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Getting Risk Right
Understanding the Science of Elusive Health Risks

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Format
Paperback, 272 pages
Published
United States, 1 March 2020

Do cell phones cause brain cancer? Does BPA threaten our health? How safe are certain dietary supplements, especially those containing exotic herbs or small amounts of toxic substances? Is the HPV vaccine safe? We depend on science and medicine as never before, yet there is widespread misinformation and confusion, amplified by the media, regarding what influences our health. In Getting Risk Right, Geoffrey C. Kabat shows how science works-and sometimes doesn't-and what separates these two very different outcomes.

Kabat seeks to help us distinguish between claims that are supported by solid science and those that are the result of poorly designed or misinterpreted studies. By exploring different examples, he explains why certain risks are worth worrying about, while others are not. He emphasizes the variable quality of research in contested areas of health risks, as well as the professional, political, and methodological factors that can distort the research process. Drawing on recent systematic critiques of biomedical research and on insights from behavioral psychology, Getting Risk Right examines factors both internal and external to the science that can influence what results get attention and how questionable results can be used to support a particular narrative concerning an alleged public health threat. In this book, Kabat provides a much-needed antidote to what has been called "an epidemic of false claims."

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Product Description

Do cell phones cause brain cancer? Does BPA threaten our health? How safe are certain dietary supplements, especially those containing exotic herbs or small amounts of toxic substances? Is the HPV vaccine safe? We depend on science and medicine as never before, yet there is widespread misinformation and confusion, amplified by the media, regarding what influences our health. In Getting Risk Right, Geoffrey C. Kabat shows how science works-and sometimes doesn't-and what separates these two very different outcomes.

Kabat seeks to help us distinguish between claims that are supported by solid science and those that are the result of poorly designed or misinterpreted studies. By exploring different examples, he explains why certain risks are worth worrying about, while others are not. He emphasizes the variable quality of research in contested areas of health risks, as well as the professional, political, and methodological factors that can distort the research process. Drawing on recent systematic critiques of biomedical research and on insights from behavioral psychology, Getting Risk Right examines factors both internal and external to the science that can influence what results get attention and how questionable results can be used to support a particular narrative concerning an alleged public health threat. In this book, Kabat provides a much-needed antidote to what has been called "an epidemic of false claims."

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Product Details
EAN
9780231166478
ISBN
0231166478
Dimensions
21.8 x 14.2 x 1.8 centimeters (0.29 kg)

Table of Contents

List of Illustrations
Preface: Why Do Things That Are Unlikely to Harm Us Get the Most Attention?
List of Abbreviations
1. The Illusion of Validity and the Power of "Negative Thinking"
2. Splendors and Miseries of Associations
3. When Risk Goes Viral: Biases and Bandwagons
4. Do Cell Phones Cause Brain Cancer? A Tale of Two Sciences
5. Hormonal Confusion: The Contested Science of Endocrine Disruption
6. Deadly Remedy: A Mysterious Disease, a Medicinal Herb, and the Recognition of a Worldwide Public Health Threat
7. HPV, Cancer, and Beyond: The Anatomy of a Triumph
Conclusion
Appendix: List of Interviews
Notes
Glossary
Bibliography
Index

About the Author

Geoffrey C. Kabat is a cancer epidemiologist and author of Hyping Health Risks: Environmental Hazards in Daily Life and the Science of Epidemiology (Columbia, 2008). He has published over 150 peer-reviewed scientific papers, as well as articles on health-related issues in Forbes, Slate, and elsewhere.

Reviews

Geoffrey Kabat's vital, wide-ranging book cannot have arrived at a more fortuitous time. As individuals and societies, we are constantly asked to gauge risks—and we often do so hastily or irrationally, with grave consequences. In Getting Risk Right, Kabat provides a crucial framework to think about risks, biases, and judgment. Everyone should read his analysis—at once clear-eyed, thoughtful, and beautifully written—to understand the nature of risk. I cannot overstate the importance of this book.
*Siddhartha Mukherjee, author of The Emperor of All Maladies*

Some risks are real, while others are much feared and speculated about, but of no portent. This important book by Geoffrey Kabat shows how the science of studying risks can lead to major discoveries that can improve the lives of millions by identifying and validating risks that do matter; or can ruin lives by propagating spurious, nonexistent risks in the public mind and in the scientific literature. Getting Risk Right carefully surveys a scientific field that is often the topic of hot debate and offers a balanced presentation. It is a fascinating read.
*John Ioannidis, professor of medicine and health research and policy, Stanford University*

Zika, Ebola, vaccines, dioxin, radon, black mold, environmental toxins. The media constantly bombards us with stories about unseen agents causing insidious harms. In Getting Risk Right, Geoffrey Kabat uses four case studies—BPA, cell phones, the HPV vaccine, and dietary supplements—to teach us not only whether these products are harmful but also how to grade information. Using Kabat's method, readers will be able to determine whether the next media-infused risk is a real one. Filled with cartoons, case histories, literary references, and fascinating asides, Getting Risk Right is the last book you will ever need to read on this subject.
*Paul A. Offit, author of Autism's False Prophets*

Geoffrey Kabat's writing, as usual, is phenomenally clear and expressive. His logical cadences are both airtight and a pleasure to read. His insights into the workings and mis-workings of science, the sociology of science, and the interplay of personalities and organizations are penetrating and precise, and above all original.
*Steven D. Stellman, professor of clinical epidemiology, Columbia University Mailman School of Public Health*

What matters most? How can we use scientific findings intelligently to set our public priorities? Through engaging anecdotes, and a clear-eyed analysis of the strengths and weaknesses of scientific work, Getting Risk Right helps us answer those questions. Perhaps more importantly, Dr. Kabat enhances our understanding of how science leads to action, and how we can better use science to inform a more rational and productive public agenda.
*Sandro Galea, Dean, Boston University School of Public Health*

An important study that teaches how to decipher science and medical news.
*Library Journal*

It is not easy feat to take complex issues and make them both understandable, easily readable and interesting, but Kabat does just that in Getting Risk Right. For people who are trying to sort through the deluge of conflicting information that we see every day, this book is a must.
*American Council on Science and Health*

[Kabat issues] a call to arms, urging his fellow scientists, policy makers, and the media to rescue the science of environmental risks from what he presents as its current sorry state. . . . [An] insider’s dissection of the psychology of how environmental studies are funded, reported, and interpreted by their authors and by various audiences.
*Washington Post*

Excellent.... A potent antidote to the toxic misinformation polluting our public health discourse.
*Reason*

This book will provide you with defensive armor against alarmist headlines and it will help you judge the credibility of new studies. Highly recommended.
*Science-Based Medicine*

This is an important book that can help people working in many areas of health.
*Health Affairs*

[Getting Risk Right] presents important topics for consideration and four fascinating and well-documented case studies. It is well suited for use in an introductory epidemiology class, where sections or chapters could be assigned as introductory reading by in-depth discussion.
*Issues in Science and Technology*

An invaluable new book...useful for any individual teaching or practicing in the health sciences, as well as individuals in education and public health.
*Choice*

Highly readable and informative.
*Genetic Literacy Project*

A valiant attempt to help us distinguish between real advances and unabashed efforts to scare us. If you are interested in penetrating the massive confusion surrounding health risks in the environment, this pithy book provides an indispensable primer.
*Science 2.0*

[An] excellent and informative book.
*Skeptical Inquirer*

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