Michael Osterholm, director of the Center for Infectious Disease Research and Policy (CIDRAP), professor in the School of Public Health, adjunct professor in the Medical School, University of Minnesota, Minneapolis, Minn.
William Schaffner, president, National Foundation for Infectious Diseases, professor and chair, Department of Preventive Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
A new report in the journal Lancet Infectious Diseases says evidence that the flu shot offers protection in adults aged 65 years or older is lacking. Host John Dankosky and guests discuss the report, the upcoming flu season, and whether seniors should get the flu vaccine.
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JOHN DANKOSKY, host: This is SCIENCE FRIDAY. I'm John Dankosky filling in for Ira Flatow. A new analysis out this week says the seasonal flu shot may not be working as well as we'd like to think. Writing in the journal Lancet Infectious Diseases, a group of researchers says evidence for protection in adults age 65 or over is lacking.
For younger adults, aged 18 to 65, there's evidence that the vaccine gives some protection, but it varies from year to year. The researchers say that some seasons' protection is greatly reduced or even absent. So why the big push to get a flu shot every year? The CDC still says that everyone over six months needs to get vaccinated.
So is there any harm in getting a vaccine that might not even help you? That's what we'll be talking about this first hour. If you want to get in on the conversation, you can give me a call. Our number is 1-800-989-8255. That's 1-800-989-TALK. If you're on Twitter, you can tweet us your questions by writing the @ sign followed by scifri.
If you want more information on what we'll be talking about this hour, go to our website at www.sciencefriday.com, where you will find links to our topic.
Let me introduce our guests. Michael Osterholm is the director of the Center for Infectious Disease Research and Policy and a professor of environmental health sciences at the University of Minnesota's School of Public Health. He joins us from the studios of Minnesota Public Radio in St. Paul. Michael Osterholm, welcome back to SCIENCE FRIDAY.
MICHAEL OSTERHOLM , UNIVERSITY OF MINNESOTA: Thank you very much.
DANKOSKY: William Schaffner is president of the National Foundation for Infectious Diseases. He's also professor and chair of the Department of Preventive Medicine at Vanderbilt University Medical Center in Nashville. Welcome back to SCIENCE FRIDAY, Dr. Schaffner.
WILLIAM SCHAFFNER: Hi, John, good to be with you.
DANKOSKY: Again, you can join us at 1-800-989-TALK. Michael Osterholm, first to you: Let's talk about this report. You looked at over 5,500 studies on flu vaccine, and of all those studies over all these years, you decided that about 30 studies were useful. Really?
MINNESOTA: Well, first of all, we didn't look at that many studies. We looked at that many articles to identify the studies. And ultimately, we came up with 176 studies that were published among those journals. And of those 176, 73 were randomized controlled trials, where that kind of study which is considered the gold standard of measuring the effect of an intervention like a vaccine, where it was a double-blind placebo-controlled trial.
Some got vaccines; some got a placebo. We didn't know who it was until the code was broken. And then we looked at 103 observational studies. These are the kinds of studies where we follow what goes on in the clinic and using some very specific criteria to make sure that we don't bias who is vaccinated, who is actually evaluated. We looked at those, too.
And it's from those 176 we came up with 31 that really provided us, we believe, the very best and the most accurate information about what's happening with the flu vaccine.
DANKOSKY: So based on this analysis, what do we know about the vaccine's effectiveness? Let's talk about adults first, not seniors, not kids but the big path of adults.
MINNESOTA: Well, first of all, the overall effect of the trivalent inactivated vaccine, which is the shot that we think about, it's the one that has been around largely unchanged for a number of decades. And in that case, when we look at that, in eight of 12 vaccine seasons, or we study influenza during influenza season, we found that the vaccine was protective, so in two-thirds of the studies.
And when it was protective, it was protective at about a 59-percent rate across all the different studies. When we looked for live attenuated vaccine, the puff that goes up the nose that has been around more recently, there we could not identify any studies that either from an observational disease - or observational study standpoint or from an actual vaccine randomized control trial standpoint, showed that the vaccine was effective.
DANKOSKY: But in kids, that nasal vaccine did work a little bit better.
MINNESOTA: In fact we found just the opposite. Really the best news in this entire study was that among those studies of children, all eight studies, the live attenuated vaccine in children under eight years of age actually worked quite well. It was consistent protection. The pool, the average protection level was 83 percent.
However, there were only two studies in children of the inactivated vaccine in that same age group, both conducted by the same group, a year apart. In the first year, they found the vaccine worked 66 percent of the time. And in the second year, they found it worked minus-7 percent of the time or not a measurable effect.
So from that standpoint, we obviously think that the information about the live attenuated vaccine is very important in terms of everyday clinical practice.
DANKOSKY: Now, of course, the part that a lot of people are reading is how this affects seniors. What did you find for those 65 and older?
MINNESOTA: Well, this is where it's more troubling, and understandably, there's going to be some absence of data since the seniors have been recommended to get the trivalent inactivated vaccine since 1960. And because it's unethical to do studies where you withhold a vaccine from someone once it's been recommended, it's understandable that there'd be a relative absence of randomized control trials because you couldn't allocate someone to a placebo.
However, even looking - trying to look at observational studies, those that are just following clinical practice, we could only find one study that suggested there was protection that - in fact, I say suggested - show that there was protection in that population.
I would urge that the absence of evidence is not evidence of absence, but I think that the amount of the protection is actually difficult to measure. Even in this year's data for the Centers for Disease Control and Prevention, which was reported several days ago for the 2009-2010 influenza season, they were unable, in their observational studies, to demonstrate a significantly protective effect in those 65 years of age and older.
DANKOSKY: So you're not finding studies that show it's effective. We're not finding studies, though, that show it isn't effective, right?
MINNESOTA: Well, that's actually not true in the sense of how you want to talk about effective. Back in the early part of the last decade, there were a number of studies that came out that suggested that up to half or even 70 percent of the mortality in those 65 years of age and older could be eliminated by using influenza vaccine.
We now know that in retrospect, those studies suffered from basically a bias of who got vaccinated and who didn't. It was basically a health vaccinee effect: Those over 65 who were healthy got vaccinated. Those were end-of-life or frail did not. That was pretty evident quickly when the data with the - despite the fact of seeing a major increase among the number of people over age 65 getting vaccinated, there was not a commiserate change in the mortality.
But in addition, we found in a number of these studies that the highest benefit for preventing death actually occurred during the summer months, when the virus wasn't even around.
Since that time, there's been a series of studies done by five different groups in three different countries, which demonstrate some moderate impact of the vaccine that isn't measure in vaccine efficacy or effectiveness. And in those studies, it's possible that as high as eight percent of hospitalizations are eliminated, but it's much more difficult to determine or to more specifically elucidate the benefit to those over age 65.
DANKOSKY: If you want to join our conversation, 1-800-989-8255. That's 989-TALK. We'll talk your questions about the flu in just a minute. But I want to get to Dr. Schaffner. What's surprising, to you, in this analysis? What stands out to you?
SCHAFFNER: Well, actually, those of us who are involved in influenza vaccine are familiar with these data and would largely agree, with some footnotes, to what Michael is saying. They throw out some studies that we wouldn't if we looked at them, and we've long known that influenza vaccine is not a perfect vaccine. We need a better influenza vaccine.
But I think that Michael gets vaccinated every year. So do I. And we all promote the immunization of people age six months and older in the United States because, as he says, even in most years, there is, at least, moderate benefit in most age groups. Influenza vaccine will if not eliminating the disease completely, modify the illness so that you do prevent some cases of pneumonia, hospitalization and death.
I like to paraphrase Voltaire: While we wait perfection, that can be the greatest enemy of the current good. And we have a good vaccine; we don't have a great vaccine. We need to use the good vaccine.
DANKOSKY: Is there an argument, Dr. Schaffner, though, that by using the good vaccine, we're not spending enough time, enough effort, enough money to try to get a better vaccine?
SCHAFFNER: I think actually that was correct. Also, the vaccine was so incredibly safe that there was not motivation, and there wasn't financial motivation for companies or the government until about five years ago to invest anything really worth talking about in trying to create a better flu vaccine.
But within the last five years, I think that there's been more investigation into trying to create a better influenza vaccine than there has been in the previous 40, and also though they are stepwise increments - just in the last two years, we've had - licensed a high-dose vaccine for seniors and now the intradermal vaccine.
Those aren't miracle drugs by any means. They are modest advances over what we have. But Francis Collins, the director of the NIH, said just this last weekend that he anticipates that maybe by 2016 we'll have at least a candidate universal influenza vaccine because of research.
And what that means is that we all know that the influenza virus changes so very frequently, that's why we have to create a new vaccine virtually every year. If we had a universal vaccine, one that would protect against the vast majority of strains, maybe we all wouldn't have to get vaccinated except maybe every 10 years, the way we get our tetanus shots. And that would be a huge advance.
We're not there yet, but there's a little bit of light at the end of the tunnel.
DANKOSKY: Michael Osterholm, do you think we're that close to a universal vaccine?
MINNESOTA: Well, I think you have to break this apart, really into two totally different component pieces. The study that we present here is a small part of a much larger effort that our center has undertaken for the last two years to really look at influenza vaccines from cradle to grave, from the very basic research and development and finance funding, all the way to consumer acceptance and how well and effective they work.
And I think that we actually find ourselves in a Catch-22 that is a very, very critical moment for us in terms of really understanding where we're going with this. I would possibly beg to differ a bit with Dr. Schaffner about how we've talked about these vaccines.
He and his colleagues have recently called them maximally effective, excellent vaccines, miracle of modern science, and what we have found is that we really feel very confident the results we present here are the best results. We can't fudge them. You can argue, and I've seen, Bill, your comments about serology, we would still disagree with you on whether or not you include those studies or not.
But what the really important part that we found is that we have worked so hard to get people to get vaccine, we've promoted it, and understandably, we want people to get vaccinated, I'm not here on the show today to say don't get vaccinated, we have left people with the sense that this is a really good vaccine.
Now, we have interviewed a number of venture capitalists. We have interviewed a number of the start-up companies who have new and novel technologies, not for example the Fluzone that Bill talked about, that high-dose vaccine, which is just more of the same old vaccine, and if you think that the vaccine matches the problem, why is more antibody going to make a difference? I don't know.
But the point being is that in fact we have a vaccine today that's holding back new development because why invest a billion dollars if you already have a good vaccine.
DANKOSKY: Let's take a break there. You can join us, 800-989-8255, as we talk about the seasonal flu here on SCIENCE FRIDAY.
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DANKOSKY: I'm John Dankosky. This is SCIENCE FRIDAY from NPR.
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DANKOSKY: This is SCIENCE FRIDAY. I'm John Dankosky. This hour we're talking about the flu. My guests are Michael Osterholm, director of the Center for Infectious Disease Research and Policy and a professor of environmental health sciences at the University of Minnesota School of Public Health. William Schaffner is with us, as well, president of the National Foundation for Infectious Diseases, professor and chair of the Department of Preventive Medicine at Vanderbilt University Medical Center in Nashville. Let's go to the phones. Wendy(ph) is calling from Patterson, California. Hi, Wendy, go ahead.
WENDY: Hi, I was calling to ask why we had to get a flu vaccine every year because some of the other vaccines only get when we're young, that we just get once. And you guys touched on that, that the virus changes, and that's the reason. I would like to know, like, how it changes every year. And are we causing or driving that change at all by vaccinating?
DANKOSKY: Good question, Michael Osterholm?
MINNESOTA: Well, first of all, we're not changing it by vaccinating. We're not driving the vaccine. Mother Nature and evolution is doing that just fine. I think one of the other things we learned in our study here is there are certain dogmas in the influenza world that we really need to take a step back and look at.
For example the idea of vaccine match and how well the vaccine does. We looked carefully at that in our studies, and we could find not rhyme nor reason as to how well the match for a given year really matched up with how well the vaccine did.
Look no further than the data we've presented in the paper from the H1N1 pandemic vaccine strain, where there we had virtually a perfect match, and in young, healthy adults in Europe, where they actually did use what we call an adjuvant, a chemical that actually boosts the immune response, the overall protection was only 69 percent.
And if you look in this country, the data from the CDC showed that where we didn't use the adjuvanted vaccines in that same population, the protection was 59 percent so that even there with a very, very close match, it didn't seem to show us the results one would think if you had a close match.
So I think we have a lot more work to do, and we've actually tried in this subsequent publication that will coming out to actually look at that much more carefully. And I think the more we learn about this, the less I think we may know about it.
DANKOSKY: I have another call from Cathy(ph), and a few callers want to ask this question. So let's go to Cathy in Abington, Massachusetts. Hi there, Cathy.
CATHY: Hi, thanks for taking my call. My question is about the myth that you can't catch the flu from the flu vaccine. And yet since the H1N1, I've had my family immunized, and three out of the last four years, three different ones of us caught the flu really badly. And it's kind of making me not want to get it. And I know it's a myth, but if you could just explain why that seems to happen. I hear it so often.
DANKOSKY: Dr. Schaffner, explain the myth for us.
SCHAFFNER: Well, it is a myth. You cannot get flu from the flu vaccine. And any number of things can explain what Cathy is talking about. The first is that, you know, we're immunizing right now, and there are people who have colds, and you can get the vaccine, and if you then get a cold four days later, you say where did I get that cold, and then you are likely to attribute it to the vaccine that you got a few days earlier.
And as Michael just said, the vaccine is not perfect. He cited success rates in young, healthy adults of 59 and 69 percent. I look at that as the jar half-full. He says it's half-empty. And so even though you're vaccinated, you can get illness on occasion. There's no doubt about it.
DANKOSKY: What about other side effects, especially for older people, Dr. Schaffner?
SCHAFFNER: Well, it's an incredibly safe vaccine. We give the vaccine in the literally hundreds of millions of doses, and other than really a bit of a sore arm, there are few serious adverse effects. It's one of the most incredibly safe vaccines there is. And indeed, apropos of Mike's comments, that's one of the disincentives for companies to invest a lot of money in creating a new vaccine because this one is so safe.
DANKOSKY: Go ahead, please.
MINNESOTA: Can I just follow up on that? Because I think that, first of all, I want to be really clear. I'm not saying the glass is half-full or half-empty. It's a very straightforward point. If we talk about the vaccine doing its very best, when it's closely matched to the circulating strain, the H1N1 pandemic vaccine was as close a match as we've had for almost 40 years, meaning that the strain did not change in any measurable way that should or could impact vaccine effectiveness.
And all we're pointing out is even with that, we still only got 59 to 69 percent. Do I think that's a lot better than zero? Absolutely. And when I tell people to get vaccinated for that benefit, absolutely. But it begs the question about what do we really know about this vaccine. How well is it really, really protecting?
And I think that that's the challenge that we're facing right now is in a sense we've oversold how well this vaccine's working, which doesn't mean that in fact we think we shouldn't get it. A 50-percent advantage is a heck of a lot better than zero.
But it's holding us back from driving us towards better vaccines because who's going to invest a billion dollars trying to bring a new vaccine to market that's very different than this vaccine when you've got the current conditions: universally recommended, everybody says it's very effective, excellent vaccine, maximally effective, it's considered to be safe, and it's readily available.
So I think that what we're trying to say is unless we want to stay with this basic vaccine antigen, the protein that's in here that's causing us to fool the body into thinking we've been infected, which is now over 60 years old, do we want to stick with that? We're going to have to acknowledge that we really do have a lot of questions that haven't been answered and that hopefully this study is starting to draw some of them out.
I've heard people who just several years ago are quoted widely as to how good this vaccine are now saying today oh, we always knew that it wasn't that good. That's not a credibility gap I think that can be easily jumped, and it's not one that's going to get us to that next vaccine.
DANKOSKY: What is it that you measure, exactly, to know whether or not it's effective? And hasn't that changed over the years?
MINNESOTA: Well, if you're asking about effective from the standpoint of illness outcome, that's what we're really looking at. What you want to know are what are those things that you can say with certainty. For example, one of the problems we have in looking at deaths, deaths are caused by many things that may be influenza-like illnesses.
If you're looking at influenza-like illness, as Dr. Schattner just said, you know, 20 to - five to 20 percent of illnesses may be influenza, but a lot of them are not. And so one of the things that I think is very important in effectively really measuring what the vaccine does is you have to know were you infected or not.
And our study actually looked at those studies, which actually showed that. We had a number of studies done during the 1960s through the 2000 time period that use serology, blood testing. Yet in the 1950s, researchers showed that if you vaccinated someone and then they got infected, you could culture the virus from them, they were actually ill, and about - very rarely did they ever show a four-fold antibody rise or one that would give you reason to think they were infected.
Such studies were recently done that just demonstrated that again. Seventy-five percent of the people basically who were vaccinated with a trivalent inactivated vaccine never showed a four-fold antibody rise.
So there you have such a strong bias against finding the real answer and over-inflating the importance of the vaccine. So we knew to take a step back and say: What really gives us the data to show these vaccines work or don't work?
And then once we have that understanding, we can move forward and say what do we need for vaccine? Flu is a critical disease. We need to have vaccines that are effective. We should use what we have until we get those effective vaccines. But we can't stand in the way of getting new vaccines by telling people what we have right now is good enough.
DANKOSKY: Getting back to this idea of it being unethical to do studies on people over 65 because we believe that everyone had to get the flu vaccine, where does this leave us? Is it time to start doing these studies in older people now?
SCHAFFNER: Well, what will happen is that as new vaccine candidates come up, they will be studied in comparison to the standard vaccine. We won't be able to withhold vaccines from anyone, but we can compare the new with the standard going forward.
And as a matter of fact, I'm a volunteer in just such a trial now. I got my influenza vaccine, but I don't know whether I got the standard one or a new one. We'll find out at the end of the trial.
DANKOSKY: I want to ask you, Dr. Osterholm, a lot of senior may be offered a vaccine called Fluzone. Can you tell us what that is?
MINNESOTA: Well, Fluzone is basically the same kind of influenza vaccine, the trivalent inactivated vaccine, with four times higher the dose, in terms of the antigen, which in turn should induce more antibody.
I think that again we'll wait for the data to come out. Clearly they make more antibody, but that is a long stretch. We have to understand that today, we have equated making antibody to this specific antigen as also being equal to protection, and we now know that's not true. There is clearly a correlation.
But we know there's a big difference. For example, the fact that we have to get vaccinated every year shows you that somehow the immune system's not picking this up. And when you put that into perspective with what happened with the pandemic, we had a number of 70- and 80-year-olds during the pandemic who surely had some innate protection against that virus based on just looking at the population risk of getting infected, and it turned out that these were people who were exposed 60 years before or more to that same circulating type of virus, and 60 years later, their bodies still recognized the fact that they had seem a similar virus 60 years ago.
It had induced antibody or a number of other parts of their immune system so that they were protected. That's what we need to move towards. The idea that we have to vaccinate every year already says that we're not doing a very good job of taking that immune system we have and turning it on in the right way to protect ourselves.
Best thing we've got, we should do it, but it's surely, surely far from what we can do and must do.
DANKOSKY: Well, I want to thank our guests. Michael Osterholm is director of the Center for Infectious Disease Research and Policy and a professor of environmental health sciences at the University of Minnesota's School of Public Health. Thank you so much for joining us.
MINNESOTA: Thank you.
DANKOSKY: Thanks also to William Schaffner, president of the National Foundation for Infectious Diseases. He's also professor and chair of the Department of Preventive Medicine at Vanderbilt University Medical Center in Nashville. Thank you, doctor.
SCHAFFNER: A pleasure, John.
DANKOSKY: Up next, theoretical physics for the masses - well, at least for those of us who watch Public Television. In a new four-part TV series that starts next week, physicist and best-selling author Brian Greene brings extra dimensions, string theory and multiverses right into your living room. With lots of computer graphics and special effects, the four episodes tackle some of the looming questions in cosmology. Does time move in more than one direction? Are there extra dimensions that we can't see? Are there multiple universes? This isn't exactly physics 101.
While you may not understand everything about theoretical physics by the end of part four, you'll probably be able to at least dazzle your dinner guests a bit with some cosmological small talk at Thanksgiving. Joining me now to talk more about it is my guest, Brian Greene, professor of math and physics at Columbia University. He's also the author of several best-selling books on physics, including "The Fabric of the Cosmos." This new series for NOVA is based on the book. Welcome back to SCIENCE FRIDAY, Dr. Greene.
Dr. BRIAN GREENE: Thank you.
DANKOSKY: So let's talk about the four parts of the series. What topics do you tackle here?
GREENE: Well, there are four shows. The first is about space, the second is about time, the third is about quantum mechanics, and the fourth is about the multiverse - the possibility of other universes.
DANKOSKY: How did you choose these four?
GREENE: Well, the show is based on my book of the same title, "The Fabric of the Cosmos," and these are four themes that I weaved together throughout the chapters of that book. And the challenge was to take some pretty esoteric, heady material and to turn it into compelling television. And the team at NOVA, people - Joe McMaster, Jonathan Sahula, Julia Cort and Paula Apsell, at the top, did a great job of doing that.
DANKOSKY: If you have questions for Brian Greene, 1-800-989-8255. That's 989-TALK. I'm sure you've got lots of big questions for him. It's a big-budget production. I mean, there's lots of animation, special effects. Did you feel like you needed all this to tell these very complex stories?
GREENE: Well, that, I think, is critical because when you're talking about space or time, what do you point the camera at? These are abstract ideas that are vital to our sense of ourselves and how the world works. Everything we do, everything we think, takes place in some region of space during some interval of time, so these are vital ideas, but they're still abstract. So what we do is, we use computer animation to take the viewer places that you can't literally go in the world around us to examine what the world would be like if time could run backwards, what the universe is like on fantastically small scales where space has vastly different properties from the space that we see in everyday life.
We take the viewer to the possibility of other universes, by showing these other universes and features about them. We can't literally go to those universes because we don't even know if they exist. It's what the math suggests might be out there, and animation only needs math in order to give us a sense of what it would be like if these ideas are true.
DANKOSKY: I'm John Dankosky, and this is SCIENCE FRIDAY from NPR. We're talking with Brian Greene, the theoretical physicist, and his brand-new series for NOVA called "The Fabric of the Cosmos." You can call us at 1-800-989-8255. That's 1-800-989-TALK. So who's the series meant for? Who's the target audience here?
GREENE: The target is very broad. When we sat down and tried to figure out what these programs would look like, we had in mind a young kid who might get excited about these ideas and go into science. We had in mind an older person who perhaps have heard about these ideas, but hasn't had the time to actually read a book on the subject but could take in a television program. So it is quite broad. And I should say when we did a similar program many years ago called "The Elegant Universe," similar in the sense of the way it was produced, the subject matter was quite different. That focused on string theory.
I was shocked that, after the series, I got letters from parents of 5-year-olds who had watched the show repeatedly. They hadn't taken in all of the ideas, but the questions the five-year-old was asking were so potent and so sensible that they definitely were understanding some of it. So I think these programs can be taken in at a variety of levels. You can allow the ideas to wash over you and take in the great computer graphics, or you can try to really grapple with, to my mind, some of the most heady ideas our species has ever contemplated.
DANKOSKY: A lot of this really has to do with the examples, the metaphors that you use. How do you arrive at some of these things, the idea that space is like a pool table, and I'm going to put down now a bowling ball on the poll table, and it's going to bend the space? How do you arrive at those, and how do you work through those to try to make sure they're things that people actually understand but are also scientifically accurate?
GREENE: Well, to me, when I do my own physics research, I'm never satisfied if when I'm doing my mathematical equations, my understanding is completely rooted in the symbols on the page. I'm always building a mental image in my own mind of what it is that I'm doing. So that, for me, is part of the process - always to have some visualization of what the equations are telling us, telling me if I'm doing my own work. When I go to write a book, I basically take those visualizations, strip away the mathematics, try to wrap up those visualizations and some side of compelling story or anecdote, and in that way, create something which communicates the ideas.
When then the team at NOVA translates it to television, we usually start with those metaphors and those visualizations, and then, they take it to the next level by using the wonders of computer animation to bring them to life in a way that words on a page simply can't do.
DANKOSKY: I have to say that as much as the computer animation is fascinating, and it takes me to places that I couldn't imagine. Some of the most interesting stuff, to me, is the personal stories of these scientists, the people who were the groundbreakers here. Maybe you can talk about - a bit about telling their stories and how you want to weave them into all of this.
GREENE: Well, when I think about science, I think about it as surely the ideas that we have come to, but it's much more than that. It is a drama of exploration, a drama of discovery and are real people who have the courage to go out into the world, into the universe, into areas that we don't understand and hopefully come out the other side with some deep intuition or understanding about how the world works. So we tell a lot of those stories. We have Peter Higgs, physicist, whose idea of a particle called the Higgs boson is now being searched for at the Large Hadron Collider in Geneva, Switzerland.
We have the story of Alan Guth, who surprisingly to himself and everybody around him, came up with a new theory of how the universe began. A theory, that in due course has suggested that there might be many big bangs, not just one big bang, giving rise to many universes. And, of course, Newton always makes an appearance in these shows, as does Einstein. So those characters are there in a big way, as well.
DANKOSKY: We're, of course, used to seeing Newton, you know, just a picture of him, but these guys, you set them up as rock stars, these real-life people.
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GREENE: Well, you know, Einstein really was a rock star in his day. When he discovered the general theory of relativity, he became headline news in The New York Times.
DANKOSKY: When we come back from our break, we'll take some of your phone calls at 1-800-989-8255. We're talking with Brian Greene, professor and - of math and physics at Columbia University and, of course, author of the book "The Fabric of the Cosmos." It's a brand-new series from NOVA, and you can see that in just a little bit. We'll be back with more right after this break.
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DANKOSKY: This is SCIENCE FRIDAY from NPR.
This is SCIENCE FRIDAY. I'm John Dankosky in for Ira. We're talking with Brian Greene, a professor of math and physics at Columbia University. He's also author of the book "The Fabric of the Cosmos." His new NOVA series is based on the book, starts next week. We want to hear a little bit from the Episode Four, on multiverses. We were talking a little bit about the people who you profiled who tell the story of physics. Let's hear the clip, and we'll talk about it afterward.
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ANDREAS ALBRECHT: I'm very uncomfortable with the multiverse. To become solid science, it's got a lot of growing up to do.
DAVID GROSS: You know, it exists in the same way that, you know, angels might exists.
STEVEN WEINBERG: We have to make our bets, and I think, right now, the multiverse is a pretty good bet.
ALAN GUTH: I think there's a good chance that the multiverse is real, and that 100 years from now, people might be convinced that it's real.
DANKOSKY: We heard from Andreas Albrecht, David Gross, Steven Weinberg and Alan Guth there. It's interesting how there's this little split, this battle. How did you set up this throughout the series because people are not exactly settled on some of the science, especially the multiverse?
GREENE: Well, the programs don't shy away from controversy because, again, one of the key things about science is while in school we learned it as a subject that's completed in the textbook. In reality, it's a living, breathing entity in which different physicists have different perspectives on where science should go, what's right and what's wrong. So the multiverse, in particular, is a very controversial subject. After all, you look around, you see one universe. There's no direct evidence for other universes. So why should you take the idea seriously?
DANKOSKY: And you're a believer in this, but leading into this, you say that some people think this could be a dead-end for science. Maybe you can explain both what that means and how you feel about it.
GREENE: Well, first, let's say I'm not a believer.
DANKOSKY: Yeah.
GREENE: I only believe in things for which there is experimental or observational support. I do think the idea of a multiverse is a powerful one that may be able to address some questions that we have not been able to address in any other way, and therefore, it's worthy of study and pursuing it and seeing where it leads. But the basic controversy is that some say if you're going to talk about realms that you can't visit, that you can't see, that you can't, in some way experiment with, you've gone beyond the bounds of science.
Science should only focus upon those things that you can absolutely experiment with or observe with. To my mind, that is too limited a perspective of what science is, because we can have mathematics that fantastically describes what we can see and then that math can go further and describe things that we can't, perhaps, yet see. We've seen this play out many times. Einstein's math told him and the world who understood the math that there should be black holes.
Einstein didn't believe that mathematics. He figured that was just too far out. But years later, we find that there are black holes. The same is true of the big bang. His math showed that the universe should have begun in this compressed state and then expanded. He didn't believe it. There's now evidence for it. So the point is, math can take us places that we haven't yet been able to see, and therefore, we can't be so close-minded, in my perspective, to completely wall ourselves off from things that we can't yet observe.
DANKOSKY: I want to get to some people who definitely want to ask you questions. Let's go to Tommy who's calling from Kentucky. Hey, Tommy, go ahead.
TOMMY: Yes. Mine is with time travel. If time slows down and theoretically stops at the speed of light, with the neutrinos that go faster than the speed of light, would time travel not be possible now?
GREENE: Well, that's why most of us don't believe the results about the neutrinos going faster than the speed of light. Because you're right, if indeed, we take Einstein's idea seriously, and the data that these recent experiments suggest showing that neutrinos go faster than the speed of light, there would be a crack in time. In a sense, we would be able to send signals to the past. So most of us believe that those experiments are probably not going to stand up to scrutiny. Even the experimenters themselves put it out as something that they want the physics community and the rest of the world to try to poke holes in to see what they did wrong.
As yet, nobody has done that, but you need independent confirmation of such a wild possibility of going faster than the speed of light. We're going to wait and see what happens. I would be thrilled if the data does stand up to scrutiny. We live for this kind of revolution in our understanding of the world. I don't think this is one of those moments.
DANKOSKY: Catherine is calling from Menlo Park, California. Hi there, Catherine. You're on with Brian Greene.
CATHERINE: Hi, Brian. How are you?
GREENE: Good. Thanks.
CATHERINE: I'm fascinated by the idea of multiple universes. When I took an astronomy class in college, they taught us that the universe is expanding, and I spent nights wondering, into what – into what is the universe expanding. And I was wondering, has there been any research or anything recently come up in terms of the physics or mathematics to indicate if the universe is expanding into a vacuum, or what might be the substance or particles that the universe would be expanding into?
GREENE: Well, in a traditional picture, where there's one universe, the idea is that when the universe expands, it's not expanding into a pre-existing realm. Because what would that realm be? It should be part of the universe, after all. Rather, the traditional idea is that space is stretching, creating the new space that it then inhabits. So that's the way in which the universe can get bigger and bigger.
In this new idea of the multiverse, however, the notion that the caller had in mind starts to come a little closer to what the math is suggesting, that there is a larger cosmos within which our universe is expanding. Our universe would be viewed as one bubble, if you will, in a big cosmic bubble bath with each bubble being universe upon universe upon universe. So there would be a larger container in some sense for our universe to expand within if this new picture is correct. I underscore if. This is, again, very hypothetical, cutting-edge ideas.
DANKOSKY: These the universes bouncing up against one another, moving farther apart as the universe expands or the space expands?
GREENE: Yes. As the space between the universes expand...
DANKOSKY: Exactly.
GREENE: ...then the universes themselves will be driven apart. However, if two universes are born very close together, something we talk about in the program, then as they expand, they can smash into each other. And if that were to happen, if our universe got hit by another, it could leave observable data in the cosmic microwave background radiation, which is a way that we might gain observational evidence for other universes.
DANKOSKY: OK. So Mark(ph) on Facebook has a question for you about some of these other universes. Since it's believed that our rules of physics may not apply to other universes, is it possible that each universe has certainly particles that do behave the same, like the quarks? Could this be the reason they act so bizarre? Wouldn't this be consistent with relativity? This is from Mark on Facebook, Brian.
GREENE: Well, the other universes in this multiverse proposal would, indeed, have other kinds of particles and would be governed by laws that, perhaps, would look different from the laws that we are familiar with here. So there'd be a whole range of possible physical features that one would encounter if you could journey from one universe to another. The weirdest thing of all - and I do consider this weird, and we discuss this in the program and many physicists give their perspective on it - the math seems to suggests that if the other universes are out there, then some of them actually do look close to ours. Some of them, in fact, have copies of us out there. You and I are having this conversation in some of these other universes way out there in this wider cosmos.
DANKOSKY: But potentially, a limitless number of copies of us in other universes. So it's not as though another me and another you are talking to another, but millions of other mes and you were talking to each other.
GREENE: Absolutely right, as strange as that sounds.
DANKOSKY: As unusual as that is. Let's go to John(ph) in Sioux City, Iowa. Hi there, John. Go ahead. You're on SCIENCE FRIDAY.
JOHN: Hey. Yeah. Oh, man. I mean, in one universe, this one, I have a question about black holes. And the other one, I have a question about the neutrino thing. So, I guess, I'll ask the black hole one. When light comes toward a black hole, is it getting sucked in or is it because space, time has been contorted so much that it's like in a fractal pattern and it just can't get out?
GREENE: Well, it's more that space is bent in such a way that the light in some sense is flowing downhill. Think of ball rolling down the side of a mountain. It rolls down to the bottom. Similarly, in the universe, if light is heading toward a black hole, the black hole warps space sort of like the hill of a mountain, and light rolls down that hill much like that ball goes down the side of the mountain. And in that way, it gets sucked in.
Now, let's me say that other question that you had, we don't have, perhaps, time to answer it now, but I will say that you should look at the World Science Festival website Wednesday night, November 2, at 10 p.m., because we're going to have a live conversation about the program that airs that night in which you and the rest of the digital audience can ask any questions that you like. And I'll do my best to answer as many as I can.
DANKOSKY: And again, this is worldsciencefestival.com, is where you can find this, right?
GREENE: Exactly.
DANKOSKY: We're talking with Brian Greene, his new "NOVA" series is coming out next month. If you want to join the conversation, it's 1-800-989-8255. That's 1-800-989-TALK. Let's go to Rick, who's calling from Palo Alto, California. Hi there, Rick.
RICK: Hey, Dr. Greene. So I – we've had a couple of fundamental open questions that, basically, all of our best efforts have failed to be able to answer, you know, uniting gravity with the other forces in a quantum theory, and more recently, dark energy and dark matter. And all this seems to suggests that we may need a radical departure from the stuff we've been doing up until now. And I wanted to get your comments on a departure that's both radical but also curious that I've heard about recently called entropic gravity with the - basically saying that gravity is not a fundamental force. I mean, maybe that could go someway to explaining some of these open questions. And what were your thoughts on that?
GREENE: Well, it is a very interesting idea, which suggests that gravity, as you say, is not as fundamental an element of the makeup of reality as we once we thought. The way I like to think about it is temperature. We all know what it means for something to be hot or cold. But the real meaning of hot and cold is not that macroscopic feeling we've learned over the course of 100 years, that if something is hot, its atoms are moving very quickly. Or if it's cold, its atoms are moving very slowly. So temperature is an emergent property of the speed of the constituent particles. And maybe the case that gravity emerges from some more fundamental underpinning in much the same as the temperature emerges from this fundamental idea of the speed particles.
And the proposals are on the table for how that might happen, it's very controversial. It stirred up a lot of excitements in the physics community. I'm not convinced yet, but it does have all of the features that many of us have thought would one day emerge in a deeper understanding, that space may not be fundamental, time may not be fundamental. Gravity, which is curves in space and time, therefore, would not be fundamental. And we are probing to see what that more fundamental structure might be. So it's an exciting time, but by no means is this idea settled.
DANKOSKY: Any of these ideas that you're talking about here, are they dependent on just – on one thing going right, going wrong? And in the research, you talked about the neutrinos, whether or not this is a finding that we can really hang our hats on here. How much of all the work that you're doing is hanging on one or two big things that we could find in the next, say, 10 or 20 years?
GREENE: Well, if we could get some new insight from the Large Hadron Collider, find some of the new particles that our theories have suggested might be out there, that would be a pivotal moment because it would really show that mathematics that we've been pursuing for decades is on the right track. It's pointing us in the direct correction. If we don't find anything at the Large Hadron Collider, that is fantastically interesting because it means that many of the ideas that we have thought were true are not, which means we have to go back to the drawing board. And again, that is great. The problem is how do you go to funding agencies and say, well, you have this big machine and it turned up nothing, and that's so exciting, we want to build another machine to pursue that further?
DANKOSKY: That's an expensive drawing board.
GREENE: It's an expensive drawing board, but it's a vital idea because it may turn out - I hope not - maybe we'll find something great at the Large Hadron Collider. But if we don't, that's a fantastically interesting result. And I hope people are at least aware of that as a potential outcome and something that should drive us forward.
DANKOSKY: I'm John Dankosky, and this is SCIENCE FRIDAY from NPR. Let's go to Paul in Orlando, Florida. Hi there, Paul. Go ahead.
PAUL: Hi. Hi, Dr. Greene. I read "Fabric of the Cosmos." It was worth every minute I spent with it.
GREENE: Thank you.
PAUL: Two things, quickly. In conversations with other colleagues, recently, we've just been talking about quantum mechanics. It's been around for over 100 years. It's provided a lot of great science, but there doesn't seem to be any great challenges to it. Are people too accepting of it or there's a lot of the - no pun intended - uncertainty about it in areas, should there be a major assault on quantum mechanics? And two, will your show address entanglement at all?
GREENE: Two good questions. So for the second one, yes, our quantum program, which is the third in this series - I guess that means November 16, if I've got that right. One of the main ideas is quantum entanglements. So we go through the whole development of Einstein, Podolsky and Rosen and John Bell and all that great stuff, which suggests, from the experiment, that something you do in one location can immediately affect something in another location. Again, one of these crazy ideas but comes out of the math quantum mechanics.
And for your first question, yes, I think there are some gaping holes in quantum mechanics. Not everybody agrees with that. We need to understand how the active measurement affects the system. This is still up in the air after a century, and we're working on it and, hopefully, more and more people will.
DANKOSKY: So what exactly does a theoretical physicist do all day? In the second of SCIENCE FRIDAY's Desktop Diaries series, Brian Greene takes us into his home office for a tour of his tidy workspace using his desk mainly for calculations, often executed with pencil and paper, a tradition that dates back to his childhood when his father would give him 30-digit by 30-digit multiplication problems to work out.
Here to tell us more about the tour is our multimedia editor, Flora Lichtman. Hi, Flora.
FLORA LICHTMAN: Hi, John.
DANKOSKY: So this is interesting. You got a chance to visit Brian in his workspace.
LICHTMAN: Yes, and everybody else has this chance, too. If you've been loving this interview, you can go to our website and see where Brian works. And, you know, the premise of this series is that our desk trinkets maybe reveal a little about us. And in Brian Greene's case, there were very few desk trinkets. It was a very clean space. So actually, I wanted to ask you, what do you think it - you know, do you think it means anything about you that you work in such a clean area?
GREENE: Well, it means I've certainly changed because I think I've mentioned awhile ago, when I was in college, I was very, very sloppy. My room was voted the sloppiest on campus, and it's in the college yearbook. I mean, I walk around and I'd heard like little Chinese mustard packets squirting under my feet. But I found that I couldn't think clearly if I was surrounded by a clutter. If I've got a file of stuff that I haven't looked at for a few months, I realized I should throw it away because I'm never going to look at it. And I just think more clearly in a clean space.
LICHTMAN: Yeah. It's not piles of papers like you see in some of these scientists' workspace.
DANKOSKY: Well, actually, in the shows, in the "NOVA" shows, some of the scientists have some pretty - very messy workspaces, let's just say.
GREENE: Yes. Saul Perlmutter, who just won the Nobel Prize, he has a pretty cluttered space you'll see in the show.
(SOUNDBITE OF LAUGHTER)
DANKOSKY: We see clips of your dad in this video, who was a performer. Do you feel like your following in his footsteps now, getting out on the green screen, getting out on stage?
(SOUNDBITE OF LAUGHTER)
GREENE: Vaguely. You know, my dad was a performer. He was a singer and quite a showman. And I guess, maybe some of it rubbed off in some way.
DANKOSKY: I'm wondering if this idea of using a pencil and paper is still vital to what you do. I mean, is it important to have that pencil there to (unintelligible)?
GREENE: For me, it is. I mean, I can imagine a generation or two from now, people won't know what a pencil is, and it will just change the way they do things. For instance, when I write books, I do them purely on a computer. I cannot write a book on a piece of paper. When it comes to calculations, I have to do them on a piece of paper.
LICHTMAN: So no iPad?
GREENE: Not yet, but I will.
(SOUNDBITE OF LAUGHTER)
DANKOSKY: Well, we've just about run out of time. So I'd like to thank my guest, Brian Greene, professor of math and physics at Columbia University, author of the book "The Fabric of the Cosmos." His new "NOVA" series based on the book starts next week. Brian, thanks so much for joining us once again.
GREENE: My pleasure.
DANKOSKY: And thanks also to Flora Lichtman, multimedia editor for SCIENCE FRIDAY. You can check out this video, right?
LICHTMAN: Go to our website, sciencefriday.com, to see Brian Greene's desk.
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