Monday, January 12, 2015

Homeopathy: Success and Opposition in Odisha

Homeopathy: Success and Opposition in Odisha
-          Jagannath Chatterjee

(Published in Annual MFC Bulletin, July 2013-February 2014)

The state of Odisha has four government homeopathic medical colleges at Bhubaneswar, Sambalpur, Rourkela and Berhampore offering 5.5 year BHMS courses. There are also two private institutions offering recognised BHMS degrees at Cuttack and Baripada. While the government colleges have a capacity of 25 seats each, the private colleges have 30 seats to offer. So the system is expected to produce 160 doctors every year. There are also many homeopathy lovers practicing in the state, mostly as registered practitioners, who are popular and given due importance and respect by the homeopathic fraternity. A few mainstream doctors also practice homeopathy though it is not known what drew them to the practice.

The graduates open clinics, in urban or rural areas, or sit in homeopathy retail shops which are mostly owned by doctors. They wait in vain for low paying AYUSH jobs. They gain clinical experience during their student days by assisting their professors and teachers in their practice mostly in the hospitals and also help out in their private clinics. Since the year 2005 the Odisha Homeopathic Druggists Association (OHDA) is taking considerable initiative in adding to their knowledge base by organising bi-annual conferences in the month of December where reputed homeopaths and research scientists from all over India participate to share their clinical experience, research, and videotaped case studies which have to be seen to be believed. They interact with their colleagues and students to ignite their interest and impart vital tips for practice. Officials from the Central Council for Research in Homeopathy (CCRH) and AYUSH officials are often present.

All kinds of people seek treatment as the success stories have spread by word of mouth. The early homeopaths engaged in lot of hard work to make homeopathy popular in the state and it was they who initiated the setting up of medical colleges. The elite intelligentsia frequent homeopaths as they have read homeopathy themselves or have senior family members who have practiced the science on their families. The elderly prefer the system because of its gentle effects and parents of small children depend upon it as they do not wish to drug their kids very often. The poor and middle class take to homeopathy to keep down medical expenses. There is the general perception that homeopathy is an answer to chronic illnesses and can also prevent surgical interventions in select cases. People getting mainstream treatments supplement their treatment with homeopathy and it is not unusual for relatives to smuggle in homeopathic medicines into hospitals to treat admitted relatives.

In general the homeopaths of the state stay aloof and do not overtly criticise any other system. However the mainstream doctors are highly critical of them and berate their patients for taking resort to homeopathy as a complementary system. The patients therefore prefer to remain silent on the issue and will hide the fact that they seek homeopathic help. The homeopaths say that they are comfortable that mainstream medicos are around because these days they face very complicated cases and they have often to be referred to mainstream practitioners in case of emergencies. In the process they also make friends within the mainstream system and these doctors are more tolerant of their patients’ preferences. The homeopaths point out that despite the explosion of multi-speciality hospitals in the state, the patients seeking their help are only increasing in number. The homeopathic drug companies are also witnessing increase in sales and almost all major homeopathic brands have a presence in the state.

Privately the senior doctors resent the fate of their patients who are mostly swayed between their own preference and pressure from family members, relatives and neighbours. The emergence of major hospitals has made it a fad for patients to be admitted in hospitals and people not doing so are criticised for resorting to homeopathy ‘to keep down expenses’ and ‘harm the patient’. Classical homeopathic treatment, very essential for permanent cures, often result in disease aggravations or the re-emergence of old diseases suppressed earlier and during such episodes the frightened family members go into the care of mainstream doctors who utilize the opportunity to malign homeopathy. Subtle manipulations in the course curriculum have ensured that controversial subjects very essential to understand the plight of patients have been deleted. Mainstream doctors who teach the students anatomy, physiology and etiology do their bit to demoralise the students. As homeopathy rarely requires patients to be hospitalised, the budding doctors complete their residency in mainstream hospitals further adding to their confusion.

The state’s lack of will to promote homeopathy, the constant criticism against the science, and disturbances in the functioning of the colleges ensure that generally the lowest rung seek admission. Homeopathy being a highly intuitive science tackling the person as a whole requires a perspective that only a very experienced doctor can gain. The newbie’s get frustrated as their disease-medicine approach does not always work.  There are remedies that are very similar and require in depth knowledge of the remedy and the patient which the youngsters lack. Homeopathy requires extensive case taking, and lengthy follow up interviews during the course of treatment which requires time, energy and resources that few doctors can afford today. They cannot make a living of practice alone and open pharmacies where they become fully absorbed gradually. These lacunae have resulted in patents (mixtures of remedies) entering the market which may relieve symptoms but do little to lead to cures that is the core strength of homeopathy, though I must say that patents do work in emergencies. But their use destroys the skill of the homeopath in choosing individual remedies appropriate for their patients. It has also led to multiple remedies being prescribed which is against the principles of classical homeopathy.

This fall in standards can be checked by publicizing the many benefits of homeopathy and distributing homeopathic knowledge and approach among the lay persons. The doctors have to struggle to get the vital symptoms from the patients as the general population has become used to diagnosis on the basis of pathological tests. Convinced of this approach they do not observe the peculiarities of their discomfort, timings of amelioration and aggravation, mental states; symptoms that are vital for a good homeopathic prescription. The symptoms are usually very difficult to obtain as they are masked by drug effects or get lost in drug side effects.

The medical colleges have to be spruced up and disciplined so that admission procedures, classes, and examinations are streamlined. The condition of the hostels has to improve. Currently most students prefer to stay in rented houses to avoid the pathetic state of the hostels. The vacancies in teaching posts have to be filled up. Visiting faculty from within the nation and abroad should be entertained. The students should be asked to rely mainly on traditional texts rather than on test papers and guide books. The condition of the inpatient and outpatient departments should improve as the rise in patient flow will mean better exposure for senior students. The interference of non-homeopaths should be curtailed. 

At Bhubaneswar a few homeopathic doctors wish to have the right to prescribe vitamins and supplements as they face patients depleted of their vital force, a force that is very essential for the patient to respond and head towards a cure. They do not seek any other concessions. Frustrated by their meager income many of them have their children educated in mainstream. It is often interesting to see these doctors sitting in their parent’s clinics and wondering how a bogus and fake science can get results. This is despite their own experiences in childhood. This reflects on the system of teaching they receive which programmes them to hate and disbelieve all other systems.

I have practiced homeopathy for some time, a long time serving as an assistant to a local registered doctor who as a government Medical Officer had served extensively in rural areas gathering a lot of experience and a record of cured cases behind him. He was very outspoken about meddling with disease symptoms that only drives the disease further inside the body leading to severe complications which are almost impossible to treat. He was happy in rural areas serving the poor who could afford only homeopathy. His case records showed cures of various chronic illnesses and treatment of cancer patients given up by the mainstream. I myself have observed a terminal cancer patient surviving more than a decade under his care. Incidentally his own wife suffered from cancer whom he treated himself despite severe opposition from family members. He belonged to an aristocratic family and held an important post in the state government. However a tiff with higher ups led to his resignation and he took up a very uncertain career. His wife was the only person to stand by his decision.


Homeopathy has to be revived and popularized keeping in mind the steep rise in case of complicated chronic illnesses, the need for a choice for people who wish to be permanently relieved from their suffering, and for the general population who are turning paupers paying hefty medical bills. It has to be remembered that the more the choice, the better for the patients. The doctors should stop fighting amongst each other and appreciate the benefits of the various systems.  After all, the duty of every doctor is the restoration of health and not bickering over which system is better and scientific. Let the results show, by offering every system a level playing field, and guide the patients to what they think is best.

Friday, December 26, 2014

HPV Vaccine Trial: Indian Parliamentary Committee Indicts PATH, Slams ICMR & Health Ministry

Streamline clinical trials of vaccines: Par Panel

New Delhi: After indicting a US NGO 'PATH' for conducting clinical trails of HPV vaccines in India "in violation of law and ethical norms", a parliamentary panel has been critical on the role of ICMR and has sought stream lining of the system to ensure such things are not repeated.

The parliamentary standing committee on Health and Family Welfare, in its report tabled in Parliament today, said the Indian Council of Medical Research (ICMR) should have been careful in such trials as it raises the issue of conflict of interest while appearing as promoter of the induction of such vaccines on one hand and not ensuring monitoring on the other.

It also slammed the Ministry of Health and Family Welfare over the issue.

"The Ministry seems to have conveniently ignored the fact that had the extant rules been followed scrupulously, they would have taken care of the irregularities at the very outset," the panel observed.

In its earlier report in August 2013, the panel had said PATH violated all laws and regulations laid down for clinical trials in this country while conducting HPV vaccines trials in Andhra Pradesh and Gujarat. Clinical trials on the vaccine in US had also led to death of a number of people.

"The government's admission that the association of ICMR in the study as a partner creates doubt and raises the issue of conflict of interest of appearing as promoter of inductions of these vaccines, giving advice of ethics and at the same time not being in a position to ensure monitoring even if it indicates that ICMR should have been more careful in such trials," the panel observed.

The Ministry in its response has said that ICMR had associated itself with the project with an objective of generating information that could be "potentially useful if National Technical Advisory Group on Immunisation (NTGAI) had required such information" of such vaccines in the (immunisation) programme.

It added that ICMR did post-marketing surveillance cum operational research project purely for scientific purpose.

The panel also expressed disappointment over not taking action despite it observing that the Drug Controller General of India (DCGI) had played a a "very questionable" role, the panel said no action has been taken in this regard.

The panel said efforts should be made that ICMR and any of of its scientists should not associate with such projects without prior approval and permission.

It added that had there been no involvement of ICMR, no state government would have permitted the trial conducted by foreign private entity.

The panel said the committee formed under the chairmanship of S S Agarwal, former director of Advanced Centre for Training, Research, Education on Cancer, to probe the matter should submit its report at the earliest.
It also recommended that every clinical trial should be registered with clinical trial registry of India and the DCGI be informed about death or injury during the trial. 

"The Committee finds the entire matter very intriguing and fishy. The choice of the countries and population groups, the monopolistic nature, at that point of time, the product being pushed, the unlimited market potential and opportunities in the universal immunisation programmes of the respective countries are all pointers to a well planned scheme to commercially exploit a situation," the panel said.

It added that had PATH been successful in getting HPV vaccine included in universal immunisation programme of the concerned countries, this would have generated a windfall profit for manufacturers by way of automatic sale, year after year, without any promotional or marketing expenses.

"It is well known that once introduced into the immunisation programme it becomes politically impossible to stop any vaccination," the panel said.

The committee is not aware about the strategy followed by PATH in remaining three countries viz, Uganada, Vietnam and Peru.

"The government should take up the matter with the governments of these countries through diplomatic channels to know the truth of the matter and take appropriate necessary action, accordingly," the panel added.
PTI
 

Health of Populations set to Worsen in the Climate Change Era. Can Developing Nations like India Cope?

Health of Populations set to Worsen in the Climate Change Era
Can Developing Nations like India Cope?
-          Jagannath Chatterjee
Presented at the Odisha Environment Congress 2014 at Bhubaneswar
 
Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.[1] Despite tremendous growth in medical science, over the years the world has been witnessing a steady decline in health status of populations to a point where healthy individuals are difficult to find.According to a 2012 WHO report, India accounts for 21% of the world’s global burden of disease. Non Communicable Diseases (NCDs) are responsible for two-thirds of the total morbidity burden and about 53% of total deaths in India. This figure is up from 40.4% in 1990 and is expected to rise to 59% by 2015.[2] India is losing more than 6% of its GDP annually due to premature deaths and preventable illnesses, according to a 2010 World Bank report. The per capita expenditure on health has more than doubled between the years 2000 to 2009 and out-of-pocket payments have increased, with impoverishment of nearly 2.2% of population taking place annually due to catastrophic illness-related expenditure. Hospitalization for major illnesses is a major cause of indebtedness, especially for those living below the poverty line.[3]
 
The Changing Climate & It’s Impact on Public Health
Climate change and its impacts on people and ecosystems are set to add to the pressure of rising illnesses and increasing treatment costs besides adding to deaths and disabilities due to climate change induced natural disasters. The Synthesis Report of the Fifth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC) states unequivocally that recent climate changes have widespread impacts on human and natural systems. The report has noted warming of the atmosphere and oceans, diminishing snow and ice covered regions, and rise in sea levels. Changes in the oceans have been observed as increased warming of ocean surface, increase in ocean surface salinity, and acidification of oceans. The report points out the increasing concentration of greenhouse gases in the atmosphere, changes in rainfall patterns, adverse changes in availability and quality of water, negative impacts on agriculture and crop yields, and effects on marine and estuarine ecosystems leading to drop in fish and related catch. Increase in heat waves and extreme rainfall events, the report warns, would lead to droughts, floods, cyclones and wildfires.[4]
 
Public health experts warn that the major threats – both direct and indirect – to global health can be outlined through changing patterns of disease, water and food insecurity, vulnerable shelter and human settlements, extreme climatic events, and population growth and migration. Vector borne diseases will expand their reach and death tolls, among the sick and elderly, will increase because of heat waves and extreme weather events. The indirect effect of climate change on water, food security, and extreme climatic events are likely to have the biggest effect on global health (Costello et al, 2009). Climate change has set in and will alter spatial and temporal distribution of vector borne diseases; exacerbation in heat related morbidity, air pollution related respiratory illnesses, and water borne diseases, if current scenario continues. In tropical countries like India, most of the identified health effects due to climate change are already experienced (Singh et al, 2012). The direct impact of weather on human health is mortality due to increased temperature, disasters resulting in flood, loss of life and infrastructure due to cyclones etc, impact on water and vector-borne diseases, malnutrition and respiratory diseases (WHO, 2003).
 
In addition to these direct health effects, climate change will have indirect substantial consequences on health. Economic collapse due to climate change induced losses will devastate global health and development. Mass environmental displacement and migration will disrupt the lives of hundreds of millions of people, exacerbating the growing issues associated with urbanisation and reverse successes in development. Conflict might result from resource scarcity and competition, or from migration and clashes between host and migrant groups (Costello et al, 2009). Moreover the devastating effects of disasters can have considerable psychological effects on those affected and on survivors. The stress experienced can also lead to physical ailments. These effects are likely to be more pronounced on women and children.
 
The impact on developing nations like India will be severe as climate change impacts have been observed to widen social and health inequalities. Though gearing up to face disasters, shaken by incidents in recent times, India lacks financial capacity, infrastructural requirements, and enough skilled manpower to respond to climate change impacts.
 
Extreme Temperature & Human Health
Extreme temperatures can cause heat waves where summer temperatures can climb from the normal of 36 to 40C to more than 45C and remain so for more than two days.  Normally the body can handle up to 37C without stress. However beyond that the body starts gaining heat from the atmosphere which can cause uncontrolled physiological stress and can even lead to death. The State of Odisha experienced an unprecedented heat wave in the year 1998 which killed 2042 people mostly in coastal regions. Despite awareness measures and remedial steps taken, heat waves continue to take their toll on the state and the cumulative figure since 1998 has touched 3000. Andhra Pradesh, Odisha, Punjab, Uttar Pradesh, Rajasthan, Bihar and Madhya Pradesh are the most affected states. Changes in temperature and humidity patterns have also been linked to eye and skin diseases besides increasing the discomfort of people suffering from malnutrition and chronic illnesses and the elderly. The impacts of heat waves are more pronounced on the poor, particularly farmers, construction site workers, and daily wage earners.
 
Diseases Resulting from Poor Air Quality and Pollution
India has a heavy burden of respiratory illnesses, particularly in children and adolescents. Rural women who burn fuel for cooking and tobacco smokers are also heavily burdened. A study from rural India published in the Journal of Global Infectious Diseases found the prevalence of acute respiratory infections in 26.22% of the sample of infants surveyed with female children more affected. Inadequate ventilation, overcrowded living conditions, use of biomass fuel, and lack of adequate nutrition were determined to be the risk factors.[5] An ICMR study conducted in 2010 on 15 to 85 year old's found chronic respiratory symptoms in 8.5% of respondents. The incidence of asthma was 2.05%, and chronic bronchitis was found in 3.49%. Advancing age, asthma in first degree relatives, use of any smoking product, exposure to tobacco smoke in childhood or adulthood, and using LPG, coal, wood or dung cake for fuel in cooking were determined to be the risk factors. The rural population was found to be disproportionately affected.[6] This trend will continue upward as climate change threatens to adversely affect air quality and lead to more pollution levels in the atmosphere.
 
A study in Nature Climate Change points out that climate change induced air stagnation is set to worsen air quality in many parts of the globe. Air stagnation arises from three meteorological ingredients: light winds, a stable lower atmosphere and a day with little or no precipitation to wash away pollution. Stationary air masses develop and allow soot, dust, pollutants and ozone to build up in the lower atmosphere. The study pointed out that large swathes of India, Mexico and the Amazon could see up to 40 more stagnant air days per year compared to the average annual tally from 1986 to 2005, representing increases of 40%, 19% and 28% respectively. The largest increase in overall human exposure will be in India due to the country's enormous population, along with the increases in atmospheric stagnation.[7] Outdoor air pollutants are a major contributor to stroke, heart disease, lung cancer and respiratory diseases including asthma. The World Health Organization estimates that outdoor air pollution caused 3.7 million premature deaths globally in 2012. 
 
Impact of Food & Nutritional Insecurity on Health
Malnutrition induced low body mass index and stunting have been in the spotlight in India ever since the HUNGaMA Survey Report was released in the year 2011. The study revealed alarming findings related to the all the three indices of malnutrition; stunting, wasting and underweight. The study was undertaken in the most backward districts of six states – Bihar, Jharkhand, Madhya Pradesh, Odisha, Rajasthan and Uttar Pradesh. The report, which had the largest sample size for a nutrition study since 2004, revealed that 59% of the children were stunted, 42% underweight and 11.4% wasted.[8]
 
With the most severe impact of climate change noticed in agriculture, particularly on the major crops of India (rice, wheat, maize, sorghum) climate change induced droughts and floods, and the crop destructive effects of extreme weather events like heavy rainfall and cyclones, the negative impacts on the economy leading to reduced purchasing power of the people, food and nutrition security is severely threatened. Hunger, illness and death due to under nutrition are set to worsen as climate change affects crops, forestry, livestock, fishery, aquaculture and water systems. Sea level rise and flooding of coastal lands will lead to salination or contamination of fresh water and agricultural lands and loss of areas for fishing as is being witnessed in the coastal areas across the Bay of Bengal in India.
 
Disruption in Water and Sanitation
Access to safe drinking water and good sanitary conditions are vital for a healthy population. Climate change induced erratic rainfall, rising temperatures and increased salinity in coastal regions will add to India’s water and sanitation woes aggravated by deforestation, floods and droughts, and the declining water table due to the unsustainable use of water by both agriculture and industry. Sharing of river waters have been the source of dispute among states in India and even with its neighbours. According to the IPCC Synthesis Report 2014 climate change may further complicate the unsustainable consumption of groundwater for irrigation and other uses in some locations, such as the Indian states of Rajasthan, Punjab, and Haryana.Approximately 73% of the rural population in India does not have proper water disinfection (International Institute of Population Sciences and Macro International, 2007) and more than 50% do not have sanitation facilities (NSSO Survey, 2012). With 638 million people defecating in the open and 44 per cent mothers disposing their children’s feces in the open, there is a very high risk of microbial contamination (bacteria, viruses, amoeba) of water (UNICEF, 2011). Freshwater availability in India is a concern and the available water is expected to decrease drastically by 2025 in response to combined effects of population growth and climate change (IPCC, 2007). Increase in incidence of cholera – particularly in coastal regions due to warming of oceans – diarrhea, digestive disorders, and worm infestations would result. According to a recent report by the Research Institute of Compassionate Economics poor sanitation and not malnutrition may be the reason behind stunting in India’s Children (Time, September 09, 2013).
 
Case Study from Satyabadi Block of Puri District in Coastal Odisha – Post Flood Scenario
A team visited the Community Health Centre at Satyabadi Block and also the Government Area Hospital at Sakhigopal to know firsthand about the diseases faced by the villagers in the post flood scenario. According to the hospital staff the main complaints seen among those visiting the health centre were diarrhoea and other stomach complaints, skin problems and minor injuries. Among children who were brought in by their parents, diarrhoea, fever with or without cold, giardiasis, asthma and gastric complaints were common. It was specified by them that only people with treatable acute illnesses visited the health centre. Those with chronic illnesses and other illnesses of a serious nature preferred to visit the nearby Government Area Hospital at Sakhigopal or go to the District Hospital at Puri, some 15kms away. In the Government Area Hospital the doctor on duty informed that diarrhoea and fever were the two main complaints in visiting patients. Acute respiratory infections in children were common. Snakebite victims were seen after the floods. The doctors blamed poor quality of water and lack of sanitation facilities during the calamity as the prime causal factors.
Health Impacts of Disasters
Major disasters caused by extreme weather events can have a considerable impact on health. Associated health problems can arise from the loss or contamination of potable water leading to disease, destruction of crops leading to food shortages, poor nutrition and malnutrition. Health problems are compounded by general infrastructure breakdown, notably with respect to water supply, sanitation and drainage. In the long term mental health conditions after a disaster, such as depression and anxiety can also present serious problems.[9] Women and adolescent girls become particularly vulnerable in such periods and sexual aggression against them affects both their physical and mental health.
 
Proposed Action – Prime Minister’s National Action Plan on Climate Change[10]
·         Provision of enhanced public health care services
·         Assessment of increased burden of disease due to climate change
·         Providing high resolution weather and climate data to study the regional pattern of diseases
·         Development of a high-resolution health impact model at the state level
·         GIS mapping of access routes to health facilities in areas prone to climatic extremes
·         Prioritization of geographic areas based upon epidemiological data and the extent of vulnerability to adverse impacts of climate change
·         Ecological study of air pollutants and pollen (as the triggers of asthma and respiratory diseases) and how they are affected by climate change
·         Studies on the response of disease vectors to climate change
·         Enhanced provision of primary, secondary, and tertiary health care facilities and implementation of public health measures, including vector control, sanitation and clean drinking water supply
 
Conclusion
The potential of climate change to aggravate existing disease conditions and add to the mental health problems of already stressed populations is real and cannot be ignored. However there is need to stay away from literature that offers readymade medical fixes to exploit the situation and increase the market for products of multi-national drug corporations – particularly for vector borne illnesses. Such fixes can aggravate the problems faced by severely malnourished populations living in underdeveloped nations like India. Public health investment on clean water, sanitation, locally available safe food and nutrition, housing, poverty reduction through climate resilient livelihood models and awareness on safe and healthy habits has historically led to decrease in the incidence of diseases that threaten populations in the climate change era. Incorporating AYUSH into the mission will lead to decrease in national investment on health and also reduce out of pocket expenditure of impoverished sections besides being more conducive to health. Health and safety education to vulnerable groups, local health care workers and institutions is needed. Local practices being practiced by the communities to face challenges like floods, heat strokes and protection from disease vectors should be documented and encouraged as adaption measures.


[1] Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
[2] WHO, Country Cooperation Strategy at a Glance, http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_ind_en.pdf
[3] ibid
[4] Climate Change 2014, Synthesis Report, edited by Rajendra K Pachauri, Chairman IPCC; accessed on 08.12.2014
[5] Farzana Islam, Profiling Acute Respiratory Tract Infections in Children from Assam, India, Journal of Global Infectious Diseases, Jan-March 2013.
[6] INSEARCH Study, ICMR, 2006-09
[7] Horton, D. E., Skinner, C. B., Singh, D. & Diffenbaugh, N. S. Nature Clim. Change http://dx.doi.org/10.1038/nclimate2272 (2014).
[8] Nandi Foundation, The HUNGaMA Survey Report 2011
[9] Climate Change and Water, Technical Paper of the IPCC, Geneva, IPCC Secretariat, 2008

Sunday, November 16, 2014

WHO-UNICEF Tetanus Vaccination Campaign: A Mass Sterilization Exercise: Kenya Doctors


WHO-UNICEF Tetanus Vaccination Campaign: A “Well-Coordinated Forceful Population Control Mass Sterilization Exercise”: Kenya Doctors

Global Research, November 11, 2014
 http://www.globalresearch.ca/the-world-health-organization-who-and-unicef-tetanus-vaccination-campaign-is-a-well-coordinated-forceful-population-control-mass-sterilization-exercise-kenya-catholic-doctors-association/5413360

kenya-vaccine-740
Let me authoritatively clarify the concerns raised by the Catholic Bishops on the just concluded tetanus vaccination by sharing extracts from the official position of the Kenya Catholic Doctors Association as below; feel free to share the article:
Tetanus is an incurable disease that infects the body through broken skin or wounds. The umbilical cord stamp of newborn babies is a possible entry point and makes them especially susceptible. It is best prevented through immunization with the tetanus toxoid (TT) vaccine.
We would like to assure the public that the normal vaccines available in both public and faith based organization in this country are clean. Generally speaking, the faith based medical facilities give the same if not more vaccinations than public institutions.
Our concern and the subject of this discussion is the WHO/UNICEF sponsored tetanus immunization campaign launched last year in October ostensibly to eradicate neonatal tetanus. It is targeted at girls and women between the ages of 14 – 49 (child bearing age) and in 60 specific districts spread all around the country. The tetanus vaccine being used in this campaign has been imported into the country specifically for this purpose and bears a different batch number from the regular TT. So far, 3 doses have been given – the first in October 2013, the second in March 2014 and the third in October 2014. It is highly possible that there are two more doses to go.
Giving five doses of tetanus vaccination every 6 months is not usual or the recommended regime for tetanus vaccination. The only time tetanus vaccine has been given in five doses is when it is used as a carrier in fertility regulating vaccines laced with the pregnancy hormone – Human Chorionic Gonadotropin (HCG) developed by WHO in 1992.
When tetanus is laced with HCG and administered in five doses every 6 months, the woman develops antibodies against both the tetanus and the HCG in 2 – 3 years after the last injection. Once a mother develops antibodies against HCG, she rejects any pregnancy as soon as it starts growing in her womb thus causing repeated abortions and subsequent sterility.
WHO conducted massive vaccinations campaigns using the tetanus vaccine laced with HCG in Mexico in 1993 and Nicaragua and Philippines in 1994 ostensibly to eradicate neonatal tetanus. The campaign targeted women aged 14 – 49 years and each received a total of 5 injections.
What is downright immoral and evil is that the tetanus laced with HCG was given as a fertility regulating vaccine without disclosing its ‘contraceptive effect’ to the girls and the mothers. As far as they were concerned, they had gone for an innocent injection to prevent neonatal tetanus!
Considering the similarity of the WHO tetanus vaccination exercise in South American with the Kenyan camping and with the background knowledge of WHO’s underhand population control initiatives, the Kenya Catholic Doctors Association brought the matter to the attention of the Bishops and together sort audience with the Ministry of Health with only one request; that the tetanus vaccine being used in this campaign be tested to ensure it was not laced with HCG before the 2nd round of immunizations in March. The Ministry of Health declined to have the vaccine tested.
With great difficulty, the Kenya Catholic Doctors Association managed to access the tetanus vaccine used during the WHO immunization campaign in March 2014 and subjected them to testing. The unfortunate truth is that the vaccine was laced with HCG. This proved right our worst fears; that this WHO campaign is not about eradicating neonatal tetanus but a well-coordinated forceful population control mass sterilization exercise using a proven fertility regulating vaccine. This evidence was presented to the Ministry of Health before the third round of immunization but was ignored.
When challenged in South America in the early 1990’s about the tetanus vaccine used in their camping being laced with HCG, WHO brushed off the claims as unfounded and asked for proof. When proof was provided by the Catholic based bodies in those countries, WHO claimed that the other components of the vaccine production process may have caused false positive results. When pushed further, they accepted that a few vaccines may have been contaminated with HCG during the production process. However, HCG is not a component nor is it used in the production of any vaccine let alone tetanus! It was only after antibodies against HCG were demonstrated in the women who were immunized with the laced tetanus vaccine that the matter was sealed. The immunized women have suffered multiple abortions and some have remained sterile. Do we have to wait until this point before action is taken?
Though the Bishops are medically lay people, they have technical advisory teams of competent specialists from every discipline, including medicine. These teams are both local and international as the Catholic Church is global. The Catholic based and run health institutions form the largest private health network in the country and have been rendering medical services to Kenyans for over 100 years! Thus, when the Bishops speak on topical issue like the tetanus vaccination, they are talking from a point of knowledge and authority. It would be foolhardy to disregard their advice.
We have performed our moral and civic duty of speaking the truth and alerting the government and the people of Kenya. It is now up to each individual Kenyan to make an informed choice.
Kindly google “Fertility regulating vaccines”and “Are New Vaccines Laced With Birth-Control Drugs?” for further insight.”
-Dr Wahome Ngare, Gynaecologist and Obstetrician

For and on behalf of the Kenya Catholic Doctors Association.

Shared by Dr. Robert Walley, Executive Director of MaterCare InternationalContact: Dr. Robert Walley will be in Kenya until Nov 11 and is available for interview at ph: (254) 0727373690.

Supporting Children's Health - by Philip Incao, M.D.

Supporting Children's Health
 - by Philip Incao, M.D.
(Courtesy: Sheri Nakken, Homeopath)

The rate of chronic illness in children has tripled since 1960, possibly
due in part to the overuse of childhood vaccinations. The surprising news
is that the standard childhood illnesses these vaccines suppress may
actually benefit the immune system.


One of the best ways to ensure your children's health is to allow them to
get sick. At first hearing, this concept may sound outrageous. Yet standard
childhood illnesses, such as measles, mumps, and even whooping cough, may
be of key benefit to a child's developing immune system and it may be
inadvisable to suppress these illnesses with immunisations. Evidence is
also accumulating that routine childhood vaccinations may directly
contribute to the emergence of chronic problems such as eczema, ear
infections, asthma, and bowel inflammations.

It's a challenging medical proposition, but ever since the 1920s, many
European physicians and a small band of American doctors (myself included,
for the past 23 years) have avoided using most vaccinations, based on a
medical approach called Anthroposophic medicine.

In this field, we regard childhood vaccinations as anything but routine;
rather, we consider them in most cases to be suspect, dangerous, and worthy
of exceedingly rigorous review. Generally, we try to avoid giving most
vaccinations and rely instead on alternative, more natural ways of helping
the child cope with what we contend are the necessary and beneficial
illnesses of childhood.


The Immune System Benefits from Early Illness
Before these concepts make sense, it must be pointed out that the immune
system has two different aspects. One aspect is called the humoral immune
system whereby antibodies (specialised defence proteins) are produced to
recognise and neutralise antigens (foreign particles in the body).
The other aspect is called the cell-mediated immune system, and involves
white blood cells and specialised immune cells called macrophages which
ÒeatÓ antigens. These also help drive the antigens out of the body, causing
skin rashes and discharges of pus and mucus from the throat and lungs. Both
are typical signs of the beneficial acute inflammatory illnesses of
childhood.

These two poles of the immune system have a reciprocal relationship. That
means when the humoral pole is overstimulated (for example, from vaccines
or allergies), the cell-mediated pole tends to be relatively inactive.
Vaccines do not stimulate this pole, so their contents never get discharged
from the body.

Polio and tetanus do not belong to this group of beneficial standard
childhood illnesses. I use the word "standard" to denote acute inflammatory
illnesses (usually with rash and fever) typical and common to children in
Western, industrialised nations. These illnesses are also standard to
childhood as a developmental phase, something akin to the predictable
change in teeth around age seven.

Many years ago, Rudolf Steiner, the Austrian scientist and founder of the
Anthroposophic approach to medicine, argued that childhood illnesses are a
standard feature of childhood because the young body needs them. Now let's
see how this plays out in a standard childhood illness or its suppression
with vaccinations.

An acute inflammatory childhood illness--measles, mumps, rubella, chicken
pox, scarlatina, or whooping cough--develops the cell-mediated immune
system, while a vaccine activates the humoral immune system. The difference
here is crucial because it is the cell-mediated response that protects the
child from future illness and that provides, in effect, the deeper immunity.
Physicians who practice Anthroposophical medicine generally believe that
having acute but limited inflammatory diseases as a child helps protect one
as an adult against more serious, long-term, chronic illnesses. Not having
these childhood illnesses (because of multiple vaccinations) can lead to a
greater incidence of adult health problems. The same is true when these
childhood illnesses are routinely suppressed with antibiotics rather than
helping the cell-mediated immune system to work out the illness in a rash
or mucous discharge.

Recent research in conventional medical journals is now confirming this
view. In early 1997, a team of British physicians writing in Science made
this provocative statement: "Childhood infections may, therefore,
paradoxically protect against asthma." In other words, these infections
have a purpose in building general immunity.

The British physicians noted that the incidence of asthma has doubled since
1977 in Western countries and in the U.S. it is responsible for 33% of all
paediatric emergency-room visits. Yet this growing incidence of asthma
seems to be related more to the suppression or absence of respiratory
infections than to the commonly perceived cause, air pollution.
Highly polluted European cities where the use of antibiotics and
immunisations is less than in the U.S. have lower asthma rates than
comparable U.S. cities. Conversely, in Tucson, Arizona, despite the dry
heat and lack of irritants (such as dust mites) in the air, the rate of
asthma is the same as elsewhere in the country.

The Science physicians suggested that diseases such as tuberculosis and
whooping cough may permanently alter a child's immune system such that they
confer a lifetime protection against asthma. Certainly they were not saying
children should have tuberculosis, but they noted that the humoral immune
system needs to be tempered by the cell-mediated response, and this best
happens during an infectious childhood disease.

When a child undergoes an intense but short-term lung infection, this
provides the necessary exercise of the cell-mediated immune system. If this
does not happen, the humoral system is left unbridled and subject to
over-reaction to otherwise harmless pollen and dust particles; eventually,
this may lead to asthma.

Let's follow this idea in the case of measles. When a child gets a measles
rash, the body excretes the virus through the skin, usually within about
four days after rash onset. If the child does not get a measles rash, some
of the measles virus remains unneutralised in the body where it can act as
a chronic irritant to the immune system and contribute to degenerative
disease later.

The fever and rash of measles enable the body to burn up the virus; having
a measles vaccine is like planting a seed of future infection in the body
and tricking the body not to reject it. This is because a vaccine results
in only a partial immunity; ie., the humoral system is triggered while the
cell-mediated system remains dormant or can even be inhibited by the
vaccine. This insight was first put forward by Boston homoeopath Richard
Moskowitz, M.D., in the early 1980s.

Danish physician Tove Ronne stated it simply in The Lancet in 1985:
"Measles virus infection without rash in childhood is related to disease in
adult life." Among these, Dr. Ronne listed skin disease, immune
dysfunctions, degenerative diseases of bone and cartilage, and certain
cancers. It's alarming to note that a few years later, in 1991, the
National Cancer Institute announced that the rate of all cancers among
white American children grew by 4.1% between 1973 and 1988. More
specifically, the rate of childhood leukemia increased by 10.7% while brain
cancers soared by 30.5%.



Predisposing Children to More Disease Later?
Put simply, the research suggests that if children do not undergo some type
of limited respiratory infection, they are more at risk for developing
asthma, among other problems. Michel R. Odent, M.D., and colleagues at the
Primal Health Research Centre in London, England, documented this
connection in a report on 448 children, published in the Journal of the
American Medical Association in 1994.

Out of this group, 243 children (average age, eight years) had been
immunised with the pertussis vaccine for whooping cough. Of these, 26 (10%)
had asthma compared to only four (1.9%) of the 208 children not immunised.
This suggests that having the pertussis vaccine can increase a child's risk
of developing asthma by more than five times.

Similarly, in the vaccinated group, 130 children had ear infections
compared to only 59 among the 208 non-vaccinated. Here the risk of
developing subsequent ear infections was increased by almost two times in
pertussis-vaccinated children. The incidence of other diseases (excluding
asthma, ear infections, eczema, and whooping cough) was also noticeably
higher in the vaccinated group--34.6% versus 24% for non-vaccinated
children.

The measles vaccine has been linked with higher rates of inflammatory bowel
disease. Based on a study of 3,545 people who received live measles vaccine
as children, their rate of developing ulcerative colitis was
two-and-one-half times higher and three times higher for Crohn's compared
to an unvaccinated group, as reported in The Lancet. The MMR (measles,
mumps, rubella) vaccine has also been implicated in higher rates of
diabetes (see accompanying sidebar, "Do Vaccinations Cause Diabetes?").
There are still other data suggestive of a vaccine link with disease. For
example, for largely "unexplained" reasons, between 1960 and 1981, the rate
of activity-limiting chronic conditions among children doubled from 1.8 to
3.8%, most noticeably in allergic and mental/nervous system disorders. By
1995, this figure had climbed again to 6.7%. In other words, the rate more
than tripled since 1960. I contend the rise is not "unexplained;" rather,
it is explained by the fact that we have overused antibiotics and
immunisations.

Certainly this evidence paints a picture, and it confirms what
Anthroposophic physicians have contended for 75 years. It is healthier for
the child to undergo an acute upper respiratory infection (with appropriate
herbal and homoeopathic support, described below) than to suppress or
preempt it with antibiotics and vaccinations. The more you allow children
to work out their acute illnesses, to really exercise their immune systems
without suppressing the process, the stronger the system will be and the
less prone the children will be to serious adult degenerative illnesses.
When an adult comes down with an infectious, inflammatory disease, it is
actually a blessing because it might prevent them from developing a more
serious chronic problem. I've seen adults who suppressed inflammatory
diseases, such as bronchitis or pneumonia, then five to ten years later
came down with cancer. Letting the inflammations run their course instead
(with support, naturally), may have prevented the cancer from developing.


How Measles Can Cure Eczema
Now let's see how undergoing childhood measles may actually improve a
child's health, both immediately and in the long-term. Consider the case of
Hans, whom I first treated for measles when he was nine.

Hans did not receive the measles vaccine because he was allergic to eggs.
The vaccine contains an egg product and is not recommended for children
with this allergy. When he was nine, he came down with measles, which is a
bit late for children. Of considerable interest here is the fact that for
years Hans had suffered from severe eczema; his skin was dry and cracked,
particularly behind the elbows and knees, and occasionally it bled. In
fact, Hans often could not straighten his legs because the eczema made it
too painful.

His measles produced a strong rash and a fever of 104 F, yet I did nothing
to suppress these reactions with Tylenol (Panadol) or Advil (Ibuprofin),
for example, as conventional medicine would recommend. Instead, I gave Hans
Anthroposophic remedies to support him through the measles process.
Specifically, I gave him low potencies of Apis, Belladonna, Argentum/
Carbo/Silicea, Ferrum Phosphate, Prunus Spinosa (from the sloe plum), and
Echinacea.
These remedies do not suppress the fever, but allow the constitution to
tolerate it better. The temperature does not need to come down, but the
child needs to be able to tolerate it. Again, the important concept is that
the fever is a natural, useful, necessary process for a child's health. The
child must be closely observed by a medical professional during the illness
process to be sure the course the illness is taking is benign. It is
important to find out if complications like encephalitis or pneumonia are
developing. These rarely occur and are not directly linked to the degree of
the fever.

The remedies we use for children make the body more transparent or
permeable to allow the toxicity or fever process to flow through it without
getting stuck. Let me illustrate this principle with an analogy.
If you have a copper rod and you light a candle at one end of it, the
warmth of the flame will flow quickly through the rod and you feel the
warmth at the other end. Similarly, if the body is like a copper tube, the
warmth of the fever will flow through it but not cause a complication such
as a convulsion; but if the body is more like lead, which is dense and does
not conduct heat well, complications are likely to arise.

The lead does not conduct or dissipate the heat; rather, it starts to melt
at the point of contact with the heat. It remains cold at one end and gets
overheated at the other. This is analogous to the undesirable situation of
children having cold feet and a hot head. Care should always be taken that
children have warm feet, especially during a fever.

If you suppress the fever with drugs or antibiotics, you block this flow
and make the body more like the lead in this analogy. How long a child has
the disease is not as important as avoiding complications. The length of
time depends on how much toxicity the body needs to discharge through the
fever.

When Hans' measles were over, his eczema had almost completely disappeared.
Hans is now in his twenties and has never had a recurrence of eczema since
his measles. This is a typical example of how stimulating the cell-mediated
side of the immune system can help the body overcome an allergic problem.
The measles process enabled Hans' system to stop reacting allergically and
producing the eczema symptoms. In a sense, you could say that the fever
burned the allergic reaction out of his body.

His case also underscores the fact that childhood measles in industrialised
countries is a benign disease if you understand how to treat it. Hans'
symptoms, the high fever and intense rash, were not mild, but scientific
studies have shown that the stronger the initial symptoms, the less likely
it is that the child will get the damaging or dangerous complications, such
as encephalitis or pneumonia.


Do Vaccinations Cause Diabetes?
While the U.S. population has only doubled since the 1940s, the number of
Americans with diabetes has increased 200 times, and it has increased by
300% in the last 15 years alone, representing about 15% of all U.S.
health-care costs. Routine childhood vaccinations may be a prime cause of
the diabetes epidemic, according to testimony presented before the U.S.
House of Representatives Committee on Appropriations on April 16, 1997, by
Harris L. Coulter, Ph.D., medical history scholar and president of the
Center for Empirical Medicine in Washington, D.C. Based on animal studies,
the pertussis vaccine (part of the DPT vaccination) is known to stimulate
overproduction of insulin by the pancreas. This is followed by exhaustion
of that organ's "islets of Langerhans" (which make insulin) and
underproduction of insulin, resulting in chronic low blood sugar
(hypoglycaemia) and eventually diabetes, says Dr. Coulter.

Both untreated rubella and the rubella vaccine (part of the MMR
inoculation) produce immune complexes that can damage the pancreas and
significantly reduce the levels of insulin that organ is able to secrete.
As an untreated disease, mumps can damage the pancreas. As a vaccine, there
are now many case reports directly linking the onset of diabetes--sometimes
within only a month's time--with receipt of the mumps vaccination. New
Zealand researchers observed a 60% increase in the cases of juvenile
diabetes following a hepatitis-B vaccination program. Despite the mounting
evidence linking vaccines with diabetes, the U.S. government refuses to
research the connection, says Dr. Coulter. "The fact that the federal
medical establishment--which would be the major source of funds for such an
epidemiologic investigation--is itself highly committed to the childhood
vaccination program, goes far to explain the absence of any official
interest in this connection."

How a Fever Can Reverse the Effects of a Vaccination

It is increasingly noted that many of the routine childhood vaccinations
can produce a variety of side effects and complications, posing both
immediate and long-term dangers. Todd, aged 19 months, had all his
vaccinations, including DPT, MMR, tetanus, polio, and Hib (Haemophilus
influenza type b).

After his first two DPT shots at two and four months, Todd screamed every
night for a week, after which his parents and paediatrician realised he had
reacted to the shot and should have no more DPT. At 18 months, Todd
received his MMR and polio immunisations, after which he slept almost
continually for two days; when he was awake, he was lethargic and his
breathing was shallow. A week later, Todd had trouble standing erect and
did not want to walk on his own. About two weeks later, Todd came down with
a 104 F fever and a rash. When both subsided, he was his normal self again.
To understand what happened with Todd, you need to appreciate the
documented fact that some vaccines can produce a slight but significant
state of encephalitis, or brain inflammation. While this is usually
reversible, it may also leave lingering effects such as dyslexia or
attention deficit hyperactivity disorder. I didn't get to treat Todd until
after all this had happened, so I focused on giving him remedies to heal
his post-encephalitic state. I gave him Arnica, Belladonna, and Formica to
take for the next six to 12 months for the after-effects of the brain
inflammation caused by the vaccines.

Todd's fever and rash following his MMR vaccination was his body's attempt
to "burn" the vaccine toxins out of his system. The first sign that these
materials irritated his system was Todd's lethargy, two-day sleeping binge,
and inability to walk; these symptoms, in fact, indicated a slight brain
inflammation. The second sign was the rash and fever which arose to
discharge these toxins from the body.

In Afghanistan, the common treatment for measles is to wrap the child in
blankets to produce a rash. The idea is that the more the measles comes out
as a skin rash, the less likely the child is to get encephalitis or
pneumonia. Anthroposophic physicians concur with the thinking behind this
"folk remedy."

In the months immediately following his MMR injection and reaction, Todd
developed constipation (with movements only every 2-3 days) and a spastic
bowel. I regarded this as another symptom of his vaccine reaction. Spastic
colon is often a symptom of food allergies and according to research
reported by Harris L. Coulter, Ph.D., in Vaccination, Social Violence, and
Criminality: The Medical Assault on the American Brain (North Atlantic
Books, 1990), many of today's food allergies are traceable to vaccines. Dr.
Coulter noted that encephalitis, especially derived from vaccinations, can
produce allergic states, adding that "the interrelation among allergies,
vaccination, and encephalitis has been an active topic of medical
investigation since the 1930s."

While conventional medicine sees no connection between the digestive and
nervous systems, the interrelatedness of the two is strongly acknowledged
by practitioners of Anthroposophic, Chinese, and homoeopathic medicine.
To correct Todd's intestinal problems, I started him on ground flaxseed at
the rate of two teaspoons, twice daily. Six months later when I saw him
next, Todd was having daily bowel movements; the stools were softer and
were eliminated without pain. He also had no problem standing up or moving
around on his own and by all visible signs was developing normally.
Todd cured most of the brain inflammation himself by getting the rash and
fever. However, Todd is still at risk for a learning disability such as
dyslexia--in effect, a third layer of reaction and damage from the
vaccines--when he eventually attends school. Many of these relationships
are subtle and problems may not surface or become noticeable until years
later.

Remedies for Dealing with Childhood Illnesses

Most of the illnesses common to childhood are the standard upper
respiratory tract conditions. While in the view of physicians practicing
Anthroposophic medicine it is crucial to not suppress the illness with
drugs or antibiotics, we offer many remedies to parents to support the
discharging--we call it "the expressing"--of the illness, driving it out of
the body.

Typically, I find that about 90% of the childhood illnesses can be helped
with about a dozen low-potency home remedies. I often prescribe my
personalised home remedy "kit," which contains 13 Anthroposophic or
homoeopathic medicines, to parents wishing to approach their children's
health in this way. For example, Ferrum phosphate is effective for
relieving colds, flu, sinusitis, or any upper respiratory infection such as
bronchitis; Cinnabar is for sore throats and swollen lymph glands; and Apis
belladonna (a homoeopathic combination of the honey bee and deadly
nightshade) works well for fevers and pain.

These are classical homoeopathic remedies, but among specifically
Anthroposophic medicines we often use Infludo for flu, bronchitis, or
pneumonia. This formula contains phosphorus, Aconite, Bryonia, eucalyptus,
Eupatorium, and Sabadilla. For earaches, my home remedy kit includes
capsicum (red pepper) and the herb lovage, given orally or directly into
the ear where it has a gentle warming effect that relieves the pain. The
parents obtain the kits (and other Anthroposophic medicines) from Weleda
Pharmacy which prepares the kit according to my prescription for each
child. Certain old-fashioned remedies, including milk of magnesia which
cleanses the colon, are handy for treating children with inflammatory
diseases.

From our medical perspective, it is often not the type of childhood illness
that determines the mix of remedies, but rather the child you are treating.
You have to individualise, based on symptoms and the child's particular
constitution. Two different children with the same illness may require
quite different treatments.

Anthroposophic, homoeopathic, and other natural medicines have also enabled
me for the last 20 years to avoid using antibiotics in treating children.
The aim of treatment is to support the externalising and discharging of the
illness process--to get it out of the body--so that no residual illness
remains to become a chronic problem later in life. The essential point is
that health is not merely the absence of illness, as conventional medicine
presumes. Rather, it is the balance between acute inflammatory and chronic
illnesses; when you suppress the first in childhood, you're likely to get
much more chronic illness in adulthood.

Do Vaccines Delay Children's Development?

According to the U.S. Select Committee on Children, Youth, and Families,
7.5 million American children are considered developmentally delayed,
compared to 4.8 million in 1991. Of these 7.5 million, an estimated 30% are
autistic, which is not surprising as autism has been linked with the MMR
vaccine.

Children with developmental delays (based on a survey of 696 children, aged
1-12) are 27% more likely to have had at least three ear infections and 50%
more likely to have been on continuing rounds of antibiotics (20 cycles or
more), according to the Developmental Delay Registry in March 1995. Most
important for this discussion, the study also found that developmentally
delayed children were four times more likely than normal children to have
had a negative reaction to a vaccination.