The remarkable medicinal properties of ………. a pregnant women’s head! Why Unis should stand up for science!

Wow, what a way to wake up this morning. I thought giving a child with behavioural problems homeopathic dog saliva was bad, but I think this will top it. When I scrolled through the news this morning I came across this remarkable article. Two men were sentenced after being caught trying to sell a women’s head as medicine.

Two men found guilty of beheading a pregnant woman and trying to sell her body parts for muti have been sentenced to life imprisonment. Former teacher Edward Raatji and his friend Stanley Mohlake sat in silence in a packed Limpopo High Court, as Judge Matsaro Semenya read out their sentences for the murder of Nthabiseng Mojela. Mojela was beheaded in July 2016 in Mapela village, near Mokopane. Raatji, 54, and Mohlake, 34, were arrested for Mojela’s murder, following a tip-off after they advertised to traditional leaders that they had a human head for sale.”

What can I do about it? Unfortunately, not much, but where there is a market for body parts as medicine, there is bound to be people that believes in its medicinal properties. And when people believe, then you are also bound to find people in a position of power that perpetuates the notion that ineffective substances have magical medicinal properties. So, all I can do is to again insist that Universities protect science and not allow pseudoscientists a foot in the door. I’ve written about the ‘Muti’ trade before and called it at the time a ‘’horror movie” where children are being ripped apart, preferably when they are still alive, because that makes the ‘medicine’ stronger. The fact that there is a trade in human body parts as medicine, or for that matter something such as Rhino horn, should be a wake-up call for scientists. And again, when scientists allow pseudoscientists a foot in the door (by keeping quiet about it) this sort of stuff is what you can expect – and it will only get worse. What am I on about? Well, the World Health Organisation (WHO). They should work towards taking the magic out of traditional medicine, educate people about real medicine by convincing governments to provide mass education regarding modern healthcare.

Unfortunately, some universities have allowed pseudoscientists a foot in the door. The result? In 2013 the WHO published its much anticipated “Traditional Medicine Strategy 2014-2023”. This 76-page report, funded by China and the WHO Collaborating Centre for Traditional Medicine in Hong Kong, unfortunately contains very little or no scientific information. No discussion on the trade and use of body parts or the pseudoscientific principles on which these “medicines” are based. No discussion of any science such as promoting education or improving accessibility and cost effectiveness of science based effective medicines. There is seemingly an inability to accept that specific traditional medicines are ineffective and should not be used.

The whole report revolves around the words “integrate” or “integrative”. This is what this WHO strategy calls for – how to better integrate traditional and complementary medicine, which is mainly based on magic, with mainstream conventional medicine, which is based on science. And this goes for homeopathy, chiropractic, acupuncture, TCM – disproven complementary medicines! I can only speak for myself and then only about the influence of those universities where I worked. This is my way of standing up for science.

I believe that the WHO has been infiltrated by pseudoscientists who promotes disproven and unproven medicines to be integrated into mainstream healthcare. It is as if the Australian based National Institute of Complementary Medicine (NICM) hosted at Western Sydney University has written this WHO report.  The agenda of the NICM? Accept millions of dollars from the CAM industry, lobby regulators including the WHO to give blanket support for all T&CMs, integrate pseudoscience with science and by doing this increase the sales figures of the CAM industry. So, did the NICM write or influence this WHO report?

Who do we find in the acknowledgements section? The Canadian naturopath, Michael Smith, an adjunct of the NICM (a tough week for Canada). The NICM would not be the NICM if they didn’t have a finger in the pie in compiling this WHO report and as stated on the NICM’s website “He was one of the primary technical drafters of the WHO Global Strategy for Traditional & Complementary Medicine (2014-2023) and continues to participate in WHO projects, working groups and consultations notably dealing with the regulation and policy setting related to traditional and complementary medicines.”

If you happen to work at WSU please start to ask questions (or for that matter if you work at any university hosting pseudoscientists). The NICM has been linked with illegally importing rhino horn as medicine, they’ve been linked with the tragic slapping therapy death of a 7yo child (what is better; being ripped apart and being used as medicine or being allowed to slowly and painfully die while your parents believe that what they are giving you is an effective treatment, while it’s clearly not). They are pseudoscientists, with global aspirations, excelling at spreading confusion regarding the effectiveness of traditional, complementary and alternative medicine. And they do it for money – they need to be stopped.

‘Take control of your health’, and we’ll take control of your wealth!

“Take charge of your health by being an informed consumer” or “….empowering patients to take control of their health and wellbeing” etc.

These are very common statements made by proponents of complementary, alternative and integrative medicine (CAIM), and it conveys a very clear message; you should take control of your health! But the question is; what do they really want to achieve with this message? If we look at this superficially, we might think that they refer to a healthy diet, physical exercise and other positive lifestyle changes, but then again, any medical doctor will give you this advice as well.  One might think that being an ‘informed’ consumer is clearly good advice, but then again, why do they continue to provide the public with misleading and false information regarding their CAIM products and therapies? So, it cannot be this either. So, what is it that these people really want to achieve with statements like this?

Well it’s simple, they want more people to buy their disproven and unproven products, and hence they aim to manipulate us, with using statements like this, in doing just that. One of their techniques is what I call, a soup kitchen approach, where they provide some good information for free, in order to lure us into their web of deceit. Because they do not make much money with their ‘good advice’ (e.g. lifestyle changes), they are thus hoping that we will also fall for their false and misleading information regarding the benefits and safety of a huge range of products, that they happen to sell.  To give you a rough idea of the sheer number of ‘products/services’ in their arsenal, please have a look at this table.

So, allow me to translate what they actually want to achieve with their ‘take control’ statement. There are two important aspects; creating distrust in conventional healthcare, and masterfully exploit a very common innate cognitive bias that we all suffer from, in order to increase their sales.

Let’s first look at creating distrust in conventional healthcare. With this message, they are implying that our health is currently in the hands of someone else, and that we should now take it back – it is our right. This is quite misleading. Lifestyle choices is indeed in our hands, but even people with the healthiest lifestyles, still get sick. And when you do get sick, you should go to a qualified medical doctor, get a proper diagnosis and a conventional medicine prescription – if needed (most people do not have the medical knowledge to do this themselves). In this conventional approach, we do not have much control and we put our trust in the hands of trained professionals.  According to the CAIM proponents this is not a good system because you need to be in full control.

So, with their ‘take control’ message they are actually creating distrust in conventional healthcare  with some even going as far as stating that very little of conventional healthcare has been proven to work, or that medicine just treats the symptoms and not the cause, or medicine doesn’t work at all, it is just toxic etc. Clearly, the real message here is that we should not really trust our doctor or conventional medicine, but we should trust ourselves and we should make our own healthcare decisions. The CAIM proponents only provide the ‘options’ that we can choose from, but unfortunately, they are notorious for making false and misleading claims about these ‘options’. And don’t they provide a massive range of products to choose from (and importantly, many pharmacies also benefit from this situation). In Australia, you have a choice of roughly 20 000 CAIM products. In South Africa, it is estimated that there are more than 155 000 products, and I have been informed that none of these products have had their quality, efficacy or safety verified!  But who cares, they want you to trust yourself and to decide which of these products will work for you.

The second aspect is exploiting an innate cognitive bias that we all struggle with. All of us are continuously performing risk-benefit analysis, usually, without us even knowing it.  Everything we do; getting out of bed, driving to work, going for a walk in the park etc. carries a risk and hence we will continuously perform a risk-benefit analysis. The CAIM proponents are skilfully exploiting the fact that we sometimes struggle to get this right, and in some cases, we just get it completely wrong. For example: we are far more likely (up to a thousand times) to downplay or ignore a risk if we perceive to be in control of a situation. A good example: we are far more likely to get into a car (we are in control) than getting into a plane (a trained professional is in control), even though the former is much riskier than the latter. Using false and misleading claims for their products and making their ‘take control’ statements, we are hoodwinked into perceiving that we can be in full control of our health, and hence we are far more likely to ignore the (in)direct risks associated with CAIM products.  And this is where they are really making a killing with their ‘take control’ message. Add to this the distrust that they are creating in trained professionals and conventional medicine, then it is no wonder that more and more people are consulting Dr Google and buying OTC CAIM products.

The CAIM proponents are quite happy with this situation because they can now use the explosive growth in sales figures as ‘evidence’ that their products work – the typical appeal to popularity fallacy (another weapon in their arsenal). So, what is the take home message? With their statement, they are trying to take healthcare out of the hands of professionals and they want to place it in your hands (and you don’t have the medical knowledge), knowing fully well that in such a situation we are much more prone to take a risk by dipping our toes into their disproven and unproven CAIM therapies and products – it is all about money!

But is there anything we can do about this? We are irrational beings, so trying to change or influence human nature is highly unlikely to succeed. The only thing we can do, is to continue to expose how the CAIM industry misleads the public, and hopefully, one day, politicians and regulators will start to impose very tight restrictions on this industry, which frankly speaking, should not have existed in the first place.

“All I do is satisfy a public demand”. Al Capone, a role model of the Complementary Medicine Industry?

“I am just a businessman, giving the people what they want”. “All I do is satisfy a public demand”. Two famous quotes by the (in)famous American gangster, Al Capone. Little did Capone know that his quotes will be fully exploited and perfected, by another business empire, almost a hundred years later. Nowhere is this sort of argument more prominent than in the world of complementary, alternative and integrative medicine (CAIM). ‘There is a growing demand for it, so surely our products work and are safe to use’ (this Capone approach is currently being used in a relatively new development, to integrate their ‘goods’ with conventional healthcare).  For people with the skill of critical thought, this is the well-known fallacy of “appeal to popularity”. Undeniably, this approach is quite effective and therefore also employed as one of their main vehicles to expand their empire.

Here you can find some recent examples where these statements were made in the public domain. There is, however, one example that I want to give here. “…given the number of people using these therapies, it was unethical for doctors not to practise in an integrative way.” This statement was made by Prof Kerryn Phelps, founder of Sydney Integrative Medicine and Cooper Street Clinic and consequently also a former winner of the Bent Spoon award for the promotion of pseudoscience. It comes as no surprise that she is also a conjoint professor at the National Institute of Complementary Medicine (NICM), but it is somewhat surprising that she is deputy mayor of Sydney who will; “…call out BS when she sees it…”.

So, they do not only supply the growing demand, but they claim it is also unethical not to do so. Said differently, they are trying to legitimise disproven ‘health’ products, because the public demands it – they are the good guys! In effect, they take it one step further than Capone, who at least admitted that he was a criminal. The CAIM empire expressly state that they only integrate evidence-based CAIM’s and reject disproven or ineffective CAIM’s. Problem is; they almost never specify which those latter ones are, let alone removing ineffective therapies – and this is the big problem. If they actually go and do what they claim they do, their empire will contract by 95% or more, which will result in only one thing, and that is total collapse. But this also means that there are many more parallels that can be drawn between the Capone and CAIM Empires.

Populism and a positive public image

Capone rose to power during the great depression of the 1920-30’s, and it stands to reason that public sentiment during these hard times was firmly anti-establishment. Much like today, any populist with anti-establishment sentiments seems to be able to garner the support of many. Such was Capone’s popularity that the crowds would cheer for him at ball-games, as they saw him as some sort of modern-day Robin Hood. He was also a master in polishing his public image by donating to various charities and even running soup kitchens for the unemployed during the depression years. Although commendable, this was only done to build and maintain a positive public image in order to expand his highly profitable criminal empire.

Similarly, CAIM proponents have created, over a very long time, a firm anti-healthcare sentiment under the general public. The anti-vaccination movement is a case in point. They focus solely, and of course publicly, on existing problems within the healthcare establishment. Yes, there are many problems within conventional healthcare, but those problems needs to be identified and addressed – this is also known as progress. But unfortunately, their motives are not all that pure. They want to replace conventional healthcare with mainly disproven and unproven CAIMs, and again, the anti-vaccination movement is a case in point. They thrive on the anti-healthcare sentiment and while they work towards achieving their goals, the crowds are cheering them on. The fact that most of their treatments by and large fail to have any effect, and some might even be quite dangerous, seems to be of minor importance.

The CAIM empire specialises in public relations by providing the public with a proverbial soup kitchen. Commendable, but unfortunately these soup kitchens are being used to hide a more sinister world – very similar to Capone.  You be the judge! Here is a list compiled from the websites of ten organisations in six different countries, advertising the wholesome goodness of their soup kitchens, using phrases such as “wellness”, “patient centred”, “holistic”, “evidence-based”, “safe”, “cost effective” etc. It is more than enough to satiate the appetites of the hungry masses – and it might even convince some scientists.

But, if we look behind the soup kitchen we find a completely different world, which, I might add, is much more sinister. Here is a list compiled from the websites of the same ten organisations, detailing what they’re actually selling – and it is much more than just soup.  A quick scan of the list will tell you that although it contains some good medical advice, it basically contains everything that has ever been invented as a complementary or alternative medicine. A very large number of disproven and unproven therapies are listed -therapies that are known to have no benefit and to have caused harm to patients. They continue to advertise, use, defend, and importantly, refuse to publicly criticise those that sell these disproven therapies. This list reflects what their empire really stands for, and it has rightfully been called “…….one of the most colossal deceptions in healthcare today”.

Although a lot can be said about this list, I only want to focus on one aspect. When one or more of these treatments are shown, with scientific evidence, not to work (and hence it becomes dangerous to use) the Empire reacts by simply hiding their involvement and full support for those treatments from public scrutiny, and they continue as before.  For example: The AIMA currently do not list a single specific “medicine” (although their NZ counterparts still do).  This wasn’t always the case, as can be seen in the table, they simply decided to remove this (incriminatory) information and currently, they only provide the soup kitchen. The NICM do exactly the same thing, but once authorities were notified that their main funders, the Jacka Foundation (with links to anti-vaccination proponents), lists some shocking disproven “treatments”, this information was simply removed – and they continue as before. And what about the Royal London Homeopathic Hospital – they simply changed their name not to reflect what they are actually doing and they basically continue as before.

The Empire get rid of incriminating paper trials, they refuse to acknowledge that a specific CAIM doesn’t work and they become better and better at drawing the public’s attention away from what they really do and to deflect the attention towards their soup kitchens – this is called, deception!

Part 2 will deal with some other striking similarities between these two empires and, of course, the eventual fall of ‘Good Guy’ Capone.

What can you do about all of this?

Unfortunately, if you fall for their trickery and you get hurt, then you will be all alone. The bureaucracy involved is extremely complex so the best thing to do is prevention. Stop buying their products or using their treatments, and inform yourself and your family and friends about how these people play their game and what the dangers are, regarding these ‘treatments’. ‘Friends of Science in Medicine’ provides valuable healthcare information as well as the website of Prof Edzard Ernst, where he discusses everything complementary medicine (what works and what doesn’t). If you are interested in receiving automatic updates regarding the NICM and what they are up to, you can always follow my Blog,  Twitter or connect on LinkedIn. Will keep you posted regarding the outcome of the 2017 Bent Spoon awards (the NICM has obviously been nominated), and please, ‘Like’ and share this article via FaceBook etc. – options below.

 

The horrific ‘Muthi’ secret – using human body parts as ‘traditional medicine’. Why does the WHO promote the integration of traditional medicine with modern healthcare?

A group of burly men surrounds a delightful three-year-old toddler playing in a park. Out of nowhere, the one man rips off the one arm from the unsuspecting toddler while the other man starts to cut off the other arm. The trembling legs follow and the bloody, unconscious, dismembered body is thrown into the bush to die. In this movie, the bone chilling screams from the toddler is needed as this enhances and strengthens the medicinal properties of the blood-spattered limbs.

A scene from a Hollywood horror movie? No, this horrific scene is not from a movie, it is everyday life in some parts in the world. We are living this movie, although not many people want to talk about it. This horrifying slaying of a toddler happened just the other day – you can read about it here. The reason that this incident barely made the news is because this is not a unique case, it happens way more often than most people would think (for those who can stomach it – you can find more examples here and here or google “muthi killings” or “muthi murders”).

How can human beings do something like this to an innocent child? Because most traditional, complementary, alternative and integrative medicines are belief based medicines underpinned by pseudoscientific principles. It is based on “magic”, something that modern science cannot explain nor confirm – or at least that is what advocates of these medicines claim. These people truly belief that a toddler’s limbs, and other body parts, have medicinal value. That many people from all cultures in the world continue to belief, and use their respective traditional health care systems, is due to many different factors.  It ranges from lack of knowledge, distrust of modern medicine (advocates love to promote this aspect), inaccessibility to modern healthcare especially in rural areas in Africa, Asia and maybe even outback Australia, costs involved etc. Another aspect, and a growing cause of concern, is that trusted institutes such as universities defend and promote these pseudoscientific principles in order to balance their books.

The trade in body parts for medicinal purposes, called the ‘muthi’ trade, is obviously banned and any perpetrator faces stiff penalties, and yet this heinous practice is not declining it is actually on the increase. Harvesting body parts from people (if you suffer from albinism you are a prime target) and children who are alive, as opposed to corpses, because this augments the medicinal properties, makes it all the more horrific. Similarly, the banned trade and use of endangered animals in Traditional Chinese Medicine (TCM) does not seem to have much of an effect, looking at the exponential rise in the number of rhinos that has being blasted to smithereens over the last couple of years. And here again you have people who belief in the magical healing powers of Rhino horn and people at respected universities who promote and support the underlying pseudoscientific principles which dictates that rhino horn, and everything that they fancy, is “lifesaving medicine”. This is the wisdom of traditional medicine! But can we, in western countries, point a finger to Africa with their muti murders or to Asia with their use of endangered animals, bodily fluids and parts and tell them that they are completely bonkers?

I wish I could, but unfortunately I can’t. They can point a finger right back at the West because most western countries have embraced and are increasingly promoting their own pseudoscientific medicines such as homeopathy and chiropractic, and to some degree, TCM and acupuncture. They use clever marketing strategies and fake scientific terminology to achieve this and at the end of the day, children also die horrific deaths as more and more people are being misled or persuaded to use these modalities (deaths occur mainly due to a failure to provide effective treatments in time). But it gets worse in Western countries. Whilst the people harming their children with these “medicines” receive jail time the professors who defend and promote these practices are handsomely rewarded.  Scientists complaining about these practices are ostracised whilst scientists promoting these practices are seen as local hero’s at these universities simply because they bring in loads of money from the CAM industry. So you find these pseudoscientific healthcare systems all over the world and in all cultures.  The golden thread that runs through all of them; a superstitious belief that every single modality works for its intended purpose and nearly zero scientific evidence that any of it works. In a previous article I have written about the opposing and irreconcilable worlds of pseudoscience vs science.

But how to create a happy ending to this horror movie? Most cultures used body parts in one way or the other albeit for sacrificial purposes, for medicinal purposes or even cannibalism – it is (or was) a common occurrence. Whilst this practice is still lingering on in some African (and maybe Asian) countries, the main current aim should be to take the magic out of it. So what better than expert advice and guidance from an independent and truly global organisation such as the respected World Health Organisation (WHO). They should work towards taking the magic out of it and the only way to do this is to convince governments to provide mass education regarding modern healthcare. Other issues that the WHO should focus on is to come up with strategies to overcome the logistical problems hampering modern medicine reaching rural areas and to make it affordable and accessible to all. They should even work towards an exit strategy to provide for the thousands of people making a living from traditional healthcare systems.  To name but a few things.

So in 2013 the WHO stepped up to the plate and published its much anticipated “Traditional Medicine Strategy 2014-2023”. This 76-page report, funded by China and the WHO Collaborating Centre for Traditional Medicine in Hong Kong, unfortunately contains very little or even no scientific information. No discussion on the trade and use of body parts or the pseudoscientific principles on which these “medicines” are based. No discussion of any science stuff such as promoting education, improved accessibility and cost effectiveness of science based effective medicines. There is an  inability to accept that a specific CM is ineffective and should not be used. Instead the whole report revolves around the words “integrate” or “integrative”. This is what this WHO strategy calls for – how to better integrate T&CM, which is based on magic, with mainstream conventional medicine which is based on science. And this goes for homeopathy, chiropractic, acupuncture, TCM – disproven complementary medicines! It is as if the Australian based National Institute of Complementary Medicine (NICM) hosted at Western Sydney University has written this report.  The agenda of the NICM? Accept millions of dollars from the CAM industry, lobby regulators including the WHO to give blanket support for all T&CMs, integrate pseudoscience with science and this in turn increase the sales figures of the CAM industry. So did the NICM write or influence this WHO report?

Who do we find in the acknowledgements section?  Michael Smith, an adjunct of the NICM and a registered naturopath (a.k.a. a pseudoscientist). The NICM would not be the NICM if they didn’t have a finger in the pie in compiling this WHO report and as stated on the NICM’s website “He was one of the primary technical drafters of the WHO Global Strategy for Traditional & Complementary Medicine (2014-2023) and continues to participate in WHO projects, working groups and consultations notably dealing with the regulation and policy setting related to traditional and complementary medicines.” And Michael is not the only one at the NICM who is intricately involved with the WHO. You can find more examples here, here and here. Lobbying and promoting T&CM – that is all that the NICM does.

For the NICM this WHO report is extremely important because now they have a directive from the authoritative WHO and who can argue with that – they can use it to silence their critics. So they proudly follow the WHO’s directive, which they have pretty much written themselves, to; “promote universal health coverage by integrating T&CM services appropriately into health service delivery and self-health care.” That very few of these T&CM’s are effective does not seem to bother anyone, that supporting these pseudoscientific underlying principles is causing untold harm and death to many, including endangered animals, is flat out ignored. But the WHO rather chose to be politically correct, to be sensitive to cultural differences and to be influenced by institutes such as the NICM – who has a financial agenda. They use the logical fallacy, an appeal on popularity, as evidence for effectiveness and based on this the pseudoscientific T&CM needs to be integrated with conventional healthcare.

So this horror movie does not have a happy ending – yet. As long as organisations such as the WHO can be influenced by the NICM and similar institutes there will be a continued, and dare I say, a growing support for the underlying pseudoscientific principles of these T&CM healthcare systems on a global level. This implies that you can go and ban the trade in human body parts or rhino horn all you want, if the underlying principles are not addressed, and people educated accordingly, these atrocious practices will continue unabated.

So what is my issue. I hold anyone of any culture or from any country, and especially experienced scientists such as at the NICM, who promotes and defends pseudosciences responsible for these atrocities. I don’t care if you are involved directly or indirectly or intentionally or unintentionally, if you promote it you are responsible.  And the consumers of all of these pseudoscientific products? Just remember, these companies use their sales figures, even if it is for “harmless” water as in homeopathic medicines, as main justification of effectiveness – an appeal to popularity! Buying their products leads to you unintentionally promoting a pseudoscience with the subsequent atrocities committed in far flung regions of the world. The WHO report might be music to the ears of the NICM and the CAM and TCM industry but spare a thought for the children whose ears are being cut off because of its purported “medicinal” value – they can’t hear the music.

What can you do about all of this?

Unfortunately, if you fall for their trickery and you get hurt, then you will be all alone. The bureaucracy involved is extremely complex so the best thing to do is prevention. Stop buying complementary, alternative, traditional or integrative ‘medicines’ and stop  using their ‘treatments’. Inform yourself and your family and friends about how these people play their game and what the dangers are, regarding these ‘treatments’. ‘Friends of Science in Medicine’ provides valuable healthcare information as well as the website of Prof Edzard Ernst, where he discusses everything complementary medicine (what works and what doesn’t). If you are interested in receiving automatic updates regarding the NICM and how they continue to promote these ‘medicines’ and ‘treatments’, you can always follow my Blog,  Twitter or connect on LinkedIn. Some good news is that the NICM has won the Bent Spoon award for quackery in 2017 after being nominated for two years running. Unfortunately this had very little impact with the university (WSU) promoting the NICM, in early 2018, to a fully fledged “Health Institute”.