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	<title>Confessions of a Serial Prover &#187; Peter Fisher</title>
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	<description>Homeopathy, health and related subjects</description>
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		<title>Homeopathy: the scientific proofs of efficacy</title>
		<link>http://smeddum.net/blog/homeopathy-the-scientific-proofs-of-efficacy/</link>
		<comments>http://smeddum.net/blog/homeopathy-the-scientific-proofs-of-efficacy/#comments</comments>
		<pubDate>Mon, 12 Nov 2007 21:00:20 +0000</pubDate>
		<dc:creator>Wendy</dc:creator>
				<category><![CDATA[Homeopathy]]></category>
		<category><![CDATA[Medicine/Health]]></category>
		<category><![CDATA[Edzard Ernst]]></category>
		<category><![CDATA[evidence-based medicine]]></category>
		<category><![CDATA[Peter Fisher]]></category>
		<category><![CDATA[Royal London Homeopathic Hospital]]></category>
		<category><![CDATA[Shang et al]]></category>
		<category><![CDATA[The Lancet]]></category>

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		<description><![CDATA[&#8220;The opposite of a fact is falsehood, but the opposite of one profound truth may very well be another profound truth.&#8221; Niels Bohr &#8220;The world of homeopathic research is moving in the direction of investigating its rational, explicable, demonstrable, reproducible aspects and neglecting the more controversial and doubtful aspects. The purpose of this publication is [...]]]></description>
			<content:encoded><![CDATA[<p class="quote">&#8220;The opposite of a fact is falsehood, but the opposite of one profound truth may very well be another profound truth.&#8221;<br />
<span style="color:#000">Niels Bohr</span></p>
<p class="indent">&#8220;The world of homeopathic research is moving in the direction of investigating its rational, explicable, demonstrable, reproducible aspects and neglecting the more controversial and doubtful aspects. The purpose of this publication is to review the extensive literature available, and draw the reader&#8217;s attention to studies that comply with the strictest scientific methodologies.&#8221;</p>
<p>This <a href="http://www.guna.it/eng/ricerca/Homeopathy%20the%20scientific%20proofs%20of%20efficacy.pdf">Italian literature review</a>, published in 2002, is available in English translation from the Italian homeopathic pharmacy Guna, and presents a comprehensive review of the trials of the last decade, summarised by an Advisory Board which includes professors in Immunology, Pharmacology, General Surgery, Clinical Morphology and Anatomy, Human Physiology, Psychiatry and Neurology from universities and medical schools in Italy, the US, Germany and Poland. Some salient quotations from the study:</p>
<p class="indent">&#8220;A number of large-scale studies designed to evaluate the huge amount of homeopathic literature have been conducted, especially in the last 10 years. Organisations and institutes of great international prestige and importance have dealt with the issue of homeopathy. <strong>All of them have concluded that homeopathy possesses therapeutic efficacy.</strong>&#8221; (Overview of Human Clinical Trials, p29)</p>
<p class="indent">&#8220;&#8230; most of the members of the medical profession and the media have failed to perceive the existence of this body of studies, which demonstrate the therapeutic efficacy of homeopathic medicines. The aim of the present volume was to fill this lack of information by a compendium made of some of the latest and most significant literature in the field.<br />
Very briefly, a large body of studies demonstrates that the efficacy of homeopathic medicines is not due to the “mythical” placebo effect, thus finally dispelling a series of superficial, prejudiced attitudes.</p>
<p class="indent">&#8220;Among these, a set of studies compare homeopathic vs allopathic medicines. These trials were conducted in accordance with Helsinki Declaration on the therapeutic efficacy.<br />
Most of the best studies relate to the branch of homeopathy known as homotoxicology which, with its pragmatic attitude and rejection of therapeutic extremism, seems to meet current demand for integrated medicine most effectively.<br />
These studies demonstrate that the effect of homeopathic medicines may be at least similar to that of the allopathic reference drug used for the same disorder. They also confirm that homeopathic medicines, unlike allopathic drugs, rarely produce side effects. Finally, they show that homeopathic remedies are usually cheaper,and in some cases much cheaper, than the corresponding conventional treatment.</p>
<p class="indent">&#8220;Everybody is entitled to his own opinion and can deny the evidence, even when faced with the clearest proof. But who hold public and institutional offices and responsibilities have the duty to analyse actively all the body of information that may improve the patient’s quality of life.</p>
<p class="indent">[...]</p>
<p class="indent">&#8220;It may seem paradoxical that tiny amounts of an active constituent (diluted by the very special process of homeopathic production) can produce effects on living beings, but this is evidently a scientific fact.<br />
Science acts on the basis of objective, verifiable observations; if the event demonstrated cannot be interpreted by a theory, it is the theory that needs to be revised. This is the principle behind the progress of science.&#8221; (Conclusions, p87-88)</p>
<p>This study was published in 2002. In 2005, the World Health Organisation were in the process of compiling what was believed to be a largely positive report on homeopathy, and which was apparently leaked to The Lancet in advance of its publication of the Shang et al meta-analysis. According to <a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1375230">Dr Peter Fisher</a>, Director of Research at the Royal London Homeopathic Hospital and the Queen&#8217;s homeopath:</p>
<p class="indent">&#8220;The same issue of The Lancet featured a leak of the World Health Organisation&#8217;s (WHO) draft report on homeopathy. The WHO document was apparently leaked to The Lancet by Dutch and Belgian doctors hostile to homeopathy; their comments and the (hostile) comments of Prof. Edzard Ernst of the University of Exeter were published. Dr Xiaorui Zhang, Traditional Medicine Coordinator of WHO, who is responsible for the report, was also interviewed, but declined to comment on a leaked, confidential draft. This leak came only 2 days after The Times of London published, as its front page lead, a remarkably similar story: a leak of the Smallwood Enquiry on The Role of Complementary and Alternative Medicine in the NHS commissioned by The Prince of Wales&#8217; Foundation for Integrated Health. It is ironic that the editor of The Lancet, Dr Richard Horton, wrote to The Times accusing Prof. Ernst of having ‘broken every code of scientific behaviour’ for leaking the draft report of the Smallwood Enquiry (and incidentally describing complementary medicine as &#8216;a largely pernicious influence… preying on the fears and uncertainties of the sick&#8217;), while simultaneously doing the same to the WHO report in his own journal!</p>
<p class="indent">&#8220;Dr Horton also wrote an open letter to the UK Secretary of State for Health, Patricia Hewitt and the Chairman of the National Institute for Clinical Excellence (NICE) Prof. Sir Michael Rawlings, calling for the use of homeopathy in the NHS to be reviewed in light of this publication.&#8221;</p>
<p><strong>What we appear to be looking at here is a very deliberate attempt to discredit homeopathy, allowing prejudice to hold sway over the results of scientific studies and making a mockery of evidence-based medicine. Not only are these individuals attempting to mislead the medical profession and general public, but are trying to deprive them of the right to choose and use a healthcare modality which is rapidly being reliably demonstrated as at least as effective as conventional medicine, and in <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&amp;db=pubmed&amp;list_uids=16036164&amp;dopt=abstract">some instances</a>, more so. Futher, one that is also proving itself to be considerably cheaper than the present model and highly unlikely to kill upwards of 106,000 people per annum (in the US alone – Journal of the American Medical Association 2000;284:483-485) just through the side effects of the medication.</strong></p>
<p>If The Lancet remains true to previous form in its next issue on homeopathy, then it doesn&#8217;t look like it has much future as a respected scientific journal under its present stewardship. That&#8217;s a shame, as it&#8217;s one of the oldest peer-reviewed medical journals in the world (founded in 1823). Homeopathy will survive, as it has done for longer than The Lancet despite all previous attempts to suppress it, because the truth has a way of finding its way out regardless.</p>
<p>If you support freedom of choice in healthcare and have had good experience of homeopathic treatment, you can register your support by signing the &#8220;<a href="http://www.hmc21.org/">homeopathy worked for me</a>&#8221; declaration.</p>
<p class="quote">&#8220;In a time of universal deceit, telling the truth becomes a revolutionary act.&#8221;<br />
<span style="color:#000">George Orwell</span></p>
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		<title>Closure threat</title>
		<link>http://smeddum.net/blog/closure-threat/</link>
		<comments>http://smeddum.net/blog/closure-threat/#comments</comments>
		<pubDate>Wed, 21 Mar 2007 12:36:21 +0000</pubDate>
		<dc:creator>Wendy</dc:creator>
				<category><![CDATA[Homeopathy]]></category>
		<category><![CDATA[Medicine/Health]]></category>
		<category><![CDATA[Peter Fisher]]></category>
		<category><![CDATA[RLHH]]></category>
		<category><![CDATA[Royal London Homeopathic Hospital]]></category>

		<guid isPermaLink="false">http://smeddum.net/blog/?p=254</guid>
		<description><![CDATA[&#8220;First they ignore you, then they laugh at you, then they fight you, then you win.&#8221; Mahatma Gandhi The Royal London Homeopathic Hospital is being threatened with closure. This appears to have very little to do with any falls in underlying patient demand or levels of satisfaction with the services offered by the hospital and [...]]]></description>
			<content:encoded><![CDATA[<p class="quote">&#8220;First they ignore you, then they laugh at you, then they fight you, then you win.&#8221;<br />
<span style="color:#000">Mahatma Gandhi</span></p>
<p>The Royal London Homeopathic Hospital is being threatened with closure. This appears to have very little to do with any falls in underlying patient demand or levels of satisfaction with the services offered by the hospital and rather more to do with politically-motivated agendas to undermine complementary therapies and restrict patient choice.</p>
<p>More details from Dr Peter Fisher, Clinical Director of the RLHH (and homeopath to the Queen) can be found <a href="http://www.naturalmatters.net/article.asp?article=3032&amp;cat=85">here</a>.</p>
<p>If you&#8217;d like to register your support for the hospital, there is a <a href="http://petitions.pm.gov.uk/SavetheRLHH/">petition</a> online at Number 10 Downing Street&#8217;s website &#8230; &#8220;We the undersigned petition the Prime Minister to honour Parliament&#8217;s committment to patient choice by preserving the Royal London Homeopathic Hospital and the service it provides as an integral part of the NHS.&#8221; This petition can only be signed by UK residents. If you&#8217;re from overseas, you can join the campaign to save the RLHH by contacting them directly. The address is available at the end of this <a href="http://www.naturalmatters.net/article.asp?article=3032&amp;cat=85">article</a>.</p>
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