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October 2002 Issue,
No. II
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In this issue:
-
HIV/AIDS
Patients Quality of Life Increases with Chiropractic Care
-
Celebrities
Paid to Push Drugs on TV Talk Shows
-
Germs and Dust
May Protect Against Allergies
-
Pregnancy and
Chiropractic
-
Kids Using Prescription
Drugs More
-
FDA Issues Warning on
Acetaminophen
HIV/AIDS
Patients Quality of Life Increases with Chiropractic Care
According to the September
11, 2002 issue of the online "Up & Coming Magazine",
chiropractic enables HIV/AIDS patients to live a higher quality life.
The article states that clinical studies indicate chiropractic can: 1)
boost immune system function, 2) help with secondary symptoms and 3)
address quality of life issues by reduction in stress as well as
prevention of disease and symptoms.
In clinical trials,
monitored by the Rand Corporation, and conducted at Life University,
chiropractic showed great potential to boost immune function. In addition
to this study, several other preliminary studies also showed immune system
boosting. In 1991 Patricia Brennan, PhD conducted a study that
demonstrated an increased immune function following a thoracic (mid back)
adjustment. Dr. Pero stated in his research that "Chiropractic
patients in the study had 200 percent greater immune competence than
people who had not received chiropractic, and 400 percent greater immune
competence than people with cancer or other serious disease."
The
article also notes that chiropractic can also help with secondary symptoms
associated with HIV/AIDS. Secondary symptoms are usually the main reason
HIV/AIDS patients seek chiropractic in the first place. According to
the article, Craig Martin D.C, noted that eighty percent of HIV/AIDS
patients report some degree of neuropathy, which includes symptoms such as
numbness, tingling and/or burning, With chiropractic care these
patients reported significant decrease in symptoms. Patrece Frisbee
D.C, of Stratogen Health of Miami Beach, a multidisciplinary clinic,
reports 80 percent of her patients are HIV positive "and they need
extensive chiropractic care because of the wide array of side effects that
accompany the powerful prescribed medications."
The article closes with a
powerful chiropractic endorsement. They conclude, "Chiropractic
is an alternative that will work with HIV/AIDS patients. It has broadened
the view of chiropractic as a mind/body therapy. It's role in healthcare
is increasing everyday. If you aren't under chiropractic, then you are not
allowing your body to perform at 100 percent."
Celebrities
Paid to Push Drugs on TV Talk Shows
Several
publications have started exposing a previously unknown tactic by drug
companies to promote their
products. In the July 23, 2002 issue of the Guardian Unlimited, was
a report of and appearance by actress Kathleen Turner on the popular
morning
TV show, "Good Morning America". In her appearance Ms.
Turner told the viewing audience that she had been battling rheumatoid
arthritis for more than a year. Turner then went on to mention a
website, www.ra-access.com, where fellow sufferers could get help.
What the audience did not
know, but what was revealed in the article was that Turner had been paid
by two drug companies to speak out about her illness. "She gets a
fee," confirms Robin Shapiro, a spokeswoman for Immunex, a
bio-pharmaceutical company, which along with fellow pharmaceutical giant
Wyeth, funded a media campaign for which Turner was hired to do a number
of TV and print interviews.
Another blatant example
appeared in both the Aug. 18, 2002 New York Times and the Arizona
Republic. These articles reported on an interview with screen legend
Lauren Bacall, who appeared on the NBC Today program in March, telling
Matt Lauer about a good friend who had gone blind from an eye disease and
urging the audience to see their doctors to be tested for it. Bacall
then mentioned a drug called Visudyne, a new treatment for the disease
known as macular degeneration. 
What the viewers of this
show, as well as NBC
did not realize was that Ms Bacall was also being paid to tell the story.
In an attempt of justification, Dr. Yvonne Johnson, medical affairs
director for the ophthalmics division of Novartis, the Swiss drugmaker
that sells Visudyne, stated, "We compensated her for her time."
She continued, "We realized people would accept what she was telling
them," said Johnson, who declined to say how much Bacall had been
paid. "Our whole intent is to let people know they don't have to go
blind."
The New York Times article
exposes that dozens of celebrities, from Bacall to Kathleen Turner,
Olympia Dukakis and Rob Lowe, have been paid hefty fees to appear on
television talk shows and morning news programs and to disclose intimate
details of ailments that afflict them or people close to them. Often, they
mention brand-name drugs without disclosing their financial ties to the
medicine's maker.
This type of covert drug
advertising is raising some opposition. Dr. Joseph Turow, a professor at
the Annenberg School for Communication at the University of Pennsylvania,
responds by saying "It is highly problematic and maybe even
unethical." In referring to the celebrities that endorse drugs
in a covert way he comments, "We admire these people, and that is why
drug companies pay for their time and services," Turow said.
"But when it comes to issues of health, particularly medicines,
transparency is an ethical concern. People should be clear about the
reasons they are making certain recommendations."
One interesting concern
raised in these articles was that the drug companies can avoid federal
drug advertising regulations by hiring celebrities for these types of
promotions by calling them campaigns to raise awareness about a disease.
Federal regulations require that all prescription drug ads disclose the
medicine's adverse effects and refrain from overstating its effectiveness.
If a celebrity does not mention a prescription drug by name, the Food and
Drug Administration considers the event educational, not promotional, and
does not regulate it.
Germs
and Dust May Protect Against Allergies and Asthma
From
a study done in Europe comes evidence that children's immune systems work
better when they are exposed to germs, dust and dirt at an early age.
The studies were published in the September 19, 2002 issue of the New
England Journal of Medicine, (NEJM), and in the August 28, 2002 issue of
the Journal of the American Medical Association, (JAMA).
The article in the NEJM
starts off by stating, "It is known that children of
elementary-school age who live on a farm are less likely to have asthma
than their counterparts from nonfarming households." The
article in JAMA states, "Exposure to 2 or more dogs or cats in the
first year of life may reduce subsequent risk of allergic sensitization to
multiple allergens during childhood."
What both these articles
are saying is that it is a needed part of development for children to be
exposed to certain amounts of germs and other irritants in order for their
immune systems to develop properly and give adequate protection later in
life. In the study, children from parts of Austria, Germany, and
Switzerland where there were both farming and non-farming households were
studied. The investigators related the level of exposure to
endotoxin (such as dust and germs), determined by sampling dust from the
mattresses where the children slept, to the prevalence of asthma and other
related conditions. The greater the endotoxin exposure, the less likely it
was that children had asthma.
These findings are
completely opposite of what most doctors were telling their patients over
the past several decades. The results of the study showed that just
3 percent of farm children had the common type of asthma known as atopic
and 4 percent had hay fever. In non-farming households, 6 percent had
atopic asthma and almost 11 percent hay fever. This showed that exposure
to farming in the first year of life was especially protective. In the
U.S., the asthma rate rose about 74 percent between 1980 and 1996 but
decreased slightly by 1999, the most recent year available, according to
the Centers for Disease Control and Prevention. About 10.5 million
Americans have asthma, and 24.8 million have hay fever.
These findings, combined
with similar findings from other studies, have borne a whole new type of
thinking and theory. The theory is known as the "hygiene
hypothesis". It holds that early contact with some germs arms the
maturing immune system against some allergic conditions. Some
research, in fact, has suggested that children who are exposed early on to
pets or to lots of other youngsters at day care are less likely to get
colds or allergies later on. Supporters of the new theory suspect that
indoor plumbing, cleaner and more airtight homes, and antibiotics have
contributed to an explosion in allergies in industrialized countries.
Pregnancy
and Chiropractic 
In the October 8, 2002
issue of the online magazine "The Beacon Journal" at Ohio.com,
appears a story with the simple headline, "Adjusting baby".
The story talks about pregnant women's success in going to chiropractors
as part of their care. The article states that many women who go to
chiropractors during pregnancy do so for back pain related issues.
The misconception is that we treat pain,'' says Dr. Joseph Medina, an Ohio
chiropractor. "My job in health care is to find pressure that's in
the spinal column and take it off. When I do that, back pain tends to
clear up."
Additionally, the article
highlights that more women are going to chiropractors for a procedure
known as the Webster technique. This technique is specifically
intended to help women who have a breech pregnancy when the baby should be
positioned with the head downward. Dr. Jeanne Ohm, a chiropractor from
Philadelphia and executive coordinator and instructor for the
International Chiropractic Pediatric Association, described the Webster
technique this way: "It's a specific chiropractic adjustment that
removes interferences of the nervous system, balances out pelvic muscles
and ligaments, which in turn removes constraint to the woman's uterus and
allows the baby to get into the best possible position for birth.''
The article ended with a
response from the patient who originally went to the chiropractor for the
pain she was experiencing. Her comments about her results were,
"In the morning, my back would hurt so bad it would be hard to
walk,'' she stated. ``Now it's not bad at all. I really think it's
helping."
Kids
Using Prescription Drugs More
From the September 19, 2002
issue of the online Intelihealth comes a story with the headline that
highlights a serious trend, "Kids Using Prescription Drugs
More." The story, originating from the New York Associated
Press shows that according to a new study the use of prescription drugs is
growing faster among children than it is among senior citizens and baby
boomers, the two traditionally high drug usage consumer groups.
According to the survey by
Medco Health Solutions, a Franklin, N.J.-based pharmacy benefits manager,
spending on prescription drugs for those under 19 grew 28 percent last
year. In that same time prescription drug spending for people
between the ages of 35 and 49 rose 23 percent. For senior citizens
over the age of 65, the study showed that the increase in spending rose 10
percent in that year. The study also found that children are
spending 34 percent more time on medication than they were five years ago.
The government agency,
Centers for Medicare and Medicaid Services, estimates that overall
spending on prescription drugs rose 16.4 percent to $142 billion last
year. The most prescribed drugs among children were for allergies,
asthma and infections. However, prescriptions for Ritalin and other
medicines for neurological and psychological disorders were also
substantially increased. This area is causing great concern as some
experts worry that such drugs may be over-prescribed for children.
What really alarmed some doctors was that spending on prescription drugs
to treat heartburn and other gastrointestinal disorders surged 660 percent
over the last five years. Additionally, the survey also found that
spending on antibiotics among children increased 42 percent, in spite of
the fact that doctors say antibiotic resistance is a widespread problem.
MDs explain some of the
increase as being related to the increase of certain aliments. According
to Dr. Michael Blaiss, a pediatrician who specializes in children's
ailments, about 7 percent of children have asthma and 25 percent have
allergies, approximately double the incidence 25 years ago. However, the
article carries no comments questioning why such an increase in certain
diseases has occurred. Some experts speculate that medications and
vaccinations themselves are to blame for the increase in these conditions.
Dr. Lawrence Diller, author
of the book "Should I Medicate My Child?" worries that drugs
such as Ritalin are over-prescribed. He also pointed out that there
haven't been many studies of the effects of antidepressants on children.
"The antidepressants are known to have sexual side effects. I wonder
what the long-term effects of that is going to be on adolescents,"
Diller said.
The vast majority of
prescription drugs are developed for adults, and drug makers are not
mandated to test them on children. In 1997, Congress passed legislation
that gave drug companies an additional six months of patent protection if
they tested their drugs on children. That huge financial incentive has
gotten the drug companies to conduct more tests, but experts say more
studies are needed. This concept also creates moral questions over the
ethical concerns of drug testing on children. Regardless of the
moral issues of drug testing on children the fact still remains that
children are being given an increasing amount of medications that were not
researched for children. Dr. John Ring, who sits on the American Academy
of Pediatrics' Committee on Drugs, says that most of the prescriptions
written for children are still written for drugs that haven't been
approved for youngsters.
FDA
Issues Warning on Acetaminophen (Tylenol)
An
Associated Press article dated September 20, 2002 reported that the US
Food and Drug Administration (FDA) had issued a warning on the use of pain
killers known as acetaminophen. The most common brand of acetaminophen on
the market today is the over the counter brand Tylenol. The article
featured the story of Marcus Trunk, who took a prescription painkiller
containing acetaminophen for 10 days. In addition to this he took an
over-the-counter acetaminophen for another week to numb the pain of an
injured wrist. Suddenly nausea and vomiting hit as the popular painkiller
was destroying his liver. The tragic result was that the 23-year-old then
died.
The AP article states that
Mr. Trunk was one of thousands of Americans who may unwittingly take toxic
doses of acetaminophen every year, at least 100 of whom die. Trunk's
mother, Kate, told government scientists who initiated an investigation,
"You cannot allow more innocent men, women and children to suffer.
Death is not an acceptable side effect."
Some scientists warn that
even taking the maximum safe dose for a long period, instead of the
recommended day or two, may be risky. An FDA review found that there
were more than 56,000 emergency room visits a year due to acetaminophen
overdoses, about a quarter of them unintentional. Additionally they found
that there were about 100 deaths associated with acetaminophen. However,
Sarah Erush, a University of Pennsylvania pharmacist states that those
figures are a severe underestimate of deaths because many hospitals don't
report unintentional poisonings.
Dr. William Lee of the
University of Texas Southwestern Medical Center, contends that
acetaminophen appears to be the leading single cause of acute liver
failure, the most severe type of liver damage. His database of 395
patients linked 40 percent to the painkiller, more than any other
liver-harming medication or disease. Additionally, some babies die
every year when parents mix up doses of infant acetaminophen drops with
children's liquid acetaminophen, despite warnings on the bottles that the
products aren't interchangeable.
Presently acetaminophen
packages are required to warn consumers not to use it if they consume more
than three alcoholic drinks, because the combination can harm the liver.
Many are calling for more harsh warnings to help protect the public.
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‡ Updated
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