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As a result of the COVID-19 pandemic, medical statistics and public health data have become staples of newsfeeds worldwide, with infection rates, deaths, case fatality and the mysterious R figure featuring regularly. However, we don't all have the statistical background needed to translate this information into knowledge. In this lively account, Stephen Senn explains these statistical phenomena and demonstrates how statistics is essential to making rational decisions about medical care. The second edition has been thoroughly updated to cover developments of the last two decades and includes a new chapter on medical statistical challenges of COVID-19, along with additional material on infectious disease modelling and representation of women in clinical trials. Senn entertains with anecdotes, puzzles and paradoxes, while tackling big themes including: clinical trials and the development of medicines, life tables, vaccines and their risks or lack of them, smoking and lung cancer, and even the power of prayer.
Statistics relating to troop mortality in the British Empire had been collected systematically from 1816, but the first serious analysis came in the late 1830s. Alexander Tulloch investigated the causes of sickness and mortality among soldiers, specifically concentrating on establishing the relationship between race and mortality. The reports of West India Regiment surgeons provided him with the largest and most comprehensive data available for any people of African descent. Although it was readily apparent that black soldiers generally had lower sickness and mortality rates than white troops in the West Indies, in Tulloch’s opinion the mortality of black troops should have been even lower. If the black soldier was naturally suited to a West Indian climate, then mortality should be closer to that of Africans in Africa or Europeans in Europe. They fact that it was higher meant, according to Tulloch, that Africans were unsuited to life beyond Africa. The importance of Tulloch’s publications on military mortality was that they appeared just as public interest in statistics exploded, and his research was circulated widely in military and medical publications, helping to shape ideas about black bodies far beyond military circles.
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