How to Read a Coronavirus Study, or Any Science Paper

A lot of people are reading scientific papers for the first time these days, hoping to make sense of the coronavirus pandemic. If you’re one of them, be advised the scientific paper is a peculiar literary genre that can take…

A lot of people are reading scientific papers for the first time these days, hoping to make sense of the coronavirus pandemic. If you’re one of them, be advised the scientific paper is a peculiar literary genre that can take some getting used to. And also bear in mind that these are not typical times for scientific publishing.

It is hard to think of another moment in history when so many scientists turned their attention to one subject with such speed. In mid-January, scientific papers began trickling out with the first details about the new coronavirus. By the end of the month, the journal Nature marveled that over 50 papers had been published. That number has swelled over the past few months at an exponential rate, fitting for a pandemic.The National Library of Medicine’s database at the start of June contains over 17,000 published papers about the new coronavirus. A website called bioRxiv, which hosts studies that have yet to go through peer review, contains over 4,000 papers.In earlier times, few people aside from scientists would have laid eyes on these papers. Months or years after they were written, they’d wind up in printed journals tucked away on a library shelf. But now the world can surf the rising tide of research on the new coronavirus. The vast majority of papers about it can be read for free online.But just because scientific papers are easier to get hold of doesn’t mean that they are easy to make sense of. Reading them can be a challenge for the layperson, even one with some science education. It’s not just the jargon that scientists use to compress a lot of results into a small space. Just like sonnets, sagas and short stories, scientific papers are a genre with its own unwritten rules, rules that have developed over generations.The first scientific papers read more like letters among friends, recounting hobbies and oddities. The first issue of the Philosophical Transactions of the Royal Society, published on May 30, 1667, included brief dispatches with titles such as “An account of the improvement of optick glasses,” and “An account of a very odd monstrous calf.”When natural philosophers sent their letters to 17th-century journals, the editors decided whether they were worth publishing or not. But after 200 years of scientific advances, Victorian scientists could no longer be experts on everything. Journal editors sent papers to outside specialists who understood the details of a particular branch of research better than most scientists. By the mid-1900s, this practice evolved into a practice known as peer review. A journal would publish a paper only after a panel of outside experts decided it was acceptable. Sometimes the reviewers rejected the paper outright; other times they required the fixing of weak points — either by revising the paper or doing additional research.Along the way, scientific papers also developed a distinctive narrative arc. A paper published in Philosophical Transactions today is no longer a gossipy letter, but a four-part story. Papers typically open with some history, giving a justification for the new research they contain. The authors then lay out the methods they used to carry out that research — how they eavesdropped on lions, how they measured chemicals in Martian dust. Then the papers present results, followed by a discussion of what those results mean. Scientists will typically point out the shortcomings in their own research and offer ideas for new studies to see if their interpretations hold water.As a science writer, I’ve been reading scientific papers for 30 years. I’d guess that I’ve read tens of thousands of them, in search of new advances to write about, or to do background research for stories. While I’m not a scientist myself, I’ve gotten pretty comfortable navigating around them.One lesson I’ve learned is that it can take work to piece together the story underlying a paper. If I call scientists and simply ask them to tell me about what they’ve done, they can offer me a riveting narrative of intellectual exploration. But on the page, we readers have to assemble the story for ourselves.Part of the problem may be that many scientists don’t get much training in writing. As a result, it can be hard to figure out precisely what question a paper is tackling, how the results answer it and why any of it really matters.The demands of peer review — satisfying the demands of several different experts — can also make papers even more of a chore to read. Journals can make matters worse by requiring scientists to chop up their papers in chunks, some of which are exiled into a supplementary file. Reading a paper can be like reading a novel and realizing only at the end that Chapters 14, 30, and 41 were published separately.The coronavirus pandemic now presents an extra challenge: There are far more papers than anyone could ever read. If you use a tool like Google Scholar, you may be able to zero in on some of the papers that are already getting cited by other scientists. They can provide the outlines of the past few months of scientific history — the isolation of the coronavirus, for example, the sequencing of its genome, the discovery that it spreads quickly from person to person even before symptoms emerge. Papers like these will be cited by generations of scientists yet to be born.Most won’t, though. When you read through a scientific paper, it’s important to maintain a healthy skepticism. The ongoing flood of papers that have yet to be peer-reviewed — known as preprints — includes a lot of weak research and misleading claims. Some are withdrawn by the authors. Many will never make it into a journal. But some of them are earning sensational headlines before burning out in obscurity.In April, for example, a team of Stanford researchers published a preprint in which they asserted that the fatality rate of Covid-19 was far lower than other experts estimated. When Andrew Gelman, a Columbia University statistician, read their preprint, he was so angry he publicly demanded an apology.“We wasted time and effort discussing this paper whose main selling point was some numbers that were essentially the product of a statistical error,” he wrote on his blog. The Coronavirus Outbreak Frequently Asked Questions and Advice Updated June 1, 2020 How do we start exercising again without hurting ourselves after months of lockdown? Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. My state is reopening. Is it safe to go out? States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. What’s the risk of catching coronavirus from a surface? Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. What are the symptoms of coronavirus? Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. How can I protect myself while flying? If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) How many people have lost their jobs due to coronavirus in the U.S.? More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said. Can I go to the park? Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea. How do I take my temperature? Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. Should I wear a mask? The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. What should I do if I feel sick? If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. How do I get tested? If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. How can I help? Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities. But just because a paper passes peer review doesn’t mean it’s above scrutiny. In April, when French researchers published a study suggesting that hydroxychloroquine might be effective against Covid-19, other scientists pointed out that it was small and not rigorously designed. In May, a much bigger paper was published in the Lancet suggesting that the drug could increase the risk of death. A hundred leading scientists published an open letter questioning the authenticity of the database on which the study relied.When you read a scientific paper, try to think about it the way other scientists do. Ask some basic questions to judge its merit. Is it based on a few patients or thousands? Is it mixing up correlation and causation? Do the authors actually present the evidence required to come to their conclusions?One shortcut that can sometimes help you learn how to read a paper like a scientist is by making judicious use of social media. Leading epidemiologists and virologists have been posting thoughtful threads on Twitter, for example, laying out why they think new papers are good or bad. But always make sure you’re following people with deep expertise, and not bots or agents of disinformation peddling conspiracy nonsense.Science has always traveled down a bumpy road. Now it is in an extraordinary rush, with the world looking for every new preprint and peer-reviewed paper in the hope that some clue will emerge that helps save millions of lives.Yet our current plight does not change the nature of the scientific paper. It’s never a revelation of absolute truth. At best, it’s a status report on our best understanding of nature’s mysteries.