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Authors: Michael Blastland

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Probability sounds sensible enough, but whenever you reach for a firm and meaningful definition the concept loses shape – although it is a number, show us the scales or stick that you can measure it with. Egyptians, Greeks, Babylonians and others did amazing things with algebra, geometry, number theory and much more, but they never even got started on probability, and the omission is telling. DS says he has spent many years trying to work out why people find probability intuitively difficult and confusing. He has concluded that it is because probability is intuitively difficult and confusing. MB adds that he has often reported people’s communication of risk and found the communicators don’t really know what they are communicating. Just when anxious people most want clarity, they find muddle. There is a reason for that. It
is
a muddle. Norm, sadly, could never work that out.

The view that probability doesn’t exist is unusual but moderately respectable.
1
It is also liberating, as it means that we are free to use a variety of metaphors and analogies when talking about risk, chance or probability, free to look at it from multiple perspectives and accept that perspective matters.

For example, a 12 per cent risk of a heart attack is often communicated as ‘out of 100 men like you, in 10 years we expect 12 to have a heart attack or stroke’. But there are not 100 men like you, and the probability is not yours. A more gripping metaphor might be to say ‘of 100 ways that things may turn out for you over the next 10 years, in 12 of them you will have a heart attack or stroke.
*

So, which of the 100 are you this time? And when Prudence wonders if she is the one in 100 and says ‘What if …?’, has she a point? Or when Norm says she exaggerates, doesn’t he have one too? And when Kelvin says ‘so what?’, is he wrong?

Perhaps you have made your peace with the dual nature of risk, chance and probability, and you are comfortable with its elusiveness from a personal point of view. But if Norm, Prudence and Kelvin are not wrong to say what they say – each different, each to their own view of risk – then which is the right number for them? On the other hand, if you do happen to look up and see a falling piano …

Figure 36:
The authors’ calculations of MicroMorts per hazard

Sources: (
a
) Office for National Statistics. Mortality Statistics: Deaths registered in England and Wales (Series DR). 2011 Available from:
http://www.ons.gov.uk/ons/rel/vsob1/mortality-statistics--deaths-registered-in-england-and-wales--series-dr-/2010/index.html
[accessed 28 Nov 2011]. (
b
) Office for National Statistics. Child mortality statistics: Childhood, infant and perinatal. 2012. Available from:
http://www.ons.gov.uk/ons/rel/vsob1/child-mortality-statistics--childhood--infant-and-perinatal/2010/index.html
[accessed 9 May 2012]. (
c
) UN Inter-Agency Group for Child Mortality Estimation. Child Mortality Estimates. 2012. Available from:
http://www.childmortality.org/
[accessed 9 May 2012]. (
d
) Home Office. Homicides, Firearm Offences and Intimate Violence 2010/11: Supplementary Vol. 2 to Crime in England and Wales. 2012. Available from:
http://www.homeoffice.gov.uk/publications/science-research-statistics/research-statistics/crime-research/hosb0212/
[accessed 4 Nov 2012]. (e) Health Protection Agency. Measles notifications and deaths in England and Wales, 1940–2008. 2012. Available from:
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1195733835814
[accessed 13 May 2012]. (
f
) Royal College of Anaesthetists. Death or brain damage. 2009. Available from:
http://www.rcoa.ac.uk/document-store/death-or-brain-damage
[accessed 30 Oct 2012]. (
g
) World Health Organisation. Trends in maternal mortality: 1990–2010. WHO. 2012. Available from:
http://www.who.int/reproductivehealth/publications/monitoring/9789241503631/en/index.html
[accessed 14 Nov 2012]. (
h
) National Patient Safety Agency. Quarterly Data Summaries. Available from:
http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/?entryid45=133687
[accessed 29 Jan 2013]. (
j
) Care Quality Commission. Survival Rates – Heart Surgery in United Kingdom, 2008–9. 2009. Available from:
http://heartsurgery.cqc.org.uk/survival.aspx
[accessed 25 Nov 2012]. (
k
) Bird, S., Fairweather, C. Recent military fatalities in Afghanistan by cause and nationality: Period 15, 5 September 2011 to 22 January 2012. Available from:
http://www.mrc-bsu.cam.ac.uk/Publications/PDFs/PERIOD_15_fatalities_in_Afghanistan_by_cause_and_nationality.pdf
[accessed 16 Nov 2012]. (
l
) Wikipedia. RAF Bomber Command. Wikipedia, the free encyclopedia. 2013. Available from:
http://en.wikipedia.org/w/index.php?title=RAF_Bomber_Command&oldid=531643454
[accessed 29 Jan 2013]. (
m
) Department for Transport. Reported road casualties Great Britain: main results 2010. 2011. Available from:
http://www.dft.gov.uk/statistics/releases/reported-road-casualties-gb-main-results-2010
[accessed 28 Nov 2011]. (
n
) Rail Safety and Standards Board. Annual Safety Performance Report 2010/11. 2011. Available from:
http://www.rssb.co.uk/SPR/REPORTS/Documents/ASPR%202010-11%20Final.pdf
. (
p
) NTSB National Transportation Safety Board. NTSB – Aviation Statistical Reports. Available from:
http://www.ntsb.gov/data/aviation_stats.html
[accessed 29 Oct 2012]. (
q
) British Sub-Aqua Club. UK Diving Fatalities Review. Available from:
http://www.bsac.com/page.asp?section=3780§ionTitle=UK+Diving+Fatalities+Review
[accessed 20 Jan 2012]. (
r
) Health Safety Executive. Risk education - Statistics. 2003. Available from:
http://www.hse.gov.uk/education/statistics.htm
[accessed 26 Nov 2012]. (
s
) British Parachute Association. How Safe. 2012. Available from:
http://www.bpa.org.uk/staysafe/how-safe/
[accessed 26 Nov 2012]. (
t
) Redelmeier, D.A., Greenwald, J.A. Competing Risks of Mortality with marathons: retrospective analysis.
BMJ
. 2007 Dec 22;335(7633):1275–7. (
u
) King, L.A., Corkery, J.M., An Index of Fatal Toxicity for Drugs of Misuse.
Hum Psychopharmacol
. 2010 Mar;25(2):162–6; Home Office. Drug Misuse Declared: Findings from the 2010/11 British Crime Survey England and Wales. 2011. Available from:
http://www.homeoffice.gov.uk/publications/science-research-statistics/research-statistics/crime-research/hosb1211/
[accessed 14 Nov 2012]. (
v
) National Research Council.
Defending Planet Earth: Near-Earth Object Surveys and Hazard Mitigation Strategies
(Washington, D.C.: The National Academies Press, 2010).

Figure 37:
Average MicroLives (1/2 hour of life-expectancy) lost or gained per day of exposure to a specified hazard ratio for all-cause mortality, averaged over life after 35

Sources: (
a
) Doll, R. Mortality in Relation to Smoking: 50 Years’ Observations on Male British Doctors.
BMJ
. 2004 Jun 26;328:1519–20. (
b
) Di Castelnuovo, A., Costanzo, S., Bagnardi, V., Donati, M.B., Iacoviello, L., De Gaetano, G. Alcohol Dosing and Total Mortality in Men and Women: An Updated Meta-Analysis of 34 Prospective Studies.
Arch. Intern. Med
. 2006 Dec 11;166(22):2437–45. (
c
) Prospective Studies Collaboration. Body-Mass Index and Cause-Specific Mortality in 900,000 Adults: Collaborative Analyses of 57 Prospective Studies.
The Lancet.
2009 Mar;373:1083–96. (
d
) Wijndaele, K., Brage, S., Besson, H., Khaw, K.-T., Sharp, S.J., Luben, R., et al. Television Viewing Time Independently Predicts All-Cause and Cardiovascular Mortality: The EPIC Norfolk Study.
Int. J. Epidemiol
. 2011 Feb 1;40(1):150–9. (
e
) Pan, A., Sun, Q., Bernstein, A.M., Schulze, M.B., Manson, J.E., Stampfer, M.J., et al. Red Meat Consumption and Mortality: Results from 2 Prospective Cohort Studies.
Arch Intern Med
. 2012 Apr 9;172(7):555–63. (
f
) Khaw, K.-T., Wareham, N., Bingham, S., Welch, A., Luben, R., Day, N. Combined Impact of Health Behaviours and Mortality in Men and Women: The EPIC-Norfolk Prospective Population Study.
PLoS Med
. 2008 Jan 8;5(1):e12. (
g
) Freedman, N.D., Park, Y., Abnet, C.C., Hollenbeck, A.R., Sinha, R. Association of Coffee Drinking with Total and Cause-Specific Mortality.
N. Engl. J. Med
. 2012 May 17;366(20):1891–904. (
h
) Woodcock, J., Franco, O.H., Orsini, N., Roberts, I. Non-Vigorous Physical Activity and All-Cause Mortality: Systematic Review and Meta-Analysis of Cohort Studies.
Int.J Epidemiol
. 2011 Feb;40(1):121–38. (
j
) Ray, K.K., Seshasai, S.R.K., Erqou, S., Sever, P., Jukema, J.W., Ford, I., et al. Statins and All-Cause Mortality in High-Risk Primary Prevention: A Meta-Analysis of 11 Randomized Controlled Trials Involving 65,229 Participants.
Arch. Intern. Med
. 2010 Jun 28;170(12):1024–31. (
k
) Pope, C.A., Ezzati, M., Dockery, D.W. Fine-Particulate Air Pollution and Life Expectancy in the United States.
New England Journal of Medicine
. 2009;360(4):376–86. (
l
) Office for National Statistics. Interim Life Tables, 2008–10. Available from:
http://www.ons.gov.uk/ons/rel/lifetables/interim-life-tables/2008-2010/index.html
[accessed 13 Feb 2012]. (
m
) Human Mortality Database. 2012. Available from:
http://www.mortality.org/
[accessed 8 Aug 2012].

BOOK: The Norm Chronicles
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