Quotulatiousness

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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