Posted tagged ‘fear’

The cost of fear

March 21, 2016

The Pediatric Insider

© 2016 Roy Benaroch, MD

The image of a “mad scientist” can be hard to shake: a deranged man with crazy hair in front of a row of bubbling test tubes and antennae shimmering with a ghostly electric glow. BWAHAHA, my monster is alive!

Real science, of course, has nothing to do with any of that. But it still sparks fear, and that fear has consequences.

One of the best ways to fight Zika virus is to reduce the mosquito population. We’ve got tools – already tested, already shown to be effective and safe – to use releases of sterile mosquitos to stop breeding populations. But we’re afraid to use them.

Parents fearful of vaccines put their own children, and their communities, at risk. One example: diphtheria, eradicated in Spain for 30 years, returned and killed an unvaccinated child. At least 8 other children contracted the diphtheria bacteria, but none of those other children became ill. They had been vaccinated.

Zimbabwe, facing a horrific drought with millions of starving citizens, has announced that they’ll accept no food aid that includes genetically modified organisms. They’d rather starve than eat food that’s often more nutritious and easier to grow with fewer resources. Here’s a funny and illustrative example of how far fear goes: they’ve explicitly banned GMO chickens, despite there being no GMO chickens in Africa, or anywhere else. They don’t exist. That’s what happens when fear makes decisions. Imaginary chickens, eek!

Zika is spreading, causing brain damage and other birth defects. Vaccine-preventable diseases have come roaring back. Ways to help feed the world are rejected. What do all of these follies have in common? Fear, stupid fear, making our decisions.

“So, first of all, let me assert my firm belief that the only thing we have to fear is…fear itself — nameless, unreasoning, unjustified terror which paralyzes needed efforts to convert retreat into advance.”

Franklin D Roosevelt, 1932

AAAAAA!!!

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Fear not: Health risks you don’t need to worry about

March 12, 2011

The Pediatric Insider

© 2011 Roy Benaroch, MD

Melissa sent me a great topic suggestion: “Dr. Roy- would you consider doing a post on worry vs. living your life? What I mean is, we live in a world with SO much information and warnings etc. that it is hard to simply enjoy life. Ever since having my son 5 months ago, I’ve been hyper-aware of all of the ‘warnings’ that exist. Sometimes I become so bogged down in worrying about germs, water quality (the list goes on and on) that I waste time researching when I should really be down on the floor playing with him. Just thought it would be nice to get your perspective in creating a nice balance.”

I love this topic, and I think it would be a great subject for my next book. If I ever get around to writing it, Melissa gets a free copy!

Dispelling health worries has become a favorite topic of The Pediatric Insider blog. Health scares are a rich source of material– there’s always some new firestorm that needs a good bucket of ice water. It seems to me that the main goal of American media is to create and cultivate worry and fear. I don’t think it’s an exaggeration to say that the ill-effects of this fear itself—the worry, the heartache, the handwringing paralysis caused by the near-constant deluge of bad news—has been far more harmful than the cumulative effect of all of unsafe exposures.

We are living in the healthiest, safest era of human existence. Never have we had more food, or safer food; never have our lives been longer or healthier. Never have our children been safer or healthier. We have far more free time than ever before. So much free time, it seems, that one of our favorite hobbies has become imagining sources of worry for each other.

The only thing we have to fear is fear itself. – Franklin D. Roosevelt.

I blame our addiction to new anxieties on two fundamental forces. One is our own evolved brain. We developed during a time when fears were real, and anxiety saved lives. Food was always in short supply—for most of human history, people spent most of their time hunting, cultivating, storing, and protecting their food (ref: Little House on the Prairie, L. I. Wilder.) Most children did not live to adulthood. Food and water supplies were a common source of death and disease; ordinary mosquitoes killed millions by spreading malaria and other diseases; illness from malnutrition was normal. Ordinary injuries frequently resulted in death from untreatable infections. Polio paralyzed, pertussis and diphtheria made it impossible to breathe. What’s known as ordinary strep throat nowadays was once deadly scarlet fever. Fearfulness was normal, and useful, and helped keep your family safe. Our brains are wired to rely on distrust and anxiety to protect ourselves—but that wiring, in today’s developed world, is causing far more harm than good.

(Note: I’m talking here about life in The United States and the rest of the developed world. There are plenty of places where food scarcity, disease, and crushing poverty are rampant. Be thankful you don’t live there.)

There’s another odious, seemingly inescapable force that’s turning us into worry-warts. The 24-hours news cycle has to be fed, and demands a constant flow of new, eye-catching stories. Every freakish problem is blared into our ears and eyeballs, and every concern is exaggerated into a killer crisis. The worst of all is the local news, with their ridiculous, out of context teasers—“Death in the school lunchroom, what you need to know now!”, or “The Killer On the Playground!” There’s no time for context, and certainly no time for careful, reasoned journalism or follow-up. The media wants your clicks and your eyeballs and your TIVO. They seem to have no interest in genuine teaching or giving you useful information to stay healthy.

Back to Melissa’s opening question: how to you sift through a relentless barrage of scary health news from the media and internet without driving yourself insane with worry? First, keep in mind that the sky is not falling. It is not all bad news; in fact, our children are genuinely healthy and thriving in today’s world. Recognize that the most attention goes to the loudmouths, troublemakers, and malcontents rather than those of us who are calmly trying to raise our families and live our lives. Don’t put too much stock on any “new” science information until it’s been verified independently, by genuine scientists and doctors in the field rather than fly-by-night websites that are selling things and pushing an agenda. Realize that fearfulness itself carries a price, and that you and your child will be healthier (and happier) playing together instead of worrying together.

I’ll be revisiting this topic with more examples in the months to come. For now, relax and enjoy a list of topics I’ve already covered. Call it “The Pediatric Insider’s list of stuff not to worry about”:

Imaginary fears about vaccines

Cell phones

Fever

Caramel Coloring

Soy protein

Recalled fever medicines

Non Organic food

Plasticizers

Early puberty in girls

Minor bonks on the head