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Jewish World Review
January 14, 2008
/ 7 Shevat 5768
Top medical journal's outlandish political exaggeration
Few medical journals have the storied reputation of The Lancet, a British
publication founded in 1823. In the course of its long history, The Lancet has
published work of exceptional influence, such as Joseph Lister's principles of
antiseptics in 1867 and Howard Florey's Nobel Prize-winning discoveries on
penicillin in 1940. Today it is one of the most frequently cited medical
journals in the world.
So naturally there was great interest when the Lancet published a study in
October 2006, three weeks before the midterm US elections, reporting that
655,000 people had died in Iraq as a result of the US-led war.
Hundreds of news outlets, to say nothing of antiwar activists and lawmakers,
publicized the astonishing figure, which was more than 10 times the death toll
estimated by other sources. The Iraqi health ministry, for example, put the
mortality level through June 2006 at 50,000. Iraq Body Count, a nonpartisan
anti-war group that maintains a public database of the war's victims, tallied
some 45,000 Iraqi dead. If The Lancet's number was accurate, more Iraqis had
died in the 2½ years since the US invasion than during the eight-year war with
President Bush, asked about the study, dismissed it out of hand: "I don't
consider it a credible report." Tony Blair's spokesman also brushed it off as
"not . . . anywhere near accurate."
But the media played it up, for the most part unquestioningly. "One in 40
Iraqis killed since invasion," blared a front-page headline in the Guardian, a
leading British paper. CNN.com's story began: "War has wiped out about 655,000
Iraqis, or more than 500 people a day, since the US-led invasion, a new study
reports." The CBS Evening News announced "a new and stunning measure of the
havoc the American invasion unleashed in Iraq.... 655,000 Iraqis -- 2.5 percent
of the entire population -- have died as a consequence of the war."
Few journalists questioned the integrity of the study or its authors, Gilbert
Burnham and Les Roberts of Johns Hopkins University's Bloomberg School of
Public Health, and Iraqi scientist Riyadh Lafta. NPR's Richard Harris reported
asking Burnham, "Right before the election you're making this announcement. Is
this politically motivated? And he said, no, it's not politically motivated."
Burnham told Newsweek the same thing: "There's no political motivation in this.
I feel very confident in the numbers."
But the truth, it turns out, is that the report was drenched with politics, and
its jaw-dropping conclusions should have inspired anything but confidence.
In an extensively researched cover story last week, National Journal took a
close look under the hood of the Lancet/Johns Hopkins study. Reporters Neil
Munro and Carl M. Cannon found that it was marred by grave flaws, such as
unsupervised Iraqi survey teams, and survey samples that were too small to be
statistically valid. The study's authors refused to release most of their
underlying data so other researchers could double-check it. The single disk
they finally, grudgingly, supplied contained suspicious evidence of
"data-heaping" -- that is, fabricated numbers. Researchers failed to gather
basic demographic data from those they interviewed, a key safeguard against
"They failed to do any of the [routine] things to prevent fabrication," Fritz
Scheuren, vice president for statistics at the National Opinion Research
Center, told the reporters.
Bad as the study's methodological defects were, its political taint was worse:
Much of the funding for the study came from the Open Society Institute of
leftist billionaire George Soros, a strident critic of the Iraq war who, as Munro
and Cannon point out, "spent $30 million trying to defeat Bush in 2004."
Coauthors Burnham and Roberts were avowed opponents of the Iraq war, and
submitted their report to The Lancet on the condition that it be published before
the election. Roberts, a self-described "advocate" committed to "ending the war,"
even sought the Democratic nomination for New York's 24th Congressional District.
"It was a combination of Iraq and Katrina that just put me over the top," he told
Lancet editor Richard Horton "also makes no secret of his leftist politics,"
Munro and Cannon write. At a September 2006 rally, he publicly denounced "this axis
of Anglo-American imperialism" for causing "millions of people . . . to die in
poverty and disease." Under Horton, The Lancet has increasingly been accused of
shoddiness and sensationalism. In 2005, 30 leading British scientists blasted
Horton's "desperate headline-seeking" and charged him with running "badly conducted
and poorly refereed scare stories."
The claim that the US-led invasion of Iraq had triggered a slaughter of almost
Rwandan proportions was a gross and outlandish exaggeration; it should have
been greeted with extreme skepticism. But because it served the interests of
those eager to discredit the war as a moral catastrophe, common-sense standards
were ignored. "In our view," the Baltimore Sun editorialized, "the Hopkins
study stands until someone knocks it down."
Now someone has, devastatingly. But will the debunking be trumpeted as loudly
and clearly as the original report? Don't hold your breath.
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