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Micromort

From Wikipedia, the free encyclopedia
Unit of risk – one-in-a-million chance of death

Amicromort (frommicro- andmortality) is a unit ofrisk defined as a one-in-a-million chance ofdeath.[1][2] Micromorts can be used to measure the riskiness of various day-to-day activities. Amicroprobability is a one-in-a million chance of some event; thus, a micromort is the microprobability of death. The micromort concept was introduced byRonald A. Howard who pioneered the modern practice ofdecision analysis.[3]

Micromorts for future activities can only be rough assessments, as specific circumstances will always have an impact. However, past historical rates of events can be used to provide a rough estimate.

Sample values

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Baseline

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Death fromContextTime periodN deathsN populationMicromorts per unit of exposureReference
All causesEngland and Wales2012499,33156,567,00024 per day
8,800 per year
ONS Deaths[4] Table 5.
Canada2011242,07433,476,68820 per day
7,200 per year
Statistics Canada[5]
US20102,468,435308,500,00022 per day
8,000 per year
CDC Deaths[6] Table 18.
Non-natural causeEngland and Wales201217,46256,567,0000.8 per day
300 per year
ONS Deaths[4] Table 5.19.
US2010180,000308,500,0001.6 per day
580 per year
CDC Deaths[6] Table 18
Non-natural cause (excluding suicide)England and Wales201212,95556,567,0000.6 per day
230 per year
ONS Suicides[7]
US2010142,000308,500,0001.3 per day
460 per year
CDC Deaths[6] Table 18.
All causes – first day of lifeEngland and Wales2007430 per first day of lifeWalker, 2014[8]
US201316.7 per day
6100 per year
CDC Life Tables[9]
Blastland & Spiegelhalter, 2014[10]
Murder/homicideEngland and Wales2012/1355156,567,00010 per yearONS Crime[11]
HomicideCanada201152733,476,68815 per yearStatistics Canada[12]
Murder and non-negligentmanslaughterUS201214,173292,000,00048 per yearFBI[13] Table 16

Leisure and sport

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Death fromContextTime periodN deathsN exposureMicromorts per unit of exposureReference
Scuba divingUK: BSAC members1998–20097514,000,000 dives5 per diveBSAC[14]
UK: non-BSAC1998–200912212,000,000 dives10 per diveBSAC[14]
US – insured members of DAN2000–20061871,131,367 members164 per year as member of DAN
5 per dive
DAN[15] p75
ParaglidingTurkey2004–201118242,355 flights74 per launchCanbek 2015[16]
SkiingUS2008/93957,000,000 days skiing0.7 per daySki-injury.com[17][unreliable source]
SkydivingUS2000–201641348,600,000 jumps8 per jumpUSPA[18]
UK1994–2013414,864,268 jumps8 per jumpBPA[19]
BASE jumpingKjerag Massif, Norway1995–2005920,850 jumps430 per jumpSoreide 2007[20]
MountaineeringAscent to Matterhorn1981–2011213about 75,000 ascents

(about 2500 per year)

about 2,840 per ascent attemptBachmann 2012[21]
Ascent to Mt. Everest1922–20122235,656 successful ascents37,932 per successful ascentNASA 2013[22]

Travel

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Activities that increase the death risk by roughly one micromort, and their associated cause of death:

Other

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Increase in death risk for other activities on a per-event basis:

  • Hang gliding – 8 micromorts per flight[23]
  • Ecstasy (MDMA) – 0.5 micromorts per tablet, rising to 13 if using other drugs[27][28]
  • Giving birth (vaginal) – 120 micromorts[29]
  • Giving birth (caesarean) – 170 micromorts[29]
  • AstraZeneca vaccination againstCOVID-19 – 2.9 micromorts[30]
  • COVID-19 infection at age 10, in December 2020 – 20 micromorts
  • COVID-19 infection at age 25, in December 2020 – 100 micromorts
  • COVID-19 infection at age 55, in December 2020 – 4,000 micromorts
  • COVID-19 infection at age 65, in December 2020 – 14,000 micromorts
  • COVID-19 infection at age 75, in December 2020 – 46,000 micromorts
  • COVID-19 infection at age 85, in December 2020 – 150,000 micromorts[31]

Value of a micromort

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Willingness to pay

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An application of micromorts is measuring the value that humans place on risk. For example, a person can consider the amount of money they would bewilling to pay to avoid a one-in-a-million chance of death (or conversely, the amount of moneythey would receive to accept a one-in-a-million chance of death). When offered this situation, people claim a high number. However, when looking at their day-to-day actions (e.g., how much they are willing to pay for safety features on cars), a typical value for a micromort is around $50 (in 2009).[32][33] This is not to say the $50 valuation should be taken to mean that a human life (1 million micromorts) is valued at $50,000,000. Rather, people areless inclined to spend money after a certain point to increase their safety. This means that analyzing risk using the micromort is more useful when using small risks, not necessarily large ones.[33]

Value of a statistical life

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Government agencies use a nominalValue of a Statistical Life (VSL) – orValue for Preventing a Fatality (VPF) – to evaluate the cost-effectiveness of expenditure on safeguards. For example, in the UK, the VSL is £1 million GBP in 1997 value (equivalent to £2 million in 2023[34]).[35] Since road improvements have the effect of lowering the risk of large numbers of people by a small amount, theUK Department for Transport essentially prices a reduction of 1 micromort at £1.60. TheUS Department of Transportation uses a VSL of US$6.2 million, pricing a micromort at US$6.20.[36]

Chronic risks

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Micromorts are best used to measure the size ofacute risks, i.e. immediate deaths. Risks from lifestyle, exposure toair pollution, and so on arechronic risks, in that they do not kill straight away, but reduce life expectancy. Ron Howard included such risks in his original 1979 work,[24] for example, an additional one micromort from:

  • Drinking 0.5 liter ofwine (cirrhosis of the liver)[24]
  • Smoking 1.4 cigarettes (cancer, heart disease)[24]
  • Spending 1 hour in a coal mine (black lung disease)[24]
  • Spending 3 hours in a coal mine (accident)[24]
  • Living 2 days in New York or Boston in 1979 (air pollution)[24]
  • Living 2 months with a smoker (cancer, heart disease)[24]
  • Drinking Miami water for 1 year (cancer from chloroform)[24]
  • Eating 100 charcoal-broiled steaks (cancer from benzopyrene)[24]
  • Traveling 6000 miles (10,000 km) by jet (cancer due to increased background radiation)[37]

Such risks are better expressed using the related concept of amicrolife.

See also

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Notes

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  1. ^however due to thehealth effects of cycling the net effect of cycling onlife expectancy is likely positive in most cases[25]

References

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  1. ^Fry, A.M.; Harrison, A.; Daigneault, M. (February 2016). "Micromorts - what is the risk?".British Journal of Oral and Maxillofacial Surgery.54 (2):230–231.doi:10.1016/j.bjoms.2015.11.023.PMID 26747014.
  2. ^Walker, KF; Cohen, AL; Walker, SS; Allen, KM; Baines, DL; Thornton, Jg (May 2014). "The dangers of the day of birth".BJOG.121 (6):714–718.doi:10.1111/1471-0528.12544.PMID 24521517.S2CID 24808758.
  3. ^Howard, R. A. (1980). J. Richard; C. Schwing; Walter A. Albers (eds.).On making life and death decisions. Societal Risk Assessment: How Safe Is Safe Enough? General Motors Research Laboratories. New York: Plenum Press.ISBN 0306405547.
  4. ^ab"Deaths Registered in England and Wales (Series DR), 2012"(PDF). Office for National Statistics. 22 October 2013.Archived(PDF) from the original on 6 June 2014. Retrieved3 June 2014.
  5. ^"Leading causes of death, by sex (Both sexes)".Statistics Canada.Archived from the original on 24 September 2015. Retrieved14 August 2015.
  6. ^abcSL Murphy; J Xu & KD Kochanek (8 May 2013)."Deaths: Final Data for 2010"(PDF). US:Centers for Disease Control and Prevention.Archived(PDF) from the original on 11 May 2015. Retrieved3 June 2014.
  7. ^"Suicides in the United Kingdom, 2012 Registrations". Office for National Statistics. 18 February 2014.Archived from the original on 13 May 2014. Retrieved11 June 2014.
  8. ^KF Walker; AL Cohen; SH Walker; KM Allen; DL Baines; JG Thornton (13 February 2014). "The dangers of the day of birth".British Journal of Obstetrics and Gynaecology.121 (6). London:Royal College of Obstetricians and Gynaecologists:714–8.doi:10.1111/1471-0528.12544.PMID 24521517.S2CID 24808758.
  9. ^"Life Tables".cdc.gov.Centers for Disease Control and Prevention. 2013.Archived from the original on 26 November 2013. Retrieved24 November 2013.
  10. ^Blastland, Michael; Spiegelhalter, David (2014).The Norm Chronicles: Stories and Numbers About Danger and Death (1 ed.). Basic Books. p. 14.ISBN 9780465085705.
  11. ^"Crime Statistics, Focus on Violent Crime and Sexual Offences, 2012/13 – ONS".Office for National Statistics. 13 February 2014.Archived from the original on 8 April 2014. Retrieved12 June 2014.
  12. ^"Leading causes of death, total population, by age group and sex, Canada".Statistics Canada. 26 November 2020.Archived from the original on 3 July 2013. Retrieved14 August 2015.
  13. ^"Crime in the United States, 2012: Table 16".FBI.Federal Bureau of Investigation.Archived from the original on 29 May 2016. Retrieved12 June 2014.
  14. ^abBritish Sub-Aqua Club."UK Diving Fatalities Review". Archived fromthe original on 28 July 2014. Retrieved12 June 2014.
  15. ^Divers Alert Network (DAN)."Fatalities_Proceedings.pdf"(PDF).Archived(PDF) from the original on 16 January 2015. Retrieved12 June 2014.
  16. ^Canbek, Umut; Ahmet İmerci; Ulaş Akgün; Murat Yeşil; Ali Aydin; Yasemin Balci (1 September 2015)."Characteristics of injuries caused by paragliding accidents: A cross-sectional study".World Journal of Emergency Medicine.6 (3):221–224.doi:10.5847/wjem.j.1920-8642.2015.03.011.PMC 4566014.PMID 26401185.
  17. ^Ski-injury.com."Ski Injury". Archived fromthe original on 28 May 2014. Retrieved12 June 2014.
  18. ^United States Parachute Association."Skydiving Safety".Archived from the original on 22 August 2018. Retrieved10 April 2018.
  19. ^British Parachute Association (2012)."How Safe". Archived fromthe original on 27 July 2014. Retrieved12 June 2014.
  20. ^Soreide, Kjetil; Ellingsen, Christian Lycke; Knutson, Vibeke (May 2007). "How Dangerous is BASE Jumping? An Analysis of Adverse Events in 20,850 Jumps From the Kjerag Massif, Norway".The Journal of Trauma: Injury, Infection, and Critical Care.62 (5):1113–1117.doi:10.1097/01.ta.0000239815.73858.88.PMID 17495709.
  21. ^Bachmann, Stefan (September 2012)."Tod am Matterhorn"(PDF).Beobachter (in German).
  22. ^"The World's Tallest Mountain".Earth Observatory. NASA. 2 January 2014.Archived from the original on 25 October 2014. Retrieved25 October 2014.
  23. ^abcde"Understanding Uncertainty". Plus Magazine. 12 July 2010.Archived from the original on 4 August 2020. Retrieved22 July 2020.
  24. ^abcdefghijk* Howard, RonRisky Decisions (Slide show), Stanford University
  25. ^de Hartog, Jeroen Johan; Boogaard, Hanna; Nijland, Hans; Hoek, Gerard (August 2010)."Do the Health Benefits of Cycling Outweigh the Risks?".Environmental Health Perspectives.118 (8):1109–1116.Bibcode:2010EnvHP.118.1109D.doi:10.1289/ehp.0901747.PMC 2920084.PMID 20587380.
  26. ^Safety Overview 2023(PDF) (Report). European Union Agency For Railways. March 2023. p. 7, fig. 6.
  27. ^"MDMA ('ecstasy'): a review of its harms and classification under the Misuse of Drugs Act 1971". London:Advisory Council on the Misuse of Drugs. 2009. p. 18. Archived fromthe original on 5 October 2012 – viaInternet Archive.
  28. ^Blastland, Michael; Spiegelhalter, David (2014).The Norm Chronicles: Stories and Numbers About Danger and Death (1 ed.). Basic Books. p. 8.ISBN 9780465085705.
  29. ^abSpiegelhalter, David; Blastland, Michael (30 May 2013).The Norm Chronicles: Stories and numbers about danger (Main ed.). London: Profile Books.ISBN 9781846686207.
  30. ^Nina Weber, DER SPIEGEL (22 April 2021)."Coronaimpfung und Risikoabwägung: Einmal impfen ist weniger riskant als eine Woche Skiurlaub".Der Spiegel (in German).Archived from the original on 18 February 2022. Retrieved11 June 2021.
  31. ^Levin AT, Hanage WP, Owusu-Boaitey N, Cochran KB, Walsh SP, Meyerowitz-Katz G (December 2020)."Assessing the age specificity of infection fatality rates for COVID-19: systematic review, meta-analysis, and public policy implications".European Journal of Epidemiology.35 (12):1123–1138.doi:10.1007/s10654-020-00698-1.PMC 7721859.PMID 33289900. Text was copied from this source, which is available under aCreative Commons Attribution 4.0 International LicenseArchived 16 October 2017 at theWayback Machine.
  32. ^Howard, R. A. (1989). "Microrisks for Medical Decision Analysis".International Journal of Technology Assessment in Health Care.5 (3):357–370.doi:10.1017/S026646230000742X.PMID 10295520.S2CID 37558060.
  33. ^abRussell, Stuart; Norvig, Peter (2009).Artificial Intelligence (3rd ed.). Prentice Hall. p. 616.ISBN 978-0-13-604259-4.
  34. ^UKRetail Price Index inflation figures are based on data fromClark, Gregory (2017)."The Annual RPI and Average Earnings for Britain, 1209 to Present (New Series)".MeasuringWorth. Retrieved7 May 2024.
  35. ^Government of the United Kingdom (January 2014)."Unit A4.1: Social Impact Appraisal"(PDF).Transport analysis guidance. London:Department for Transport. p. 6.
  36. ^US Department of Transportation, "Treatment of the Economic Value of a Statistical Life in Departmental Analyses—2011 Interim Adjustment", 2011,http://www.dot.gov/policy/transportation-policy/treatment-economic-value-statistical-life[1]
  37. ^"Radiation dose issues and risk"(PDF). European Society of Radiology. Archived fromthe original(PDF) on 19 February 2014. Retrieved18 November 2013.

Further reading

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External links

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