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The ice bucket challenge dramatically accelerated the fight against ALS

174 points| fanf2 | 6 years ago |web.alsa.org

53 comments

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[+] 0xfffafaCrash|6 years ago|reply
The article doesn't seem to make any references to concrete advances. It's unsurprising that an influx of donations resulted in an increase in research grants and money spent, but that's not the same thing as decreased mortality, morbidity, or even breakthroughs in understanding. A lot of research money is effectively wasted so until specific evidence is provided that there was a deep impact, I just see this as a particular special interest applauding money going in their direction (potentially at the expense of other causes which could make better use of it).
[+] Jmilin|6 years ago|reply
As a result of the funding, researchers were able to discover NEK1 - a newly tagged identify genetic factors contributing to amyotrophic lateral sclerosis (ALS). The article was published in Nature and can be found here. https://www.nature.com/articles/ng.3626. The discovery was a direct result of the money raised from the Ice Bucket Challenge.
[+] opencl|6 years ago|reply
Radicava was approved in Japan in 2015 and by the FDA in 2017 to treat ALS though presumably most of the research for it occurred long before then.

It costs $145000 per year in the US and $35000 per year in Japan. It slows down the progression of the disease in a specific subset of patients (early stages of the disease with rapid progression of symptoms) which comprises approximately 7% of people with ALS. Trials among a general ALS population failed to show any efficacy.

https://www.healthnewsreview.org/2017/09/facts-about-the-new...

[+] RIMR|6 years ago|reply
I was actually just talking about the Ice Bucket Challenge the other day, in regards to unexpected side-effects of an otherwise shining campaign.

This viral challenge raised an unprecedented amount of money for awareness of ALS, as well as research and treatment. It was the first social media campaign of this type, and you'd be hard-pressed to find someone who hasn't heard of it.

But it also created a very - weird - secondary effect.

It encouraged teenagers to dump ice-cold water on themselves on camera, and upload it to YouTube for attention.

You might see where this is going: Ice Bucket Challenges featuring teen girls were far more popular than any featuring men/boys. And the more revealing the girls' clothing, the more attention still.

This has actually lead to a variety of water-based "challenges" that serve no other purpose than to put a wet, partially-dressed child in front of a camera for long enough for a pedophile to "enjoy" it.

Now there are tens of thousands of generic "water challenge" and "pool challenge" videos that serve no altruistic purpose whatsoever. They exist just to attract views - and money.

Many of these channels are run by parents who film their own tween daughters in skimpy bikinis a few days a week for ad revenue. "Desafio da Piscina" ("Pool Challenge" in Portuguese) is one of the most prevalent, with almost all videos shot in Brazil.

I imagine that at $20USD/10k views, people in third-world countries can rake in a decent passive income selling sexualized videos of their children to the Internet.

Sad part is that YouTube lets this happen, because it earns them money too.

[+] Jmilin|6 years ago|reply
As a result of the funding, researchers were able to discover NEK1 - a newly tagged identify genetic factors contributing to amyotrophic lateral sclerosis (ALS). The article was published in Nature and can be found here. https://www.nature.com/articles/ng.3626. The discovery was a direct result of the money raised from the Ice Bucket Challenge and can be used today as an indicator of genetic predisposition to ALS.
[+] melling|6 years ago|reply
Hundreds of millions of dollars for research...

The US alone is a $20 trillion economy.

Harvard has a hedge fund of almost $40 billion, Yale is about $30 billion, ...

We spend $18 billion on bottled water yearly.

There’s a lot of money in the US economy that we just need to figure out how to get into basic research.

Give up bottled water and donate the money to medical research for a few years?

[+] _ah|6 years ago|reply
This very common trope always annoys me. "There is so much money flowing through the economy, and I just need to get a little bit for {insert cause}".

No.

Money does not flow like water through pipes, and you cannot just siphon some off without affecting the whole. Dollars are packets... each one is addressed to a particular destination, and sent to accomplish a specific purpose. If we want money for {cause}, we must choose to address dollars to that cause to the exclusion of other purposes.

/rant

(I know that melling specifically mentioned giving up bottled water, but there has to be a compelling reason to do so that EVERY dollar/packet sender agrees on.)

[+] godzillabrennus|6 years ago|reply
Spending money on research is one thing. Making it count is another.

We spend enormous amounts of tax payer money on research that isn't reproducible.

Lots of research isn't published.

Research that is published is often produced in paid journals that restrict access.

We need to upend the research industry. We need more of a sci-hub approach to research and less of an elsevier approach.

[+] nordsieck|6 years ago|reply
> There’s a lot of money in the US economy that we just need to figure out how to get into basic research.

> Give up bottled water and donate the money to medical research for a few years?

This is a false "we". There is no coherent group with similar goals you're talking about; just a mass of humans who care more about drinking bottled water than medical research.

[+] anthony_doan|6 years ago|reply
I get the statistics but I think many people often over look good marketing.

The reality is that you need a good marketing team like Breast cancer and such to get funding. Even my alma mater have a dedicated group reaching out for donation from graduates. You have to sell your cause and appeal to it so that potential donator can relate; basically target the emotion not the logical side of people for donation.

At least this is what I think is needed.

[+] murph-almighty|6 years ago|reply
This is wild- anecdata but I feel as though a lot of campaigns like this get a lot of "put your money where your mouth is"-type responses that are skeptical that web activism will have any impact. It's a relief that this pulled through and had a positive effect!
[+] yingw787|6 years ago|reply
Might be O/T, but I'm always surprised at how much our understanding of medical science comes down to basically a set of integration tests. You don't really know if your solution is going to be a global optimum (it probably isn't); you have to memorize a bunch of stuff in order to have the full context of a problem available when you approach a subset of it at work; and sometimes the "ideal" solution is so stochastic that you need multiple opinions / consensus.

I guess it's kind of like hardware engineering; I think we only glossed over how the physics worked in a CPU worked before working on higher-level things like NPN/PNP transistors and such, but even so there's a digital abstraction layer in computer architecture that make effective reasoning so much easier (even though there's really no such thing as "digital", only analog and clear thresholds)

Am I (hopefully) wrong on this? Can modern medicine ever come from a first-principles approach?

[+] astazangasta|6 years ago|reply
Nearly all medical advance goes like this:

1. Administer treatment to some patients. 2. See benefit. 3. Try it on more people. 4 (optional). Do research to understand mechanism.

By and large medicine is not a "science" in the sense that it is interested in results, not building models.

[+] thoughtstheseus|6 years ago|reply
Awesome, glad to see dumping ice water on your head and uploading it to social media accomplished something.
[+] dannykwells|6 years ago|reply
I am skeptical. Until they publish a number on "number of new trials funded" this is just the usual "more money is good because we get to spend more money" type of press release.
[+] asdf333|6 years ago|reply
can we have one for climate change?
[+] wolco|6 years ago|reply
Getting people involved helps causes push forward.
[+] kleer001|6 years ago|reply
Sometimes.

And even then only really when the problem is a single problem, and when it is solvable by throwing more money and people at it.

[+] jshowa3|6 years ago|reply
Not to be a Debby downer, but these posts always make me think of how many people just did this for a fad instead of meaningfully contributing. I almost think, why can't we just keep donating over and over, without the fad, at a lesser quantity if the fad produced such a significant contribution. I can understand that giving money can be just a waste, but if it really made such a significant impact, it seems like just taxing everyone and sending it directly to ALS would've done the same thing.
[+] MagicPropmaker|6 years ago|reply
Does it matter why people donated and/or became more aware of the disease?
[+] jimbob45|6 years ago|reply
This appears to be a PR piece by the ALS-fighting company, The ALS Association, themselves.
[+] SEJeff|6 years ago|reply
And if by company you mean registered nonprofit dedicated to fighting ALS, then yes, spot on.
[+] oh_sigh|6 years ago|reply
It's literally a press release on the ALS associations website. Did you believe you were making an insightful comment when you hit the submit button?
[+] rolltiide|6 years ago|reply
does that really discredit it instead of amplify ongoing efforts?

like seriously what other organization on the planet is going to fund or even talk about any particular study, than the organization already incentivized to.

what you want to look for is repeatable results that another generic organization can then do, not merely saying "hey look the sugar industry did this study about sugar, follow teh moneyz!"

[+] jMyles|6 years ago|reply
I don't understand why you are being downvoted. This is certainly a PR piece and it makes no mention of whether any actual metrics have moved, just that a lot of money was raised.
[+] Theodores|6 years ago|reply
Pink ribbons raise awareness of breast cancer, not how to tie a pink ribbons. The Ice Bucket Challenge raised awareness of how to do the Ice Bucket Challenge far more than awareness of what ALS is.

Maybe that is why the money rolled in, it was an internet meme that wasn't rocket science to do but everyone wanted in on the fad. Fortunately for the ALS charity the default was for the money to go their way.

So maybe not a win on awareness raising even if they did get the cash.

[+] chc|6 years ago|reply
I don't see how you figure. There is no default place for money to go when people pour a bucket of ice water over their heads. It's not like the ALSA was selling ice. The only way it raised money was by raising awareness.