake to a maximum of 1,500 milligrams daily (down from 2,300 a day previously). Yet Dr. Michael Alderman, a hypertension specialist at Albert Einstein College of Medicine, observed in the New York Times that because sodium is an essential component of our diets, the city’s effort amounts to a giant uncontrolled experiment with the public’s health that could have unintended consequences. And in 2006, Harvard Medical School professor Norman Hollenberg concluded that while some people benefit from reduced salt intake, the evidence “is too inconsistent and generally too small to mandate policy decisions at the community level.”
Steven Malanga, “Egg on Their Faces: Government dietary advice often proves disastrous”, City Journal, 2010-07
July 31, 2010
QotD: Take experts’ advice with a pinch of salt
July 29, 2010
BC government finds an issue to distract the media
Adrian MacNair linked to this Vancouver Sun article, saying “”B.C. halts penis-arousal test for youth sex offenders” Say whaaaaaaatttt?”
A moratorium has been placed on tests done on B.C. youth sex offenders measuring their penis arousal in response to sexual stimuli after the province’s top child advocate launched an immediate investigation Wednesday.
The device in question is called a “penile plethysmograph” — or PPG. In a lab setting, it is attached to male genitals so technicians can measure changes in “penile tumescence” — essentially erections that reflect the state of arousal in subjects shown photographs of adults, children and even babies in varying states of undress while at the same time being read a story that describes coercive or forced sexual activity.
So, until it came to light, the government was showing provocative images and reading pornographic stories to teenage boys to find out if they got erections during the process? Would anyone be surprised to find that teenage boys found this whole exercise sexually arousing? Teenage boys are hard-wired to find all sorts of things sexually arousing!
The point of the test is to reportedly predict whether offenders have gained control of their deviant arousal patterns through treatment or if they have not learned how to suppress deviance and will be a strong risk for re-offending.
Again, we’re talking about teenage boys . . . I’d be more suspicious if they found that one of them was managing not to react to such stimulus!
Okay, yes, I’m unfairly stereotyping, at least to some degree. But this sort of “test” or “experiment” would be flagrantly illegal if it were being done by anyone other than a government-funded health organization, wouldn’t it?
Replacing one impossible ideal with another
Colby Cosh linked to this Guardian article, saying “I’m afraid she’s right. ‘Thin’ is something every girl can at least strive for. Only God can make Christina Hendricks.”
When it comes to the ideal female body-shape the pipe cleaner is out, the hourglass is in — or at least it will be if the new equalities minister, Lynne Featherstone, manages to chisel out her will on the perfect body image.
“In the autumn the minister will convene the first of a series of roundtable discussions with members of the fashion industry, including magazine editors, models and advertisers, to discuss how to boost body confidence among the young,” the Sunday Times reported yesterday.
One might think that one of the first steps to boost such confidence might be to abolish school weigh-ins and make puppy fat a normal rite of passage rather than the subject of a health warning via the National Child Measurement Programme. (Can any woman think of anything more likely to have produced a fear of being on the chunky side than turning up to school one morning and being plonked on a set of scales?)
While I’m happy to have any excuse to post a photo of the delightful “YoSaffBridge”, this is another example of Nanny State thinking: (some) women have body image issues, therefore we must spring into action and fix it.
Rather than replacing the old impossible images with new impossible images (as the creative director of Harper’s Bazaar pointed out, the fashion industry exists to create the fantasy you’ll never live up to) an equalities minister should throw out all notions of obsessing about feminine beauty and concentrate on helping young girls think about the size of their achievements rather than the flatness of their navels, and the scale of their ambitions rather than — in Joanie’s case — the rather spectacular power of their bosoms.
June 16, 2010
Air pollution: unseen (and statistically unlikely) killer
Air pollution is bad, and the computer models used to determine how bad it is show that more than 100% of all deaths were due to pollution!
Air pollution cuts a deadly but invisible swath through Canada. We know this because the Canadian Medical Association says there were 21,000 deaths from exposure to air-borne pollutants in 2008. Of these, 2,682 Canadians were instantly struck down by the acute effects of pollution. By 2031, 710,000 people will have been slain by this unseen killer.
The evidence on this epic death toll is chillingly precise. According to the Ontario Medical Association, exactly 348 people died from air pollution in Waterloo Region in 2008. In Hamilton, 445 lives were cut short. And Manitoulin Island tragically lost 14 residents due to pollutants that year.
In Toronto, the Big Smoke of Canada, the figures are appropriately larger. Calculations by Toronto Public Health claim air pollution kills 1,700 people annually and sends 6,000 to the hospital. Ten percent of all non-trauma deaths in Toronto are directly attributed to air pollution.
Did you know that? I certainly didn’t. Oh, and wait . . . neither of us knew it because it’s junk scientific bullshit:
Consider what happens when you take Toronto’s computer model and use it to determine the death toll in previous eras, when the air was far more polluted than today. For example, average sulfur dioxide levels in downtown Toronto were more than 100 parts per billion in the mid-1960s. It’s now less than 10 ppb. No surprise then, that the death toll was much greater in the bad old days. Across the 1960s, half of all non-trauma deaths were the direct result of air pollution, according to Toronto’s model. And in February 1965, more than 100% of all deaths were due to pollution!
In other words, air pollution killed more people inside the computer model than actually died of all causes in the real world. How’s that for deadly?
I can confidently assure any modern day pollution-panicked worrier that things were much, much worse in the 1960s and 70s: the air was much more difficult to breathe in downtown Toronto, the water was disgustingly polluted, and (we were assured) things could only get worse in our little slice of environmental hell. The air is far less polluted now than at any time in my life, the lakes are largely recovered from the worst environmental damage we inflicted on them.
June 15, 2010
June 7, 2010
The worst drink in America is “Masochistic, but cheerful!”
Remember when I posted a short item about the worst beverage in America saying “Thank goodness this chain isn’t in operation anywhere near here”? According to Drew Halfnight, I’m not keeping up with the times — it’s apparently available in Canada.
But how does it feel to drink one? A spokesman for Tim Horton’s, which sells Cold Stone products in 40 locations across Canada, told me: “It’s apparently delicious.” But I know a thing or two about ice cream — I inherited a mean sweet tooth — I wanted to experience it for myself.
So, I zipped down to the nearest Cold Stone Creamery location — #2533 at Yonge and Eglinton in Toronto — and handed over $5.19 plus tax for a taste of death. The “Gotta Have It” size — 24.5 ounces — is not available in Canada, so I ordered the next best thing, a 20-ouncer.
The things people will do just to get a story . . .
The taste is intense: a saccharine blast of sugary chocolate, sugary peanut butter and just plain sugar, which engenders a third, chalky undertaste. But it only takes a few sips of the stuff before the sugar totally numbs my palate and I can’t really taste anything except richness. I’d liken the overall drinking experience to slurping up melted Ben & Jerry’s ice cream with a little homo milk thrown in. Masochistic, but cheerful!
May 26, 2010
The pandemic juggernaut of doom . . . that failed to materialize
Lorne Gunter has a good wrap-up of the bone-headed approach of public health officals in Canada to the Swine H1N1 flu “pandemic”:
Good on ordinary Torontonians. Despite all the H1N1/swine flu hype this past winter, just 28.2% of that city’s residents bothered to get vaccinated against the “pandemic;” that’s less than the 35% who usually get shots each year against the seasonal flu.
Even Toronto health care workers couldn’t be stampeded into getting the shots. Only 60% of them bothered.
[. . .]
Even from the start, the World Health Organization and other experts where told this strain of flu was weak and easily defeated. Infection rates never came remotely close to forecasts and death tolls were thankfully much, much lower than for typical seasonal infections.
The trouble, I think, was that so many public health officials have predicted so many pandemics for so long — SARS, bird flu, swine flu — that they simply got caught up in their own warnings and projections. They wouldn’t listen to contrary evidence.
The relevant public health authorities would have served the public interest (and their own credibility for the future) if they’d been much more forthcoming as the early stages of the pandemic showed H1N1 not to be the second coming of the Black Death. Instead, they doubled-down and raised the propaganda bar even higher.
October 27, 2009: Given that regular seasonal flu causes thousands of deaths annually, you’d think it would be good statistical discipline to count the cases of H1N1 separately, both the gauge the severity of the disease and to chart the effectiveness of the vaccination program. Lumping seasonal flu and “flu-like symptoms” together with H1N1 seems a big step backward from normal public health practice.
This would have been a good opportunity for de-escalating the panic mongering (and perhaps even attempting to rein-in the media, who were equally to blame for the tone of the information getting to the public). They chose, instead, to actively hide the fact that H1N1 cases were running below the level of ordinary seasonal flu cases (total H1N1 deaths: approximately 18,000 — typical annual death toll from seasonal flu: 250,000-500,000).
The biggest problem isn’t that they over-reacted this time, it’s that it has reduced their credibility the next time they start issuing health warnings. And that’s a bad thing. Unless they pull the same stunt next time, too. In which case, we may start hearing talk about setting up competing organizations to do the job the current entities appear to have given up on.
May 22, 2010
The worst beverage in America
Thank goodness this chain isn’t in operation anywhere near here:
May 1, 2010
Call out the inspectors
A busybody manages to create a lot of new jobs in San Diego County with one little phone call:
On Tuesday, we were surprised inspected by the San Diego County Department of Environmental Health. The two inspectors were sent out to visit our facilities (and other breweries in San Diego) as a patron had lodged a complaint about local tasting rooms. So I’d like to take a moment to thank that one person who felt it was important to lodge a complaint about brewery tasting rooms all over San Diego. Apparently they were concerned that we didn’t have a GIANT BLUE “A” on our cold boxes!
Thank you from the bottom of my heart.
You see, my fellow brewers and brewery owners are now having our hands forced (in the name of public safety) to go through the plan check and approval phase so that all of us can earn Health Permits for our tasting rooms.
What’s even better and the reason we’re all so thankful for your efforts today is that Port Brewing and The Lost Abbey has been issued a cease and desist for the sampling of beer in our tasting room. Because, as we all know, beer is a public nuisance laced with nasty things that can kill you!
I personally want to extend my gratitude to that consumer who felt this industry needed more regulatory agencies knocking on our doors. (The Health Department has never been interested in us before this call) Muchas Gracias Amigo (or Amiga) wherever you might be. There are breweries all over the City of San Diego who are now going to have to spend thousands of dollars on repairs that at best are “marginally justified.”
What follows is a long list of local businesses that will be seeing more income from San Diego breweries, as they all scramble to get into compliance with regulations they didn’t have to worry about until now. Before you consider this is a good thing, make sure you read up on the broken window fallacy (scroll down to paragraph 1.6).
April 15, 2010
“Wolf! Wolf! Wolf! Oh, never mind . . .”
Marni Soupcoff points out that the World Health Organization should have been far more forthcoming after their intial “the sky is falling” announcements caused panic last year over H1N1:
Admit your mistakes before others exaggerate them. That’s the oft-quoted wry advice of writer and retired surgeon Dr. Andrew V. Mason. Perhaps the World Health Organization (WHO) was trying to follow it this week by convening a three-day meeting of outside experts to review the organization’s handling of the recent swine flu outbreak. The problem is, despite claiming to want to know what went wrong as much as what went right, the WHO seems unwilling to even entertain the possibility that it created a counterproductive panic by labelling H1N1 a pandemic of the highest order (“level 6”).
Swine flu, as you’ve probably realized by now, has turned out to be a mild, not particularly deadly virus — it’s certainly far less deadly than the regular seasonal flu that most of us consider a mundane part of everyday life. If one were feeling charitable toward the WHO, one could point out that it didn’t know back in the spring of last year — when it shouted “level 6!” from the rooftops — that H1N1 would prove to be such a relatively innocuous bug. But it’s precisely because it didn’t know that the WHO should have been more cautious with its labelling. You don’t shout “fire” in a crowded theatre just because it smells like the popcorn might be a little on the burnt side. It’s not worth the chaos and alarm you might cause. (Or in this case, the run on vaccines and the resorting to quacks and sketchy “home” remedies.)
Between the unrestrained use of the term “pandemic” and the noted ability of the mass media to hype real and imagined risks, it’s almost surprising we didn’t have doomsday-style cults spring up over H1N1.
April 14, 2010
Unexpected findings on delaying or avoiding PTSD
With American troops being deployed so frequently to combat missions over the last few years, efforts to diagnose and treat Post-Traumatic Stress Disorder (PTSD) have become far more urgent. The risk of troops suffering from PTSD goes up the longer they are in combat or combat-like situations. The repeat deployments can’t be avoided, but other things can be done to reduce the risks:
The U.S. Army has found that PTSD (post-traumatic stress disorder) often does not appear immediately after combat, but gradually, over a longer (5-10 year) period. Short term, the army has found that 14 percent of troops on their first combat tour have stress problems. That goes to 18 percent for those on their second tour, and 31 percent for those on their third. But in the longer term (after five years of being in combat), 24 percent of troops who have served 12 months (one tour) in a combat zone will develop some PTSD. That goes to 39 percent for those who serve two tours and 64 percent for those who do three. The army wants to limit the number of troops suffering from PTSD. This is essential if the army is to maintain an experienced combat force.
[. . .]
Once a soldier has PTSD, they are usually no longer fit for combat, and many troops headed for Afghanistan are falling into this category. PTSD makes it difficult for people to function, or get along with others. With treatment (medication, and therapy), you can recover from PTSD. But this can take months or years. In extreme cases, there is no recovery. And while being treated, you stay away from the combat zone.
The army has found that PTSD can be delayed, or even avoided, by providing the troops with what previous generations of soldiers would have considered luxuries. For example, when possible, combat troops sleep in air conditioned rooms, and have access to the Internet and video games, as well as good food and other amenities. The video games and Internet resulted in an unexpected positive effect. The surveys found that troops that spent 2-4 hours a day on the Internet or playing video games (even violent ones) had far fewer stress problems. Having exercise facilities available also helped, despite the physically strenuous nature of combat in Afghanistan. While the combat troops spend most of their time out in the countryside, living rough, their commanders know what even a few days back at a larger base, with all the goodies, makes a big difference in attitudes, morale and combat effectiveness.
March 30, 2010
Self-esteem versus self-respect
Theodore Dalrymple on the crucial differences between self-esteem and self-respect:
With the coyness of someone revealing a bizarre sexual taste, my patients would often say to me, “Doctor, I think I’m suffering from low self-esteem.” This, they believed, was at the root of their problem, whatever it was, for there is hardly any undesirable behavior or experience that has not been attributed, in the press and on the air, in books and in private conversations, to low self-esteem, from eating too much to mass murder.
[. . .]
When people speak of their low self-esteem, they imply two things: first, that it is a physiological fact, rather like low hemoglobin, and second, that they have a right to more of it. What they seek, if you like, is a transfusion of self-esteem, given (curiously enough) by others; and once they have it, the quality of their lives will improve as the night succeeds the day. For the record, I never had a patient who complained of having too much self-esteem, and who therefore asked for a reduction. Self-esteem, it appears, is like money or health: you can’t have too much of it.
Self-esteemists, if I may so call those who are concerned with the levels of their own self-esteem, believe that it is something to which they have a right. If they don’t have self-esteem in sufficient quantity to bring about a perfectly happy life, their fundamental rights are being violated. They feel aggrieved and let down by others rather than by themselves; they ascribe their lack of rightful self-esteem to the carping, and unjustified, criticism of parents, teachers, spouses, and colleagues.
The other side of the coin is rather different:
Self-respect is another quality entirely. Where self-esteem is entirely egotistical, requiring that the world should pay court to oneself whatever oneself happens to be like or do, and demands nothing of the person who wants it, self-respect is a social virtue, a discipline, that requires an awareness of and sensitivity to the feelings of others. It requires an ability and willingness to put oneself in someone else’s place; it requires dignity and fortitude, and not always taking the line of least resistance.
[. . .]
Self-respect requires fortitude, one of the cardinal virtues; self-esteem encourages emotional incontinence that, while not actually itself a cardinal sin, is certainly a vice, and a very unattractive one. Self-respect and self-esteem are as different as depth and shallowness.
March 26, 2010
March 23, 2010
Post-traumatic stress in soldiers
Strategy Page looks at the rising rate of reported Post-Traumatic Stress Disorder (PTSD) in the forces engaged in Afghanistan and Iraq:
As expected the U.S. Army is beginning to see more widespread effects from PTSD (post-traumatic stress disorder). There are two main indicators. The suicide rate, which has gone from 9 per 100,000 troops in 2001, to 23 last year, gets most of the media attention. The less noticed indicator, which impacts a lot more people, is the use of anti-stress medications. These have gone up 76 percent since 2001. About 17 percent of all troops now take these drugs, including six percent of those in combat zones. In 2001, the troops used these drugs to about the same degree as the civilian population (ten percent.) The impact of these drugs, especially in combination, can be unpredictable. The army is still waiting to see how this increased use of anti-stress medications will play out. This is all unknown territory.
[. . .]
Nearly a century of energetic effort to diagnose and treat PTSD (including much recent attention to civilian victims, via accidents or criminal assault), had made it clear that most troops eventually got PTSD if they were in combat long enough. During World War II, it was found that, on average, 200 days of combat would bring on a case of PTSD for American troops. After World War II, methods were found to delay the onset of PTSD (more breaks from combat, better living conditions in the combat zone, prompt treatment when PTSD was detected). That’s why combat troops in Iraq and Afghanistan often sleep in air conditioned quarters, have Internet access, lots of amenities, and a two week vacation (anywhere) in the middle of their combat tour. This has extended their useful time in combat, before PTSD sets in. No one is yet sure what the new combat days average is, and new screening methods are an attempt to find out. But more troops appear to be hitting, or approaching, the limits.
