The Panic Virus: A Book With No Expiry Date

Yesterday I finished Seth Mnookin's acclaimed book The Panic Virus: The True Story Behind the Vaccine-Autism Controversy.  I am not sure why I postponed reading this book that was published in 2012 and now wish I had it read it earlier when I was heavily engaged in defending vaccines during the Disneyland measles outbreak. 

However the lessons of the book are still highly relevant to me and to the discussions I often find myself in. For instance yesterday, coincidentally, I found myself back in the same position defending the power of vaccines (this time HPV) against an onslaught of murky anecdotes, hearsay, and outright falsehoods. On such battlefields, the weapons of logic and reason can sometimes have no effect on those impervious to rational discussion based on facts. The Panic Virus explains why such a phenomen occurs. 

The chief value of this book, to me, is not that it details the history of this spurious, erroneous, and damaging smear against one of the most important life-enhancing technologies discovered (which it does), but that it delves into how such a false notion took hold, was promoted, and enabled. Published 4 years ago, The Panic Virus is still probably the best book in its field for this very reason.

A person's receptiveness to and acceptance of ideas is not automatic and, ideally, requires careful thought as to if what is being proposed as fact integrates with the sum of one's whole knowledge. A process of rational deliberation is required for an idea to be accepted as true. As such, logical thinking -- in which contradictions cannot exist -- is essential.

What lies at the root of the irrational fear of vaccines is what I believe is pure emotionalism and a disdain for reason. As Mnookin writes:

“But when it comes to decisions around emotionally charged topics, logic often takes a back seat to what are called cognitive biases—essentially a set of unconscious mechanisms that convince us that it is our feelings about a situation and not the facts that represent the truth”

Without logic, any arbitrary assertion is given a cognitive status it does not merit and impossible discussions about proving a negative ensue. If causal scientific data is considered to be equivalent to contextless correlations, anecdotes, and Jenny McCarthy's "mommy instinct" it is clear which side gains and which loses. It is especially egregious when those arguing with such overt fallaciousness are left unchallenged and regard science as just another way of "knowing" no different from rank mysticism, to which emotionalism ultimately has to degrade to as evidence is eschewed and evaded in favor of "intuition".

The Panic Virus is a book that defends not just science, but rationality as such. In Mnookin's inspiring closing of the book he harkens for a world:

“where science is acknowledged not as an ideology but as the best tool we have for understanding the universe, and where striving for the truth is recognized as the most noble quest humankind will ever undertake.”

I do too.

 

Zika Owns 1 Square Mile of America

By now, everyone knows there are 14 cases of local mosquito-borne transmission of Zika in Florida, some symptomatic and some asymptomatic. What is interesting about this small, and completely expected, outbreak is that it is, thus far, seemingly confined to one specific neighborhood of the city of Miami (in Miami-Dade) called Wynwood. This conglomeration of cases has caused the CDC to issue a travel advisory for pregnant women traveling to just that neighborhood of Miami which spans about 1 square mile. 

That this first documented outbreak of Zika within the 50 states is hyper-localized comes as no surprise as the Aedes aegypti mosquitoes responsible for the spread of the virus are not big commuters, preferring to stay around 150 meters from where they hatched. Also, neighborhoods have differing capacities for supporting mosquitoes in terms of ready access to blood meals and ample standing water for breeding. 

This hyper-locality made me recall a conversation I had months ago with a top Mexican public health official who lamented his entire country getting slathered with Zika-colors and a travel advisory when it was truly a specific region that was conducive to Zika spread.

The CDC, by sticking to real-time date and the evidence, was able to issue -- for the time being -- a very specific travel advisory so as to delimit panic and derail an economy heavily reliant on tourism. This type of highly actionable and precise advisory should be the norm (when possible).