Doubt is Their Product: How Industry's Assault on Science Threatens Your Health

a book by David Michaels


Review

By the early 1980s, for instance, studies had shown that children who took aspirin when they had a viral infection such as chickenpox were at greater risk of developing Reye's syndrome..... Desperate to protect their market, aspirin makers claimed the science was flawed, called for more research (a constant refrain), and ran public-service announcements assuring parents, "We do know that no medication has been proven to cause Reye's." The campaign delayed by years the requirement that aspirin carry a warning label about children and Reye's. In the interim, thousands of kids developed Reye's. Hundreds died. Review

"Product-defense firms" have sprung up to spin the science and manufacture doubt—proudly. One boasted on its Web site of persuading the Food and Drug Administration to let an unnamed drug stay on the market for "10 additional years of sales" before the FDA banned it for harming people. Review

"It's quite easy to take a positive result [showing harmful effects] and turn it falsely negative. This epidemiological alchemy is used widely." The alchemy is all in how you design your study and massage the data. Want to show that chemical x does not raise the risk of cancer? Then follow the exposed population for only a few years, since the cancers that most chemicals cause take 20 or 30 years to show up. Since workers are healthier than the general population, they start with a lower death rate; only by comparing rates of something the chemical is specifically suspected of causing—a particular lung disease, perhaps—can you detect a problem. Or, combine data on groups who got a lot of the suspect chemical, such as factory workers, with those who got little or none, perhaps their white-collar bosses. The low disease rates in the latter will dilute the high rates in the former, making it seem that x isn't that toxic. All these ruses have been used, delaying government action on chemicals including benzene, vinyl chloride, asbestos, chromium, beryllium and a long list of others that cause cancer in humans. "Any competent epidemiologist can employ particular tricks of the trade when certain results are desired," Michaels writes. Review