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"Black Tuesday" and South Africa's Secrecy Bill

On October 19, 1977, the apartheid government of South Africa banned The World, the Sunday World, and Pro Veritas, and 19 other people and organizations who stood with the Black Consciousness Movement.

ANCWikipedia.jpg

The National Press Club called on people who were opposed to wear black clothes, ribbon or armband, and they refer to October 19th as "Black Wednesday."

Black Tuesday

South African media groups are now calling last Tuesday, November 22, 2011, "Black Tuesday".

The lower house of the South African Parliament controlled by the African National Congress (ANC) approved the Protection of State Information Information Bill in a 229-107 vote. The bill would allow the state to classify documents as secret because of "national interest". Anyone caught possessing such a document would serve 25 years in jail. The bill will be debated and voted at the upper house of parliament, the ANC controlled National Council of Provinces, before it goes to President Zuma to sign. [The Wikipedia page for South Africa's ruling political party the African National Congress (ANC) was temporarily "censored" in protest of the secrecy law, shown here]

When Governments Aim to "Own" The Media

South Africa's National Editor's Forum chairman, Mondli Makhanya, said the press corps were devastated
"watching the bill become law." As he put it:

"We never thought we would come here dressed in black to witness the Constitution of our country being betrayed by those who built it."

The motivations behind the bill are suspect. The wife of the ANC's State Security Minister Siyabonga Cwele has been convicted of running an international drug ring. Two years ago, we wrote on President Zuma's successful bid to get the National Prosecution Authority (NPA) to drop 16 charges against him related to several billion dollars of bribes for arms deals.

Recently, the Sunday Times reported that Zuma's government spokesperson Mac Maharaj sued newspapers reporting that 1.2 million French francs was paid to his wife to facilitate those arms deals. In the two years since ANC's Zuma was elected, allegations of this and that, like massive misuse of official funds have continued.

Hypocrisies of the Powerful

Perhaps there's no reason to ask then, if Zuma will sign the bill? Acronym Required has checked-in on the ANC's continued attempts to censor the vibrant South African media over public health issues over the years. Former President Thabo Mbeki expended hundred of thousands of spoken as well as written words typed into his weekly reports excoriating the media for covering the horrific conditions in hospitals, corruption, the lack of public infrastructure, the broken promises of his administration, and his twisted logic for not dealing with the AIDS crisis.

President Zuma seems to be taking it one step further by backing up rhetoric with more publicly forceful maneuvers. Last year we told parts of journalist Mzilikazi wa Africa's story of being kidnapped by the police as he was investigating ANC corruption in "South Africa'a Media Crackdown."

The officers who kidnapped wa Africa pestered him about why he was investigating ANC officers in the Mpumalanga province. They tried to extract his sources. They trumped up charges accusing him of fraud, forgery and passing forged documents that were later dismissed, and tried to force him to sign an admission of guilt. Under the new law, the documents that wa Africa received about the corruption and murders in Mpumalanga would be illegal for him to possess.

President Zuma has vigorously put down widespread outcry against the secrecy bill. He said that concerns were absurd and proclaimed the ANC to be a vigorous defender of the constitution. He has continually accused journalists of trampling the rights of others, who must "have recourse through legitimate institutions". As Zuma said in weekly address (August, 2010):

"The media has put itself on the pedestal of being the guardian. We therefore have the right to ask, who is guarding the guardian? All institutions, even parliament, has mechanisms in place to keep them in check."

Zuma accused the media, as did Mbeki before him, of not "reflecting the society it claims to protect and represent". Worst of all, he said, deploying the usual ANC strategy, the media defames the ANC party that worked so hard against apartheid. This isn't just Africa's problem, he pointed out, using Russia as an improbable example:

"Let us move beyond the hysteria, let the real debate begin. Our first point is that before looking at what they regard as external threats and perceived external threats, the media should conduct introspection first. During our State visit to Russia a week ago, Russian television was running a promotional jingle saying: 'How dependent is the independent media? Who pays for the news?'"

There's hardly a need to point out again, as we did last year, that using Russia, where investigative journalists and state critics regularly get murdered, to bolster professed ANC benevolence seems cynical and sinister.

Rebukes From Those Who Know

Many see the bill as a harbinger of more serious curtailments of freedom that the country has struggled to overcome in the 17 years since apartheid. Archbishop Desmond Tutu said in an address about the Chinese suppression of Tibetans that the current ANC government was worse than the apartheid government, when "at least you could expect to eat." He said that by now you should expect a South African government to be "sensitive to the sentiments of the constitution", and continued:

"You, President Zuma and your government, you do not represent me. You and your government represent your own interests. I am warning you, as I warned the [pro-apartheid] nationalists, one day we will start praying for the defeat of the ANC government."

A strong independent media (if there is such a thing), and investigative journalism are keystones to democracy, in South Africa, America, and everywhere else. A strong democracy is critical to science, to commerce, to health, to welfare, and to all of civil society. South Africa's Bill of Rights provides:

"freedom of expression, which includes freedom of the press and other media; freedom to receive or impart information or ideas; freedom of artistic creativity; and academic freedom and freedom of scientific research".

It also gives anyone the right to:

"Any information held by the state; and any information that is held by another person and that is required for the exercise or protection of any rights."

Constitutional scholars lay out excellent arguments why this bill is unconstitutional2, and the opposition party has said that if Zuma signs the bill, they would push for constitutional review in the Constitutional Court. Zuma's highly political evasion of charges against him, as well as other irregularities have shown that the judiciary and other institutions are increasing in the grip of the ANC. Snuffing out investigative journalism will accelerate that trend.

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1 I should note that the move is not endorsed by smaller press who think that "Black Wednesday" should not be conflated with "press freedom" by major newspapers dependent on advertisers in their battle with the government over advertising spend. (Here's an article on that.)

2 The website Constitutionally Speaking has an excellent discussion of this that I found unfortunately, after this was post was written. Go there for a thorough presentation of that scholar's reasoning and for the discussion that follows.

The 1987 movie Cry Freedom offers a look at a South African reporter muzzled covering the anti-apartheid movement and suspicious murder of activist-hero Steve Biko. I liked it when I watched it a couple of years ago, although I have to warn you that the mainstream media reviews called the movie a watered down version of the real story, with Robert Ebert saying it was: "sort of a liberal yuppie version of that Disney movie where the brave East German family builds a hot-air balloon and floats to freedom." I'm sure it would be fascinating to compare their harsh criticism of the movie to the MSM watered down coverage of years of South Africa's apartheid, but I'll leave that for another time.

Thanksgiving - Politicians, Recipes & Brussel Sprouts

We're big fans of Thanksgiving and usually try to write a post. This year we wanted to stick with our preferred genre and write about something undercovered or underloved in other media. In 2005 we wrote about that the myth that tryptophan causes post Thanksgiving meal sleepiness, a myth that is now pretty much a Thanksgiving Day media meme.WikipediaBrusselsSproutsOnVine.jpg. In 2007 we wrote about the origins of the domesticated turkey in "Thanksgiving - All Things Ottoman.

Happy Thanksgiving

We didn't want to write a Thanksgiving holiday-history story because whatever is not covered in 1st and 2nd grade is almost always politically freighted. Wanting to stay away from politics, we decided to write about food again, ironically inspired by politicians who are collectively deadlocked on multitudes of really important issues, but who nevertheless manage to muster up recipes to share with reporters. What in this world isn't political, I guess?

[Image is from Wikipedia Commons, and is licensed under Creative Commons 3.0 (CC by-SA 3.0)

We can't imagine where recipe sharing inclinations came from. Is this an old, lingering tradition from a time when everyone - churches, ladies groups, and neighborhood potluck groups - put out recipe books? I can't imagine announcing that for tonight's dessert we'll be enjoying Rick Santorum's "Apple Tarte Tatin"!!

But it seems popular. Last week, for instance, Representative Nancy Pelosi shared her chocolate mousse recipe -- a Thanksgiving Day tradition in her home. It has 1 pound of dark chocolate, 8 ounces of butter, 8 eggs, 4 tablespoons of sugar and 1/2 a cup of heavy cream. It's probably delicious -- The Hill has to whole recipe -- but you have to admit it's not exactly a heart-happy dessert.

Michelle Obama might disapprove, and the GOP would no doubt accuse her of excessive caloric spending. To model such thriftiness, I'm sure, Representative John Boehner (R-Ohio) told The Hill he was looking forward to his mother's turkey brine. And, he wouldn't give the publication the recipe.

What To Write

I don't know about turkey brine, so I looked on the Food Network, which has this. It's peppercorns, allspice berries, salt, rosemary, sage, and other sundry spices and herbs, plus vinegar. Don't knock turkey brine, A whopping 3,603 people endorsed it. Perhaps Mrs. Boehner's secret recipe is better, but I'd bet my party on 3,603 votes if I were going that way. Apparently one soaks their turkey in the brine before cooking. The whole process takes about 10 hours, so you have to be comfortable cooking on Congress-Time. Hopefully John's mom adds extra "sage" that is magically, surrealistically absorbed by anyone who eats/drinks it.

I didn't really realize the extent of this whole politicians' recipes thing until I came across internet caches of recipes from US governors, senators and congressman. Who knew? The internet is a wonderful, learning environment. Speaking of sage and wisdom, North Carolina Congressman Howard Coble had a truly brain related recipe called, actually, "Brains N'Eggs", which he described as a can of "brains in gravy", "preferably" Rose Brand, with bacon grease and eggs. His mother served it as a "not at all unusual" breakfast, that alas it can't be found in Washington D.C., he reported.

What To Write

Obviously you can please many people with chocolate mousse, and probably gross others out with pork brains, depends on what you're going for. Politicians also provide recipes of their heritage, like Olympia Snowe's "Baklava". Others donate recipe's reminiscent of their state like Senator John Kerry's "Massachusetts Cranberry Bread". Some offer what I think of as anti-cooking, like "microwave chicken": chicken, microwave, a bottle of (your favorite) salad dressing, and water.

Some long-serving productive politicians like former Senator Edward Kennedy never dished out recipes to the media. A Rockefeller gave out four. Others who were only very briefly in office must have entered with a recipe in hand, like Sarah Palin and her Alaska Crab Wrap Sandwich, which, if I weren't allergic to crab, I might like her best for.

Ignoring all good evidence, Californians ousted Governor Gray Davis in favor of Governor Schwarzenegger, who was obviously too busy with other household chores to write recipes for reporters. Davis got served up lemons and gave the press his Lemon Chicken recipe.

Happy Thanksgiving

So back to our unchosen subject. We're weary of pumpkin pie, we've done turkey, cranberries are all bogs and antioxidants, what's left? We could talk about the turkey dinner where they actually go and feed the turkeys? Hmmm...Brussels sprouts? The thing about Brussels sprouts is nobody writes about them because they're only slightly more popular, I wager, than canned pork brains scrambled with eggs and grease.

Nobody knows where Brussels sprouts originated, unlike the excellently documented domesticated turkey. Most people agree they don't come from Belgium but some say their actually a centuries old source of "Flemish national pride". It seems like when it comes to Brussel Sprout's, everyone's making something up. A few say they originated in Rome where they were thought to make people smarter. Maybe they were popularized in WWI, maybe they came to Louisiana when the French immigrated, maybe they're the most disliked British vegetable...on and on.

But they are considered healthy for many reasons, like because they contain sulfoaphane and indole-3-carbinol and a lot of research finds they have anti-cancer properties.. They look pretty cool on the vine. And to eat? Curried? Roasted?

Best wishes to all and Happy Thanksgiving to those readers who have a holiday.

NIMBY-ing the Keystone XL Pipeline

"God help us if this becomes like baby seals", said a University of Alberta energy economist after research about the extent of pollution downstream from the Athabasca Tar Sands became public a couple of years ago. Protests decrying the Keystone XL pipeline with its associated tar sands may not have reached "baby seals" fervor, but the plan to pump crude oil from Alberta to Texas certainly hasn't raised the popularity of Alberta and its oil extraction industry.

Baby-Sealing the Pipeline, If Not The Tar Sands

The extended pipeline would route through Nebraska's ecologically sensitive Sandhills and the Ogallala Aquifer that supplies millions of people drinking and agriculture water. Nebraskans are especially apoplectic about the prospect of the pipeline with all its hazards running through their lands.KeystoneXLUSDeptState.jpg They worry about how 91 predicted leaks in the next 50 years will endanger drinking water.

Meanwhile, the company is urging the US to approve laxer standards to allow them to pump more oil at higher pressure through a thinner steel pipeline. TransCanada has promised the safety of the pipeline running over the aquifer and backed that up with bonds.

Of course people have challenged TransCanada's promises, but in corroboration, the US State Department reviews of the project had also been reassuring. That is, until this week, when the agency announced an independent investigation of the pipeline following revelations that the contractor hired by State to do environmental studies and public relations listed TransCanada as a client.

The Environmental Protection Agency (EPA), for its part, issued a scathing review of the pipeline project, criticizing projected greenhouse gas emissions, the history of Keystone pipeline spills, probable wetlands destruction, migratory bird disruption, and the impacts the pipeline could have on poor and indigenous populations.

Obama: Not In My Backyard (At Least Not Until After The Election)

Striking against the greenhouse gas emissions from the tar sands and the pipeline, the continued investment in oil energy technologies, and the related environmental affronts, protestors had noisily decamped to Washington DC over the last few months, letting their opinions be known as they marched around the White House and the EPA.

The total of all this -- the thousand turning up to hold hands in a giant circle round President Obama's home, the uncovering of conflicting interests, and the affected state governments discontents built to a grand crescendo until finally the White House announced it needed more time to study the situation.

The administration effectively put the decision off until after the election. (OK, I know, I Obama built my reputation on community organization, but enough for now...) The White House protestors went home to declare success.

Lobbying So Hard It's "Not Lobbying"

It's not for lack of lobbying that the pipeline was postponed. TransCanada and friends did just about all they could do. They spent millions, wrote editorials in places like the Wall Street Journal and USA Today, and got good support from entities like the American Petroleum Institute, not to mention economists, journalists and citizens on all sides of the political spectrum who impressed talking points like jobs, energy, international cooperation, and opportunity.

The Premier of Alberta, Alison Redford, so new to the job that an internet search results shows her predecessor as Premier, will visit Washington D.C. next week. "Not to lobby", she says, rather she'll explain the economic situation of her oil dependent province and try to improve Alberta's public image. The previous Premier was a big lobbyist for both the tar sands and the pipeline, as depicted in "Ed Stelmach's Clumsy American Romance". British Columbia's The Tyee scoffed at the duplicity of the full page "get out the facts" ad former Premier Stelmach posted in the Washington Post, and winced over the $55,800 of tax payers' dollars he spent on it after the Post rejected his editorial. Between this and visuals of the province as a giant tar sand pit, the new Premier is wasting no time trying to remake Alberta's image in order to sell some oil.

Who Will Love The Pipeline In Their Backyard?

In announcing the postponement, the State Department said it wanted to look at "alternate routes" for the pipeline. While protestors had been promising to stop the pipeline, the Governor of Nebraska was also busy taking his state's cause to Washington. He's not opposed to the pipeline, he said, explaining why he was pushing to get the pipeline rerouted, just didn't want it in that particular part of his state.

This delay that the Obama Administration just served to TransCanada is exactly what corporations do to everyone else when they're trying to keep business the same. One delay at a time, it is actually an end game, and the oil companies play it well. And it turns out they're not happy when someone else is doing the delaying. TransCanada has not been responsive to requests for it to voluntarily change its route. A company spokesperson had warned The Guardian: "You can't just erase a line on a map and draw one somewhere else", and said the move would put the whole project in doubt.

That's doubtful, given how much oil and money is on the table. As Nebraska and grassroots efforts claim a coup, TransCanada will accelerate its lobbying, of course. And where will the pipeline end up? If they keep the current siting, it runs not only through the Ogallala aquifer, the Sandhills and a Nebraska seismic zone, it also crosses through Oklahoma's seismic zone with its recent 5.6 earthquake (and 36 aftershocks in the past week). Would that be good? But what state wants the pipeline in their backyard?

Whatever the new plan, however positive the delay, I'm not sure the protestors can necessarily claim victory quite yet.

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Acronym Required wrote about the Alberta Tar Sands in Gas Pipeline: Open Season Coming to Alaska; Higher Pollution From Alberta Tar Sands, and others.

FDA Goes One Nudge Over "The Line" on Tobacco

A US Court blocked the FDA from requiring cigarette warnings on boxes this week, calling the graphics "emotion-provoking images...". U.S. District Judge Richard Leon Smoking.gif decided in a Washington court yesterday that tobacco companies shouldn't have to display images of diseased lungs or a cadaver bearing chest staples on an autopsy table, because this would "unconstitutionally compel speech." Nor should companies have to print 1-800-QUIT on cigarette boxes.

I guess what he's saying is that cigarette companies have the right to package fantasies up in the tobacco they manufacture, fantasies of how cool smokers are, that blithely omit the disease and death their product metes out. The FDA, on the other hand, has no right to present the more accurate side of the story.

You know that smoking causes cancer, heart disease, vascular problems. Did you know that smokers have 7 times the risk of abdominal aortic aneurism (AAA) than non-smokers? You probably know about second-hand smoke. Did you know about third hand smoke which stays in home and hotel walls and ceiling tiles for 30 or 40 years, affecting the health of not only present but future occupants?

The judge says the images on cigarette boxes crossed the line between "factual information" and "government advocacy". The line is "frustratingly blurry", he says, but he sees it.

Vaccine Preventable Deaths

The Map

Acronym Required previously wrote about parents who self-vaccinate in lieu of getting vaccinations, a sort of barbaric hazing for this era's unlucky children. And while some people in the West shun vaccines because they think they're dangerous, people in Africa shun them because they suspect shots are a Western plot to kill them. VaccineMap.jpg The US shockingly fanned the flames of the vaccine avoidance trend when it faked a vaccine campaign in Pakistan in order to to get access to Osama bin Laden. Meanwhile, tragically, people continue to die because there aren't enough vaccines to protect them.

When people refuse vaccinations, we lose herd immunity; microbes have get a chance to mutate; and of course people get sick and die. The trend has contributed to large outbreaks of whooping cough, mumps, chicken pox, and measles world-wide, as well as polio, typhoid fever, meningitis and hepatitis A. Now there's a great map Vaccine-Preventable Outbreaks, put out by the Council on Foreign Affairs, so you can see the impact of this all.

(The vaccination map ranks as one of my favorite maps, as does Newspaper Map.1)

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1 Granted the UI's sometimes not entirely there

We previously discussed vaccinations in Maher's Mainstream Media Anti-Vaccination Campaign; The Wild Wooly Internet; Polio Vaccines, The End of a Scourge?; Vaccine Development For Developing Countries and others.

Technology Glitches and Patient Health

Mundane Data Breaches

Mistakes usually occur after a conflagration of seemingly small, quotidian errors. Often no one seems to own the problem, it's simply a "glitch". In our technological world, we're quite accustomed to glitches and large data integrity losses. We stick the newly issued credit card into our wallet before even knowing (or caring) about the details of why it was replaced.

Technology "glitches" are not to be trifled with though, they shut down metropolitan train systems, admit ~32,000 students instead of ~16,000, and compromise the most private data of 31,000 people, 100,000 people, 4 million people...They're just boring news.

In medicine, repercussions from computer glitches make train outages seem trivial. From August 2008 through February 2009, a computer glitch in the Veteran's Affairs record system tied patients to the wrong medical records, leading to incorrect dosing, delays in treatment, and other errors. A computer glitch in another case incorrectly cleared women of breast cancer after mammogram screens showed they actually had tumors.

Bodily Injury and Death

Imagine the most unimaginable "glitch" and it's probably already happened. In one, famous 1980's case (PDF), cancer patients undergoing radiation treatments from the Therac 25, manufactured by Atomic Energy of Canada (AECL), intermittently received radiation doses 100X the prescribed dose. The resulting radiation could burn through the torso and leaving a burn marks on the victim's back. The trauma from radiation trauma killed some patients within weeks.

An investigation of the Therac 25 history showed how multiple errors begot fatal injuries. The high doses occurred when a technician first entered an "X" to incorrectly select a certain dose of high beam photon mode; then "cursor up"; then "E" to correctly select a certain dose in the electron mode; then "Enter", all within 8 seconds. This accidental series of keystrokes activated the high beam instead of the low-beam, but the high beam diffuser wasn't in place, so intense radiation burned ears, breasts, groins, clavicles.

When it happened to one patient, the sound system between the treatment room and the operator wasn't functioning. He had been treated multiple times in the past, so knew something was wrong when as he lay on the table for treatment he suddenly heard unusually loud noises, saw a flash of light, and felt a searing burn. Pause. Then it happened again. The technician only learned something was wrong when the patient pulled himself off the treatment table and began banging on the locked door.

Because the burns happened infrequently, because the error messages were imprecise or oblique, and because technicians, engineers and managers couldn't believe the Therac 25 was malfunctioning, operators continued to injure patients until 1987. In a letter to one hospital physicist AECL explained that their machines couldn't be malfunctioning because of modifications that improved the "hazard rate" by "at least five orders of magnitude! With such an improvement in safety (10,000,000%) we did not believe there could have been any accelerator malfunction."

A glitch -- an "accelerator malfunction"? Or errors attributable to peoples' actions?

Errors Upon Errors

The persistence of medical physicists at several hospitals quickened Therac-25 problem solving, but clumsy safety processes, a reluctant manufacturer, and slow FDA action impeded resolution. In the final analysis, a long list hardware, software, quality assurance and process issues such as these, contributed to the injuries and fatalities:

  • The hardware and software were built by two different companies and only tested when the system was installed in the hospital.
  • Code wasn't independently reviewed.
  • Some engineering errors permitted overrides after malfunctions, other errors allowed for safety check bypasses.
  • The FDA hadn't thoroughly tested the Therac 25 (a medical device) because previous models had a reasonable safety record. But the Therac 25 had undergone numerous changes, for instance manual control systems transitioned to software controlled systems.
  • The company recalled the machines at one point, but because the first patients didn't die, the FDA under-classified the severity of the problem. But an intense radiation beam to the head could result in a more lethal dose than another body part, so later incidents were fatal.
  • The medical physicists and the FDA made recommendations to AECL. The company complied with some safety directives, but ignored others.
  • Technicians incorrectly diagnosed issues, for instance in one case a problem was wrongly attributed to a switch. The company replaced the switches. The problem recurred.
  • AECL wrongly told some institutions who reported incidents that theirs was the first report. So each hospital thought their case[s] unique.

Elusive Intangible Injury

In the Therac-25 case, each contributor -- a software programer, an engineer, a technician, someone in quality assurance, a safety officer, staff at the FDA, a company executive -- made a small mistake. Lawsuits, FDA investigations, out of court settlements, and eventually national media exposure brought the case attention. The entire compendium of errors in the Therac-25 case is so classic and dramatic that it's used as a case study. But what about computer glitches where less harm is done to fewer patients over a shorter period of time? Or what if so many are hurt - millions, say - that the plight of any one individual gets diffused? What if the evidence is unclear - there there are no burn marks on the front and back of the body?

Can injured patients be made whole? In Therac-25 cases, the lawyers of families of patients with terminal cancer argued that patients died sooner and suffered more because of their Therac-25 injuries.

What if doctors delay cancer treatment and the person dies an early death from breast cancer, as in the case we mentioned above? What can lawyers prove, how can victims be compensated? In the case where Veteran's Administration patients were matched with the wrong record, the VA denies that any negative outcomes. No harm reported, no harm done?

What about still "lesser" glitches, everyday database breaches?

Patients: Students of Misfortune?

The US HIPAA laws protect a person's medical data, file, or record from being accessed by an unauthorized person. Therefore someone couldn't enter your doctor's office, grab your paper record from the thousands stuffed floor to ceiling, and forward it on. Sometimes the law seemed overly strict. In the name of HIPAA, unmarried lifelong partners of hospitalized patients were forbidden from learning about their loved one's health.

Although HIPAA has provisions for electronic records, today's larger, more frequent mishaps leaves this regime seeming quaint. Consider the recent data breach at Stanford, where the emergency room records of 20,000 patients were posted on line. A New York Times article details how it happened. One billing contractor dealt with one marketing contractor, who interviewed one potential employee who leaked the data. The marketing contractor received got the data from Stanford Hospital, "converted it to a new spreadsheet and then forwarded it" to a job applicant, challenging them to

"convert the spreadsheet -- which included names, admission dates, diagnosis codes and billing charges -- into a bar graph and charts. Not knowing that she had been given real patient data, the applicant posted it as an attachment to a request for help on studentoffortune.com, which allows students to solicit paid assistance with their work. First posted on Sept. 9, 2010, the spreadsheet remained on the site until a patient discovered it on Aug. 22 and notified Stanford."

Would any of these patients know if they were harmed? What if they had some condition that an insurance company, employer, teacher or other would use to disqualify them as in this Stanford case? Will the class action lawsuit that's filed make them whole? What if someone recognized the value of such data and stole it, as in a recent Orlando, Florida case where hospital employees forwarded emergency room data for over 2,000 accident victims to lawyers? In the old days, hauling 20,000 patient files out of a doctor's office unobtrusively would be a challenge. Not so much with electronic data, all you need is a glitch.

HIPAA specifies that each responsible individual can be fined $250,000. Will the job applicant who outsourced her Excel Worksheet problem to StudentofFortune.com pay $250,000? The marketing contractor? The billing contractor? Stanford?

Often the public has no idea about medical injuries resulting from glitches, physical or otherwise, just as they didn't with the Therac-25. If someone dies, as in the Therac-25 case, perhaps the news will get out. But the more common the incidents, the more data is lost, the more are made to seem benign, the more harm is done, the less we learn about any particular incident.

You can read all this as a depressingly negative outlook on technology and health, but my view is different. Injuries and deaths due to vague "glitches" can be prevented by fixing small, but very tangible errors. The outsourcing of everything has increased the number of contractors, and with all these people, looser interpretations of rules and diffuse culpability. But it's not just contractors. Many employees are also very cavalier about data. Walk-in or call any major medical center and you will see glaring errors. Fixing such errors, attention to detail, and yes - support for regulatory oversight, can reduce harm.

Secret Geoengineering? Says Who?

A recent Financial Times article reported on a £1.6 million geoengineering trial launched by Spice (stratospheric particle injection for climate engineering) at a British Science Festival. In "Trial Seeks to Hose Down Warming Climate", Clive Cookson describes how the company aimed to test the feasibility of cooling the planet by creating atmospheric conditions simulating volcanic activity. Beyond the trial:

"A full-scale global cooling system would cost more than £5bn and take two decades to install, said Hugh Hunt of Cambridge university, another team member. It would require 10 to 20 gigantic balloons, each the size of Wembley stadium, attached to ships distributed in the world's oceans and pumping 10m tonnes a year of material into the stratosphere.""

Geoengineering - How Far Have We Really Come?

Interesting enough. We often hear of plans for geoengineering. Certainly weather modification has been around for so long that when a Texas licensing board approving projects convened recently, one member suggested that the technology was so routine the licensing board should disband. Although we know generally about cloud seeding and futuristic geoengineering, we don't often hear about experiments with some of the more sophisticated climate technologies, which makes the FT article somewhat interesting.

But even more interesting than the article itself was a letter to the editor in response to the article, published by the FT a couple of days later (Sept. 15). In it, the President of an American aerospace company wrote that the "trial" reported by FT was old news. He explained that injecting particulate matter into the atmosphere has "been in full swing at it for nearly a decade...", and continued "Dozens of aerospace, defence and technical companies like ours have been advising into the initiative for many years. He explained:

"...[a] series of tests to create a polymerised and ionised mixture of certain metals, including aluminium, barium, thorium and selenium, among other contents, was perfected and tested in US facilities. A joint public-private operation, initially called "Cloverleaf", was operationalised and subsequently supported by US state and federal weather modification legislature.

Throughout the continental US, dozens of tanker and other aircraft are daily applying thousands of gallons of aerosol nano-particulates that serve several objectives, including the purported ability to reflect UV radiation. Similar operations are being conducted in Canada and parts of Europe.[emphasis ours]

What the actual secondary effects of this operation are, including human health impacts, are currently unknown or undisclosed. The Bristol university team may be wise to "hose down" those facts as well. In the meantime, anthropogenic climate impact is in this regard, quite real indeed."

REALLY?

Before the Financial Times boldly printed this editorial, people firmly relegated "Cloverleaf Operations" to conspiracy theory territory. True, thousands of YouTube videos devote bazillions of hours to documenting "chemtrails" streaked across blue skies -- often accompanied by music of the producer's choosing, making them no less boring.

And true, hosts of crackling talk radio shows tell audiences that their guests "risk death" divulging whatever huge secret government chemical spraying operation they then divulge.

A search for "chemtrails" on YouTube actually turns up 29,200 results. But have you heard of this chemtrail thing? It's easy to ignore, unless, say, one or more of your formally rational friends goes through some weird mid-life crisis, and with testosterone flagging (my theory), veers off bizarrely denouncing the rational in favor of numerology, Mad Hatter utterings, and chemtrails. Else how would you know? Unless you read the Financial Times editorial section.

Fact or Fiction?

Of course some people -- the subset who espouse chemtrails and read the Financial Times editorials -- were elated: "PROOF!", they crowed on their blogs. But try to find one other mention of such a program in any other respected publication -- one who's mission isn't to divulge "scary secrets your government's hiding from you". Even if the chemtrail crowd isn't totally sniffing glue, the Financial Times editorial seems like a rather casual airing of the news -- and it is news.

It must be true, you say, it's the Financial Times! Many people attest that the FT and its sister publication The Economist do an above respectable job covering science. I really like both publications, but they both publish quite a few "science" articles that are more or less press releases for some company's pie in the sky technology that you've never heard of and will never hear of again. Yes, they have some in depth coverage of science, and sometimes feature British science establishment luminaries like Paul Nurse, but frankly I think their coverage of economics, yachts, and watches is better. The original article on the water aerosol trial was sort of in this in the sky technology vein. But the theme got way more interesting with the editorial.

Existent or Not Existent?

The editorial was written by Mr Matt Andersson, who signed as the CEO of a Chicago company called Indigo Aerospace. Indigo Aerospace is not listed in Hoover's, so it's hard to guess how much money he makes "advising into the initiative". Or maybe he didn't really mean in his letter that his company was running geoengineering programs but more literally that companies "like his" were. Or maybe his company does advise such initiatives.

Being curious, I easily learned that Indigo Aerospace used to be incorporated in Illinois, where they reportedly consulted to Booz Allen Hamilton, known for its military and government business. But as of May, 2011, Illinois lists the Indigo Aerospace Inc. as "involuntarily dissolved". So then is the corporate entity for which he signed as CEO not in existence anymore? This unfortunately throws doubt on his whole Cloverleaf assertion (at least to us). But why be judgmental? FT wasn't.

But we unfortunately don't know if the FT editorial is credible. If we were the FT editorial team we would do a bit more checking into this story -- really. Now we can only wonder: Do governments drastically change weather patterns, ruin sunsets, and subject us to chemical experimentation, and is this so ho-hum that we only read about it on conspiracy theorist sites, on Ron Paul 2012's blog, and in the editorial section of the Financial Times? It's potentially very interesting news people, more please. Or is it a conspiracy theory, as contended by every state agency, military organization, scientist, urban legend site, and news publication -- except for the FT? Mildly interesting but worthwhile noting. What do you wager?

Why Do Drugs Cost So Much?

The Pharmaceutical Research and Manufacturers of America (PhRMA) says it costs $1.3 billion to bring a new drug to market, and researchers dispute the lobby's claim. Could the ponderous costs of clinical trials, increasing regulation, a burgeoning FDA, and a litigious society keep driving drug prices up?

Perhaps we should we go back to simpler times, like 1895:

"The Cost of Making Antitoxin In the District:

Health Officer Woodward appeared before the Commissioners on the 10th inst., and submitted the following estimate for the suppression of contagious diseases: For the production of antitoxin for the treatment of diphtheria:

  • twelve horses at $40 each, $480;
  • maintenance of twelve horses at $10 each per month, $1200;
  • bacteriologist, $1,800;
  • materials and apparatus, $320;

Total: $3,800."

-The Journal of the American Medical Association Vol. XXIV, January 19th 1895: Miscellany.

It was the horses, obviously, driving costs up. Or perhaps they overestimated the cost of horses to support resistance to cheaper imports and generics, and to justify raising drug prices...

Warner Herzog's latest movie, the highly rated "Cave of Forgotten Dreams" explores some cool cave paintings at the Cave of Chauvet-Pot-D'Arc in France. The ~30,000 year old paintings are significant archaeologically, geographically and culturally, and the movie does a great job of bringing the art of the restricted cave to a larger audience, albeit at times ponderously.

Some people will surely appreciate the mystical sometimes overwrought other-world importance Herzog brings to the cave finds. In the film's postscript, Herzog films some albino crocodiles that he describes as downstream from a nuclear power plant near the valley. The move perhaps encourages the audience to compare some dystopic nuclear future inhabited by spooky radioactive albino crocodiles crawling the land, to his vision of a beautiful pristine valley once populated by mammoths, bears, lions, rhinoceros and loin-clothed artistes.

Herzog seems to imbue the Aurignacian culture with the same mythical qualities that James Cameron gave to the fictional Na'vi of "Avatar", both retroactively feted with qualities he admires, wisdom, god-like eco-consciousness, and the capacity to appreciate (and produce) immense beauty. 1 Herzog makes a good film reflecting his philosophy. But our ancestors of 30,000 years ago perhaps mastered the exquisite details of very large and dangerous beasts via many close and no doubt brutal encounters. Such encounters perhaps stirred memories that kept them up nights feverishly scratching very vivid animal portraits on cave walls with charcoal sticks. Is it too facile to point out that the art wasn't necessary created in the lush, happy tranquility of a remote French valley as viewed through modern man's eyes 30,000 years later?

When interviewed by Stephen Colbert, Herzog said he wanted the audience to come with him on a "wild fantasy" that "illuminates [the audience]", thus the fiction of radioactive "crocodiles". Without embellishment, he said, reality would be the Manhattan phone directory, 4 million entries, all correct. You would not know what anyone thinks, he said, or cries about...Therefore he's not "this kind of filmmaker". (Colbert invited him to party sometime.)

So the film seems a sort of 'up in smoke' melding of fact and fiction. The paintings are real, but with a fictional allegorical meta-framing. And the postscript crocodiles are in fact non-radioactive alligators, alligators imported to the French Crocodile Farm from Louisiana. There are only about 20 albino alligators in the world apparently, they're rare and genetically fragile - and two are being held at a modern day touristika French Crocodile Farm. So why do we need embellishment?

---------------

1 Added 06/11/11: Except now I learn Herzog more or less hated "Avatar", comparing it unflatteringly to yoga

Notes in June 2011: Cell Phone Warnings, Fossil Teeth

  • Cell Phone Warnings

    Recently, the World Health Organization's (WHO) International Agency for Research on Cancer (IARC) put the risks of cancer associated with cell phones in a 2B group: Possibly carcinogenic to humans, based on their analysis of available studies. From greatest to lowest risk the classifications are Group 1: Carcinogenic to humans, Group 2A: Probably carcinogenic; Group 2B Possibly carcinogenic; Group 3: not classifiable as to carcinogenicity; Group 4: Probably not carcinogenic.

    Scientists and journalists responded to this with their own interesting and sometimes quirky analyses. Many said the new information made them feel safe about cell phones and pointed out that the 2B group included the coffee. Others said they were concerned about the new classification, and focused on the fact that the 2B group includes DTT. And others argued in more complicated ways, things like - since DTT only affects eagles' eggs, they felt ok about cell phones. Some people reason that they know with certainty that tobacco is carcinogenic, and cell phones aren't in that category. Do people merely construct rationales to coincide with the intensity of their cell phone use?

    Because logically, of course, some of this reasoning breaks down. It's not clear what people mean when they announce they'll take a risk with cell phones *because coffee is a possible carcinogen too*. Most likely they haven't read the research on the possible/maybe/sometimes connection between coffee and bladder cancer (the deciding factor for IARC on coffee). No, they're not thinking *bladder cancer*, they're thinking they'll take their chances with cellphones since they drink coffee all the time. But possible/maybe/sometimes isn't really reassurance.

    Some people say that since cell phones have been in use for 15 years or so, we would know if they caused cancer. But the use patterns were different, as were the strength of signal. And recall that cigarettes were only widely acknowledged to be carcinogenic in the 1950's and 1960's, when people had been smoking for hundreds of years. Then it took decades for that research to be acted upon. And people still smoke, no matter how clear it is that smoking causes cancer. At the present stage of cell phone research, we might not even know enough about physics and individua physiologies to understand how cell phones cause or don't cause cancer. There's lots of unknowns.

    But still, everybody wants an answer. So do journalists and bloggers feel compelled to try to give one? This is sort of funny since no one really knows yet. But science journalists and bloggers should especially understand a bit about how research works and the inherent uncertainty and risks and the unpredictability of evolving health research. So why feel compelled to provide an answer? Personally, (see, because we can't help ourselves) I think there's enough research that I won't walk around with my cell phone in my front pocket or stick a little mini cell phone inside my ear all day and night. And I hate to say this but I really do want to see more non-industry research.

  • Our Ancestors Social Groups...Two Million Years Ago

    Scientists looked at the teeth of two million year old fossils and found that female hominids were more likely to leave the area they were born in, whereas males were more likely to stay closer to the cave they were born to...Oh wait, that's not catchy. We should say something like this: "Ancient male hominids had 'foreign brides'", or, hominid men "like[d] their man caves", they were "mama's boys" or were "homebodies"? See, all the good ones are taken. But by all means, lead anachronistically to catch the reader's attention.

    "Foreign Brides"? Really? It's not cool enough that scientists figured out how to analyze the teeth of our human ancestors from 2 million years ago in order to determine their possible social group structure? 1

    Using newly evolved laser technology, Copland et al profiled the strontium mineral levels in the teeth from Australopithecus africanus and Paranthropus robustus, and from modern plant and animals around two caves in South Africa. Strontium moves up the food chain from plants to animals, and accumulates in developing teeth until about the age of eight. Scientists can analyze radioactive strontium levels in teeth for instance, and compare them to surroundings bedrock to determine birthplace. In this study, the two caves were within a band of dolomite bedrock in South Africa and non-dolomite geology surrounds this band. Researchers designated the dolomite band as local, and the non-dolomite regions further afield (~3 - 30km), as non-local.

    The teeth from both species were previously found to be similar in size, but importantly, females typically have smaller teeth than males. So the investigators found that females of the Australopithecine more likely had teeth with non-local strontium profiles, and the males teeth more likely to have a strontium profile reflecting their dolomite home turf. A probable explanation is that the females left the social structure they were born in to. This conclusion is supported by the pattern of female dispersal in our nearest ancestors, chimpanzees and bonobos. By comparison, in gorillas and other primates to whom we're not related, males tend to leave their natal group.

    1 Copland et al; Nature 474, 76-78 (02 June 2011) doi:10.1038/nature10149

January 2012

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