Alright so here's the scoop!

I published a chart earlier today that was a response to misinformation that has been spreading within antivaxx websites. This chart was summarized by the official Israeli Pandemic Info Center @PandemicInfoIL here. (flow of error drawn by me)

/1
The OWID (Our World In Data) team imports from the JHU data repository, which connects to the Israeli MOH repository.

As of now, the information is correct, showing far less of a spike as the graph that is making the rounds.

/2
My understanding from the github provided by the JHU authors is that that the MOH in Israel had a duplication error, that led to days being "recounted" at the date of report, rather than the date of death. This type of duplication *was* not intentional.

/3
The net result was *misinformation*. Remember, misinformation need not be intentional. People remain misinformed that suicides have increased in 2020 despite having no intent to lie, it's just wrong.

OWID imports faithfully, as did google and other places, from JHU.

/4
In my original tweet, I was angry about the careless representation of data, primarily because the inflated numbers were being cited by a number of antivaxxers, citing OWID data. When I saw Israeli's MOH's clarification, I pointed the finger at OWID.

/5
Was that fair? probably not, they are posting data as JHU gets it. Yet still, OWID was propagating misinformation. JHU didn't error-check a discoverable duplication but JHU is volunteers doing the best they can. Still, JHU propagated misinformation.

/6
And the Israeli MOH didn't have the duplication on their own dashboard their data export had a duplication in it which was the spark of the misinformation that was propagated by JHU and OWID, so they were the source of the misinformation to begin with.

/7
Regardless, it caught hold. In Israel and outside, antivaxxers seized on the information to claim that it was proof that vaccines don't work, because hundreds new were dying.

/8
I still feel it was fair to call the *spread OWID data* as misinformation but it was not fair to call them careless. I think I would like to challenge that JHU should have better data integrity checking , but I've been reminded they're volunteers.

/9
I have no apology about calling OWID data "significantly errored", though I could have said "OWID, JHU, and Israeli MOH data had significant errors in it".

This is not the first time JHU, OWID, or worldometers have made mistakes with reported death date or data dumps.

/10
This goes to a central point - we need more robust error checking and there was significant harm from the errors. Governments need to start doing the work of central reporting mechanisms though JHU has boldly gone where was needed.

/11
I will remind all "dataologists" that our data is BEING SCRUTINIZED BY DISINFORMATION SPREADERS, so we have to be super duper duper duper careful. Can I call the chain of "israeli death reporting" from IMOH to OWID super duper duper duper careful? no.

/12
I experienced significant defensiveness and passive aggressiveness from people who don't understand where my anger lies - i don't care who gets it wrong, one it's wrong it spreads quick.

I do believe "data geeks" sometimes forget the real world implications/impacts of works.
/10
I still don't know why JHU and OWID and worldometers don't contain explicit popups and labels talking about vaccination protection, the importance of vaccines. sometimes they live in this "silicon valley" idea that simply putting out data is "good."

/11
data requires expertise to process. even if the error was innocent, an expert detected it, and an expert corrected it. "putting it out there" was of no benefit that I can tell, except to fuel misinformation stories.

/12
data that is released should be sourced/released AND expertly disclaimed/described. We have had enough evidence over the decade bullshit spreads faster than truth.

This would let noble projects like OWID and JHU be part of fixing the pandemic, not being used to worsen it.

/13
So i do apologize to OWID for stating they were careless, they did their best yet still were part of a misinformation cycle.

And I still hope they, JHU, and governments that supply the information do better to prevent misinformation.
And as a side note, people working with data should really know the difference between misinformation (incorrect information being spread) and disinformation (intentionally creating or disseminating misinformation).

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More from @tylerblack32

Feb 16
A disappointing (unfortunately not unexpected) result but good science; care management OR DBT skills did not decrease self harm (severe or broader definition), and in fact, DBT skills resulted in worse outcomes.
DBT is an important therapy for many reasons, but it is not magic. It is being hyped beyond its abilities in the management of suicidal patients, and most modern interpretations of its effect size are vanishingly small (0.15-0.25).
I still recommend DBT (not skills training, the full meal deal) for people who need gigantic containing therapies (multiple times per week, nighttime coaching, etc), and believe that many benefit from it.
Read 8 tweets
Feb 16
GUNS & SUICIDE & THE PANDEMIC

I took a quick look at suicide deaths by gun vs non-gun. A very bizarre pandemic shift has been observed in 2020-2021.

Here is the graph for Americans 19-29 years old (will explain why); showing a huge jump in gun suicides.

/1 Image
This is the same graph for 8-18 years. while the lines didn't cross, you can clearly see a strong increase in gun suicides and no change in non-gun suicides.

/2 Image
This is the same graph for 30-59 years. Again, a huge drop is seen in non-gun suicides whereas gun suicides lifted slightly in 2021 but not 2020.

/3 Image
Read 14 tweets
Feb 15
USA Suicidology Update, 2020-2021
********
I can now create a 2021 provisional estimate, with error, for the suicide rates for 2021. My method will be described at the end of the thread.

Contrary to the #moralpanic 2020-2021 suicide rates did NOT increase.

/1 Image
The rate for both males and females in the United States will likely be within the expected fluctuation of the previous years, and still less than the "peak" of 2018 pre-pandemic.

/2
For Adults 61-84, likely a slight uptick for men but within 2019 levels, and for women no overall change.

/3 Image
Read 11 tweets
Feb 12
Study out of southern switzerland. Measures of depression, anxiety, and stress varied as the pandemic went on, but overall numbers not particuarly high compared to other reported numbers. they did increase, however.
Interesting conclusion:

"anxiety and stress almost doubled over ten months following the end of the first pandemic wave. However... psychological distress may not be worse compared with pre-pandemic, and may in fact be less marked than in neighbouring countries in Europe."
super important, people who had chronic diseases far more impacted than those without.
Read 7 tweets
Feb 12
Reviewing a PUBLISHED PEER REVIEWED paper about anxiety prevalence during the pandemic in the UK, and the authors commented that because this funnel plot is symmetrical, publication bias is unlikely.

NONE OF THE STUDIES ARE IN THE FUNNEL!!!!!
Funnel plots are supposed to give you confidence that the estimate is not biased. Usually, it's to "show you if there is a bias around the mean."

In this case, the funnel plot serves to tell us to simply throw out the effect size.
As the error gets smaller, the certainty range is supposed to get smaller, that's the entire point of the funnel plot.

This is simply a metaanalysis of randomness.
Read 8 tweets
Feb 12
I really don't miss the hubris of old doctors who love to wax poetic about how great things were before modern ideas took over. It could be about some new technology or theory or idea. But it always goes back to "it was worse than we were before".

I dislike it so much.

/1
First, there are few things in healthcare that were better 100 years ago. Mortality rates were higher, life expectancy of his lower, outcomes were much worse, and treatments much more inhumane.

/2
Second, in almost always centers especially in the West around whiteness and ableism. There may be some who found it better earlier, but I promise you there are many groups who would never go back in time if given the chance.

/3
Read 9 tweets

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