21st century snake oil: Rough week for homeopathy

Over the counter homeopathic remedies sold in the U.S. will now have to come with a warning that they are based on outdated theories ‘not accepted by most modern medical experts’ and that ‘there is no scientific evidence the product works.’

jagged-little-pillFailure to do so will mean the makers of homeopathic remedies will risk running afoul of the US Federal Trade Commission (FTC).

The agency argues that unsupported health claims included in the marketing for some of these remedies are in breach of laws that prohibit deceptive advertising or labelling of over the counter drugs.

The body has released an enforcement policy statement clarifying that homeopathic drugs are not exempt from rules that apply to other health products when it comes to claims of efficacy and should not be treated differently. In order for any claims in adverts or on packaging not to be ‘misleading’ to consumers it should be clearly communicated that they are based on theories developed in the 1700s and that there is a lack of evidence to back them up, the statement says.

It adds that the FTC will ‘carefully scrutinise the net impression of [over the counter] homeopathic advertising or other marketing … to ensure that it adequately conveys the extremely limited nature of the health claim being asserted’.

Timothy Caulfield of the University of Alberta urges Canadians to follow the U.S. lead, which states homeopathic products – which are, to be absolutely clear, nothing more than water or sugar pills – “must be substantiated by competent and reliable scientific evidence” or the label must say “there is no scientific evidence that the product works.”

This is a ridiculously sensible move. Homeopathy, a practice meant to treat disease symptoms through non-existent doses of substances that (allegedly) produce similar symptoms, has become a multi-billion dollar industry, is one of many popular complementary and alternative medicine (CAM) products that have been thoroughly and consistently debunked.

dehydrated-waterThere is no credible evidence that homeopathy works for any health condition. More important, homeopathy is scientifically preposterous .

Bottom line: Homeopathy doesn’t work and there is no way it could work, at least beyond producing a placebo effect. It is pure quackery.

Due to Health Canada’s relatively lax regulations, many pharmacies sell homeopathic products that make claims of therapeutic benefit that would clearly infringe the new FTC policy.

Indeed, a recent study led by my colleague Ubaka Ogbogu found that a significant number of pharmacists recommend homeopathic remedies.

In addition, provincial governments have done much to facilitate the spread of unscientific CAM services. In Ontario, for instance, there is a College of Homeopaths – an entity created and surreally legitimized by provincial legislation. In addition, homeopathy is one of the most common services provided by naturopaths, a CAM practice that has enjoyed a recent uptick in provincial support.

A quick scan of websites for Canadian naturopathic clinics finds numerous examples of misleading claims about the efficacy of homeopathy and other bogus services. Worse, many of the claims made on these websites relate to the use of a homeopathic product as an alternative to vaccination.

Let’s reverse this trend. Let’s take steps to ensure that the Canadian public gets scientifically accurate information about the healthcare products and services they are buying.

There are numerous regulatory tools that can be used, right now, to help curtail the spread of misleading health information.

So, Canada, let’s all follow the FTC lead and stop the tolerance and facilitation of homeopathic bunk.

Country Tonk: Australian coroner criticises woman who made toxic ‘moonshine’ contributed to deaths of 3 people in 2015

The Deputy State Coroner has delivered a scathing report into deaths of three people in western New South Wales:

moonshine-australiaFound the consumption of “moonshine” contributed to their deaths

Woman who supplied homemade booze “targeted people with alcoholism”

Magistrate Helen Barry also said more people could die without tougher rules on the purchase of stills that are used to make alcohol.

An inquest found the illegal sale of homemade alcohol contributed to the deaths of the three residents of an Indigenous reserve near Collarenebri in February and March last year. They were aged in their 30s and 40s.

Norman Boney, his sister Sandra Boney and her partner Roger Adams consumed an unknown quantity of “moonshine” in the months before their deaths. It was supplied by another woman, Mary Miller.

Ms Miller denied selling the alcohol, but the coroner found “the overwhelming and only conclusion is that Mary Miller was in fact selling moonshine (homebrew) to the residents of Walli Reserve during the period of 2014 and 2015”.

Lavinia Flick, who was related to Mr Adams, earlier told the inquest the deaths had a huge impact on the community.

“The sadness that you feel, there are no words for it,” she said.

“Mary opened her shop the next day after they died like it was nothing.”

Ms Barry said it is impossible to disagree with Ms Flick’s conclusion that: “Mary targeted people with alcoholism. She targeted people with an addiction and disease. It was our people that were affected by it.”

The inquest was told distilling alcohol without a licence is illegal and easy to get wrong.

Professor Ian Whyte from the Department of Clinical Toxicology and Pharmacology at Calvary Mater Hospital in Newcastle gave evidence at the hearing.

“A relatively small dose can cause blindness and ultimately death.”

‘Gap in the legislation’ could have ‘fatal consequences’

The coroner said it was legal to purchase a still that holds less than 5 litres for the purpose of distilling water or essential oils.

But in practice, it can be used to illegally manufacture alcohol and “because there is no licensing requirement, that activity is likely to remain undetected unless there is a catastrophic event such as in the loss of lives such as those of Sandra, Norman and Roger”.

“Because of the gap in the legislation, there is the potential for fatal consequences.”

Ms Barry said she would send these findings to the Commonwealth Attorney-General and Minister for Finance for their consideration.

Everything’s big in Australia: 6 dead from ‘thunderstorm asthma’ in Melbourne

Rohan Smith of news.au.com reports doors swung wide open at homes around Melbourne on Monday afternoon in hopes a looming thunderstorm would bring with it a cool change.

thunderstorm-asthmaIt did, but it carried with it something else. The combination of warm weather, a high pollen count and stormy conditions produced what experts call “thunderstorm asthma,” an extremely rare and dangerous phenomenon that saw Victoria run out of ambulances for an entire hour.

Fairfax reported on Tuesday that two people are believed to have died while waiting for ambulances on Monday.

Those who suffered were not prepared. Most said they hadn’t experienced asthma since childhood. They all had one thing in common: Hay fever.

“I’ve never had asthma but do get hay fever, mainly itchy eyes and sneezes, but there were weirdly no other hay fever symptoms (on Monday),” Kate Craig, from Melbourne’s inner west, told news.com.au.

“It hit me all of a sudden about 7.30 last night, I felt like I couldn’t take a full breath and had an awful, chesty, hacking cough. I thought I must have just inhaled some spices while cooking — that’s what it felt like.”

Gary Nunn said he was in transit when he began to have trouble breathing.

“I’d had bad hay fever all day in Melbourne. In the early evening I got to Melbourne Airport and noticed a new symptom: I was struggling to breathe. This had never happened before,” he said.

Brisbane-area vehicles covered in human poop

Clare Armstrong of The Courier Mail reports that two vehicles ended up covered in human waste after a truck carrying 27 tonnes of sewage was forced to brake suddenly to avoid a collision at Toowoomba.

poop-spill-brisbaneIt is understood the truck transporting the sewage lost its load when the driver braked suddenly to avoid crashing into a car outside The Big Orange fruit barn on Crowley Vale Road on Wednesday just after 8am.

The Arkwood Organic Recycling (is there any other kind of recycling shit other than organic?) truck trailer had a tarpaulin-like cover over the top but the force of the braking action caused it to rip apart and the waste spilt out.

Shocked locals took to social media to express their disgust at the scene as the truck, car and surrounding area were covered in human waste.

oddball-kellys-heros“Where’s the gag reflex,” posted one person.

“You can still get through it,” advised another person online.

Arkwood Organic Recycling Owner and Operations Manager Brendon Clarke told local media the load was secured but the abrupt stop caused the trailer’s cover on the truck to tear.

What to do when the turkey hits the floor

Long-time friend of the barfblog.com and fellow WKRP groupie, Michéle Samarya-Timm, MA, HO, MCHES, REHS (right, exactly as shown) of the Somerset County Department of Health — Jersey represent – has once again contributed her Thanksgiving thoughts, which are shared below. Michele is one of the thousands of front-line public health folks who do a great – and largely thankless —  job in spite of frequent silliness from political overseers.

micheleFood. It’s the focal point of any celebratory gathering – birthdays, barbecues, parties, holidays — and often necessitates a fair amount of activity before the culminating moment of actual eating.  No doubt about it, planning, purchasing, preparing and serving a family feast takes a copious amount of physical and emotional energy when striving to assure a picture-perfect event for all.   In the hierarchy of meaningful meals, Thanksgiving may just be the poster-child of a culinary Everest.  It’s a family event that memories are made of…especially when things go wrong.

Picture this:  you are preparing a beautiful 20-pound bird, in hopeful anticipation of a Norman-Rockwell moment, where everyone around the Thanksgiving table will “oooh” and “ahhh” at your culinary prowess – when suddenly, and in slow motion, the turkey falls to the kitchen floor and masterfully executes an Olympic-style slide across the linoleum in a smearing trail of poultry juices.  You stand there, a witness to the carnage, in a speechless (or expletive-driven) moment of WTF…followed by the OMG rush of “what do I do now?”

How one addresses such a surreal moment and its potentially disastrous aftermath (your in-laws are in the next room after all), is reasonably predicated on your Martha-Stewart-like creativity or knee-jerk responsiveness. Turkey disasters are such common and comic occurrences that kitchen fiascos have been fodder for Thanksgiving themed sitcoms throughout the past few decades.   If you find need for a little humor these days, turn to classic TV,  to digest the Thanksgiving food-handling practices in such shows as Mad About You, Everybody Loves Raymond, and Friends.

However, in the real world, how does one handle a turkey-hit-the-floor occurrence?

If the turkey is raw, wash off any crumbs, pet hair, or visible dirt that the moist skin has picked up Continue with fully cooking the turkey, and verify safe cooking using a probe food thermometer. As oft quoted by food safety expert Larry Pong, even poop cooked to 165 degrees F is safe to eat!  Follow up by judiciously washing and sanitizing the sink and any surrounding areas that might be contaminated by wash spray.

If cooked turkey hits the floor – well, that’s another story.   The widely cited 5-second rule is an old-wives tale.  The USDA’s Consumer Advisor “Ask Karen” recommends consumers discard food that falls to the floor or comes in contact with unclean surfaces, and goes on to note that food can be contaminated as soon as it touches the floor or dirty surfaces.  There is no scientific evidence that proves food is safe from bacteria, viruses and parasites if it stays on the floor for less than five seconds.   This has been corroborated by Don Schaffner and the food safety researchers at Rutgers who found the ‘five-second rule’ is a significant oversimplification of what actually happens when bacteria transfers from a surface to food, as bacteria can contaminate instantaneously. Rutgers identified that the amount of moisture present, the type of surface, and how long the food is actually on the floor all contribute to cross-contamination and the potential for foodborne illness.

tdy_tren_fails_151126-nbcnews-ux-1080-600Decisions, decisions.  You could cut away the contaminated section.  You could return the bird to the oven for recooking, an additional germ-killing step, assuring the surfaces contaminated are heated to greater than the safety-threshold of 165 degrees F.  (You can’t over-cook a turkey – that’s what gravy is for!)   You could discard the contaminated food.  Or you could just focus on eating the sides.   Regardless, come clean by advising your guests – food contamination, and food safety should not be kept a secret.

At the crux of it all, in your home, you are the one in charge of deciding if you want to eat or serve dirty food.   Many folks, not understanding the risks, will.   Consider however, those who are very young, very old, or immunocompromised as they are all at higher risk of getting sick.   Do you really wish to chance it?   No one intends to cause Thanksgiving Day food disasters, so be careful in the kitchen, and follow the core steps of Clean, Separate, Cook, and Chill.   A little fore-thought and care can avoid the worst.

Perhaps the ultimate of all turkey disasters was brought to us in Turkeys Away, a classic episode of WKRP, a 1970’s era sitcom about Cincinnati-based radio station, with an eccentric cast of workers.   The well-meaning, but clueless Station Manager arranges his own Thanksgiving Day promotion, to a disastrously comedic conclusion for everyone — especially the turkeys.  It’s worth a view, its worth the laugh, and may just help foster food-safe Thanksgiving memories for years to come.

As God is my witness, I will cook my turkey to 165F!

Michéle Samarya-Timm is a public health educator with Somerset County (NJ) Department of Health.  She is a champion for handwashing, food safety and getting agencies to communicate food safety in a language everyone can understand.

samaryatimm@gmail.com

‘I hate Illinois Nazis’ Blues Brothers get it right, again

The most important decision ever made by Dwight D. Eisenhower, Supreme Allied Commander in Europe during World War II, was to ensure the atrocities of German Nazi extermination camps was documented, in photos and film.

toast-blues-brothersThose images and films are preserved at the Holocaust Museum in Washington, D.C., and 2-of-my-5 daughters have seen them with me.

Today, everyone has a camera through their phones, and it’s increasingly difficult for someone to say, no, I didn’t do that.

Not that facts matter. Americans did elect Trump.

But as the KKK plans a victory parade for North Carolina, video is circulating of a Saturday speech to 200 attendees at the National Policy Institute’s – make that white nationalists — annual conference at the Ronald Reagan building celebrated the rise of Donald Trump as president-elect and promoted a conquer-or-be-conquered mentality.

America was, until this past generation, a white country, designed for ourselves and our posterity,” Richard Spencer, a prominent white nationalist. “It is our creation. It is our inheritance and it belongs to us.”

A video published by The Atlantic, which is working on a documentary on Spencer, shows clips of Spencer’s speech for the National Policy Institute, an independent research organization “dedicated to the heritage, identity and future of people of European descent in the United States,” according to its website. The Atlantic reported that Spencer envisions “a new society, an ethno-state that would be a gathering point for all Europeans,” and supports “peaceful ethnic cleansing.”

Members of the D.C. Antifascist Coalition protested the conference and an anti-Semitic dinner hosted at Maggiano’s on Saturday. Some held banners and posters outside of the Italian restaurant, while at least one protester was seen outside of Trump International Hotel.

Toward the beginning of his speech, Spencer said, “Hail Trump. Hail our people. Hail victory!” and the room broke out in applause. Some raised a hand in a Nazi salute.

Spencer also slammed the press, calling members “genuinely stupid” and promoted a philosophy of “conquer or die” among attendees. “To be white is to be a striver, a crusader, an explorer and a conqueror.”

According to The Atlantic, for most of the day, a parade of speakers discussed their ideology in relatively anodyne terms, putting a presentable face on their agenda. But after dinner, when most journalists had already departed, Spencer rose and delivered a speech to his followers dripping with anti-Semitism, and leaving no doubt as to what he actually seeks. He referred to the mainstream media as “Lügenpresse,” a term he said he was borrowing from “the original German”; the Nazis used the word to attack their critics in the press.

Pulling a Britney: Changing diapers on a cafe table is a microbiologically bad thing

Someone pulled a Britney – our term in honor of Britney Spears, who in 2006 thought it was OK to change a baby’s diaper on a restaurant table – in Brisbane and the owner wants the mom to never return.

britney-crazy-8Darren Cartwright of the Courier Mail reports a mother of a newborn baby wrote a scathing review on Google about Park Bench Espresso Bar in Bulimba for the reception she received for changing her baby in front of dining customers.

The review first praises the quality of the coffee before taking aim at owner Jocelyn Ridgway and other customers. She says her baby is 12-weeks old and that she put a mat down before changing the nappy.

“I approached her (the manager) upon leaving and asked if she had a problem with my baby and I sitting there. She said in quite a critical tone, that she didn’t think it was appropriate to change my baby there,” the review states.

“To this woman and the 2 other customers who made comments regarding this. Mothers don’t need your judgment or criticism. We have enough pressure and stress we deal with on a daily basis. We rarely get the opportunity to get out and have a coffee amidst the long list of things we are doing for our families every single day.

“I am sorry (not sorry) you are so terribly offended by a tiny baby’s tiny little dirty nappy that you think it necessary to criticise.”

Ms Ridgway told AAP the lady was at the coffee shop for two hours last Friday.

“She was there that long the baby did two poos,” Ms Ridgway said.

“There were people next to her. We had complaints from a group of older women who did not think it was that great.”

The coffee shop is an extension of Green Grass and Home Body retail store which Ms Ridgway started 15 years ago.

diaperThe al fresco area opened up in 2011 and a park, with several sheltered tables, is located directly across the road.

Since Ms Ridgway shared the review on Facebook with friends, she’s said she’s had nothing but support.

“I know in my heart that that was not cool. It’s an etiquette thing. She won’t be back as a customer, that’s fine. I can’t afford to have customers like her anyway,” she said.

First conviction in Quebec maple syrup heist

The Maple Syrup Gang sounds like something out of Little Rascals and the He Man Woman Haters Club.

our_gangIn Dec. 2012, 18 people were arrested in Quebec after pulling off a massive maple syrup heist.

The sweet stuff was stolen in the town of Saint-Louis-de-Blandford between August 2011 and July 2012.

About 2.7 million kilograms of maple syrup, worth up to $18 million, was reported missing after a routine inventory check last summer.

Last week, Graeme Hamilton of the National Post reported a jury decided three of the men involved were common criminals.

After two days of deliberations at the courthouse in Trois-Rivières, Que., the 12-member jury delivered guilty verdicts against one of the ringleaders and two of his accomplices in the first case to come to trial following the brazen syrup theft.

Richard Vallières, 38, was found guilty of theft, fraud and traffic of stolen syrup. Étienne St-Pierre, 73, was convicted of fraud and trafficking, and Raymond Vallières, Richard’s 62-year-old father, was convicted of possession of stolen syrup. A fourth accused, Jean Lord, was acquitted on a possession charge.

The trial heard that over a 12-month period in 2011 and 2012, nearly 3,000 tonnes of syrup disappeared from a warehouse used by the Federation of Quebec Maple Syrup Producers. In dollar terms, it was “the largest theft investigated by the Sûreté du Québec in its history,” Crown prosecutor Julien Beauchamp-Laliberté said.

The theft and fraud were committed against the provincial federation, which acts as a marketing board. The stolen syrup was pumped into a black market that undermines the quotas and prices established by the federation, the prosecutor said.

During the fall of 2011, a tractor-trailer began appearing at a federation warehouse in Saint-Louis-de-Blandford, Que. and loading up barrels filled with syrup from that spring’s harvest. The barrels were transported to a sugar shack belonging to Raymond Vallières, where they were emptied and replaced with stream water. When the stream froze over, the syrup-transfer operation moved to a warehouse in Montreal in early 2012. Finally, the prosecutor said, the thieves drained the barrels directly at the federation warehouse. In total, 9,571 barrels were surreptitiously emptied, representing more than half the stockpile the federation keeps to maintain a stable price.

richard-vallic3a8res-1It wasn’t until August 2012 that federation staff grew suspicious when they noticed some barrels were dirty and rusty; when the containers were tapped, some sounded emptier than others.

The theft made international headlines, but the trial heard the valuable stockpile was protected with minimal security. The warehouse “wasn’t fortified. There were no security cameras or guards,” one of the co-owners testified.

The crime occurred amid a long-running dispute between the federation and rogue syrup producers and buyers who don’t want to be constrained by the quota system. Sébastien Jutras, a trucker who served eight months in prison after pleading guilty to his involvement in the plot, testified that after one syrup delivery, Raymond Vallières offered his opinion of the federation and the syrup being drained from its reserves: “Stealing from thieves is not stealing,” he said.

In a 2014 police interview played for the jurors, Richard Vallières said he had been buying and selling on Quebec’s maple syrup black market for 10 years and had previous run-ins with the federation. “They were after me because I buy a lot. . . . They want more control over the syrup,” he said.

The trial heard that as much as $200,000 in cash changed hands for a single syrup transaction, and the players used burner phones to avoid detection.

Richard Vallières’ defence was that he committed the theft under duress. He testified that when he realized the syrup he was buying came from the federation warehouse, he tried to back out. But the seller, who cannot be identified because he faces a jury trial in January, threatened him at gunpoint. Vallières said his wife and young daughter were also threatened.

But other evidence suggested Vallières was not too troubled by the theft. The jury heard of friendly text messages between him and the supposedly menacing seller. When the theft was uncovered and splashed across the news, Vallières’ response was, “The party’s over,” the jury heard.

 A sentencing hearing has been scheduled for Jan. 27.

he-man-woman-haters

Take a dump on Trump: Poo Haiku for World Toilet Day

 

 

Take a dump on Trump

I won’t change my toilet’s name

Your poo orange too.

trumptoiletSaturday is World Toilet Day, a serious effort by the United Nations focusing on the fact that one-third of the world’s population — or 2.4 billion people —  have no toilet at home. A third of those people are children. They are vulnerable to disease, malnutrition and other major problems because there is no clean way of going to the bathroom where they live.

Marylou Tousignant of The Washington Post writes the United Nations Children’s Fund (UNICEF) and other organizations want everyone in the world to have proper toilets and safe drinking water by 2030.

People living in present-day Scotland and Pakistan built the first indoor toilets about 4,500 years ago. Pipes carried the waste outdoors. Knossos palace, built 3,700 years ago on the island of Crete in the Mediterranean, had some of the first flush toilets. They used rainwater and water from nearby springs. A wooden seat kept users dry.

Medieval castles had toilets built high on an outside wall. There was a stone seat at the top, and gravity took care of the rest. Often the waste dropped into the castle moat. People living in towns, meanwhile, collected their waste in what were called chamber pots, and they emptied them by heaving the contents out a window. Public lavatories, which were not common at the time, were often just several toilet holes in a row built over a river.

In 1596, England’s Sir John Harington designed a flush toilet with a handle and a raised water tank. He said using it would leave rooms smelling sweet. He gave one to his godmother, Queen Elizabeth I, who didn’t like it. Instead, she used a pot in a box covered in velvet and trimmed with lace. The idea of an indoor flush toilet didn’t catch on until 200 years later.

The word “toilet” comes from the French “toile,” meaning “cloth.” It referred to the covering on a lady’s dressing table and, over time, to the dressing room itself and the primping that went on there. (Wealthy people in the 17th and 18th centuries often had rooms at home just for getting dressed.) In the 19th century, “toilet” got its modern meanings: the place where bathing and other private acts occur and the bowl into which human waste is deposited.

Over time, chamber pots and toilet bowls got fancier and fancier. One such pot, sold during the American Revolution, had an image of Britain’s King George III at the bottom of the bowl.

Thomas Jefferson, who used flush toilets while he was the U.S. ambassador to France in the 1780s, had three small rooms for toilets built at Monticello, his home in Virginia. But there is no proof that they were true flush toilets. And because most American homes did not have running water until a century later, the widespread use of flush toilets came later as well.

Chinese businessman Zhong Jiye will not give up the brand name on his Trump Toilet products, NBC News reports.

“We registered our company in 2002 and obtained approval from the trademark office in Beijing,” said Zhong, referring to Shenzhen Trump Industrial Company Limited, which mostly manufactures high-tech toilet seats. 

hanksy-dumptrump“If (U.S. President-elect Donald) Trump thinks our trademark violates his rights and interests, he can use legal methods because our company observes China’s laws,” CEO Zhong told NBC News, adding that he is prepared to defend his company’s legal rights to the Trump brand name.

In Chinese, the company name means “innovate universally.” 

Vicky Hallett of NPR reports that poetry may be one way of getting people to discuss diarrhea.

That’s the idea behind Poo Haiku, a competition created by Defeat DD, a campaign dedicated to the eradication of diarrheal disease.

Although everybody’s had the runs, it’s not something most folks talk about, says Hope Randall, digital communications officer for PATH’s Center for Vaccine Innovation and Access, which created DefeatDD to bring together resources on vaccines, nutrition, oral rehydration therapy, sanitation and more.

Kat Kelley of the Global Health Technologies Coalition, which references a recent study published in The Lancet:

Just six pathogens

But eighty percent of kids’

Diarrheal deaths.

Randall herself penned an entry:

A vicious cycle,

Gut damage, malnutrition

We can halt the churn.

And from Doug Powell:

Take a dump on Trump

I won’t change my toilet’s name

Is your poo orange too.

(Depends whether the word orange is one syllable or two.)