Vaccines are “unavoidably unsafe,” but that doesn’t mean they are dangerous

vaccineI have increasingly seen anti-vaccers citing the fact that vaccines are considered “unavoidably unsafe,” as proof that vaccines are dangerous and should be avoided. In reality, however, the term “unavoidably unsafe” is just legal jargon that does not mean what anti-vaccers think it means. So let’s talk about what it actually means

The first thing to realize is that this is a legal term, not a scientific one. This is not a term that scientists use when doing risk assessments or testing the safety of drugs. So right off the bat, we have a huge problem because this argument is conflating legal terms with scientific ones (I’ll return to that at the end). So what does this legal term actually mean?

Basically, it means that there is nothing that can be done to make the product safer without compromising the function of the product. The term comes from the legal document, “Restatement (Second) of Torts, Section 402A,” and it is about protecting manufacturers from frivolous law suits, not about providing consumers with health information. The basic idea is simply that companies cannot be held accountable for an injury that arises from unavoidably unsafe products because there was nothing that the company could have done to prevent that injury (inherent in this term is the requirement that the product was manufactured correctly, labelled correctly with adequate instructions for how to administer it, etc.).

Let me give you an example of what that means. The term is generally not applied to food, but if it was, peanut butter could be considered unavoidably unsafe, because some people have allergic reactions to peanut butter, and there is nothing that a peanut butter company can do to prevent that. In other words, there is no way to manufacture peanut butter without that risk being present. Thus (assuming that the product was manufactured and labelled correctly), a peanut butter company would not be liable if someone had an allergic reaction to the peanut butter, because that reaction was not the result of manufacture negligence. Now, does that mean that peanut butter is dangerous? No, obviously not. For the majority of us it is perfectly fine. “Unavoidably unsafe” does not mean that a product is dangerous and should be avoided. Rather, it simply means that are risks that cannot be removed.

When we apply that to vaccines, we see the same thing. Vaccines have side effects. No one has ever denied that, but serious side effects are rare, and the benefits far outweigh the risks. Indeed, Section 402A specified that “unavoidably unsafe” products should have benefits that outweigh their risks. So labeling vaccines as unavoidably unsafe absolutely does not mean that they are dangerous and should be avoided. It simply means that there are risks that are not manufacture’s fault. Also, just to be 100% clear here, everything has risks, including the decision not to vaccinate. People often focus on the risk of taking an action and ignore the risk from not taking that action, but a correct risk assessment has to consider both, and for vaccines, the risk from not vaccinating is much higher than the risk from vaccinating.

Finally, I want to return to me previous comment about this being a legal term not a scientific term. Those who deny science frequently like to cite courts, legal documents, etc. as evidence of their position, but that is simply not how science works. Even if a legal body like the Supreme Court had said that vaccines are dangerous, that would not be evidence that vaccines are dangerous. Lawyers and judges are not scientists. When they make a statement about science, they are stepping outside of their area of expertise. Further, even if they were scientists, that wouldn’t turn what they say into a fact. In other words, when they say something it doesn’t automatically become true. Whether or not something is a fact has to be determined by conducting studies. That is where scientific evidence comes from, and scientific studies overwhelmingly support the safety and effectiveness of vaccines. Trying to use a legal ruling as evidence against scientific studies is foolhardy. It is also pretty ironic and hypocritical for anti-vaccers (a group that is notorious for distrusting the government) to cite a government ruling as if it gives them a checkmate.

In short, “unavoidably unsafe” is simply a legal term that means the manufacture is not liable because they cannot do anything to make the product safer. It does not mean that the product is dangerous and should be avoided.

Note: Some pedants may take issue with the way that I have been using the term “dangerous” and, admittedly, even some documents about “unavoidably unsafe” products use it in a way that is inconsistent with how we usually use the term. So, when I say “dangerous” I mean a product or activity with a high enough chance of causing harm and low enough benefits that it should be avoided. That does not mean, however, that there is no chance of something “safe” causing harm. Swimming, for example, is not something that I would usually consider “dangerous” even though death is possible. Swimming during a thunder storm, however, I would consider dangerous. See the difference?

Recommended further reading

Schwartz. 1985. Unavoidably unsafe products: Clarifying the meaning and policy behind comment K. Washington and Lee Law Review 42: 1139–1148.

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Posted in Vaccines/Alternative Medicine | Tagged , , | 8 Comments

Bt GMOs reduce pesticides, increase yields, and benefit farmers (including organic farmers)

Few technologies have been demonized to the same extent as genetic engineering. According to countless websites, GMOs are an evil scourge on the earth that destroy biodiversity, use exorbitant levels of pesticides, and hybridize rampantly with wild crops, and all of that is before we even get to the (largely false) claims about Monsanto. Reality, however, shows a rather different picture, especially when it comes to Bt GMOs, which are what I want to focus on for this post. You see, one of the problems with GMO debates is that people on both sides tend to lump all GMOs together, but there are actually lots of different types of GMOs with different properties and different pros and cons. Of these different types, Bt GMOs are arguably one of the best, and as I will show, they actually reduce pesticide use, increase crop yields (thus reducing land use), increase profits for farmers, and are safer for the environment than their conventional counterparts (including organic farming). Further, they actually benefit farmers who don’t grow GMOs by providing a protective “halo” around their farms that protect them from insect pests. As a result, non-GMO farms that are near Bt GMO farms actually use less pesticides and enjoy higher profits than they would without the GMO farms.

Note: Many Bt GMOs are not herbicide resistant (i.e., aren’t designed for use with glyphosate [aka roundup]), so if your issue with GMOs is that you don’t like glyphosate, you should be fine with many Bt GMO crops (also you should read the actual scientific literature on glyphosate).

Bt pesticides and Bt GMOs

Before we can talk about the benefits of Bt GMOs, we need to talk about the alternatives and history of Bt. Bt toxin is actually a crystalline protein produced by the bacteria Bacillus thuringiensis, and decades ago, scientists discovered that it was a very effective pesticide against certain groups of insects, while being safe for most other organisms. There are three reasons for this. First, the acidic stomachs of mammals (and many other animals) degrades the protein. Second, only part of the protein is potentially dangerous, and it has to be broken down in a highly alkaline environment (which is present in insect guts, but not most animals) to release the potentially dangerous part. Third, it operates by binding to specific receptors that are found on certain insect guts, but not the guts of other animals. Thus, its mode of action simply doesn’t work on humans and most other animals (for more details about mode of action, see Kumar and Chandra 2008 and this page from Harvard). As a result, it is safe for humans and most animals at anything but an extremely high dose (Mendelsohn et al. 2003; remember, even water is fatally toxic at a high dose [Garigan and Ristedt 1999]).

All of these properties make Bt toxin an ideal pesticide, and it was widely adopted, particularly for organic farming (yes, organic farming uses pesticides as well, just not “synthetic” pesticides). As far as pesticides go, it is a pretty safe one, but it is still not without problems. First, the spraying process takes time and money, uses water, burns fossil fuels, has to be done multiple times a year, etc. Additionally, when it is sprayed on crops, it kills a wide range of insects that were on the crops, not just the ones that actually eat the crops. Further, spraying has to be timed correctly, it doesn’t provide continuous protection, etc. Also, it is far from the only insecticide being used, and many are far worse for the environment. This is where GMOs come in.

Clever scientists figured out a way to genetically engineer plants to produce Bt toxin themselves. As a result, minimal spraying is needed, because the plant produces its own pesticide (keep in mind, this pesticide is very safe for humans). This saves farmers time and money, provides continuous protection (resulting in higher crop yields), and has fewer effects on non-target species. I’ll elaborate on all of these points below.

Note: Pesticides are simply chemicals used to kill pest species. Insecticides, herbicides, fungicides, etc. are all types of pesticides that target specific groups (insects, plants, and fungi, respectively).

Reduced pests, reduced pesticides, increased yields, and increased profits

I sometimes hear those who oppose GMOs claim that GMOs haven’t delivered on their promises, but when it comes to Bt GMOs (as well as most other GMOs), that is demonstrably false. Numerous studies have consistently confirmed that Bt GMOs greatly reduce pest populations, which results in less damage to the crops (Hutchison et al. 2010; Lu and Desneux 2012; Dively et al. 2018). Further, all of this is accomplished while using less pesticides (Shelton et al. 2002; Cattaneo 2006; Lu and Desneux 2012). This, of course, also translates to higher yields and higher profits for farmers (Shelton et al. 2002; Cattaneo 2006; Vitale et al. 2010). Indeed, one study estimated that over a 14 year period, Bt maize (aka corn) saved farmers in Illinois, Minnesota, and Wisconsin $3.2 billion, and saved farmers in Iowa and Nebraska $3.6 billion (Hutchison et al. 2010). So, don’t believe the anti-GMO horror story that GMOs are somehow bad for farmers. They aren’t. Farmers choose to use them because they benefit the farmers.

Note: The studies cited in this post came from a wide range of countries, not just developing countries. Australia, the USA, China, European countries, and African countries are all represented in the studies I cited throughout.

Environmental benefits

As explained in the previous section, Bt GMOs use significantly less pesticides than their conventional/organic counterparts. That reduction stems from the fact that non-GMO crops are frequently sprayed with insecticides; whereas the Bt GMOs produce their own insecticides, which greatly reduces the need for spraying pesticides. So, if your biggest concern with GMOs is that they use too many pesticides, then you should support Bt GMOs, because they use substantially less than other agriculture methods (including organic).

Because of the targeted nature of GMOs, this reduction in pesticide use translates directly to improved biodiversity, while still effectively killing pests. When a field is sprayed with an insecticide (even a fairly safe one like the Bt spray used in organic farming), a large range of insects in the field are affected, even if they aren’t pest species. In other words, things like bees and monarch butterflies (particularly their caterpillars) can be killed by the pesticide, even though they aren’t pest species and don’t eat the crops (depending on the pesticide, there can also be negative effects for other wildlife, aquatic ecosystems, etc). This is inevitable collateral damage from spraying pesticides. The Bt GMOs, however, are very targeted. Insects need to actually eat the plant to get the toxin. As a result, innocent, non-pest species that just happen to be in the field are largely unaffected. Plus, there are no pesticides running into waterways and the other negative effects of pesticides are eliminated.

To be clear, this isn’t speculative, dozens of studies have confirmed this. Indeed, several meta-analyses of the literature have found that Bt GMOs do not adversely affect non-target species, and, compared to crops that are sprayed with Bt, they have significantly better insect diversity (Marvier et al. 2007; Wolfenbarger et al. 2008; Comas et al. 2014). Additionally, one study found that by reducing the use of pesticides, Bt GMOs actually increased populations of insect predators, such as birds (Lu and Desneux 2012). So, if your concern with GMOs is biodiversity, then, once again, you should be supporting Bt GMOs, because they are demonstrably better than the alternatives.

Having said that, there are reports of some non-target insects being affected by Bt GMOs, but these are usually insects that specialize on eating or parasitising pest species (Wolfenbarger et al. 2008). So, in many cases, it’s not that the GMO itself harms them, but rather that the GMO kills their prey. Also, to be 100% clear, studies comparing Bt GMOs to conventional crops that are not sprayed at all have found that there is a slight difference in diversity levels (likely at least partially from the type of ecological interactions I just described; Whitehouse et al. 2005), but the expectation that most crops shouldn’t be sprayed at all is unrealistic (it is a nirvana fallacy) and would result in other environmental problems (e.g., increased land area, tilling methods that damage the soil, etc.).

It’s also worth explicitly stating that the safety of Bt GMOs still holds true even if we look at specific groups that people care greatly about, like bees and butterflies. There was initial concern that the pollen from Bt crops could adversely affect these groups, but that suggestion was based on unrealistic exposure levels, it ignored the fact that they are affected by sprays, and subsequent studies have failed to find evidence that these crops harm bees (Duan et al. 2008) and non-pest butterflies (Mendelsohn et al. 2003). Further, Bt GMOs have one final benefit: reduced habitat loss.

Habitat loss and fragmentation is the single biggest threat to biodiversity (Newbold et al. 2015; Wilson et al. 2016; Young et al. 2016). Further, conversion of natural lands to agriculture is the biggest cause of habitat loss (Foley et al. 2005; Phalan et al. 2016) and is well known to be a serious threat to conservation (Martinuzzi et al. 2015; Tilman et al. 2017). This is one of the key reasons why, as a conservation biologist, I support GMOs. They have a higher yield than conventional crops, which means that they need less land to grow the same amount of food. Therefore, from an environmental standpoint, they are tremendously beneficial. Indeed, increasing crop yields is often argued as a key strategy for preserving biodiversity (Phalan et al. 2016; Tilman et al. 2017).

Let me try to explain it this way. All agriculture is bad for biodiversity. When you take a natural forest or grassland, clear it, and plant crops, you will inevitably lose a large number of species that used to live there. People often seem to have this idyllic view of farms (particularly organic farms) as if all the animals and plants that lived in the forest before it was cleared will somehow continue to live in the organic farm field. This is a fairy tale. Even if you rotate your crops, never till the soil, and never use any pesticides, the biodiversity of that farm field will still be substantially lower than what it was before you turned it into a farm field, because the field doesn’t contain the various habitat types that many animals need (e.g., a forest species is not going to live in a field). People seem to have no trouble realizing this when it comes to things like clearing rainforests to grow palm oil, but for some reason, when it comes to crops in countries like the USA and European countries, people suddenly don’t seem to realize how harmful clearing land for agriculture actually is, but its negative effects on biodiversity are well-documented (Krauss et al. 2010; Martinuzzi et al. 2015). As a result, methods that increase yield (thus reducing land use) are extremely beneficial for conservation.

Benefits to non-GMO farmers

If you listen to the anti-GMO crowd, they often operate under the pretense of protecting farmers who don’t grow GMOs, but as usual, reality is quite different. Indeed, several studies have confirmed that non-GMO farmers benefit tremendously from having Bt GMO farms near them. This is the case because the Bt GMO farms protect the non-GMO farms via what has been called the “halo effect.” You see, the Bt GMOs do such a good job of killing pest species, that the populations for those species decline in the areas where Bt GMOs are grown (Carrière 2003; Wu et al. 2008; Dively et al. 2018). Additionally, as mentioned earlier, Bt GMOs result in increased populations of generalist predators (such as birds) compared to non-GMO crops, and these predators act as biological control agents on the fields in their area (Lu and Desneux 2012). As a result of both of these factors, in the areas around Bt GMO farms, there are fewer pest insects to attack the non-GMO crops, and non-GMO farmers enjoy less crop damage, higher yields, and higher profits than they would if there were no GMO farms around (Hutchison et al. 2010; Wan et al. 2012; Dively et al. 2018). Remember that study that I mentioned earlier that found that Bt corn saved farmers billions of dollars? In Illinois, Minnesota, and Wisconsin $2.4 billion of those savings were by non-GMO farmers, and in Iowa and Nebraska $1.9 billion were by non-GMO farmers. Further, this protective halo effect allows non-GMO farmers to use fewer pesticide applications than they would need to otherwise (Wu et al. 2008; Hutchison et al. 2010; Dively et al. 2018). So, both the environmental and economic benefits of Bt GMOs spill over into the non-GMO farms.

Benefits to human health

In addition to the benefits to the environment and farmers, Bt GMOs have also been demonstrated to be safer for humans because of reduced mycotoxins (Pellegrino et al. 2018). These are chemicals produced by fungi, and can end up in our food when fungi are growing on the crops. The Bt crops don’t actually kill the fungi, but they do kill the pest-insects that make habitats for the fungi. You see, the fungi like to grow in the holes created by pest insects chewing on the plants. So, fewer pest insects means fewer holes, which means less fungi and less mycotoxins (Pellegrino et al. 2018). I don’t want to oversell this, because, at least in first world countries, food is usually checked for mycotoxin contamination, so food with it usually gets thrown out. Nevertheless, the filtering process is not 100% effective, and they are still a concern. So, the Bt GMOs do in fact reduce your risk of this (also, they reduce food waste, by reducing the amount of infected crops that get thrown out).

What about pesticide resistance?

At this point, people usually bring up pesticide resistance. This is the evolved resistance to Bt toxin that ultimately causes Bt to be ineffective at controlling insect populations (it is analogous to antibiotic resistance). This certainly is a problem, but it is not a problem that is limited to GMOs. Indeed, insects were documented evolving resistance to Bt long before GMOs were available (remember, Bt is used as a spray in many non-GMO farms, including organic farms; McGaughey 1985; Tabashnik et al. 1990). So even if all the Bt GMO fields were replaced with organic fields (as some would like to see happen) we would still be having this problem because resistance to a widely used pesticide is an inevitable outcome of natural selection (at least inevitable without careful management).

The second problem with this argument is that resistance to Bt simply means that we can’t use Bt anymore. So, saying that we shouldn’t use Bt because it will create Bt resistant insects makes absolutely no sense. It is literally saying, “we shouldn’t use Bt, because if we use Bt we won’t be able to use Bt.”

Third, although resistance is a problem, it is not an insurmountable one. One current strategy that is widely used is to have “refuge” fields that are not Bt GMOs and are not treated with Bt (Siegfried and Hellmich 2012). Indeed, in the USA, the EPA requires farmers who use Bt corn to have at least 20% of their fields as refuge fields. This is a good strategy because of how natural selection works. I don’t want to get too bogged down in the details here, but in short, Bt GMOs (or Bt sprays) kill the majority of pest insects in the field, and only a handful that have alleles that are resistant to Bt will survive. If those insects mate with each other, we will quickly get a resistant population where all the insects have resistant alleles. By having a nearby refuge, however, we have a large population that is not resistant, making it more likely that the resistant insects will mate with the non-resistant insects, and the alleles for being resistant will be diluted. Indeed, it is well known that gene flow can swamp adaptation in this way (Kawecki and Ebert 2004; Foster et al. 2007; Funk et al. 2012; read this series for more about how evolutionary mechanisms work). Other strategies are also being developed and tested, so this is very much a situation where we should take the necessary precautions to prevent insect resistant, but there is no reason to use insect resistance as a general argument against the crops. As the old saying goes, don’t throw the baby out with the bathwater.

Conclusion

In short, Bt GMOs have tremendous benefits and are actually the opposite of most anti-GMO claims. For example, GMO opponents claim that GMOs increase pesticide use, but Bt GMOs greatly reduce it. Similarly, you may have heard the claim that GMOs are bad for biodiversity, but Bt GMOs are actually far better for it than non-GMO crops (including organic crops) because they are more targeted and have fewer effects on non-target species. Further, habitat loss is the dominant threat to biodiversity, but because Bt GMOs increase yields, they reduce the need for clearing habitat for agriculture. Additionally, they benefit farmers by increasing yields and profits, and they even benefit non-GMO farmers by providing a protective “halo” that increases the non-GMO farmers’ yields and profits and reduces their need for pesticides. So, from both an environmental and economic standpoint, Bt GMOs are better than the conventional and organic alternatives.

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Literature Cited

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Life constantly arises from “nonliving matter”

Creationists often argue that scientists’ lack of knowledge about how the first cell arose is evidence that life could not have arisen “spontaneously from nonliving matter.” There are numerous problems with this argument, some of which I have dealt with before. For example, it is entirely an argument from ignorance fallacy (details here). Further, although it is often used as an argument “against evolution” it is actually an entirely separate concept from the theory of evolution, and the two theories do not rely on each other (details here). In this post, however, I want to focus on a different aspect of this argument. Namely, the fact that it isn’t actually true. Life arises spontaneously from “nonliving matter” all the time. Creationists simply frame the argument in a deceptive way that ignores the chemical nature of living organisms. Every time an organism reproduces, life is arising from nonliving matter. Now, creationists will, of course, object to that claim because that new life came from the reproduction of another living organism, but that is actually entirely irrelevant. As I will explain in detail, life itself is simply a product of highly complex chemistry, and the process of reproduction consists entirely of chemical reactions among nonliving atoms. The living organism simply provides the environment in which that chemistry can take place.

Definition of “spontaneous”

The first thing that we need to talk about in this discussion is the definition of “spontaneous.” In chemistry, spontaneous has a specific meaning. It gets a bit technical with concepts like entropy, but the easiest way to understand it is that a spontaneous reaction is exothermic (meaning that it releases energy into the environment), whereas a nonspontaneous reaction is endothermic (meaning that it requires energy from the environment). This is an oversimplification, but that is not really important for this post.

The definition used by chemists is not, however, generally what creationists mean when they talk about a “spontaneous” formation of life. Rather, they seem to mean simply an event that could happen naturally without conscious intervention. Although not technical, we can use this definition, but I think we need to carefully clarify it at the outset. By this definition, given the right environmental conditions (including temperature, enzymes, etc.) any chemical reaction is spontaneous. Imagine, for example, that I take a small salt crystal, and drop it into water. The salt will dissolve because the positive sodium ions will be attracted to the negative part of water molecules, while the negative chloride ions will be attracted to the positive part of water molecules (water is a polar molecule). That reaction is (by creationists’ definition) spontaneous. It is an inevitable outcome of the chemistry. No one has to sit there and will the molecules to interact with each other. They just do so automatically because of the way that charges, electrons, etc. behave. You might try to quibble over this example because it involved me (a conscious entity) dropping the salt into the water, but we can easily think of situations where the chemicals would meet without intervention (e.g., a cliff eroding into a lake).

This may seem straightforward so far, but it is critical to clarify that this definition of spontaneous must still apply even when we are talking about reactions that occur inside a living organism. Take photosynthesis, for example. Plants take in water (H2O) and carbon dioxide (CO2) and through a complex series of chemical reactions, they produce oxygen (O2) and glucose (C6H12O6). Various enzymes are involved, and the reaction is endothermic and requires energy from the sun. Thus, it is not spontaneous by the technical chemical definition, but it is spontaneous by the definition that creationists use when they say things like, “life can’t spontaneously arise.” In other words, it is an inevitable outcome of the chemistry in that environment. When you have those chemicals (including the various enzymes, etc.) plus an input of energy from the sun, the reaction will happen. No one has to force the individual atoms to interact.

Note: I will use this definition of spontaneous throughout.

Everything is nonliving matter

There is no such thing as living matter. The dichotomy between “living’ and “nonliving” matter is a completely false one that is perpetuated by the way that all of us (including scientists) talk, but it is a critical topic when it comes to abiogenesis, because creationists entire argument hinges on this false distinction between living and nonliving matter.

The problem here is that matter is never alive, but when it is arranged in certain ways, it results in chemical reactions that produce the property known as life. In other words, living organism are composed entirely of nonliving matter. You are, for example, predominantly composed of the elements oxygen, carbon, hydrogen, nitrogen, calcium, and phosphorus. These are nonliving atoms that come together to form nonliving molecules. When those molecules are arranged in a certain way, they chemically react and produce a living cell, and those living cells collectively form a living organism (you). You are alive, and your cells are alive, but the matter that makes those cells is not alive. It’s just a specific arrangement of nonliving atoms.

This may seem like an entirely pointless semantic quibble, but it is actual vital for this discussion, because, since matter itself is not alive, all life, by definition, arises from nonliving matter. When you make a sperm or an egg cell, for example, nonliving matter is simply being arranged into a living cell. Yes, that arrangement is being performed by living cells, but they are themselves just arrangements of nonliving matter, and they are simply providing the chemicals (aka nonliving matter) and environment necessary for spontaneous chemical reactions to arrange the chemicals into a living cell. The matter is never alive at any point in the process.

Now, I can already hear the objection that a living cell is required for that to happen. In other words, this argument states that even though the matter itself is not alive, a living organism is required to arrange the nonliving matter into a living cell. As I will explain in subsequent sections, however, there is absolutely no reason to think that assertion is true.

This is about chemistry, not consciousness

Before I go any further, I need to make a brief comment about consciousness, because someone will inevitably respond to my assertion that life is simply a product of complex chemistry by arguing that “chemistry can’t explain consciousness.”

I want to respond to that in several ways. First, prove it. You are a biochemical machine. You breathe in oxygen, which is transported to your cells thanks to haemoglobin in your blood. That oxygen, as well as glucose from your food, is then used for a complex chemical reaction known as cellular respiration. This produces the molecule ATP which can be reduced to ADP, resulting in a release of energy. That degradation of ATP to ADP powers your body. Every function of your body is controlled by chemistry and reducible to chemistry. Even when you are thinking, that is a result of chemistry in your brain (neurotransmitters, sodium ion channels, etc.). Given all of that, there is no good reason to think that consciousness is not also just a product of complex chemistry.

Having said that, however, this topic is actually completely irrelevant to the argument about abiogenesis, and I would really rather just drop it altogether. So, to that end, I will focus on bacteria from here on out. I don’t know anyone who thinks that bacteria are conscious, so we can talk about them from an entirely chemical perspective, even if you think that consciousness is more than chemistry. Further, the first cell is thought to have been something similar to a cyanobacteria, so talking about bacteria is rational path.

Bacterial reproduction

Diagram of a bacterium. Image credit: Ali Zifan via Wikimedia

Now that we have agreed to focus on bacteria, let’s talk about how bacteria reproduce. Bacteria are very simple organisms and really only consist of a few major parts: a cell wall (made of the chemical peptidoglycan), DNA, proteins known as ribosomes, cytoplasm (the gooey fluid inside), and a few other bits and pieces. Again, all of those parts are made of nonliving matter, and are themselves nonliving, but when they are arranged correctly, and the correct chemical reactions occur, the cell as a whole exhibits the properties that we use to define life. In other words, ribosomes are not alive, the cell wall is not alive, DNA is not alive, etc., but when all of those things are put together and the correct chemical reactions occur, we describe the entire cell as being alive. Further, we would describe it as “dead” only if those chemical reactions ceased. Thus, biological life is defined by the occurrence of specific chemical reactions.

When a bacterium detects that the environment and resources are good for reproducing, a series of chemical reactions are triggered. Most importantly, the contents of the cell (DNA, ribosomes, enzymes, etc.) are duplicated. The DNA duplication involves a series of enzymes and chemical reactions that read the DNA strands and make identical copies. Again, this is a spontaneous chemical reaction that will occur anytime that the right chemicals are supplied under the right conditions.

Unlike the DNA, the proteins are duplicated by the ribosomes (which are themselves made of proteins). The ribosomes are protein factories. They receive blueprints from the DNA (in the form of mRNA) and building materials from the rest of the cell (in the form of tRNA), and they arrange those building materials according to the blue prints. Here again, this all happens because of inevitable chemical reactions (given the reactants and environment; see note at the end for more details on how proteins are made).

Diagram of protein synthesis. Image credit: Kelvinsong via Wikimedia

Hopefully at this point the picture is becoming clear. The entire process of forming a new cell is just a long string of chemical reactions. It is true that in nature, we have only observed this entire chain of reactions occurring in living cells, but that is just because the cell provides the right environment, conditions, and reactants for those reactions to take place. If the right conditions occurred outside of a cell those reactions would still happen. Imagine, for example, that we figured out how to artificially produce ribosomes, then put them in a beaker with the correct reactants, mRNA templates, enzymes, tRNA, energy input, etc. Would they form proteins? Yes. In fact, we have done essentially that. We have developed methods known as cell-free protein synthesis that allow you to produce the proteins for a given strand of DNA in a test tube without needing a living cell!

The significance of PCR

For most of the history of life on planet earth, DNA replication only happened in one place: a living cell. During human history, DNA didn’t spontaneously replicate in nonliving environments. Just like the production of proteins and the other steps involved in making a new cell, DNA replication required a living cell. DNA replication is, however, just chemistry (just like the other steps of making a new cell), and scientists saw no reason why it shouldn’t be possible to replicate DNA if the right conditions were created outside of a cell. So, they began studying the chemistry, and after years of work, they figured it out, ultimately resulting in the polymerase change reaction (PCR).

If you ever take even an introductory course on genetics, you’ll almost certainly have to do a PCR reaction, because it is one of the most common tools in laboratories around the world (a substantial amount of my life has been spent running these reactions). To do PCR, you take a strand of DNA that you want to replicate, add the necessary chemicals (enzymes, bases, primers, etc.), put the mixture into a thermocycler that creates the correct temperature profile for the reaction to occur (i.e., the environment), and lo and behold, you replicate DNA without needing a living cell.

Why is that possible? Why is it possible to take a process that, in nature, requires a living cell, and do it without a living cell? Because the process is entirely chemical! Again, the cell just provides the environment necessary for that reaction to occur, but if you can replicate a suitable environment outside of a cell, then you can do the same reaction. Further, there is absolutely no reason to think that this only applies to DNA replication. Every step involved in making a cell is just a series of chemical reactions, and there is absolutely no reason why a living cell should be the only environment in which those reactions are possible.

Additionally, it is important to remember that the series of reactions that occur in living cells today are more complicated than would be necessary to form a rudimentary cell. Indeed, scientists are actively studying chemical reactions that can produce primitive versions of various cellular components without requiring a living cell.

Bringing it all together

Let’s recap, shall we? Matter itself is not living. Rather, when nonliving chemicals are arranged together and react in certain ways, they produce living organisms that consist of nonliving matter. Further, the processes and actions of these living organisms are simply the result of complex chemical reactions. Additionally, these chemical reactions occur “spontaneously” in that they will occur on their own given the right chemicals in the right environment. Indeed, all living organisms are accurately described as biochemical machines, with these “spontaneous” reactions driving their functions.

As a result of all of this, it is completely fair to say that life constantly arises from nonliving matter, because each new cell is formed by arranging nonliving matter into a configuration that will result in the chemical reactions that produce the properties that we describe as life. It is true that currently these reactions do not occur in nature outside of a cell. In other words, each new cell is formed by existing cells; however, because that formation process is entirely chemical, there is no reason to think that those chemical reactions could not occur elsewhere. To put that another way, living cells simply provide the right environment and resources for those reactions to occur, but if the right environment occurred outside of a cell, those reactions would still occur even in the absence of a cell. Indeed, we have clearly demonstrated this by replicating a key component of cellular reproduction (i.e., DNA replication) in the lab. Further, it is likely that the environment on planet earth billions of years ago would have also been conducive to these types of reactions.

In short, there is absolutely no reason to think that life couldn’t form “spontaneously from nonliving matter,” because matter is never alive, and the formation of life is nothing more than a complex series of chemical reactions.

Note: Someone is probably getting ready to point out that although PCR replicates DNA, it is not exactly the same reaction used by living cells. That is true, but completely irrelevant. There are lots of different variants of the DNA replication process found in nature, and it is entirely possible the first cells used mechanisms that were different from those of current cells. So, all that matters is that we were able to replicate DNA in the lab. In other words, the point is simply that a living cell is not required for that task to be accomplished. The end product is what matters, not the mechanism through which it happened.

More details on protein synthesis: The process here is complicated, but the simplest way to explain it is like this. DNA is a chemical molecule, and the four bases of DNA (ATCG) are four different chemical molecules. When the cell sends blue prints to the ribosome, it translates the DNA into mRNA, which also consists of four bases (AUCG; mRNA is a single-stranded complimentary copy of the DNA strand with T replaced with U). The bases on mRNA are arranged into sets of three, known as codons, and each codon codes for a specific amino acid. Once this strand of mRNA is in the ribosome, it will react with tRNA, which consists of anticodons attached to an amino acid. The anticodon is the compliment of the codon, and, because of the chemistry, anticodons (and, as a result, the amino acids they carry) are specific to specific codons. Thus, each anticodon reacts with a specific codon, ultimately resulting in its amino acid getting added to the amino acid from the previous anticodon. In other words, the ribosome matches the codons with the correct amino acid, resulting in reactions that bind the amino acids together into chains, and those chains fold to form proteins. I realize that may sound like the ribosome is a conscious entity that is consciously deciding how to do this, but it is not. All of this is 100% chemistry. In the presence of the right enzymes, chemical reactions will occur with the codons, anticodons, ribosome, amino acids, etc., ultimately causing the amino acids to string together in a certain order that is dictated by the chemistry of the RNA, which is in turn dictated by the chemistry of the DNA.

 Related post
Abiogenesis: An unsolved mystery is not evidence of a creator

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Methodolatry: An over-reliance on placebo-controlled trials

vial of homeopathic medicineRandomized placebo-controlled trials (RCTs) are often referred to as the “gold standard” for clinical research, and they certainly are useful and powerful tools. They aren’t, however, the only reliable tools, nor are they always the best tools. Indeed, there are many situations where other methods are actually superior. Nevertheless, among the general public, there is a common misconception that RCTs are the only reliable method and nothing else counts as valid science. For example, anti-vaccers often demand RCTs showing that vaccines are safe and effective (see note), and they routinely dismiss other methods, such as cohort studies, even when those methods are more suitable to answering the question at hand. At an even further extreme, I have encountered climate change deniers who say that climate science isn’t real science because it doesn’t use RCTs (i.e., we don’t take multiple earths and burn fossil fuels on half of them while using clean energy on the other half). This is, of course, nonsense and represents a fundamental misunderstanding of how science works. Indeed, most fields of science don’t rely on RCTs. Given how common these misconceptions are, I want to spend a few minutes talking about some of the pitfalls and problems with RCTs and explain why, in some cases, other methods are superior (there is actually a term for an over-reliance on RCTs: methodolatry).

Note: There are actually lots of RCTs for vaccines, anti-vaccers just ignore them. These studies usually come from the development of new vaccines, and they are quite good at showing that vaccines are effective; however, while they do support the safety of vaccines, for many safety concerns, other methods are actually superior (see the rest of the post)

Sample size

The biggest problem with RCTs is that they are only powerful when they have a large enough sample size, but getting the sample size necessary to test for rare effects is often impossible. To conduct an RCT on people, you need a large group of people who are eligible for the trial, are willing to come to your clinic/lab, are willing to risk taking an experimental treatment, are willing to risk being in the placebo group, will reliably follow the rules of your study, and will reliably return at the appropriate times for follow-ups. All of that is difficult and expensive to achieve, and, as a result, RCTs often only have a few dozen participants, and an RCT with a few hundred participants would be considered a large study.

Having a few dozen participants is fine if you are testing something with a large effect, but it is problematic if you are testing a rare effect. Imagine, for example, that you were testing a drug that caused the desired effect in 80% of test subjects and the background rate of that effect (i.e., its rate in the placebo group) was only 10%. In that case, if you had 60 participants (30 in each group) you’d expect to have 3 “successes” in the placebo group and 24 or more in the experimental group. That is a large difference that the RCT could easily detect (it would be statistically significant with a P value <0.0001).

Now imagine that you are testing something much more rare. Let’s say that you are testing an adverse event that has a background rate of 1% (i.e., 1% of people will have it even if they didn’t take the drug being tested). Further, let’s assume that the drug being tested does actually cause the side effect in an additional 1% of people (i.e., it causes it in 1 in 100 people, plus a background rate of 1 in 100). Now, we expect 1% of the control group to have the adverse event, and 2% of the experimental group to have it. That’s a problem if we only have 30 people in each group in our RCT. Mathematically, we’d only expect 0–1 people in each group to have the event, and we can’t distinguish that statistically. Further, even if we had a full 100 people in each group, we’d only get 1 event in the control group and 2 in the experimental group, which is far from being statistically significant even though the drug did actually have an effect (P = 1.0). Even at an enormous sample size of 1,000 people per group, we would not be able to detect the effect of the drug (P = 0.0978).  Indeed, would need a sample size of nearly 1,400 people per group before we would be able to detect a significant difference, and even then, we could just barely detect it.

hierarchy of evidence

This is the standard hierarchy of science, and in many cases it is correct, but it is not absolute, and other factors, such as sample size, have to be considered when comparing certain methods.

This sample size issue is a huge problem that severely limits RCTs. Fortunately, other methods like case-controlled trials and cohort studies are available. I talked about both of these methods in detail here, but briefly, case-control studies basically work backwards from RCTs. Rather than taking a group of people, giving half of them a treatment, then measuring an outcome of interest, case-controlled studies start by identifying a group of people who have an outcome of interest (the cases) then matching them to people who are as similar as possible in age, sex, race, etc. but lack the outcome of interest (the controls). Then, they look for differences in potential causes of interest. If you were interested in vaccines and autism, for example, you could take a group of people with autism, match them with a group of people without autism, then see if the vaccination rates differed among groups (this has been done, and the vaccination rates don’t differ; Destefano et al. 2004; Smeeth et al. 2004; Price et al. 2010; DeStefano et al. 2013; Uno et al. 2015).

Cohort studies are similar in that they are observational, rather than actually administering a treatment; however, they follow more of a traditional approach (as opposed to the backwards approach of case-controlled studies). They select a group of people who do not currently have an outcome of interest, some of which are expected to receive a treatment of interest. Then, they follow the patients to see whether the treatment causes the outcome. For example, you could take a large group of children who have yet to be vaccinated, follow them, and, presumably, some of them will have parents who vaccinate, and others won’t. So, you can then compare things like autism rates among the vaccinated and unvaccinated without having to actually be the one who administers the vaccine. These types of studies can also be done retrospectively by using medical records (here again, this has been done for vaccines and autism with no evidence that vaccines cause autism; Anders et al. 2004; Madsen et al. 2002; Jain et al. 2015; Verstraeten et al. 2003).

Cohort studies and case-controlled studies do make it more difficult to control confounding factors, but when they are done well, it is possible to account for many of them and, at times, even randomize. Further, they make it much easier to have very large sample sizes because of their observational nature. Studies with hundreds, thousands, and even hundreds of thousands of samples are common for these types of studies. Indeed, for the topic of vaccines and autism, a meta-analysis of these studies had a sample size of over 1.2 million children (Taylor et al. 2014), which is far more power than we could hope for from an RCT. Think of it this way, if an RCT, case-controlled study, and cohort study all had the same sample sizes, the RCT would be more powerful, but if the RCT has a small sample size, the outcome being tested is rare, and the case-controlled and cohort studies have substantially larger sample sizes, then the case-controlled and cohort studies will often yield more meaningful results (assuming that all the studies were set up correctly with adequate case-matching, controls, etc.).

All of this is very important for concerns over vaccine safety, because the known side-effects of vaccines are quite rate, often only occurring at rates of 1 in 1,000 or fewer. As a result, examining them with RCTs isn’t feasible, and would actually make vaccines look better than they are. So when anti-vaccers demand RCTs, they are actually demanding an unsuitable method that almost guarantees the opposite result from what anti-vaccers are hoping for.

This is also true for the adverse-events that anti-vaccers erroneously attribute to vaccines. Take autism and vaccines as an example. The CDC currently puts autism rates at 1 in 68. Further, we know that autism has a genetic component and that children without vaccines can still develop it. So, even if we assume that 50% of autism cases are caused by vaccines (they aren’t), we would need an enormous sample size with over 1,000 children in each group before an RCT could detect a significant effect, and getting that sample size for an RCT just isn’t feasible in most cases. Case-controlled and, especially, cohort studies, however, can achieve those sample sizes, and they have. Madsen et al. 2002, for example, was a cohort study on vaccines and autism that had a total sample size of over 400,000 children, which is far, far larger than could be achieved for an RCT (like all of the others, it failed to find a significant association between vaccines and autism).

You don’t always need a placebo

Some people might try to object to everything that I said above by insisting that, because of the nature of placebo effects, the control has to be a placebo, not simply a lack of treatment. That line of reasoning is, however, nearly always based on a misunderstanding of how placebo effects work. They aren’t magical and they aren’t going to do something like protect you from an infectious disease. Conversely nocebo effects (which occur when people respond negatively to a placebo) aren’t going to give you autism or anything like that. Thus, whether or not the control needs to be a placebo depends entirely on the type of outcome being researched. When the outcome is something subjective, like pain, placebos are critical. They are also important for things that can be subject to regression to the mean, such as the treatment of an existing ailment; however, when the outcome is something like getting an infectious disease or a developmental problem like autism, placebos are far less important.

For more on placebo effects, I recommend this post by Science-Based Medicine.

Ethical issues

Another problem with RCTs is that, at times, they are unethical. This is the case when either there is compelling evidence from other sources to suggest that the treatment is likely dangerous or there is compelling evidence from other sources to suggest that withholding the treatment is likely dangerous. Consider, for example, an experimental drug which, during animal testing, kills half the test subjects. Even though RCTs in humans rank far higher than animal studies on the hierarchy of evidence, in that case, we would have to be content with the animal trials, because it would clearly be unethical to administer that treatment to humans. The inverse is also true. When a treatment is already known to be highly beneficial, it would be unethical to withhold it.

Indeed, this is the reason why RCTs for vaccines are often limited to the development of new vaccines. We know from population-based studies, cohort studies, case-controlled studies, etc. that vaccines are exceedingly beneficial and save millions of lives. Therefore, it would be unethical to give a child a placebo and expose them to potentially deadly diseases.

Most fields of science don’t use RCTs

Finally, I want to address the notion that fields like climate science aren’t real science because they don’t use RCTs. First, as should be obvious by now, even in fields like clinical research, RCTs aren’t the only option. Second, and more importantly, science is simply a systematic process of making and testing falsifiable predictions, and for many fields, those predictions do not require RCTs to test. Consider evolutionary biology, for example. If you have a hypothesis that two species share a common ancestor, you can make predictions about what genetic and fossil patterns you should see if those species share a common ancestor, then you can examine the fossils and genetics and see if those predictions are correct. Testing that hypothesis does not require an RCT and an RCT wouldn’t even be useful for testing it. The same is true for fields like climatology. RCTs are neither necessary nor possible for studying past climates or our current climate, and that’s fine. The definition of science is not, “randomized placebo controlled trials.” Rather, it is a systematic process of making and testing predictions, and the exact methods used to test those predictions vary greatly from one field to the next.

Conclusion

In summary, placebo controlled trials are extremely useful and powerful tools, but they are not the only ones available, nor are they always the best ones. They are often limited by sample size, and in many cases, other methods are actually superior. Further, it is unethical to use them when substantial benefits or serious harms have been established by other methods. Therefore, the necessity and utility of RCTs has to be evaluated on a case-by-case basis. For some questions, using RCTs is extremely important, even vital, but in other cases, methods other than RCTs may suffice or even be superior.

Related posts

Literature cited

  • Anders et al. 2004. Thimerosal exposure in infants and developmental disorders: a retrospective cohort study in the United Kingdom does not support a causal association. Pediatrics 114:584–591
  • DeStefano et al. 2004. Age at first measles-mumps-rubella vaccination in children with autism and school-matched control subjects: a population-based study in metropolitan Atlanta. Pediatrics 113:259–266
  • DeStefano et al. 2013. Increasing exposure to antibody-stimulating proteins and polysaccharides in vaccines is not associated with risk of autism. J Ped 163:561–567
  • Jain et al. 2015. Autism occurrence by MMR vaccine status among US children with older siblings with and without autism. JAMA 313:1534–1540
  • Madsen et al. 2002. A population-based study of measles, mumps, and rubella vaccination and autism. New England Journal of Medicine 347:1477–1482
  • Price et al. 2010. Prenatal and infant exposure to thimerosal from vaccines and immunoglobulins and risk of autism. Pediatrics 16:656–64
  • Smeeth et al. 2004. MMR vaccination and pervasive developmental disorders: a case-control study. Lancet 364:963–969
  • Taylor et al. 2014. Vaccines are not associated with autism: and evidence-based meta-analysis of case-control and cohort studies. Elsevier 32:3623-3629
  • Uno et al. 2015. Early exposure to the combined measles-mumps-rubella vaccine and thimerosal-containing vaccines and risk of autism spectrum disorder. Vaccine 33:2511–2516
  • Verstraeten et al. 2003. Safety of Thimerosal-Containing Vaccines: A two-phased study of computerized health maintenance organization databases. Pediatrics 112:1039–1048
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The existence of real conspiracies does not justify conspiracy theories

Most science deniers are conspiracy theorists. Many of them don’t like to think of themselves as conspiracy theorists and would even ardently deny that they deserve that label, yet when you present them with peer-reviewed evidence for anthropogenic climate change, the safety of vaccines, the safety of GMOs, etc. they almost invariably respond by asserting that those studies aren’t valid evidence because vast corporations, governments, etc. have bought off all of the scientists, doctors, regulatory bodies, etc. That claim has no evidence to support it and is a textbook example of a conspiracy theory.

As a result of the conspiratorial nature of science-deniers, conspiracy theories are a frequent target of my blog/Facebook page, but almost any time that I post about the illogical nature of conspiracy theories, I get irate responses from people who insist that conspiracy theories are not inherently illogical, and they do this based on one of two lines of logic. Either they bring up the fact that real conspiracies do exist and have been discovered, or they cite agencies like the FBI that investigate criminal conspiracies and they incorrectly assert that I am suggesting that those agencies are inherently irrational (i.e., that FBI agents are conspiracy theorists). Both of these arguments are wrong and rely on infuriating semantic games rather than actual facts or logic, but I encounter them frequently enough that I want to spend a few minutes explaining the problems with them.

Both of these lines of reasoning rely on conflating real conspiracies with conspiracy theories, but that is semantic tomfoolery. The term “conspiracy theory” generally refers to self-reinforcing ideas that rely on inserting assumptions into gaps in our knowledge, have little or no actual evidence, and conveniently excuse any evidence that is presented against them. That is a very different thing from the type of investigation that an organization like the FBI does, and we don’t use the term “conspiracy theory” to refer to that type of investigation.

Let me give an example to illustrate this. On many occasions, I have showed a science-denier a peer-reviewed paper that discredits their view, only to have them claim that the authors were paid off. Then, I showed them the conflicts of interest section of the paper which clearly showed that no conflicts of interest existed. At that point, they, of course, said that the payment was secret and, therefore, not reported. When I asked them for evidence to support that claim, however, they couldn’t provide it. It was an assumption that they were making simply because the evidence did not fit their view. This is how conspiracy theories operate. Any evidence that conflicts with the theory is explained away as part of the conspiracy, and a lack of evidence to support claims is also justified as simply being part of the conspiracy (e.g., claiming that large corporations are silencing scientists and preventing them from publishing).

Now, let’s contrast that with actual investigations of actual conspiracies. Imagine, for example, that the FBI was investigating corruption, found no evidence of it existing (i.e., no conflicts of interest) but they ignored that lack of evidence and assumed that it was simply part of the conspiracy. Obviously, that would be a really bad investigation, and they could never get a conviction out of it. If they failed to find evidence to support what they thought was true, they would have to move on. They couldn’t just ignore any evidence that disagreed with them. To put that another way, agencies like the FBI rely on evidence, not conjecture when conducting their investigations, and their hypotheses change as new evidence arises.

Do you see the difference? Conspiracy theories conveniently excuse contrary evidence by writing it off as part of the conspiracy; whereas real investigations are based on the available evidence and don’t blindly ignore any evidence that disagrees with them. Having said that, real conspiracies certainly do exist, and multiple of them have been uncovered, but the fact that real conspiracies exist does not mean that your conspiracy theory is logical or justified.

To give an example of why the existence of real conspiracies doesn’t justify conspiracy theories, imagine that I have a friend named Bob, and for one reason or another, I decided that Bob was a murderer. I didn’t have any real evidence, but I “just knew” that I was right. Now, imagine that you confronted me about this and demanded evidence for my claims, and I responded by saying, “lots of real murderers have been caught, it happens all the time; therefore, it is rational for me to think that Bob is a murderer.” Would my reasoning be correct? Obviously not. The fact that there are murderers does not in any way shape or form make it rational to think that Bob is a murderer. I need actual evidence specifically showing that Bob murdered someone. The same thing is true with conspiracies. The fact that real ones exist doesn’t mean that your theory is justified. You need actual evidence for your view to be rational.

Now, at this point, conspiracy theorists will inevitably protest and claim that they do, in fact, have evidence. However, every time that I have ever asked to see that evidence, I have been sorely disappointed. Inevitably, the “evidence” takes the form of blogs, youtube videos, and baseless conjecture, often espousing ideas that have been thoroughly investigated and debunked. For example, I still encounter people who cite “climategate” as evidence that climatologists are involved in a conspiracy, despite the fact that multiple independent and well-respected scientific bodies examined the situation and concluded that no wrong-doing or data-manipulation had occurred. Of course, the conspiracy theorists inevitably respond by asserting that those scientific bodies are also part of the conspiracy, but that just illustrates my point. Conspiracy theories are irrational precisely because they twist any evidence to fit the conspiracy. Think about it, what could you possibly show a conspiracy theorist to convince them that the theory was wrong? Nothing, because no matter what evidence you show them, they will argue that the evidence is also part of the conspiracy.

My point in all of this is really simple. The term “conspiracy theory” specifically refers to imagined conspiracies that have no real evidence to support them and inherently rely on making assumptions to fill gaps in knowledge, rather than actually basing views on the available evidence. The existence of real conspiracies does not justify these conspiracy theories, nor should you play semantic games to try to equate conspiracy theorists with evidence-based investigative bodies like the FBI. So please, if you see a post about conspiracy theories, spare us all from your pedantry.

Note: I want to be clear that the use of the word “theory” in the term “conspiracy theory” is very different from its use in science (it is far more similar to its use in the term “movie theory”). In science, a theory is an explanatory framework that has been rigorously tested and shown to have a high predictive power. It is not simply a guess nor does it indicated that we are unsure of its veracity.

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