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Date published: 7/29/2006
WASHINGTON--"Second- But you definitely should have doubts over the new surgeon general's report, a massive, 727-page doorstop. Like many massive reports on controversial issues, it's probably designed that way, so that nobody (especially reporters on deadline) will want to or have time to read beyond the executive summary--or maybe even the press release. That includes me; if I had that much time, I'd reread "War and Peace." Twice. But the report admits it contains no new science, so we can evaluate it based on research already available. First, consider the 1993 EPA study that began the passive-smoking crusade. It declared such smoke a carcinogen based on a combined analysis (meta-analysis) of 11 mostly tiny studies. The media quickly fell into line, with headlines blaring: "Passive Smoking Kills Thousands" and editorials demanding: "Ban Hazardous Smoking; Report Shows It's a Killer." But the EPA's report had more holes than a spaghetti strainer. Its greatest weakness was the agency's refusal to use the gold standard in epidemiology, the 95 percent confidence interval. This simply means that there are only five chances in 100 that the conclusion came about just by chance, even if the study itself was done correctly. Curiously, the EPA decided to use a 90 percent level, effectively doubling the likelihood of getting its result by sheer luck of the draw. Why would it do such a strange thing? You guessed it. Its results weren't significant at the 95 percent level. Essentially, it moved the goal posts closer to the kicker, because the football kept falling short. In scientific terminology, this is known as "dishonesty" or "fraud." Two much larger meta-analyses have appeared since the EPA's. One was conducted on behalf of the World Health Organization and covered seven countries over seven years. Published in 1998, it actually showed a statistically significant reduced risk for children of smokers, though we can assume that was a fluke. But it also showed no increase for spouses and co-workers of smokers.
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