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" "[W]e tend to think... of something that's going to happen... soon, or is well understood as risk, but if we're talking about what will happen in the world in ten years time. Who's going to start putting chances on this. You'd be... deluded... There's much... deeper uncertainty or... radical uncertainty...
Sir David John Spiegelhalter (born 16 August 1953) is a British statistician and a Fellow of . From 2007 to 2018 he was in the Statistical Laboratory at the University of Cambridge. He is an ISI highly cited researcher and current Chair of the Winton Centre for Risk and Evidence Communication in the . In 2020 he joined the UK Statistics Authority board as a non-executive director for a period of three years, which was extended through to 2026.
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When it comes to vaccines and infectious diseases, nobody is an individual... [With] [i]nfectious diseases... measles when it comes to vaccine decisions, or COVID-19 when it comes to taking precautions, we're not individuals. We are members of society, and there's no... "optimize your individual situation." You have... an absolute responsibility... to protect the people around you, particularly the vulnerable... [T]hat's why... people who avoid vaccinating their kids is outrageous and irresponsible... they are endangering weaker kids who might not be able to have the vaccines because their immune system is compromised or for some [other] reason... [S]imilarly, if young... healthy people... not... harmed by the virus, go around being irresponsible, they are endangering the lives of older people surrounding them, in particular, their own family.
We know from studying and going... back to Geoffrey Rose's idea that the biggest impact on public health... is not by picking out the real high-risk people and maybe stopping them drinking. It's by reducing the exposure of the vast mass of people at intermediate risk. So... the biggest impact on public health would be if everybody drank a little bit less... But the problem... is the Rose paradox... the very people you want to change the behavior [of] are the ones who don't see why they should change their behavior, because the impact is minimal. They won't notice the benefits. You're asking them to give up something they enjoy for the benefit... they will... never notice... [I]t's only noticeable when... multiplied... ten million times./* Understanding Risk (Mar 24, 2020) */Ref: "a large number of people at a small risk may give rise to more cases of disease than the small number who are at
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We find it very difficult to deal with... low numbers, one in a million, one in a billion... Once I have to start counting the zeros, all intuition and feeling goes. So it's hopeless, and of course we're bad at it. Why should we be good at doing that sort of thing? ...[I]t's more and more reported that people will use this expected frequency format, where instead of talking about... .03 per person year... What does that mean, for heaven's sakes. It's absolutely ridiculous scientific language for something. No, what you say is, out of 100 people... we would expect 3 for this to happen each year. ...You talk about a specific group of people, which you can... draw a... picture of... and that helps enormously. You... want to bring things to... whole numbers, small numbers, preferably between 1 and 100, or between 1 and 50... magnitudes that people have got a feeling for, and... no decimal places, no multiple zeros. You've got to get rid of all of that. You've got to get things to units people can understand, preferably on a scale of 1 to 10.