We spent ages... working... for child heart surgery... such a delicate area, trying to find the wording for... random error or binomial variability..… - David Spiegelhalter

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We spent ages... working... for child heart surgery... such a delicate area, trying to find the wording for... random error or binomial variability... [Y]ou can give a percentage... 95% . Well, am I going to be one of the 5% or one of the 95%? We don't know. It's just chance or luck, fortune. We can't... use those words in... delicate situations... operating on children... Then we came up with a good phrase... which we used and tested on parents... It's "unforeseeable factors," not "unforeseen factors," because that would suggest someone's to blame... [T]he unforeseeable factors could lead some people to... not survive the operation, and some to survive. So... we can put you in a group, but we can't go beyond that... [O]nly what develops over time, in terms of complications, or something like that, could... put... you in one group or another. "Unforeseeable factors," I really like that phrase. I try to use it all the time, I recommend it.

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About David Spiegelhalter

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.

Also Known As

Birth Name: David John Spiegelhalter
Alternative Names: David J Spiegelhalter David J. Spiegelhalter Sir David John Spiegelhalter
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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.

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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In the trials that led to the vaccines... adverse events were reported by 38% of those receiving the real vaccine... 28% of those who received the control [dummy, or fake vaccine, of which some were meningitis vaccine] also reported a side-effect. ...[F]ewer than 1% reported a serious adverse event, and of these... slightly more had received the dummy than the active vaccine. ...So there was no evidence of increased risk ...

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