nhaliday + public-health   104

The Falling Price of Fat | Pseudoerasmus
Summary : There are too many baroque explanations for the increased prevalence of obesity. I suggest a simple mechanism : falling food prices, rising incomes.
econotariat  broad-econ  pseudoE  economics  supply-demand  food  obesity  trends  explanans  cynicism-idealism  money  compensation  cost-benefit  backup  epidemiology  public-health  roots  regularizer  parsimony 
february 2018 by nhaliday
Why has the prevalence of obesity doubled? | SpringerLink
The prevalence of obesity has doubled over the last 25 years. We estimate the effects of multiple socio-environmental factors (e.g., physical demands at work, restaurants, food prices, cigarette smoking, food stamps, and urban sprawl) on obesity using NLSY data. Then we use the Oaxaca–Blinder decomposition technique to approximate the contribution of each socio-environmental factor to the increase during this time. Many socio-environmental factors significantly affect weight, but none are able to explain a large portion of the obesity increase. Decreases in cigarette smoking consistently explains about 2–4 % of the increase in obesity and BMI. Food stamp receipt also consistently affects the measures of weight, but the small decrease in food stamp program participation during the period we examine actually dampened the increases in obesity and BMI. Collectively, the socio-environmental factors we examine never explain more than about 6.5 % of the weight increases.
study  sociology  medicine  health  epidemiology  public-health  obesity  trends  roots  explanans  labor  supply-demand  food  welfare-state  urban-rural  variance-components  volo-avolo  questions 
february 2018 by nhaliday
The Evil Dead | West Hunter
Someone asked me to go over a chapter he wrote, about the impact of certain customs on human health. One of them was the health advantages of quick burial: the problem is, usually there aren’t any.   People seem to think that the organisms causing decomposition are pathogenic, but they’re not.  People killed by trauma (earthquakes,  floods, bullets) are dead enough, but not a threat.  Sometimes, the body of someone that died of an infectious disease is contagious – smallpox scabs have been known to remain infectious for a long, long time – but most causative agents are unable to survive for long after the host’s death. Now if you’re dissecting someone,  especially if they’re fresh, you probably don’t want to nick yourself with the scalpel – but if you just walk past the corpse and refrain from playing with it, you’re usually OK.
west-hunter  scitariat  ideas  trivia  death  embodied  disease  parasites-microbiome  spreading  public-health  epidemiology  medicine  sanctity-degradation 
november 2017 by nhaliday
Fish on Friday | West Hunter
There are parts of Europe, Switzerland and Bavaria for example, that are seriously iodine deficient. This used to be a problem. I wonder if fish on Friday ameliorated it: A three-ounce serving size of cod provides your body with 99 micrograms of iodine, or 66% of the recommended amount per day.

Thinking further, it wasn’t just Fridays: there were ~130 days a years when the Catholic Church banned flesh.

Gwern on modern iodine-deficiency: https://westhunt.wordpress.com/2017/10/28/fish-on-friday/#comment-97137
population surveys indicate lots of people are iodine-insufficient even in the US or UK where the problem should’ve been permanently solved a century ago
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october 2017 by nhaliday
Plastic fibres found in tap water around the world, study reveals | Environment | The Guardian
Scores of tap water samples from more than a dozen nations were analysed by scientists for an investigation by Orb Media, who shared the findings with the Guardian. Overall, 83% of the samples were contaminated with plastic fibres.

We are living on a plastic planet. What does it mean for our health?
New studies reveal that tiny plastic fibres are everywhere, not just in our oceans but on land too. Now we urgently need to find out how they enter our food, air and tap water and what the effects are on all of us

The US had the highest contamination rate, at 94%, with plastic fibres found in tap water sampled at sites including Congress buildings, the US Environmental Protection Agency’s headquarters, and Trump Tower in New York. Lebanon and India had the next highest rates.


Current standard water treatment systems do not filter out all of the microplastics, Mahon said: “There is nowhere really where you can say these are being trapped 100%. In terms of fibres, the diameter is 10 microns across and it would be very unusual to find that level of filtration in our drinking water systems.”

Bottled water may not provide a microplastic-free alternative to tapwater, as the they were also found in a few samples of commercial bottled water tested in the US for Orb.

Sea salt around the world is contaminated by plastic, studies show: https://www.theguardian.com/environment/2017/sep/08/sea-salt-around-world-contaminated-by-plastic-studies
news  org:lite  org:anglo  data  hypochondria  fluid  embodied  endocrine  environment  public-health  multi  food  science-anxiety 
september 2017 by nhaliday
Medicine as a pseudoscience | West Hunter
The idea that venesection was a good thing, or at least not so bad, on the grounds that one in a few hundred people have hemochromatosis (in Northern Europe) reminds me of the people who don’t wear a seatbelt, since it would keep them from being thrown out of their convertible into a waiting haystack, complete with nubile farmer’s daughter. Daughters. It could happen. But it’s not the way to bet.

Back in the good old days, Charles II, age 53, had a fit one Sunday evening, while fondling two of his mistresses.

Monday they bled him (cupping and scarifying) of eight ounces of blood. Followed by an antimony emetic, vitriol in peony water, purgative pills, and a clyster. Followed by another clyster after two hours. Then syrup of blackthorn, more antimony, and rock salt. Next, more laxatives, white hellebore root up the nostrils. Powdered cowslip flowers. More purgatives. Then Spanish Fly. They shaved his head and stuck blistering plasters all over it, plastered the soles of his feet with tar and pigeon-dung, then said good-night.


Friday. The king was worse. He tells them not to let poor Nelly starve. They try the Oriental Bezoar Stone, and more bleeding. Dies at noon.

Most people didn’t suffer this kind of problem with doctors, since they never saw one. Charles had six. Now Bach and Handel saw the same eye surgeon, John Taylor – who blinded both of them. Not everyone can put that on his resume!

You may wonder how medicine continued to exist, if it had a negative effect, on the whole. There’s always the placebo effect – at least there would be, if it existed. Any real placebo effect is very small: I’d guess exactly zero. But there is regression to the mean. You see the doctor when you’re feeling worse than average – and afterwards, if he doesn’t kill you outright, you’re likely to feel better. Which would have happened whether you’d seen him or not, but they didn’t often do RCTs back in the day – I think James Lind was the first (1747).

Back in the late 19th century, Christian Scientists did better than others when sick, because they didn’t believe in medicine. For reasons I think mistaken, because Mary Baker Eddy rejected the reality of the entire material world, but hey, it worked. Parenthetically, what triggered all that New Age nonsense in 19th century New England? Hash?

This did not change until fairly recently. Sometime in the early 20th medicine, clinical medicine, what doctors do, hit break-even. Now we can’t do without it. I wonder if there are, or will be, other examples of such a pile of crap turning (mostly) into a real science.

good tweet: https://twitter.com/bowmanthebard/status/897146294191390720
The brilliant GP I've had for 35+ years has retired. How can I find another one who meets my requirements?

1 is overweight
2 drinks more than officially recommended amounts
3 has an amused, tolerant atitude to human failings
4 is well aware that we're all going to die anyway, & there are better or worse ways to die
5 has a healthy skeptical attitude to mainstream medical science
6 is wholly dismissive of "a|ternative” medicine
7 believes in evolution
8 thinks most diseases get better without intervention, & knows the dangers of false positives
9 understands the base rate fallacy

EconPapers: Was Civil War Surgery Effective?: http://econpapers.repec.org/paper/htrhcecon/444.htm
contra Greg Cochran:
To shed light on the subject, I analyze a data set created by Dr. Edmund Andrews, a Civil war surgeon with the 1st Illinois Light Artillery. Dr. Andrews’s data can be rendered into an observational data set on surgical intervention and recovery, with controls for wound location and severity. The data also admits instruments for the surgical decision. My analysis suggests that Civil War surgery was effective, and increased the probability of survival of the typical wounded soldier, with average treatment effect of 0.25-0.28.

Medical Prehistory: https://westhunt.wordpress.com/2016/03/14/medical-prehistory/
What ancient medical treatments worked?

In some very, very limited conditions, bleeding?
Bad for you 99% of the time.

Colchicine – used to treat gout – discovered by the Ancient Greeks.

Dracunculiasis (Guinea worm)
Wrap the emerging end of the worm around a stick and slowly pull it out.
(3,500 years later, this remains the standard treatment.)

Some of the progress is from formal medicine, most is from civil engineering, better nutrition ( ag science and physical chemistry), less crowded housing.

Nurses vs doctors: https://westhunt.wordpress.com/2014/10/01/nurses-vs-doctors/
Medicine, the things that doctors do, was an ineffective pseudoscience until fairly recently. Until 1800 or so, they were wrong about almost everything. Bleeding, cupping, purging, the four humors – useless. In the 1800s, some began to realize that they were wrong, and became medical nihilists that improved outcomes by doing less. Some patients themselves came to this realization, as when Civil War casualties hid from the surgeons and had better outcomes. Sometime in the early 20th century, MDs reached break-even, and became an increasingly positive influence on human health. As Lewis Thomas said, medicine is the youngest science.

Nursing, on the other hand, has always been useful. Just making sure that a patient is warm and nourished when too sick to take care of himself has helped many survive. In fact, some of the truly crushing epidemics have been greatly exacerbated when there were too few healthy people to take care of the sick.

Nursing must be old, but it can’t have existed forever. Whenever it came into existence, it must have changed the selective forces acting on the human immune system. Before nursing, being sufficiently incapacitated would have been uniformly fatal – afterwards, immune responses that involved a period of incapacitation (with eventual recovery) could have been selectively favored.

when MDs broke even: https://westhunt.wordpress.com/2014/10/01/nurses-vs-doctors/#comment-58981
I’d guess the 1930s. Lewis Thomas thought that he was living through big changes. They had a working serum therapy for lobar pneumonia ( antibody-based). They had many new vaccines ( diphtheria in 1923, whopping cough in 1926, BCG and tetanus in 1927, yellow fever in 1935, typhus in 1937.) Vitamins had been mostly worked out. Insulin was discovered in 1929. Blood transfusions. The sulfa drugs, first broad-spectrum antibiotics, showed up in 1935.

DALYs per doctor: https://westhunt.wordpress.com/2018/01/22/dalys-per-doctor/
The disability-adjusted life year (DALY) is a measure of overall disease burden – the number of years lost. I’m wondering just much harm premodern medicine did, per doctor. How many healthy years of life did a typical doctor destroy (net) in past times?


It looks as if the average doctor (in Western medicine) killed a bunch of people over his career ( when contrasted with doing nothing). In the Charles Manson class.

Eventually the market saw through this illusion. Only took a couple of thousand years.

That a very large part of healthcare spending is done for non-health reasons. He has a chapter on this in his new book, also check out his paper “Showing That You Care: The Evolution of Health Altruism” http://mason.gmu.edu/~rhanson/showcare.pdf
I ran into too much stupidity to finish the article. Hanson’s a loon. For example when he talks about the paradox of blacks being more sentenced on drug offenses than whites although they use drugs at similar rate. No paradox: guys go to the big house for dealing, not for using. Where does he live – Mars?

I had the same reaction when Hanson parroted some dipshit anthropologist arguing that the stupid things people do while drunk are due to social expectations, not really the alcohol.

I don’t think that being totally unable to understand everybody around you necessarily leads to deep insights.

What I’ve wondered is if there was anything that doctors did that actually was helpful and if perhaps that little bit of success helped them fool people into thinking the rest of it helped.
Setting bones. extracting arrows: spoon of Diocles. Colchicine for gout. Extracting the Guinea worm. Sometimes they got away with removing the stone. There must be others.
Quinine is relatively recent: post-1500. Obstetrical forceps also. Caesarean deliveries were almost always fatal to the mother until fairly recently.

Opium has been around for a long while : it works.

If pre-modern medicine was indeed worse than useless – how do you explain no one noticing that patients who get expensive treatments are worse off than those who didn’t?
were worse off. People are kinda dumb – you’ve noticed?
My impression is that while people may be “kinda dumb”, ancient customs typically aren’t.
Even if we assume that all people who lived prior to the 19th century were too dumb to make the rational observation, wouldn’t you expect this ancient practice to be subject to selective pressure?
Your impression is wrong. Do you think that there some slick reason for Carthaginians incinerating their first-born?

Theodoric of York, bloodletting: https://www.youtube.com/watch?v=yvff3TViXmY

details on blood-letting and hemochromatosis: https://westhunt.wordpress.com/2018/01/22/dalys-per-doctor/#comment-100746

Starting Over: https://westhunt.wordpress.com/2018/01/23/starting-over/
Looking back on it, human health would have … [more]
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august 2017 by nhaliday
Fear and Loathing in Psychology - The Unz Review
Warne and Astle looked at 29 best-selling undergraduate textbooks, which is where psychology students learn about intelligence, because less than 10% of graduate courses offer an intelligence option.

3.3% of textbook space is dedicated to intelligence. Given its influence, this is not very much.

The most common topics start well, with IQ and Spearman’s g, but do not go on to the best validated, evidence-led Cattell-Horn-Carol meta-analytic summary, but a side-stream, speculative triarchic theory from Sternberg; and a highly speculative and non-specific sketch of an idea about multiple intelligences Gardner. The last is a particular puzzle, since it really is a whimsical notion that motor skill is no different from analytical problem solving. All must have prizes.
Commonly, environmental influences are discussed, genetic ones rarely.

What Do Undergraduates Learn About Human Intelligence? An Analysis of Introductory Psychology Textbooks: https://drive.google.com/file/d/0B3c4TxciNeJZOTl3clpiX0JKckk/view

Education or Indoctrination? The Accuracy of Introductory Psychology Textbooks in Covering Controversial Topics and Urban Legends About Psychology: http://sci-hub.la/https://link.springer.com/article/10.1007/s12144-016-9539-7

Twenty-four leading introductory psychology textbooks were surveyed for their coverage of a number of controversial topics (e.g., media violence, narcissism epidemic, multiple intelligences) and scientific urban legends (e.g., Kitty Genovese, Mozart Effect) for their factual accuracy. Results indicated numerous errors of factual reporting across textbooks, particularly related to failing to inform students of the controversial nature of some research fields and repeating some scientific urban legends as if true. Recommendations are made for improving the accuracy of introductory textbooks.

Mapping the scale of the narcissism epidemic: Increases in narcissism 2002–2007 within ethnic groups: https://www.sciencedirect.com/science/article/pii/S0092656608000949

The increasing numbers of Asian-Americans at the UCs over time may have masked changes in narcissism, as Asian-Americans score lower on the NPI. When examined within ethnic groups, Trzesniewski et al.’s data show that NPI scores increased significantly between 2002 and 2007 at twice the rate of the yearly change found over 24 years in Twenge et al. (2008a). The overall means also show a significant increase 2002–2007. Thus the available evidence suggests that college students are endorsing progressively more narcissistic personality traits over the generations.

Birth Cohort Increases in Narcissistic Personality Traits Among American College Students, 1982–2009: http://journals.sagepub.com/doi/abs/10.1177/1948550609355719

Both studies demonstrate significant increases in narcissism over time (Study 1 d = .37, 1982–2008, when campus is controlled; Study 2 d = .37, 1994–2009). These results support a generational differences model of individual personality traits reflecting changes in culture.

could this just be a selection effect (more people attending)?
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july 2017 by nhaliday
Vioxx | West Hunter
The Vigor study was submitted in February 2001. The New England Journal of Medicine, a few months later, found that the authors had failed to mention some strokes and heart attacks near the end of the trial. The authors used a cutoff for cardiovascular effects (bad news) that was earlier than the cutoff for gastrointestinal effects (good news). why? Because they were weasels, of course. There was a lot of money riding on this drug’s success.

Other people began to notice the increased heart risks – looking at data from HMOs and such. Merck fought back. There was an MD at Stanford that was concerned about Vioxx: Merck called up the dean of Stanford Medical School at home and warned him about possible loss of financial support: he told them to go fuck themselves.


Now it is true that there were studies that showed greater efficacy: 21 such were reported by Scott S. Reuben, former chief of acute pain at Baystate medical Center in Springfield Mass. But as it turns out, he made them all up. There’s is no evidence that Merck knew about this, but it does perhaps say something about the general climate in big pharma.

Merck knew the gist of this for four years before they pulled the plug on the drug. They had their their drug reps lie about cardio risks, threatened researchers and sued journals that talked about the emerging cardio risks. Few physicians were aware of these risks, even though a close reading of the journals would have suggested it – because hardly any physicians read the journals.

Epidemiologists think that Vioxx caused something like 40,000 deaths.


In the 70s corporations were the bad guys, whether they were or not. Today, billionaires are your friend.
west-hunter  scitariat  discussion  reflection  stories  history  mostly-modern  drugs  medicine  meta:medicine  rent-seeking  cardio  public-health  epidemiology  vampire-squid  corporation  madisonian  domestication  pharma  track-record  randy-ayndy  aphorism  interests 
july 2017 by nhaliday
Alzheimers | West Hunter
Some disease syndromes almost have to be caused by pathogens – for example, any with a fitness impact (prevalence x fitness reduction) > 2% or so, too big to be caused by mutational pressure. I don’t think that this is the case for AD: it hits so late in life that the fitness impact is minimal. However, that hardly means that it can’t be caused by a pathogen or pathogens – a big fraction of all disease syndromes are, including many that strike in old age. That possibility is always worth checking out, not least because infectious diseases are generally easier to prevent and/or treat.

There is new work that strongly suggests that pathogens are the root cause. It appears that the amyloid is an antimicrobial peptide. amyloid-beta binds to invading microbes and then surrounds and entraps them. ‘When researchers injected Salmonella into mice’s hippocampi, a brain area damaged in Alzheimer’s, A-beta quickly sprang into action. It swarmed the bugs and formed aggregates called fibrils and plaques. “Overnight you see the plaques throughout the hippocampus where the bugs were, and then in each single plaque is a single bacterium,” Tanzi says. ‘

obesity and pathogens: https://westhunt.wordpress.com/2016/05/29/alzheimers/#comment-79757
not sure about this guy, but interesting: https://westhunt.wordpress.com/2016/05/29/alzheimers/#comment-79748

All too often we see large, long-lasting research efforts that never produce, never achieve their goal.

For example, the amyloid hypothesis [accumulation of amyloid-beta oligomers is the cause of Alzheimers] has been dominant for more than 20 years, and has driven development of something like 15 drugs. None of them have worked. At the same time the well-known increased risk from APOe4 has been almost entirely ignored, even though it ought to be a clue to the cause.

In general, when a research effort has been spinning its wheels for a generation or more, shouldn’t we try something different? We could at least try putting a fraction of those research dollars into alternative approaches that have not yet failed repeatedly.

Mostly this applies to research efforts that at least wish they were science. ‘educational research’ is in a special class, and I hardly know what to recommend. Most of the remedial actions that occur to me violate one or more of the Geneva conventions.

APOe4 related to lymphatic system: https://en.wikipedia.org/wiki/Apolipoprotein_E

Look,if I could find out the sort of places that I usually misplace my keys – if I did, which I don’t – I could find the keys more easily the next time I lose them. If you find out that practitioners of a given field are not very competent, it marks that field as a likely place to look for relatively easy discovery. Thus medicine is a promising field, because on the whole doctors are not terribly good investigators. For example, none of the drugs developed for Alzheimers have worked at all, which suggests that our ideas on the causation of Alzheimers are likely wrong. Which suggests that it may (repeat may) be possible to make good progress on Alzheimers, either by an entirely empirical approach, which is way underrated nowadays, or by dumping the current explanation, finding a better one, and applying it.

You could start by looking at basic notions of field X and asking yourself: How do we really know that? Is there serious statistical evidence? Does that notion even accord with basic theory? This sort of checking is entirely possible. In most of the social sciences, we don’t, there isn’t, and it doesn’t.

Hygiene and the world distribution of Alzheimer’s disease: Epidemiological evidence for a relationship between microbial environment and age-adjusted disease burden: https://academic.oup.com/emph/article/2013/1/173/1861845/Hygiene-and-the-world-distribution-of-Alzheimer-s

Amyloid-β peptide protects against microbial infection in mouse and worm models of Alzheimer’s disease: http://stm.sciencemag.org/content/8/340/340ra72

Fungus, the bogeyman: http://www.economist.com/news/science-and-technology/21676754-curious-result-hints-possibility-dementia-caused-fungal
Fungus and dementia
paper: http://www.nature.com/articles/srep15015
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july 2017 by nhaliday
The Effect of Smoking on Obesity: Evidence from a Randomized Trial
These results imply that the drop in smoking in recent decades explains 14% of the concurrent rise in obesity.
study  lol  economics  sociology  epidemiology  public-health  obesity  🐸  gnon  mena4  health  embodied  trends  variance-components  roots  explanans 
june 2017 by nhaliday
The Genomic Health Of Ancient Hominins | bioRxiv
On a broad scale, hereditary disease risks are similar for ancient hominins and modern-day humans, and the GRS percentiles of ancient individuals span the full range of what is observed in present day individuals. In addition, there is evidence that ancient pastoralists may have had healthier genomes than hunter-gatherers and agriculturalists. We also observed a temporal trend whereby genomes from the recent past are more likely to be healthier than genomes from the deep past.

Gwern has interesting take (abstract is misleading): https://twitter.com/gwern/status/871061144152178688

here it is in conclusion (and cf Figure 3A):
The genomic health of ancient individuals appears to have improved over time (Figure 3B). This calls into question the idea that genetic load has been increasing in human populations (Lynch 2016). However, there exists a perplexing pattern: ancient individuals who lived within the last few thousand years have healthier genomes, on average, than present day humans.

After controlling for age, BMI, and other variables, knee OA prevalence was 2.1-fold higher (95% confidence interval, 1.5–3.1) in the postindustrial sample than in the early industrial sample. Our results indicate that increases in longevity and BMI are insufficient to explain the approximate doubling of knee OA prevalence that has occurred in the United States since the mid-20th century. Knee OA is thus more preventable than is commonly assumed, but prevention will require research on additional independent risk factors that either arose or have become amplified in the postindustrial era.
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june 2017 by nhaliday
Biological Measures of the Standard of Living - American Economic Association
The evidence suggests that the most important proximate source of increasing height was the improving disease environment as reflected by the fall in infant mortality. Rising income and education and falling family size had more modest effects. Improvements in health care are hard to identify, and the effects of welfare state spending seem to have been small.

GROWING TALL BUT UNEQUAL: NEW FINDINGS AND NEW BACKGROUND EVIDENCE ON ANTHROPOMETRIC WELFARE IN 156 COUNTRIES, 18101989: https://pseudoerasmus.files.wordpress.com/2017/03/baten-blum-2012.pdf
This is the first initiative to collate the entire body of anthropometric evidence during the 19th and 20th centuries, on a global scale. By providing a comprehensive dataset on global height developments we are able to emphasise an alternative view of the history of human well-being and a basis for understanding characteristics of well-being in 156 countries, 1810-1989.

Bones of Contention: The Political Economy of Height Inequality: http://piketty.pse.ens.fr/files/BoixRosenbluth2014.pdf
- Carles Boix, et al.

Height in the Dark Ages: https://pseudoerasmus.com/2014/06/12/aside-angus-maddison/
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june 2017 by nhaliday
Germ theory of disease - Wikipedia
The germ theory was proposed by Girolamo Fracastoro in 1546, and expanded upon by Marcus von Plenciz in 1762. Such views were held in disdain, however, and Galen's miasma theory remained dominant among scientists and doctors. The nature of this doctrine prevented them from understanding how diseases actually progressed, with predictable consequences. By the early nineteenth century, smallpox vaccination was commonplace in Europe, though doctors were unaware of how it worked or how to extend the principle to other diseases. Similar treatments had been prevalent in India from just before 1000 A.D.[2] [N 1] A transitional period began in the late 1850s as the work of Louis Pasteur and Robert Koch provided convincing evidence; by 1880, miasma theory was struggling to compete with the germ theory of disease. Eventually, a "golden era" of bacteriology ensued, in which the theory quickly led to the identification of the actual organisms that cause many diseases.[3][4] Viruses were discovered in the 1890s.
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may 2017 by nhaliday
The Advent of Cholera | West Hunter
Two main factors interfered with an effective policy response to cholera (not counting ever-present human stupidity and obstinacy): bad science and 19th century liberalism.

Scientists at the time had convinced themselves that the germ theory of disease was just wrong. Yellow fever’s decimation of the French force in Haiti made it important, and when yellow fever hit Barcelona in 1822, French scientists were all over it. They concluded that there was no possibility of contact between yellow fever victims in Barcelona, and ruled out contagion. Mosquito transmission didn’t occur to them.

Worse yet, they generalized their error: they concluded that contagion was never the answer, and accepted miasmas as the cause, a theory which is too stupid to be interesting. Sheesh, they taught the kids in medical school that measles wasn’t catching – while ordinary people knew perfectly well that it was. You know, esoteric, non-intuitive truths have a certain appeal – once initiated, you’re no longer one of the rubes. Of course, the simplest and most common way of producing an esoteric truth is to just make it up.

On the other hand, 19th century liberals (somewhat like modern libertarians, but way less crazy) knew that trade and individual freedom were always good things, by definition, so they also opposed quarantines – worse than wrong, old-fashioned ! And more common in southern, Catholic, Europe: enough said! So, between wrong science and classical liberalism, medical reformers spent many years trying to eliminate the reactionary quarantine rules that still existed in Mediterranean ports.

some history: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3559034/
In some countries, the suspension of personal liberty provided the opportunity—using special laws—to stop political opposition. However, the cultural and social context differed from that in previous centuries. For example, the increasing use of quarantine and isolation conflicted with the affirmation of citizens’ rights and growing sentiments of personal freedom fostered by the French Revolution of 1789. In England, liberal reformers contested both quarantine and compulsory vaccination against smallpox. Social and political tensions created an explosive mixture, culminating in popular rebellions and uprisings, a phenomenon that affected numerous European countries (29). In the Italian states, in which revolutionary groups had taken the cause of unification and republicanism (27), cholera epidemics provided a justification (i.e., the enforcement of sanitary measures) for increasing police power.


Anticontagionists, who disbelieved the communicability of cholera, contested quarantine and alleged that the practice was a relic of the past, useless, and damaging to commerce. They complained that the free movement of travelers was hindered by sanitary cordons and by controls at border crossings, which included fumigation and disinfection of clothes (Figures 1,​,22,​,3).3). In addition, quarantine inspired a false sense of security, which was dangerous to public health because it diverted persons from taking the correct precautions. International cooperation and coordination was stymied by the lack of agreement regarding the use of quarantine. The discussion among scientists, health administrators, diplomatic bureaucracies, and governments dragged on for decades, as demonstrated in the debates in the International Sanitary Conferences (31), particularly after the opening, in 1869, of the Suez Canal, which was perceived as a gate for the diseases of the Orient (32). Despite pervasive doubts regarding the effectiveness of quarantine, local authorities were reluctant to abandon the protection of the traditional strategies that provided an antidote to population panic, which, during a serious epidemic, could produce chaos and disrupt public order (33).
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may 2017 by nhaliday
The Audacious Epigone: White despair in the General Social Survey
1/4 WWC report having been depressed, rates still a bit higher for whites among upper classes
Prevalence of Depression by Race/Ethnicity: Findings From the National Health and Nutrition Examination Survey III: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449298/
A Cross-Ethnic Comparison of Lifetime Prevalence Rates of Anxiety Disorders: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931265/

Racial-Ethnic Differences in Psychiatric Diagnoses and Treatment Across 11 Health Care Systems in the Mental Health Research Network: https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201500217
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may 2017 by nhaliday
Reversal of Fortune | West Hunter
“particularly in the fetus”. You’d think so, but people have looked at Dutch draftees who were in the womb during the famine of 1944. They found no effects of famine exposure on Ravens scores at age 19. Schizophrenia doubled, though. Schiz also doubled in the Chinese cohort exposed to the Great Leap Forward famine.

Cohort Profile: The Dutch Hunger Winter Families Study: https://academic.oup.com/ije/article/36/6/1196/814573
Nutrition and Mental Performance: https://sci-hub.bz/10.1126/science.178.4062.708
Schizophrenia after prenatal exposure to the Dutch Hunger Winter of 1944-1945: https://sci-hub.bz/10.1001/archpsyc.1992.01820120071010
Prenatal famine exposure and cognition at age 59 years: https://sci-hub.bz/10.1093/ije/dyq261

You might be right. There is reason to suspect that prenatal exposure to alcohol is far riskier in some populations than others – in particular populations that have limited historical exposure to alcohol. Fetal Alcohol Syndrome (FAS) is very rare in France, for example – yet they drink, I’m told.

The kind of conservatism that shows up politically doesn’t have any predictive value. In other words, liars and morons. They’re why God made baseball bats. Once upon a time, I said this: “The American right doesn’t have room for anyone who knows jack shit about anything, or whose predictions have ever come true.” I’ll stick with that.

full quote here: http://www.rpgcodex.net/forums/index.php?threads/planescape-torment-problems.9208/
The American right doesn't have room for anyone who knows jack shit about anything, or whose predictions have ever come true. Of course they're all liars. In the words of one of their semi-prominent members, himself plenty despicable: "Science, logic, rational inquiry, thoughtful reflection, mean nothing to them. It's all posturing and moral status games and sucking up to halfwits like GWB and clinging to crackpot religion, and of course amoral careerism. " I think my correspondent forgot to mention their propensity for eating shit and rolling around in their own vomit, but nobody's perfect.

I’ve mused that it’s generally believed that iodine benefits females more than males, and the timing of iodization in the US matches up reasonably well with the rise of feminism…
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may 2017 by nhaliday
Is soy good or bad for me? | Examine.com
The estimated per capita consumption of soybean oil increased >1000-fold from 1909 to 1999.
https://twitter.com/evolutionarypsy/status/892489043446988800 (increase started during 60s)

Clinical studies show no effects of soy protein or isoflavones on reproductive hormones in men: results of a meta-analysis: https://www.ncbi.nlm.nih.gov/pubmed/19524224
No significant effects of soy protein or isoflavone intake on T, SHBG, free T, or FAI were detected regardless of statistical model.

some good ones:
pros and cons: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074428/
reproductive consequences: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443604/
visuospatial memory: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC64558/
reject (in humans)t: https://www.ncbi.nlm.nih.gov/pubmed/19524224


A: yes
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may 2017 by nhaliday
Toxoplasma gondii: from animals to humans
Horizontal transmission of T. gondii may involve three life-cycle stages, i.e. ingesting infectious oocysts from the environment or ingesting tissue cysts or tachyzoites which are contained in meat or primary offal (viscera) of many different animals. Transmission may also occur via tachyzoites contained in blood products, tissue transplants, or unpasteurised milk. However, it is not known which of these routes is more important epidemiologically. In the past, the consumption of raw or undercooked meat, in particular of pigs and sheep, has been regarded as a major route of transmission to humans. However, recent studies showed that the prevalence of T. gondii in meat-producing animals decreased considerably over the past 20 years in areas with intensive farm management.
study  epidemiology  public-health  disease  parasites-microbiome  toxo-gondii  spreading  europe  food 
may 2017 by nhaliday
Secular decline in testosterone levels - Rogue Health and Fitness
A Population-Level Decline in Serum Testosterone Levels in American Men: http://sci-hub.tw/10.1210/jc.2006-1375
Secular trends in sex hormones and fractures in men and women: http://www.eje-online.org/content/166/5/887.full.pdf
Small n and older sample, but interesting that while testosterone decreases have been large for men they’ve been even larger (in % terms) for women; wonder if this contributes to declining pregnancy and sexual frequency, rising depression.

Strangelove: https://youtu.be/N1KvgtEnABY?t=67

People offering human-centric explanations like cell phones: Note also that the sperm quality of dogs has decreased 30% since 1988.

mendelian rand.:
1 SD genetically instrumented increase in BMI was associated with a 0.25 SD decrease in serum testosterone

Ibuprofen linked to male infertility: study: https://nypost.com/2018/01/08/ibuprofen-linked-to-male-infertility-study/

Tucker Carlson: "Men Seem To Be Becoming Less Male": https://www.realclearpolitics.com/video/2018/03/08/tucker_carlson_men_seem_to_be_becoming_less_male.html
Carlson interviewed Dr. Jordan Peterson who blamed the "insidious" movement being driven by the "radical left" that teaches there a problem of "toxic masculinity." He said ideological policies focus on "de-emphasizing masculinity may be part of the problem."


Those are the numbers. They paint a very clear picture: American men are failing, in body, mind and spirit. This is a crisis. Yet our leaders pretend it’s not happening. They tell us the opposite is true: Women are victims, men are oppressors. To question that assumption is to risk punishment. Even as women far outpace men in higher education, virtually every college campus supports a women’s studies department, whose core goal is to attack male power. Our politicians and business leaders internalize and amplify that message. Men are privileged. Women are oppressed. Hire and promote and reward accordingly.

But it also hints at an almost opposite take: average testosterone levels have been falling for decades, so at this point these businessmen would be the only “normal” (by 1950s standards) men out there, and everyone else would be unprecedently risk-averse and boring.
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may 2017 by nhaliday
Will exercise save your wits? - The Unz Review
Tai Chi seems to do well, though the number of studies is smaller than other forms of exercise. The frequency of taking exercise shows a dose-response relationship, but less for intensity and duration and length, which is a little surprising. Moving about a bit every day seems the best policy. More socially active control groups seem almost as good as exercise, as does the sham exercise of stretching, so this is somewhat of a worry for the “exercise saves your wits” hypothesis.
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may 2017 by nhaliday
Environmental Cancer? | In the Pipeline
And while I take the point that endocrine disruptors and the like need to be watched (and that we really do need to study these things more), I don’t see why the alarm bells need to be rung quite this loudly.
scitariat  org:nat  commentary  critique  expert  chemistry  endocrine  health  medicine  cancer  embodied-street-fighting  org:sci  science-anxiety  regularizer  public-health  expert-experience 
may 2017 by nhaliday
Book Review: The Hungry Brain | Slate Star Codex
The research of James Levine, an endocrinologist who works with the Mayo Clinic and Arizona State University, explains this puzzling phenomenon. In a carefully controlled overfeeding study, his team showed that the primary reason some people readily burn off excess calories is that they ramp up a form of calorie-burning called “non-exercise activity thermogenesis” (NEAT). NEAT is basically a fancy term for fidgeting. When certain people overeat, their brains boost calorie expenditure by making them fidget, change posture frequently, and make other small movements throughout the day. It’s an involuntary process, and Levine’s data show that it can incinerate nearly 700 calories per day. The “most gifted” of Levine’s subjects gained less than a pound of body fat from eating 1,000 extra calories per day for eight weeks. Yet the strength of the response was highly variable, and the “least gifted” of Levine’s subjects didn’t increase NEAT at all, shunting all the excess calories into fat tissue and gaining over nine pounds of body fat…
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april 2017 by nhaliday
In a handbasket | West Hunter
It strikes me that in many ways, life was gradually getting harder in the Old World, especially in the cradles of civilization.

slavery and Rome/early US: https://westhunt.wordpress.com/2016/06/17/in-a-handbasket/#comment-80503
Rome and innovation: https://westhunt.wordpress.com/2016/06/17/in-a-handbasket/#comment-80505
"Culture’s have flavors and the Roman flavor was unfavorable to being clever. The Greeks were clever but not interested in utility. While the central American civilizations liked to cut people’s hearts out and stick cactus spines through their penis in public. Let us all act according to national customs."

It helps to think about critical community size (CCS). Consider a disease like measles, one that doesn’t last long and confers lifelong immunity. The virus needs fresh, never-infected hosts (we call them children) all the time, else it will go extinct. The critical community size for measles is probably more than half a million – which means that before agriculture, measles as we know it today couldn’t and didn’t exist. In fact, it looks as if split off from rinderpest within the last two thousand years. Mumps was around in Classical times (Hippocrates gives a good description), but it too has a large CCS and must be relatively new. Rubella can’t be ancient. Whooping cough has a smaller CCS, maybe only 100,000, but it too must postdate agriculture.

"let no new thing arise":

Before 1900, armies usually lost more men from infectious disease than combat, particularly in extended campaigns.  At least that seems to have been the case in modern Western history.

There are indications that infectious disease was qualitatively different – less important –  in  the Roman legions.  For one thing, camps were placed near good supplies of fresh water. The legions had good camp sanitation, at least by the time of the Principate. They used latrines flushed with running water in permanent camps  and deep slit trenches with wooden covers and removable buckets in the field.  Using those latrines would have protected soldiers from diseases like typhoid and dysentery, major killers in recent armies.  Romans armies were mobile, often shifting their camps.  They seldom quartered their soldiers in urban areas –  they feared that city luxuries would corrupt their men, but this habit helped them avoid infectious agents, regardless of their reasons.

They managed to avoid a lot of serious illnesses because the causative organisms  simply weren’t there yet. Smallpox, and maybe measles, didn’t show up until the middle Empire. Falciparum malaria was around, but hadn’t reached Rome itself, during the Republic. It definitely had by the time of the Empire. Bubonic plague doesn’t seem to have caused trouble before Justinian.  Syphilis for sure, and typhus probably,  originated in the Americas, while cholera didn’t arrive until after 1800.
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april 2017 by nhaliday
‘How dare you work on whites’: Professors under fire for research on white mortality - The Washington Post
the paper: http://www.pnas.org/content/112/49/15078

The Nobel laureate Angus Deaton discusses extreme poverty, opioid addiction, Trump voters, robots, and rent-seeking.

co-authored the "dead white people paper" w/ wife

point about expansion of education seems important


Diverging Life Expectancies and Voting Patterns in the 2016 US Presidential Election.: https://www.ncbi.nlm.nih.gov/pubmed/28817322
Changes in county life expectancy from 1980 to 2014 were strongly negatively associated with Trump's vote share, with less support for Trump in counties experiencing greater survival gains. Counties in which life expectancy stagnated or declined saw a 10-percentage-point increase in the Republican vote share between 2008 and 2016.

DESPAIR AND DECADES-LONG DEINDUSTRIALIZATION: https://spottedtoad.wordpress.com/2018/01/10/despair-and-decades-long-deindustrialization/

WE’VE BEEN HERE BEFORE: https://spottedtoad.wordpress.com/2018/01/12/weve-been-here-before/
A concept that seems to me to be missing from the Ruhm vs. Case/Deaton debate on “deaths of despair” is that of social crisis.

This seems to me to be the case for American Indians, who began experiencing what looks like a similar social crisis to non-college educated whites about a decade beforehand: rapidly escalating rates of suicide, drug overdoses, exit from the workforce, and even alcohol-related deaths (which were already very high for American Indians well before 2000, of course):


The common thread here would seem to be replacement of workforce participation with transfer payments, particularly cash transfers (since, my own reservations about Medicaid aside, increases in in-kind payments and SNAP since the 80s haven’t seemed to exert the same disruptive effect.) As I’ve said before, it seems very likely to me that technology will push an ever larger segment of society out of the economy, sooner or later, but how to prevent this from tearing apart our social fabric I don’t know.

Once It Was Overdue Books. Now Librarians Fight Overdoses.: https://www.nytimes.com/2018/02/28/nyregion/librarians-opioid-heroin-overdoses.html
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april 2017 by nhaliday
Disaster in the South Pacific | West Hunter
Washington didn’t micro-manage American Samoa, not being all that interested. A policy of benign neglect was interpreted by Poyer as an opportunity to act on his best judgment, in the finest traditions of the US Navy. He imposed quarantine. That was harder that it sounds, because of the frequent family visits between West Samoa and American Samoa – but Poyer also had the support of the local chiefs, who understood how serious imported epidemics could be. The people of American Samoa self-blockaded, on top of official quarantine: they sent out canoes to stop any and all visitors. They never had a single case.

Of course there was a disaster. Some people will think that it occurred in West Samoa. Others will think that the real disaster was in American Samoa.
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april 2017 by nhaliday
Environmental Accounting for Pollution in the United States Economy - American Economic Association
externalities outweigh benefits

Solid waste combustion, sewage treatment, stone quarrying, marinas, and oil and coal-fired power plants have air pollution damages larger than their value added. The largest industrial contributor to external costs is coal-fired electric generation, whose damages range from 0.8 to 5.6 times value added.
study  economics  environment  energy-resources  heavy-industry  cost-benefit  externalities  data  atmosphere  wonkish  econometrics  public-health 
march 2017 by nhaliday
Epidemiology of autism - Wikipedia
This Is How Much of Autism Is Genetic: http://time.com/4956316/how-much-of-autism-is-genetic/
Indeed, when Sandin tracked autism diagnoses over time among the sibling pairs, he found that genetics likely accounts for around 83% of the disorder. That compares to nearly 90% reported in previous studies of twins only. Using the new model, environmental factors probably contribute around 17% to the risk of developing autism.
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march 2017 by nhaliday
Health Insurance: Where are the Goal Posts? | askblog
Everyone is talking about how many households have insurance and acting as if the main challenge is to get healthy people to buy insurance. If Cutler is right, then health care policy boils down to:

1. Finding a fair way to share financial the burden of chronic illnesses. (Obviously, “fair” involves value judgments.)

2. Putting resources into public health measures and efforts to induce people to comply with behavioral advice that would help to prevent chronic illness.
econotariat  cracker-econ  healthcare  money  policy  medicine  links  quotes  commentary  summary  insurance  wonkish  current-events  justice  distribution  disease  pareto  epidemiology  public-health  chart 
march 2017 by nhaliday
Prevalence, incidence estimations, and risk factors of Toxoplasma gondii infection in Germany: a representative, cross-sectional, serological study : Scientific Reports
Seroprevalence increased from 20% (95%-CI:17–23%) in the 18–29 age group to 77% (95%-CI:73–81%) in the 70–79 age group. Male gender, keeping cats and BMI ≥30 were independent risk factors for seropositivity, while being vegetarian and high socio-economic status were negatively associated. Based on these data, we estimate 1.1% of adults and 1.3% of women aged 18–49 to seroconvert each year. This implies 6,393 seroconversions annually during pregnancies. We conclude that T. gondii infection in Germany is highly prevalent and that eating habits (consuming raw meat) appear to be of high epidemiological relevance. High numbers of seroconversions during pregnancies pose substantial risks for unborn children. Efforts to raise awareness of toxoplasmosis in public health programs targeting to T. gondii transmission control are therefore strongly advocated.

A significant interaction was noted between age and sex (p-value = 0.023), since higher seroprevalences were observed among younger males and older females.
study  org:nat  bio  sapiens  parasites-microbiome  disease  toxo-gondii  europe  germanic  nature  epidemiology  hypochondria  embodied  diet  food  gender  age-generation  public-health 
march 2017 by nhaliday
Cat Ladies | West Hunter
If toxo naturally can make people like cat piss, it’s already preadapted to become (with suitable genetic engineering) the model system for many kinds of infectious behavior modifiers.
west-hunter  sapiens  parasites-microbiome  disease  toxo-gondii  neuro  psychiatry  nature  discussion  commentary  gwern  medicine  🌞  embodied  scitariat  hmm  biotech  biohacking  retrofit  public-health  model-organism  pro-rata  epidemiology  drugs  pharma 
march 2017 by nhaliday
The Relation of Toxoplasma Infection and Sexual Attraction to Fear, Danger, Pain, and Submissiveness - Jul 28, 2016
A cross-sectional cohort study performed on 36,564 subjects (5,087 Toxoplasma free and 741 Toxoplasma infected) showed that infected and noninfected subjects differ in their sexual behavior, fantasies, and preferences when age, health, and the size of the place where they spent childhood were controlled (F(24, 3719) = 2.800, p < .0001). In agreement with our a priori hypothesis, infected subjects are more often aroused by their own fear, danger, and sexual submission although they practice more conventional sexual activities than Toxoplasma-free subjects. We suggest that the later changes can be related to a decrease in the personality trait of novelty seeking in infected subjects, which is potentially a side effect of increased concentration of dopamine in their brain.
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march 2017 by nhaliday
Epidemiology, epigenetics and the ‘Gloomy Prospect’: embracing randomness in population health research and practice | International Journal of Epidemiology | Oxford Academic
Despite successes in identifying causes, it is often claimed that there are missing additional causes for even reasonably well-understood conditions such as lung cancer and coronary heart disease. Several lines of evidence suggest that largely chance events, from the biographical down to the sub-cellular, contribute an important stochastic element to disease risk that is not epidemiologically tractable at the individual level. Epigenetic influences provide a fashionable contemporary explanation for such seemingly random processes. Chance events—such as a particular lifelong smoker living unharmed to 100 years—are averaged out at the group level. As a consequence population-level differences (for example, secular trends or differences between administrative areas) can be entirely explicable by causal factors that appear to account for only a small proportion of individual-level risk. In public health terms, a modifiable cause of the large majority of cases of a disease may have been identified, with a wild goose chase continuing in an attempt to discipline the random nature of the world with respect to which particular individuals will succumb.

choice quote:
"With the perception (in my view exaggerated) that genome-wide association studies (GWASs) have failed to deliver on initial expectations,5 the next phase of enhanced risk prediction will certainly shift to ‘epigenetics’6,7—the currently fashionable response to any question to which you do not know the answer."
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march 2017 by nhaliday
It's Beyond My Control: A Cross-Temporal Meta-Analysis of Increasing Externality in Locus of Control, 1960-2002 - Dec 21, 2016
Two meta-analyses found that young Americans increasingly believe their lives are controlled by outside forces rather than their own efforts. Locus of control scores became substantially more external (about .80 standard deviations) in college student and child samples between 1960 and 2002. The average college student in 2002 had a more external locus of control than 80% of college students in the early 1960s. Birth cohort/time period explains 14% of the variance in locus of control scores. The data included 97 samples of college students (n = 18,310) and 41 samples of children ages 9 to 14 (n = 6,554) gathered from dissertation research. The results are consistent with an alienation model positing increases in cynicism, individualism, and the self-serving bias. The implications are almost uniformly negative, as externality is correlated with poor school achievement, helplessness, ineffective stress management, decreased self-control, and depression.

cultural or biological?
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march 2017 by nhaliday
Prevalence and architecture of de novo mutations in developmental disorders : Nature
We estimate that 42% of our cohort carry pathogenic DNMs in coding sequences; approximately half of these DNMs disrupt gene function and the remainder result in altered protein function. We estimate that developmental disorders caused by DNMs have an average prevalence of 1 in 213 to 1 in 448 births, depending on parental age. Given current global demographics, this equates to almost 400,000 children born per year.
pdf  study  org:nat  genetics  genomics  genetic-load  paternal-age  hmm  developmental  parenting  aging  biodet  GWAS  🌞  👽  science-anxiety  autism  epidemiology  deep-materialism  public-health  rot 
february 2017 by nhaliday
Bisphenol A (BPA)
Alternatives to BPA containers not easy for U.S. foodmakers to find: http://www.washingtonpost.com/wp-dyn/content/article/2010/02/22/AR2010022204830.html

Food is main source of BPA for consumers, thermal paper also potentially significant: https://www.efsa.europa.eu/en/press/news/130725
New data resulting from an EFSA call for data led to a considerable refinement of exposure estimates compared to 2006. For infants and toddlers (aged 6 months-3 years) average exposure from the diet is estimated to amount to 375 nanograms per kilogram of body weight per day (ng/kg bw/day) whereas for the population above 18 years of age (including women of child-bearing age) the figure is up to 132 ng/kg bw/day. By comparison, these estimates are less than 1% of the current Tolerable Daily Intake (TDI) for BPA (0.05 milligrams/kg bw/day) established by EFSA in 2006.

For all population groups above three years of age thermal paper was the second most important source of BPA after the diet (potentially accounting for up to 15% of total exposure in some population groups).

Among other key findings, scientists found dietary exposure to BPA to be the highest among children aged three to ten (explainable by their higher food consumption on a body weight basis). Canned food and non-canned meat and meat products were identified as major contributors to dietary BPA exposure for all age groups.

Tips for Avoiding BPA in Canned Food: http://www.breastcancerfund.org/reduce-your-risk/tips/avoid-bpa.html

Holding Thermal Receipt Paper and Eating Food after Using Hand Sanitizer Results in High Serum Bioactive and Urine Total Levels of Bisphenol A (BPA): http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0110509

Bisphenol S Disrupts Estradiol-Induced Nongenomic Signaling in a Rat Pituitary Cell Line: Effects on Cell Functions: http://ehp.niehs.nih.gov/1205826/
common substitute for BPA


Effect of probiotics, Bifidobacterium breve and Lactobacillus casei, on bisphenol A exposure in rats: https://www.ncbi.nlm.nih.gov/pubmed/18540113

What are the sources of exposure to eight frequently used phthalic acid esters in Europeans?: https://www.ncbi.nlm.nih.gov/pubmed/16834635
Food is a main source of DiBP, DnBP, and DEHP in consumers. In this case, consumers have very few possibilities to effectively reduce their exposure.

Are endocrine disrupting compounds a health risk in drinking water?: https://www.ncbi.nlm.nih.gov/pubmed/16823090

How to Avoid Phthalates (Even Though You Can't Avoid Phthalates): http://www.huffingtonpost.com/maia-james/phthalates-health_b_2464248.html
data  org:gov  hypochondria  endocrine  embodied-street-fighting  public-health  news  org:rec  business  tradeoffs  food  multi  study  summary  diet  top-n  org:euro  org:health  nitty-gritty  human-bean  checklists  cooking  embodied  human-study  science-anxiety  sanctity-degradation  intervention  epidemiology  bio  🐸  model-organism  list  health  hmm  idk  parasites-microbiome  street-fighting  evidence-based  objektbuch  embodied-pack  chart  roots  h2o  advice  org:lite  biodet  fluid  left-wing 
january 2017 by nhaliday
The Experts | West Hunter
It seems to me that not all people called experts actually are. In fact, there are whole fields in which none of the experts are experts. But let’s try to define terms.


Along these lines, I’ve read Tetlock’s book, Expert Political Judgment. A funny, funny, book. I will have more to say on that later.

USSR: https://westhunt.wordpress.com/2014/10/20/the-experts/#comment-60760
iraq war:
Of course it is how Bush sold the war. Selling the war involving statements to the press, leaks, etc, not a Congressional resolution, which is the product of that selling job. Leaks to that lying slut at the New York Times, Judith Miller, for example.

Actively seeking a nuclear weapons capacity would have meant making fissionables, or building facilities to make fissionables. That hadn’t happened, and it was impossible for Iraq to have done so, given that any such effort had to be undetectable (because we hadn’t detected it with our ‘national technical means’, spy satellites and such) and given their limited resources in men, money, and materiel. Iraq had done nothing along these lines. Absolutely nothing.

You don’t even know what yellow cake is. It is true that Saddam had had a nuclear program before the Gulf War, although it had not come too close to a weapon – but that program had been destroyed, and could not be rebuilt A. in a way invisible to our spy satellites and B with no money, because of sanctions.

The 550 tons of uranium oxide- unenriched uranium oxide – was a leftover from the earlier program. Under UN seal, and those seals had not been broken. Without enrichment, and without a means of enrichment, it was useless.

What’s the point of pushing this nonsense? somebody paying you?

The President was a moron, the Government of the United States proved itself a pack of fools,as did the New York Times, the Washington Post, Congress, virtually all of the pundits, etc. etc. And undoubtedly you were a fool as well: you might as well deal with it, because the truth is not going to go away.

interesting discussion of battle fatigue and desertion: https://westhunt.wordpress.com/2014/10/20/the-experts/#comment-60709
Actually, I don’t know how Freudian those Army psychologists were in 1944: they may have been useless in some other way. The gist is that in the European theater, for example in the Normandy campaign, the US had a much higher rate of psychological casualties than the Germans. “Both British and American psychiatrists were struck by the ‘apparently few cases of psychoneurosis’ among German prisoners of war. ” They were lower in the Red Army, as well.

In the Pacific theater, combat fatigue was even worse for US soldiers, but rare among the Japanese.


The infantry took most of the casualties – it was a very dangerous, unpleasant job. People didn’t like being in the infantry. In the American Army, and to a lesser extent, the British Army, getting into medical evacuation channels was a way to avoid getting killed. Not so much in the German Army: suspected malingerers were shot. In the American Army, they weren’t. That’s the most importance difference between the Germans and Americans affecting the ‘combat fatigue’ rate – the Germans didn’t put up with it. They did have some procedures, but they all ended up putting the guy back in combat fairly rapidly.

Even for desertion, only ONE American soldier was executed. In the Germany Army, 20,000. It makes a difference. We ran a soft war: since we ended up with whole divisions out of the fight, we probably would have done better (won faster, lost fewer guys) if we had been harsher on malingerers and deserters.

more on emdees: https://westhunt.wordpress.com/2014/10/20/the-experts/#comment-60697
As for your idea that doctors improve with age, I doubt it. So do some other people: for example, in this article in Annals of Internal Medicine (Systematic review: the relationship between clinical experience and quality of health care), they say “Overall, 32 of the 62 (52%) evaluations reported decreasing performance with increasing years in practice for all outcomes assessed; 13 (21%) reported decreasing performance with increasing experience for some outcomes but no association for others; 2 (3%) reported that performance initially increased with increasing experience, peaked, and then decreased (concave relationship); 13 (21%) reported no association; 1 (2%) reported increasing performance with increasing years in practice for some outcomes but no association for others; and 1 (2%) reported increasing performance with increasing years in practice for all outcomes. Results did not change substantially when the analysis was restricted to studies that used the most objective outcome measures.

I don’t how well that 25-year old doctor with an IQ of 160 would do, never having met anyone like that. I do know a mathematician who has an IQ around 160 and was married to a doctor, but she* dumped him after he put her through med school and came down with lymphoma.

And that libertarian friend I mentioned, who said that although quarantine would have worked against AIDS, better that we didn’t, despite the extra hundreds of thousands of deaths that resulted – why, he’s a doctor.

*all the other fifth-years in her program also dumped their spouses. Catching?

climate change: https://westhunt.wordpress.com/2014/10/20/the-experts/#comment-60787
I think that predicting climate is difficult, considering the complex feedback loops, but I know that almost every right-wing thing said about it that I have checked out turned out to be false.
west-hunter  rant  discussion  social-science  error  history  psychology  military  war  multi  mostly-modern  bounded-cognition  martial  crooked  meta:war  realness  being-right  emotion  scitariat  info-dynamics  poast  world-war  truth  tetlock  alt-inst  expert-experience  epidemiology  public-health  spreading  disease  sex  sexuality  iraq-syria  gender  gender-diff  parenting  usa  europe  germanic  psychiatry  courage  medicine  meta:medicine  age-generation  aging  climate-change  track-record  russia  communism  economics  correlation  nuclear  arms  randy-ayndy  study  evidence-based  data  time  reason  ability-competence  complex-systems  politics  ideology  roots  government  elite  impetus 
january 2017 by nhaliday
Dodging a bullet | West Hunter
Back in the 1950s, Sabin and Salk developed polio vaccines. Salk’s vaccine was inactivated. Sabin’s vaccine was live, but used a weakened strain, strong enough to cause an immune reaction, but weak enough not to cause polio. The live version was also infectious, which amplified its protective effect in the community.

The virus was weakened by passage through a number of cell cultures (live monkey, monkey testicular cultures, monkey kidney cells, etc).

Being a virus, it was grown in cell culture, derived from rhesus monkeys. The problem with all those live cell cultures was the possibility of picking up some other monkey virus. And that happened: 10-30 million Americans received vaccine contaminated with SV40 (Simian vacuolating virus 40) between 1955 and 1963.
west-hunter  stories  medicine  error  bio  nature  disease  cancer  immune  parasites-microbiome  meta:medicine  epidemiology  scitariat  public-health  prudence 
january 2017 by nhaliday
Ten Putative Contributors to the Obesity Epidemic
The obesity epidemic is a global issue and shows no signs of abating, while the cause of this epidemic remains unclear. Marketing practices of energy-dense foods and institutionally-driven declines in physical activity are the alleged perpetrators for the epidemic, despite a lack of solid evidence to demonstrate their causal role. While both may contribute to obesity, we call attention to their unquestioned dominance in program funding and public efforts to reduce obesity, and propose several alternative putative contributors that would benefit from equal consideration and attention. Evidence for microorganisms, epigenetics, increasing maternal age, greater fecundity among people with higher adiposity, assortative mating, sleep debt, endocrine disruptors, pharmaceutical iatrogenesis, reduction in variability of ambient temperatures, and intrauterine and intergenerational effects, as contributing factors to the obesity epidemic are reviewed herein. While the evidence is strong for some contributors such as pharmaceutical-induced weight gain, it is still emerging for other reviewed factors.
study  meta-analysis  survey  obesity  health  hypochondria  assortative-mating  sleep  model-organism  human-study  🐸  endocrine  metabolic  biodet  epigenetics  epidemiology  sociology  public-health  recent-selection 
january 2017 by nhaliday
Is Healthy Food a Luxury for the Low-Income Households in the U.S.?
- not sure about https://twitter.com/St_Rev/status/814960958938447873

Using induced changes in the household budget due to exogenous variation in the winter temperature that directly affects heating bills, I show that households do not improve the nutritional quality of their food purchases. Households below 130 percent of the poverty threshold increase total calorie amount without changing the composition of food purchases. Households above 130 percent of the poverty threshold purchase different products, but these products are of mixed nutritional quality. My findings suggest that policies that provide food subsidies face a trade-off subsidizing not just the increased consumption of healthy food but also the increased consumption of unhealthy food.
study  economics  polisci  policy  obesity  food  natural-experiment  class  multi  pdf  wonkish  urban  epidemiology  endo-exo  intervention  public-health  endogenous-exogenous  urban-rural 
december 2016 by nhaliday
More doubt cast on food deserts | City Observatory
after controlling for differences in educational attainment and income, variations in physical access to food explain less than ten percent of the variation in consumption of healthy foods
news  org:mag  study  summary  polisci  policy  urban  food  obesity  class  wonkish  epidemiology  intervention  public-health  urban-rural 
december 2016 by nhaliday
Population attributable risks and costs of diabetogenic chemical exposures in the elderly -- Trasande et al. -- Journal of Epidemiology & Community Health
Reduction of chemical exposures was associated with a 13% (95% CI 2% to 22%) reduction in prevalent diabetes, compared with 40% resulting from an identical (25%) reduction in body mass index (BMI) in cross-sectional analyses.
study  embodied  hypochondria  health  fitness  disease  obesity  🐸  medicine  embodied-street-fighting  prediction  human-study  metabolic  biodet  epidemiology  intervention  comparison  effect-size  public-health 
december 2016 by nhaliday
Childhood forecasting of a small segment of the population with large economic burden : Nature Human Behaviour
A segment comprising 22% of the cohort accounted for 36% of the cohort’s injury insurance claims; 40% of excess obese kilograms; 54% of cigarettes smoked; 57% of hospital nights; 66% of welfare benefits; 77% of fatherless child-rearing; 78% of prescription fills; and 81% of criminal convictions. Childhood risks, including poor brain health at three years of age, predicted this segment with large effect sizes. Early-years interventions that are effective for this population segment could yield very large returns on investment.
study  crime  class  policy  arbitrage  economics  anthropology  org:nat  health  stylized-facts  obesity  🎩  🌞  redistribution  pareto  low-hanging  biodet  epidemiology  sociology  distribution  healthcare  wonkish  society  objektbuch  s-factor  behavioral-gen  criminology  public-health  chart  welfare-state 
december 2016 by nhaliday
Genetic Consequences of Assortative Mating for Psychiatric Traits | Genetics and Genomics | JAMA Psychiatry | The JAMA Network
Phenotypic assortment results in increased genetic variance in the offspring generation, which may result in increased heritability and population prevalence. These consequences add generation after generation to a limit, but assortative mating is unlikely to balance the impact of reduced fecundity of patients with psychiatric disorders in the long term. This modeling suggests that the heritabilities of psychiatric disorders are unlikely to increase by more than 5% from 1 generation of assortative mating (maximally 13% across multiple generations).
study  prediction  genetics  assortative-mating  disease  psychiatry  personality  org:nat  biodet  epidemiology  sociology  moments  variance-components  🌞  hmm  science-anxiety  behavioral-gen  public-health  autism  similarity 
december 2016 by nhaliday
Thin Air | Slate Star Codex
So my guess is that Hersoug is wrong and CO2 doesn’t cause appreciable weight gain in normal concentrations. We should abandon the beautiful theory of climate-change-induced obesity and go down a level of contrarianism to blaming boring normal-person things like xenoestrogens and gut microbiota.

(I’ve heard there are theories of obesity even less contrarian than those, but I’ve never been to such low contaranianism levels and wouldn’t be able to tell you what they might be.)

so high altitude can cause weight loss, CO2 can't cause weight gain
ratty  yvain  ssc  essay  atmosphere  environment  health  contrarianism  regularizer  analysis  obesity  biodet  epidemiology  intervention  public-health  correlation  speculation  ideas 
december 2016 by nhaliday
Exposure to exogenous estrogen through intake of commercial milk produced from pregnant cows - Maruyama - 2009 - Pediatrics International - Wiley Online Library
7 men, 6 children, 5 women
After the intake of cow milk, serum estrone (E1) and progesterone concentrations significantly increased, and serum luteinizing hormone, follicle-stimulating hormone and testosterone significantly decreased in men. Urine concentrations of E1, estradiol, estriol and pregnanediol significantly increased in all adults and children. In four out of five women, ovulation occurred during the milk intake, and the timing of ovulation was similar among the three menstrual cycles.

mice study w/ n=60: https://www.sciencedaily.com/releases/2016/08/160803124441.htm
study  hmm  hypochondria  food  embodied  🐸  multi  gavisti  model-organism  human-study  endocrine  mena4  news  org:sci  science-anxiety  sanctity-degradation  intervention  null-result  public-health 
december 2016 by nhaliday
The Germ of Laziness | West Hunter
Somehow this idea reached the then-new Rockefeller foundation.  They did it right. They made sure that Charles Wardell Styles was not the public face of their effort – because he didn’t suffer fools gladly, and they needed someone who positively enjoyed them, someone who could get along with the general public. They went from town to town, rather like a revival, giving people fairly unpleasant chemicals that really did get rid of most of the hookworms. Since they are small( ~1 cm) and unspectacular, they kept dead giant roundworms (up to a foot long) in a bottle and pretended that they’d been expelled from the locals. They told people to use an outhouse and wear shoes – which led some  to claim that this was all an elaborate plot by John D. Rockefeller to sell shoes to innocent Southerners.  On the positive side, someone came up with the idea that the South would have won the War, except for hookworm : then worming folks was a tribute to the Lost Cause.
west-hunter  usa  history  stories  disease  trivia  parasites-microbiome  mostly-modern  lol  the-south  epidemiology  scitariat  public-health  unintended-consequences  race 
november 2016 by nhaliday
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