Quotulatiousness

November 11, 2009

The only surprise is that it’d only be 33%

Filed under: Cancon, Economics, Health — Tags: , , — Nicholas @ 08:22

Alison Martin summarizes a survey of Quebec workers which found (among other things) that 33% of men would show up for work even if they or a family member had H1N1:

According to a poll of Quebec workers, many employees in Quebec would still show up for work even if they had the H1N1 flu virus.

Close to one-quarter of respondents to the poll conducted in September 2009 on behalf of the Ordre des conseillers en ressources humaines agréés said that they would still go to work even if they or a member of their household had the H1N1 flu virus. This attitude is even more prevalent among men, with one in three (33%) reporting that they still intended to go to work if they or a relative caught the virus.

Close to 60 per cent of respondents said that they show up for work even when they really aren’t feeling well.

“We’ve already noted that employees in Quebec tend to show up at work even when they’re ill. They don’t seem to be sufficiently aware of the risks of such behaviour, which in the end benefits neither the employee nor the employer, and definitely should be stopped,” explained Florent Francoeur, CHRP, Ordre president and CEO.

The question was clearly worded to elicit the most newsworthy headline: it’d be an odd family if everyone stayed home if even one person in the family was ill . . . and a family with limited long-term employment prospects. Private sector employers tend not to have the same kind of generous sick time provision that public sector employees get, so employees don’t tend to take as much sick time as civil servants.

For many workers, if they don’t show up for work, they don’t get paid. This is especially true at lower income levels, where missing a few days pay can be a severe economic dislocation.

November 3, 2009

“Like Soylent Green, medicine is made of people”

Filed under: Health, Science — Tags: , , — Nicholas @ 13:04

Colby Cosh on the paradoxical nature of the public’s view of medicine:

We’re conditioned to think of “medicine” as a single, coherent planned enterprise, if not a conspiracy, and we often fear and despise it — until we decide we need it. At which point it cannot possibly move fast enough to please us. Like the state or the church, medicine is an impersonal abstraction, but one that seems to have common priorities and intentions, significant powers and one voice. Rationalists and believers in progress invoke it; nutcases and conspiracists resist it.

In a way, both are paying tribute to a fiction, much like Christians and Satanists. In real life, there is no pope or president of medicine, no temple where it can be consulted, no medical mandate of heaven. The emerging vaccine debacle, though mercifully likely to have fairly limited public-health consequences, reveals the terrible truth. Like Soylent Green, medicine is made of people. Not just doctors, but administrators, industrialists, economists and politicians — none of them angels, and none with an angel’s ability to predict mass behaviour, perceive and weigh risk, or foresee the judgment of future history.

[. . .]

People have always been prone to weird beliefs, but now there is a medium that compounds those beliefs, allows them to coalesce into a historical counter-narrative and unites their holders like never before. For the first time, there are people who seem not just weird, but positively, thoroughgoingly “weird-ist.” Try spelunking amidst the Internet detritus of the anti-vaccine movement. There is no philosophical reason that strange beliefs about vaccination should correlate with fringe beliefs about UFOs, reptilian elites, 9/11 “truth,” JFK, the world ending in 2012 you name it. Yet the correlation is real, and not hard to confirm.

September 8, 2009

John Snow and the start of modern epidemiology

Filed under: Britain, Health — Tags: , , — Nicholas @ 08:52

Another “on this date” entry for you: in 1854, John Snow persuaded the local authorities in a London borough to remove the handle from a water pump at the centre of a cholera outbreak. The move was successful, and the death rate dropped immediately. Randy Alfred has the story:

BroadSt_cholera_map

Physician John Snow convinces a London local council to remove the handle from a pump in Soho. A deadly cholera epidemic in the neighborhood comes to an end immediately, though perhaps serendipitously. Snow maps the outbreak to prove his point . . . and launches modern epidemiology.

The Soho neighborhood was not then filled with galleries, clubs, restaurants and other fine urban diversions. Some of it was an unsanitary slum where centuries-old cesspits sat chockablock with the wells that provided drinking water to a crowded populace.

Asiatic cholera had stricken Britain in successive waves since 1831. Snow, an obstetrician who pioneered the use of anesthesia in Britain, published On the Mode of Communication of Cholera in 1849. His hypothesis (and supporting data) held that the scourge was caused by sewage pollution in drinking water and “always commences with disturbances of the functions of the alimentary canal.”

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