The science myths that will not die
False beliefs and wishful thinking about the human experience are common. They are hurting people — and holding back science.
In 1997, physicians in southwest Korea began to offer ultrasound screening for early detection of thyroid cancer. News of the programme spread, and soon physicians around the region began to offer the service. Eventually it went nationwide, piggybacking on a government initiative to screen for other cancers. Hundreds of thousands took the test for just US$30–50.
Across the country, detection of thyroid cancer soared, from 5 cases per 100,000 people in 1999 to 70 per 100,000 in 2011. Two-thirds of those diagnosed had their thyroid glands removed and were placed on lifelong drug regimens, both of which carry risks.
Such a costly and extensive publichealth programme might be expected to save lives. Yet, this one did not. Thyroid cancer is now the most common type of cancer diagnosed in South Korea, but the number of people who die from it has remained exactly the same — about 1 per 100,000. Even when some physicians in Korea realized that, and suggested that thyroid screening be stopped in 2014, the Korean Thyroid Association, a professional society of endocrinologists and thyroid surgeons, argued that screening and treatment were basic human rights. In Korea, as elsewhere, the idea that the early detection of any cancer saves lives had become an unshakeable belief.
This blind faith in cancer screening is an example of how ideas about human biology and behaviour can persist among people — including scientists — even though the scientific evidence shows the concepts to be false. “Scientists think they’re too objective to believe in something as folklore-ish as a myth,” says Nicholas Spitzer, director of the Kavli Institute for Brain and Mind at the University of California, San Diego. Yet they do.
These myths often blossom from a seed of a fact — early detection does save lives for some cancers — and thrive on human desires or anxieties, such as a fear of death. But they can do harm by, for instance, driving people to pursue unnecessary treatment or spend money on unproven products. They can also derail or forestall promising research by distracting scientists or monopolizing funding. And dispelling them is tricky.
Scientists should work to discredit myths, but they also have a responsibility to try to prevent new ones from arising, says Paul Howard-Jones, who studies neuroscience and education at the University of Bristol, UK. “We need to look deeper to understand how they come about in the first place and why they’re so prevalent and persistent.”
Some dangerous myths get plenty of air time: vaccines cause autism, HIV doesn’t cause AIDS. But many others swirl about, too, harming people, sucking up money, muddying the scientific enterprise — or simply getting on scientists’ nerves.
Once a myth is here, it is often here to stay. Psychological studies suggest that the very act of attempting to dispel a myth leads to stronger attachment to it. In one experiment, exposure to pro-vaccination messages reduced parents’ intention to vaccinate their children in the United States. In another, correcting misleading claims from politicians increased false beliefs among those who already held them. “Myths are almost impossible to eradicate,” says Spitzer. “The more you disprove it, often the more hard core it becomes.”
(adapted from www.nature.com, December, 16th 2015)
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