The iconic academic journal of American medicine, the New England Journal of Medicine (NEJM), published since 1812, has committed itself to a Noble Lie[1], that ambient (natural) air quality in America kills hundreds of thousands annually.
Jeffrey Drazen, MD, lung specialist, Editor in Chief of the NEJM since 2000, Distinguished Parker B. Francis Professor of Medicine at the Harvard School of Medicine, professor in the Department of Environmental health at the Harvard T. H. Chan School of Public Health, is in his 17th year of tenure as editor of the NEJM and in that time he has approved publication of false claims about air quality lethality, resulting in the NEJM become a partisan news outlet that promotes the US EPA political agenda and onerous burdensome air regulations that chase a phantom air quality scare. Air quality in America isn’t killing anyone.
The bias and partisanship of the NEJM and Dr. Drazen and his editorial board is displayed in the publication of an article in June of 2017, authored by Di, Dominici, Schwartz, and others titled “Air Quality and Mortality in the Medicare Population” that claimed to show deaths from exposure to American air quality in a very large study of elderly Americans. They claimed thousands of elderly Americans were dying every year from bad air quality, but their study showed a very insignificant increase of 8% in deaths, in the range of what scientists call “noise” (natural variance) as opposed to good evidence, called “signal.” In spite of that unreliability, as described in the Federal Judicial Center’s Reference Manual on Scientific Evidence (Chapter on Epidemiology, pages 597-606), Dr. Drazen approved publication in the NEJM and joined in writing an editorial applauding the article ”Air Pollution Still Kills.”
Earlier in 2017, two published studies on air quality effects said just the opposite of the Di study, that ambient air quality wasn’t killing anybody. The first research report by James E. Enstrom was a reanalysis of old studies relied on by the EPA in the 1990’s to justify air regulations. The second study was by Young, Smith and Lopiano, a comprehensive decade long study of all the heavily populated air basins in California that showed no death effect from small particle or ozone air quality. These two studies refuted the premise and claims of the Di NEJM study of June 2017 and all the EPA funded and sponsored studies used to justify aggressive air quality regulations.
In legitimate science activity, researchers are expected to comment on studies that conflict or contradict their assertions, but the Di, Dominici, Schwartz article did not comment on or discuss the Enstrom and Young studies, or other studies that showed no death effect. The editors of the NEJM would be expected to demand that authors display a proper scientific temperament and cite contradictory studies and attempt to explain or refute the contradictions. Instead the Di authors and the editors of NEJM ignored the conflicts in results, and asserted their position. That’s how the Noble Lie is perpetrated; establishment researchers repeat themselves and assert the matter is settled.