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sidheag October 26 2007, 08:27:41 UTC
But why would you think better nutrition and getting rid of rickets would get rid of *only* 90%? The rate in the US has not fallen by two orders of magnitude since the introduction of antibiotics and emergent C-sections, surely?

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sidheag October 26 2007, 08:37:58 UTC
PS For the record, no, if you drop 90% of the 1 in 8 deaths, leaving 10% of them, you have 1 in 80 deaths.

PPS There are a lot of other relevant things besides nutrition, rickets, antibiotics and emergency c-sections of course, too - perhaps most notably, hygiene.

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oscarmama October 26 2007, 08:55:12 UTC
If 7/8ths live (since 90% of 8 is 7.2) then 8+8+8+8+8+8+8+7=63. Am I doing it wrong?

Hygiene cures the childbed fever, certainly.

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sidheag October 26 2007, 09:08:28 UTC
I'm afraid I don't understand what you are doing, but I think it must be wrong since I'm confident what I did is right and they give different answers, QED :-) - unless of course the problem is that we're answering different questions. Why are you taking 90% of 8, I don't see what that's relevant to?

The question I'm answering is: suppose you have a society in which 1 in 8 women die in childbirth, and suppose that 90% of those deaths could be prevented by [...]. If 90% of those deaths *were* prevented by [...], what proportion of women would still die in childbirth?

Look at it like this: take 80 women. In the original situation, 1 in 8 of them, i.e. 10 women, die. Now suppose that improved nutrition and lack of rickets prevents 90% of maternal deaths. That is, 9 of the 10 women who would have died actually live; leaving 1 of the original 80 who still dies.

Or without the story, (1 - 9/10) * 1/8 = 1/80

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oscarmama October 26 2007, 09:17:52 UTC
Hah! That's the number I had first, but I convinced myself I was taking 90% of the wrong number.

That's what I get for doing math in my head at 2 am. And previously while a child bounced up and down next to me saying "Can we play t-ball now Mama? now? now?" and then leaned over and started punching random keys on the laptop.

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jenrose1 October 26 2007, 19:55:40 UTC
Of course they are good things... when used appropriately, judiciously, and when other methods are used where feasable and safe.

Because like many such things, they are a two-edged sword, and have a downside. Having them available=good
Overusing them=bad

The problem i have with our medical culture is the "overuse".

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oscarmama October 26 2007, 20:03:34 UTC
That's why I thought that both those links were so interesting -- the second one makes the point about inappropriate use quite nicely, and the first points up exactly how often use is appropriate and necessary.

I mean, crap. 1 in 8? If I were a living woman in Afghanistan with any appreciation of that risk I think I'd start walking until I got to just about anywhere else.

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