Friday, 22 July 2016

Superfreakonomics

Steven D. Levitt and Stephen J. Dubner. Superfreakonomics. Allen Lane, 2009. ISBN: 978-0-713-99990-7

A fascinating read that challenges the way we think.

Indian culture has a strong son preference. # There are roughly 3.5 million fewer females than males in the population, but women earn less, receive worse education and health care. # Levels of domestic violence are high. ## The spread of cable TV to Indian villages has been staggered; measuring changes social attitudes in villages after TV becomes available is showing changes in all these factors when direct government campaigns have failed.

Shark attacks between 1995 and 2005 were on average 60.3 world-wide. The worst year had 79 attacks and the lowest recorded 46 attacks. There were an average of 5.9 fatalities per year, with a high of 11 and a low of 3. Newspaper coverage distorts our view of the situation.

Areas with a substantial Muslim population will have one month in which the percentage of babies born who will have visual, hearing or learning disabilities as an adult, will be roughly 20% more. The Muslim feast of Ramadan prescribes abstinence from food and drink in the daylight hours. Although they do not have to, most Muslim women participate even when pregnant since they can eat at nightfall. However, this variation in nutrition ‘in utero’ can have significant developmental effects. The effects are strongest when fasting occurs in the first month of pregnancy but can also occur at any time up to the eight month. The risk is magnified when Ramadan falls in the summer months because the hours of daylight are longer.

A similar effect was seen following the ‘Spanish flu’ epidemic of 1918 in the USA. In addition to the death toll, 25 million Americans caught flu and survived. This included one in three women of child-bearing age. Infected women who were pregnant had babies who were more likely to have significant ill-health over their whole lives.

Practice does make perfect. Exceptionally talented people typically put in [around 10,000 hours] of practice. However, this deliberate practice has 3 key components: (a) setting specific goals, (b) obtaining immediate feedback and (c) concentrating as much on technique as on outcome.

The bulk of US cancer therapy spending goes on chemotherapy. This is effective in some cancers, including leukemia, lymphoma, Hodgkin’s disease and testicular cancer, especially when these cancers are detected early. However, in most other cases, chemotherapy is remarkably ineffective and there is a long list of cancers for which chemotherapy has zero discernable effect, such as multiple myeloma, soft-tissue sarcoma, melanoma of the skin and cancers of the pancreas, uterus, prostate, bladder and kidney. In the US a typical lung cancer regime costs more than $40,000 but extends life by an average of just two months.

The age-adjusted US mortality rate for cancer is essentially unchanged over the past half-century at around 200 deaths per 100,000 people. But this flat mortality rate hides some good news as over the same period the age-adjusted mortality rate for cardiovascular disease has plummeted from nearly 600 people per 100,000 to well below 300. Many people, who in previous generations would have died from heart disease, now live long enough to die from cancer instead. Further analysis shows that for people aged 20 or younger, mortality fell by more than 50% while for people aged 20 to 40 the mortality fall was 20%.

Apathy. A much reported murder in March 1964 apparently showed that 38 people ignored the incident. A woman was stabbed in the back, her attacker fled the scene when she screamed; the victim staggered to the rear of her apartment block but the attacker returned, sexually assaulted her and stabbed her again, leaving her to die. Much was made of the non-intervention of neighbours but (a) the first attack happened at 3:20am when most people were asleep, (b) the woman’s screams awoke some people but the pavement was so poorly lit that little could be seen and (c) at least one man shouted ‘leave her alone’ at which the attacker left. When the attacker returned, the victim was in the hall of a building so out of sight of anyone. This was a case of poor journalism; the above points were ignored and the figure of 38 people was the number of people living in the block in which she died.

There is a correlation between US crime rates and exposure to TV. For every extra year a young person was exposed to TV in their first 15 years, there was a 4% increase in the number of property crime arrests in later life and a 2% increase in violent crime arrests. The effect is largest for children who had extra TV exposure from birth to 4 years. The reason for the correlation is not clear. The analysis was possible as (c.f. India and cable TV in villages) TV reception was rolled out in a staggered fashion.

Altruism – experiments seem to show that altruism is innate in humans. However, this does not hold up in real-life situations for the following reasons. (1) People who participate in psychology experiments tend to be students who are very co-operative. (2) The fact that people knew they are being observed probably influenced their behaviour.

Unintended consequences often arise from specific decisions. (1) Volume charging for rubbish collections was intended to encourage people to produce less rubbish and/or recycle. The actual effect was to increase fly-tipping and rubbish burning (also increasing burns accidents). (2) A Jewish statute recorded in the Bible required creditors to forgive all debts every seventh year. The actual effect was for creditors to make loans in year 1 and demand repayment in years 5 and 6.

Anti-theft devices for cars. Those that are visible (e.g. steering wheel locks) lessen the risk of your car being stolen but raise the risk that your neighbour’s car will be instead. An alternative device is a small radio transmitter hidden somewhere in or beneath the car where it cannot be seen. If the car is stolen, police can remotely activate the transmitter and follow the signal. The effect is that for every additional percentage point of cars fitted with this device, overall car thefts fall by as much as 20%, since the thief cannot predict which cars have the device. At present the device is relatively expensive.

Hand hygiene in hospitals is a critical factor in preventing the spread of infections. Compliance by staff at a US hospital was nearly 100% after photographs of hand prints showing bacteria were used as screen savers on staff computer screens.

Honesty box money (e.g. for coffee) left went up to nearly three times as much when a photo of a pair of human eyes was added to the price list. On alternate weeks, photos of flowers on an allotment were used instead, showing no honesty effect.

END