[HN Gopher] Why aren't there more dogs at the doctor's office?
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       Why aren't there more dogs at the doctor's office?
        
       Author : Ariarule
       Score  : 31 points
       Date   : 2022-03-19 16:11 UTC (1 days ago)
        
 (HTM) web link (daily.jstor.org)
 (TXT) w3m dump (daily.jstor.org)
        
       | ogwh wrote:
       | Allergies.
        
       | jjcon wrote:
       | Answer: Dogs kill 25 thousand people a year - they are not safe
       | and people are allergic.
       | 
       | Edit: It isn't rabies that makes them unsafe - just in the USA
       | about 4.5 million Americans are attacked by dogs every year
       | resulting in thousands of hospitalizations.
       | 
       | https://www.wemjournal.org/article/S1080-6032(09)70079-1/ful...
        
         | Animats wrote:
         | > Dogs kill 25 thousand people a year
         | 
         | Huh? The cited article gives US statistics. "During this
         | 27-year time period there were 504 deaths reported. An average
         | of 18.67 deaths occurred per year, with a range of 11 to 33
         | deaths." That's about the same as US deaths from lightning
         | strikes.[1]
         | 
         | [1] https://www.weather.gov/safety/lightning-fatalities19
        
           | jjcon wrote:
           | That is worldwide - I added US attack statistics as part of
           | my edit to point out that something can be dangerous without
           | causing death. Here you can read about the 25k deaths:
           | https://www.bbc.com/news/world-36320744
        
         | Etheryte wrote:
         | This is highly misleading without context. Humans kill roughly
         | 475,000 humans every year [0]. Should we avoid having humans at
         | the doctor's office?
         | 
         | [0] https://www.worldatlas.com/articles/the-animals-that-kill-
         | mo...
        
           | tick_tock_tick wrote:
           | What kind of take is this? You need to interact with
           | humans.....
        
           | jjcon wrote:
           | So if something kills less than 475k people we should
           | consider it safe? What kind of reasoning is that?
        
           | petee wrote:
           | I think thats a fantastic idea +1
        
           | themgt wrote:
           | Well, the chance that your doctor would intentionally murder
           | you is likely higher than the chance your doctor would be
           | using a rabid feral dog from a 3rd world country, which are
           | responsible for nearly all of the "kill 25 thousand people a
           | year" you cited.
        
             | jjcon wrote:
             | And the 4.5 million annual attacks in the USA alone?
        
           | patall wrote:
           | What is so misleading about that number? That's 8 times 9/11,
           | every year! Your comment is whataboutism.
        
           | saghm wrote:
           | Even as someone who absolutely adores dogs and always is
           | happy when one is around, this is a pretty silly argument.
           | It's clearly possible to operate a doctor's office with zero
           | dogs present, but I've yet to see one successfully operate
           | without at least one. That said, for the past two years,
           | every time I've been to a doctor's office, there _have_ been
           | measures in place to keep the number of humans there as small
           | as possible, which I think is entirely reasonable.
        
         | voxic11 wrote:
         | The vast majority of those deaths are from dog spread rabies
         | right?
        
           | patall wrote:
           | In most non-western countries, yes. Not so in the UK: https:/
           | /en.wikipedia.org/wiki/List_of_fatal_dog_attacks_in_t... A
           | lot of those happened after an epileptic seizure. Which are
           | not quite rare in doctors offices.
        
         | glitchc wrote:
         | You seem to have a fear of dogs. Want to talk about it?
        
           | jjcon wrote:
           | I'm afraid of most of the things on this list (including
           | plenty of humans)
           | 
           | https://en.m.wikipedia.org/wiki/List_of_deadliest_animals_to.
           | ..
        
           | jjoonathan wrote:
           | I'm allergic. Want to talk about it?
        
             | Jtsummers wrote:
             | If you read the article and not just the title, the
             | majority of the discussion is using dogs for diagnostics of
             | collected samples. They (for that use) would not be around
             | patients like you so wouldn't trigger your allergies.
        
               | patall wrote:
               | But for those applications, you would probably prefer
               | giant pouched rats that are much cheaper to train and
               | keep.
        
               | Jtsummers wrote:
               | If they work as well or better for the purpose, then
               | sure.
        
             | glitchc wrote:
             | Sure, I get the allergies argument, especially if the
             | reaction is a deadly one. It's a good reason to avoid dogs.
             | I have an allergy too, although not to dogs. It's not
             | EpiPen level, but I do keep a bottle of Benadryl handy at
             | all times. I totally get the life or death vibe.
             | 
             | But calling dogs killers because one is allergic to them is
             | a bit disingenuous no? People are allergic to many things.
             | It's not the thing that's the problem, rather the
             | individual body's overreaction in the presence of the
             | thing. The problem is with the body, not the allergen,
             | wouldn't you agree?
        
           | dheera wrote:
           | Well yes, I've been in far more life-or-death situations with
           | dogs than humans, and they give me panic attacks.
           | 
           | On multiple occasions I had a group of dogs chasing me on a
           | mountain road while I was on my bike with trucks on one side
           | and a cliff on another.
           | 
           | Don't fault me, I had every right to be there in peace, and
           | enjoy my bike ride. No wild animal bothered me, just the
           | goddamn dogs.
           | 
           | I don't want dogs anywhere near me.
           | 
           | And yes, statistically they are far more dangerous than
           | bears, mountain lions, and wolves combined, in terms of both
           | injuries and deaths, even if you exclude rabies cases.
           | 
           | Dogs were bred to fearlessly attack anything unknown and
           | that's exactly what they do.
           | 
           | Wild animals, on the other hand, generally fear the unknown
           | and stay away from it.
        
             | glitchc wrote:
             | Dogs chase people and things for many reasons. Almost
             | always it's for play. If a dog has its ears and tail up,
             | it's looking to play with you, not tear you to pieces. Dogs
             | have clear signals and behaviours that need to be
             | understood.
             | 
             | > Dogs were bred to fearlessly attack anything unknown and
             | that's exactly what they do.
             | 
             | This is completely untrue and the complete opposite of how
             | dogs evolved. Dogs were domesticated to live among humans
             | in harmony. If you experience a poorly behaved dog, it's
             | the owner at fault. Some owners mistreat their dogs and/or
             | raise them with poor social habits, causing the dog to
             | behave aggressively towards humans. It's learned distrust,
             | for which you have people to blame. Good owners will treat
             | their dogs well. Such dogs will not attack another person
             | unless their owner is being physically harmed. I don't know
             | if you're living in America, most dogs in North American
             | society come from well-adjusted homes where people treat
             | them as members of the family.
             | 
             | You can learn how to make friends with any dog. It can be
             | taught. The fear you experience is learnt and can be
             | unlearnt.
        
               | dheera wrote:
               | > Almost always it's for play.
               | 
               | No, fuck that. Being chased on a mountain road is life-
               | threatening and it's the dog's fault, not mine. Literally
               | no other animal does this, they are nuisances.
               | 
               | > If a dog has its ears and tail up, it's looking to play
               | with you, not tear you to pieces. Dogs have clear signals
               | and behaviours that need to be understood.
               | 
               | No, fuck that. In MY language:                   mellow
               | purring = friendly         barking = threat
               | 
               | Period. If it barks, I will bark back and assert my
               | dominance, followed by pepper spray and rocks if it
               | continues to approach and threaten.
               | 
               | If I move away or yell at an animal, that means NO and do
               | NOT follow me. Almost all other animals including cats
               | usually understand CONSENT and what "NO" means very well.
               | 
               | > If you experience a poorly behaved dog, it's the owner
               | at fault.
               | 
               | Well, 90% of dogs I've encountered don't have owners and
               | many of them threatened me. Often in packs. The few dogs
               | I've met that have owners, at least half of them were
               | very badly behaved.
               | 
               | 100% of bears and coyotes I've encountered don't have
               | owners either, and to this date every single one I
               | encountered has left me alone.
               | 
               | > You can learn how to make friends with any dog.
               | 
               | I really just do not want to. Like most cats and
               | porcupines, I really just want to be left alone by dogs.
               | That's my choice, and I want to be respected and dogs to
               | respect that I do not wish to be approached, sniffed,
               | barked at, or chased.
               | 
               | I'm more than happy making friends with other animals,
               | and do not need dogs in my life _at all_.
        
             | WhitneyLand wrote:
             | I've been on more mountain roads and trails than I can
             | recall, encountered plenty of dogs and not had a single
             | threatening moment let alone an injury.
             | 
             | I regret to hear of your phobia, but both of our
             | experiences are just anecdotes with no weight to argue
             | from.
        
               | dheera wrote:
               | Gaslighting is not welcome here. You might be lucky. Your
               | words come off as essentially arguing that just because
               | _you_ haven 't experienced X that the problem is not
               | significant. Many people attempt to use logic like this
               | for X={racism, sexism, ...} but it applies to other
               | things including traumatic interactions with dogs.
               | 
               | Also, there are plenty of people I know with the same
               | experiences as me.
        
               | WhitneyLand wrote:
               | How on earth are you calling my comment gaslighting? I
               | merely pointed out that both of our examples are a single
               | person's data point, and we cannot draw broad conclusions
               | from them.
        
               | dheera wrote:
               | I don't think being chased by packs of dogs on _several
               | dozen_ instances in at least 5 countries counts as a
               | single data point.
               | 
               | Maybe dogs hate the way I smell and love the way you
               | smell but that doesn't make it right.
               | 
               | I do carry defenses (rocks, pepper spray) to deal with
               | the situation and avoid injury but having to be on guard
               | for dogs at every second and ready to pull out these
               | things on a moment's notice is NOT a pleasant way to
               | cope.
        
               | WhitneyLand wrote:
               | I said it's a single person's data point. And it is.
               | You're hypersensitive on this issue. Clearly you know the
               | math and the statistics to know what one persons
               | experiences mean to drawing conclusions.
               | 
               | I respect your wish not to feel threatened and I tried to
               | show that, no need to make incorrect replies.
        
               | dheera wrote:
               | > You're hypersensitive on this issue.
               | 
               | https://repeller.com/what-youre-too-sensitive-really-
               | means/
        
         | paulcole wrote:
         | Worldwide or in developed countries?
        
         | rubyn00bie wrote:
         | Where did you get your numbers? I'm so confused because the
         | paper you linked doesn't seem to support what you're saying in
         | the slightest. It really just seems like you hate dogs.
         | 
         | > [...] Dogs kill 25 thousand people a year
         | 
         | I don't see it in the paper and it's a HUGE discrepancy. Do you
         | mean globally? Again where did you even get that number? The
         | ONLY reference I see is this from a CDC paper [1]:
         | 
         | > From 1979 to 1994, dog attacks resulted in 279 deaths to
         | humans in the United States, resulting in an average of 17 to
         | 18 deaths per year.
         | 
         | Sooo... Less than 20 deaths per year, up-to 21 in the worst
         | case estimate, in a country (USA) where ~34 million households
         | have dogs. I'm seriously perplexed, dawg. Did you read the
         | paper or just link to it assuming no one will even skim it?
         | 
         | [1] https://pubmed.ncbi.nlm.nih.gov/9182209/
        
           | jjcon wrote:
           | > the paper you linked doesn't seem to support what you're
           | saying in the slightest.
           | 
           | The paper was part of my edit just looking at the 4.5 million
           | attacks in the USA alone (where rabies is essentially gone)
           | to point out that it isn't just rabies that makes them
           | unsafe. Here you can read about the 25k deaths:
           | 
           | https://www.bbc.com/news/world-36320744
        
         | bandrade wrote:
         | This is an incredibly disingenuous statistic. The 25,000 is
         | from rabies due to bites from feral dogs. This would not be an
         | issue in medical settings where the canines would be
         | vaccinated.
        
         | avalys wrote:
         | Dogs are not safe? As in, the therapy dog that comforts sick
         | children in the hospital might actually bite their face off at
         | any moment?
        
       | aaron695 wrote:
        
       | codr7 wrote:
       | Not sure I like where this is going, now I'm imagining dogs
       | patrolling public areas and tagging random people for mandatory
       | Covid quarantine.
       | 
       | Not being able to smoke a joint before crossing a border without
       | risking harassment was bad enough.
        
         | slowmovintarget wrote:
         | This is about using dogs to help with diagnosis. Anything the
         | medical staff would learn from the dogs would still be covered
         | under doctor-patient confidentiality.
         | 
         | Training dogs to help could provide cheaper, more accurate
         | tests that are less invasive and less painful for patients.
         | This has nothing to do with "hassling" you.
         | 
         | I'd be more concerned with the ethics of using dogs for
         | COVID-19 detection given that dogs are susceptible to SARS-
         | CoV-2 infection.
        
           | codr7 wrote:
           | I suggest reading the article and not being so damn naive.
        
         | kadoban wrote:
         | If we can accurately pick out which people are contagious with
         | Covid, should they not be forced to quarantine?
        
           | mwint wrote:
           | No, they shouldn't at this point. Especially in areas where
           | everyone who wants to is vaccinated.
           | 
           | Government-forced quarantine was only valid - if ever - at
           | the beginnings of a disease where little was know. It's not
           | valid when we know the disease poses minimal threat to the
           | majority of the population, and only slightly above minimal
           | to a minority.
        
             | jedberg wrote:
             | > Especially in areas where everyone who wants to is
             | vaccinated.
             | 
             | Right now that is nowhere in the world, because kids under
             | 5 still can't get vaccinated.
        
               | mwint wrote:
               | https://data.cdc.gov/NCHS/Provisional-COVID-19-Deaths-
               | Focus-... indicates 347 Covid deaths in the 0-4yo
               | category, since Jan 2020. Out of a population of around
               | 16M in the US, ignoring churn in that category.
        
               | jedberg wrote:
               | That's nice, but we have no idea what the long term
               | effects of COVID infection is on young children. We do
               | know that in adults the long term effects are lessened
               | when they are vaccinated, and we can assume the same in
               | children. So it's still a valid concern.
        
               | renewiltord wrote:
               | We do not know about the long term effects of the MMR
               | vaccine is either. Will kids who received it instantly
               | die at the age of 60? We don't actually know.
               | 
               | Another valid concern.
        
               | mmarq wrote:
               | Well, then I don't want anybody who isn't fully immunised
               | against measles or meningococcus to get anywhere near my
               | child
        
               | jedberg wrote:
               | The prevalence of those diseases is much lower than COVID
               | right now, so your argument doesn't really work.
        
               | mmarq wrote:
               | They are also way more dangerous for a 5 month old baby.
        
               | jedberg wrote:
               | Ok then keep your five month old at home (that's what you
               | want me to say right)? And now you want to say "then keep
               | your four year old at home"
               | 
               | But there is a huge difference between the socialization
               | needs of a child under one (when they get their measles
               | vaccine) and a child under five. Children between 3 and 5
               | go to pre-school and need to interact with people for
               | their psychological well being. So it's on us as a
               | society to make it safe for them to so.
               | 
               | And meningococcus usually spreads through deep kissing,
               | so as long as your infant is French kissing an infected
               | adult it should be fine.
        
       | kayodelycaon wrote:
       | Long story short, dogs aren't reliable enough to be medical
       | devices.
       | 
       | The whole "police dog" comparison is completely misleading. Drugs
       | dogs are hilariously unreliable and are explicitly used by some
       | departments solely to create probable cause.
       | 
       | And with SAR dogs, they don't need to be reliable at tracking as
       | long as they are better than humans.
        
         | umvi wrote:
         | Have there actually been studies that put drug dogs to the test
         | under controlled conditions?
         | 
         | Just looking at airport stats isn't enough. A drug dog might
         | sniff trace amounts of drugs on clothing, but a search may not
         | turn up anything because the trace amounts are from days
         | earlier. Or maybe the contraband is too well hidden to be
         | found, and so the drug dog's signal is labelled a "false
         | positive" because the search failed even though it really was a
         | true positive.
         | 
         | Even if a drug dog is only right 50% of the time, that's still
         | pretty incredible odds unless literally 50% of the population
         | is carrying illegal drugs at any given time.
         | 
         | I'm not saying that I don't believe drug dogs used as an excuse
         | to manufacture probable cause, but I also don't believe the
         | concept of an accurate drug-sniffing dog is impossible,
         | considering blood hounds can detect and follow extremely dilute
         | traces of a person's scent.
        
           | kayodelycaon wrote:
           | Something like 80% of us paper currency has trace amounts of
           | cocaine on it. Which means anyone carrying cash is likely
           | carrying drugs.
        
         | Ariarule wrote:
         | The article gives _good_ sensitivity and specificity numbers
         | for dogs, under appropriate conditions.
        
         | perfecthjrjth wrote:
         | The whole "police dog" is a supreme court approved way to
         | subvert the fourth amendment:
         | https://reason.com/2011/02/18/four-legged-warrants/
        
         | sidewndr46 wrote:
         | On the contrary, they are 100% reliable. They always detect
         | drugs when they are present. They also detect drugs when they
         | aren't present. But hey, probable cause is just a pesky
         | constitutional law concept anyways.
        
           | Ekaros wrote:
           | Has this been blind tested? That is for example simulated
           | mules carrying well protected drugs at end of the long day?
        
           | guerrilla wrote:
           | So more like 150%-200% reliable
        
         | mmh0000 wrote:
         | Here, have some free citations. This is something which I
         | believe everyone should be aware of:
         | 
         | "Drugs dogs are hilariously unreliable and are explicitly used
         | by some departments solely to create probable cause."[0][1][2]
         | 
         | [0] https://en.wikipedia.org/wiki/Florida_v._Harris
         | 
         | [1] https://www.utahcriminallaw.net/drug-sniffer-dog-false-
         | posit...
         | 
         | [2] https://www.smh.com.au/environment/conservation/sniffer-
         | dogs...
        
       | bell-cot wrote:
       | A better title: Why Aren't There More Dogs in Medical Labs,
       | Sniffing & Screening Samples?
       | 
       | Quick answer: What major stakeholder or gatekeeper would favor
       | that situation? Beyond obvious regulatory issues, dogs sniffing
       | samples is not patent-able, high-tech, high-status, nor high-
       | profit.
        
       | Buttons840 wrote:
       | Someone once said that dog's noses are the closest thing we have
       | to Star Trek tricorders. In Star Trek a tricorder is a handheld
       | sensor that can seemingly detect anything in any situation, and
       | as a Star Trek fan this description has always stuck with me.
       | 
       | Perhaps one day we'll master electronic noses, but until then,
       | dogs seem under utilized. If anyone's looking for a high
       | difficulty, high impact way of changing the world, look at
       | electronic noses.
       | 
       | Human smell is also under utilized. I had a friend with a severe
       | peanut allergy who could enter a house and immediately tell if
       | there were peanuts in the house. Presumably most people possess
       | such senses, but have no reason to use them.
        
         | amelius wrote:
         | It's kind of strange that the first sensor that evolution built
         | is the last sensor to be implemented in electronics (if ever).
        
           | nhoughto wrote:
           | interesting to think about the amount of 'information' that
           | is present in an environment (like smells) that we aren't
           | privy too and don't understand. Its easy to assume it doesn't
           | exist and then be surprised when a trained dog knows someone
           | is sick immediately.
           | 
           | The information (in the form of chemicals etc) is there we
           | just can't sense it via machine or otherwise, puts the idea
           | of technological superiority into perspective.
        
           | Angostura wrote:
           | Chemistry and electronics are difficult bedfellows. The other
           | senses can be emulated quite nicely in pure electronics
        
       | anadem wrote:
       | A new study shows that ants are as effective as dogs at detecting
       | cancer, and can be trained to do so in as little as 30 minutes
       | [0]
       | 
       | That doesn't explain dogs' absence, but one day it might.
       | 
       | [0] https://www.healthcarepackaging.com/quick-
       | hits/article/22118...
        
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