http://www.iht.com/articles/2008/01/15/opinion/edjacoby.php

Jacoby: The Lancet's overblown figures
By Jeff Jacoby
Published: January 15, 2008

Few medical journals have the storied reputation of The Lancet, a
British publication founded in 1823. In the course of its 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 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 U.S. elections,
reporting that 655,000 people had died in Iraq as a result of the
U.S.-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 put the mortality level through June 2006 at 50,000.)

If The Lancet's number was accurate, more Iraqis had died in the two
years since the U.S. invasion than during the eight-year war with
Iran. President George W. 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. "One in 40 Iraqis killed since invasion,"
blared a front-page headline in the Guardian. CNN.com's story began:
"War has wiped out about 655,000 Iraqis, or more than 500 people a
day, since the U.S.-led invasion, a new study reports." 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 the Iraqi scientist Riyadh
Lafta. National Public Radio'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.' "

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 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 fraud. "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 the 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."

Burnham and Roberts were avowed opponents of the 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 National Journal.

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 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, commonsense standards were ignored. "In
our view, the Hopkins study stands until someone knocks it down,"
editorialized the Baltimore Sun.

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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