A micromort (from micro- and mortality) is a unit of risk defined as a one-in-a-million chance of death. [1] [2] Micromorts can be used to measure the riskiness of various day-to-day activities. A microprobability is a one-in-a million chance of some event; thus, a micromort is the microprobability of death. The micromort concept was introduced by Ronald A. Howard who pioneered the modern practice of decision 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.
Death from | Context | Time period | N deaths | N population | Micromorts per unit of exposure | Reference |
---|---|---|---|---|---|---|
All causes | England and Wales | 2012 | 499,331 | 56,567,000 | 24 per day 8,800 per year | ONS Deaths [4] Table 5. |
Canada | 2011 | 242,074 | 33,476,688 | 20 per day 7,200 per year | Statistics Canada [5] | |
US | 2010 | 2,468,435 | 308,500,000 | 22 per day 8,000 per year | CDC Deaths [6] Table 18. | |
Non-natural cause | England and Wales | 2012 | 17,462 | 56,567,000 | 0.8 per day 300 per year | ONS Deaths [4] Table 5.19. |
US | 2010 | 180,000 | 308,500,000 | 1.6 per day 580 per year | CDC Deaths [6] Table 18 | |
Non-natural cause (excluding suicide) | England and Wales | 2012 | 12,955 | 56,567,000 | 0.6 per day 230 per year | ONS Suicides [7] |
US | 2010 | 142,000 | 308,500,000 | 1.3 per day 460 per year | CDC Deaths [6] Table 18. | |
All causes – first day of life | England and Wales | 2007 | 430 per first day of life | Walker, 2014 [8] | ||
US | 2013 | 16.7 per day 6100 per year | CDC Life Tables [9] Blastland & Spiegelhalter, 2014 [10] | |||
Murder/homicide | England and Wales | 2012/13 | 551 | 56,567,000 | 10 per year | ONS Crime [11] |
Homicide | Canada | 2011 | 527 | 33,476,688 | 15 per year | Statistics Canada [12] |
Murder and non-negligent manslaughter | US | 2012 | 14,173 | 292,000,000 | 48 per year | FBI [13] Table 16 |
Death from | Context | Time period | N deaths | N exposure | Micromorts per unit of exposure | Reference |
---|---|---|---|---|---|---|
Scuba diving | UK: BSAC members | 1998–2009 | 75 | 14,000,000 dives | 5 per dive | BSAC [14] |
UK: non-BSAC | 1998–2009 | 122 | 12,000,000 dives | 10 per dive | BSAC [14] | |
US – insured members of DAN | 2000–2006 | 187 | 1,131,367 members | 164 per year as member of DAN 5 per dive | DAN [15] p75 | |
Paragliding | Turkey | 2004–2011 | 18 | 242,355 flights | 74 per launch | Canbek 2015 [16] |
Skiing | US | 2008/9 | 39 | 57,000,000 days skiing | 0.7 per day | Ski-injury.com [17] [ unreliable source ] |
Skydiving | US | 2000–2016 | 413 | 48,600,000 jumps | 8 per jump | USPA [18] |
UK | 1994–2013 | 41 | 4,864,268 jumps | 8 per jump | BPA [19] | |
BASE jumping | Kjerag Massif, Norway | 1995–2005 | 9 | 20,850 jumps | 430 per jump | Soreide 2007 [20] |
Mountaineering | Ascent to Matterhorn | 1981–2011 | 213 | about 75,000 ascents (about 2500 per year) | about 2,840 per ascent attempt | Bachmann 2012 [21] |
Ascent to Mt. Everest | 1922–2012 | 223 | 5,656 successful ascents | 37,932 per successful ascent | NASA 2013 [22] |
Activities that increase the death risk by roughly one micromort, and their associated cause of death:
Increase in death risk for other activities on a per-event basis:
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 be willing to pay to avoid a one-in-a-million chance of death (or conversely, the amount of money they 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 are less 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]
Government agencies use a nominal Value of a Statistical Life (VSL) – or Value 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, the UK Department for Transport essentially prices a reduction of 1 micromort at £1.60. The US Department of Transportation uses a VSL of US$6.2 million, pricing a micromort at US$6.20. [36]
Micromorts are best used to measure the size of acute risks, i.e. immediate deaths. Risks from lifestyle, exposure to air pollution, and so on are chronic 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:
Such risks are better expressed using the related concept of a microlife.
A pandemic is an epidemic of an infectious disease that has a sudden increase in cases and spreads across a large region, for instance multiple continents or worldwide, affecting a substantial number of individuals. Widespread endemic diseases with a stable number of infected individuals such as recurrences of seasonal influenza are generally excluded as they occur simultaneously in large regions of the globe rather than being spread worldwide.
Measles is a highly contagious, vaccine-preventable infectious disease caused by measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include fever, often greater than 40 °C (104 °F), cough, runny nose, and inflamed eyes. Small white spots known as Koplik's spots may form inside the mouth two or three days after the start of symptoms. A red, flat rash which usually starts on the face and then spreads to the rest of the body typically begins three to five days after the start of symptoms. Common complications include diarrhea, middle ear infection (7%), and pneumonia (6%). These occur in part due to measles-induced immunosuppression. Less commonly seizures, blindness, or inflammation of the brain may occur. Other names include morbilli, rubeola, red measles, and English measles. Both rubella, also known as German measles, and roseola are different diseases caused by unrelated viruses.
The value of life is an economic value used to quantify the benefit of avoiding a fatality. It is also referred to as the cost of life, value of preventing a fatality (VPF), implied cost of averting a fatality (ICAF), and value of a statistical life (VSL). In social and political sciences, it is the marginal cost of death prevention in a certain class of circumstances. In many studies the value also includes the quality of life, the expected life time remaining, as well as the earning potential of a given person especially for an after-the-fact payment in a wrongful death claim lawsuit.
Road traffic safety refers to the methods and measures used to prevent road users from being killed or seriously injured. Typical road users include pedestrians, cyclists, motorists, vehicle passengers, and passengers of on-road public transport.
Construction site safety is an aspect of construction-related activities concerned with protecting construction site workers and others from death, injury, disease or other health-related risks. Construction is an often hazardous, predominantly land-based activity where site workers may be exposed to various risks, some of which remain unrecognized. Site risks can include working at height, moving machinery and materials, power tools and electrical equipment, hazardous substances, plus the effects of excessive noise, dust and vibration. The leading causes of construction site fatalities are falls, electrocutions, crush injuries, and caught-between injuries.
Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. Signs and symptoms usually include a fever greater than 38.0 °C (100.4 °F), chills, lower abdominal pain, and possibly bad-smelling vaginal discharge. It usually occurs after the first 24 hours and within the first ten days following delivery.
The global pandemic of HIV/AIDS began in 1981, and is an ongoing worldwide public health issue. According to the World Health Organization (WHO), by 2023, HIV/AIDS had killed approximately 40.4 million people, and approximately 39 million people were infected with HIV globally. Of these, 29.8 million people (75%) are receiving antiretroviral treatment. There were about 630,000 deaths from HIV/AIDS in 2022. The 2015 Global Burden of Disease Study estimated that the global incidence of HIV infection peaked in 1997 at 3.3 million per year. Global incidence fell rapidly from 1997 to 2005, to about 2.6 million per year. Incidence of HIV has continued to fall, decreasing by 23% from 2010 to 2020, with progress dominated by decreases in Eastern Africa and Southern Africa. As of 2023, there are about 1.3 million new infections of HIV per year globally.
Sir David John Spiegelhalter is a British statistician and a Fellow of Churchill College, Cambridge. From 2007 to 2018 he was Winton Professor of the Public Understanding of Risk in the Statistical Laboratory at the University of Cambridge. Spiegelhalter is an ISI highly cited researcher.
Bicycle safety is the use of road traffic safety practices to reduce risk associated with cycling. Risk can be defined as the number of incidents occurring for a given amount of cycling. Some of this subject matter is hotly debated: for example, which types of cycling environment or cycling infrastructure is safest for cyclists. The merits of obeying the traffic laws and using bicycle lighting at night are less controversial. Wearing a bicycle helmet may reduce the chance of head injury in the event of a crash.
In epidemiology, case fatality rate (CFR) – or sometimes more accurately case-fatality risk – is the proportion of people who have been diagnosed with a certain disease and end up dying of it. Unlike a disease's mortality rate, the CFR does not take into account the time period between disease onset and death. A CFR is generally expressed as a percentage. It is a measure of disease lethality, and thus may change with different treatments. CFRs are most often used for with discrete, limited-time courses, such as acute infections.
Transportation safety in the United States encompasses safety of transportation in the United States, including automobile crashes, airplane crashes, rail crashes, and other mass transit incidents, although the most fatalities are generated by road incidents annually killing 32,479 people in 2011 to over 42,000 people in 2022. The number of deaths per passenger-mile on commercial airlines in the United States between 2000 and 2010 was about 0.2 deaths per 10 billion passenger-miles. For driving, the rate was 150 per 10 billion vehicle-miles: 750 times higher per mile than for flying in a commercial airplane. For a person who drives a million miles in a lifetime this amounts to a 1.5% chance of death.
Protective sequestration, in public health, is social distancing measures taken to protect a small, defined, and still-healthy population from outsiders during an epidemic before the infection reaches that population. It is sometimes referred to as "reverse cordon sanitaire."
Road traffic collisions generally fall into one of five common types:
A traffic collision, also known as a motor vehicle collision, or car crash, occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other moving or stationary obstruction, such as a tree, pole or building. Traffic collisions often result in injury, disability, death, and property damage as well as financial costs to both society and the individuals involved. Road transport is statistically the most dangerous situation people deal with on a daily basis, but casualty figures from such incidents attract less media attention than other, less frequent types of tragedy. The commonly used term car accident is increasingly falling out of favor with many government departments and organizations, with the Associated Press style guide recommending caution before using the term. Some collisions are intentional vehicle-ramming attacks, staged crashes, vehicular homicide or vehicular suicide.
An accident is an unintended, normally unwanted event that was not directly caused by humans. The term accident implies that nobody should be blamed, but the event may have been caused by unrecognized or unaddressed risks. Most researchers who study unintentional injury avoid using the term accident and focus on factors that increase risk of severe injury and that reduce injury incidence and severity. For example, when a tree falls down during a wind storm, its fall may not have been caused by humans, but the tree's type, size, health, location, or improper maintenance may have contributed to the result. Most car wrecks are not true accidents; however, English speakers started using that word in the mid-20th century as a result of media manipulation by the US automobile industry.
A microlife is a unit of risk representing half an hour change of life expectancy.
The COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an outbreak of COVID-19 in Wuhan, China, in December 2019. It spread to other areas of Asia, and then worldwide in early 2020. The World Health Organization (WHO) declared the outbreak a public health emergency of international concern (PHEIC) on 30 January 2020, and assessed the outbreak as having become a pandemic on 11 March.
Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. The first known case was identified in Wuhan, China, in December 2019. Most scientists believe the SARS-CoV-2 virus entered into human populations through natural zoonosis, similar to the SARS-CoV-1 and MERS-CoV outbreaks, and consistent with other pandemics in human history. Social and environmental factors including climate change, natural ecosystem destruction and wildlife trade increased the likelihood of such zoonotic spillover. The disease quickly spread worldwide, resulting in the COVID-19 pandemic.
On December 31, 2019, China announced the discovery of a cluster of pneumonia cases in Wuhan. The first American case was reported on January 20, and Health and Human Services Secretary Alex Azar declared a public health emergency on January 31. Restrictions were placed on flights arriving from China, but the initial U.S. response to the pandemic was otherwise slow in terms of preparing the healthcare system, stopping other travel, and testing. The first known American deaths occurred in February and in late February President Donald Trump proposed allocating $2.5 billion to fight the outbreak. Instead, Congress approved $8.3 billion with only Senator Rand Paul and two House representatives voting against, and Trump signed the bill, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, on March 6. Trump declared a national emergency on March 13. The government also purchased large quantities of medical equipment, invoking the Defense Production Act of 1950 to assist. By mid-April, disaster declarations were made by all states and territories as they all had increasing cases. A second wave of infections began in June, following relaxed restrictions in several states, leading to daily cases surpassing 60,000. By mid-October, a third surge of cases began; there were over 200,000 new daily cases during parts of December 2020 and January 2021.
COVID-19 affects men and women differently both in terms of the outcome of infection and the effect of the disease upon society. The mortality due to COVID-19 is higher in men. Slightly more men than women contract COVID with a ratio of 10:9.