Archive for the ‘Medicine’ Category

Autism activism vs. Big Pharma: A plague on both your houses

January 6, 2011

I do not know for sure but it seems likely that there is no strong link between autism and the MMR vaccine.

But the British Medical Journal which has now accused Dr. Wakefield of deliberate fraud with regard to his paper in the Lancet making the link does not cover itself with any glory. It only begs the question as to what standards they actually do have.

The “vaccination industry” promoted by Big Pharma also does not inspire much confidence that anything other than the bottom line is their primary concern. As was seen in the H1N1 vaccination circus, the beneficial links between the medical establishment (WHO) and vaccine manufacturers is widely prevalent and highly suspect. Parasitic lawyers who also have a vested interest in “proving” the link between autism and anything which could help their litigation do not impress either.

Dr Andrew Wakefield

Dr Andrew Wakefield, whose research claimed a link between MMR vaccinations and autism, denies inventing data. (Reuters: Luke MacGregor)

Dr Wakefield now accuses Big Pharma (including Association of British Pharmaceutical Industries) and the journalist Brian Deer of running a smear campaign against him. That may well be so but it does not justify his payments of some £400,000 from lawyers pursuing autism litigation. Whether his book is actually to defend his work or has some other motive is highly unclear.

Dr. Wakefield, British Medical Journal, Brian Deer, Association of British Pharmaceutical Industries, The Lancet —-

A Plague on all your houses!

Sources:

http://www.abc.net.au/news/stories/2011/01/06/3107885.htm?section=justin

http://edition.cnn.com/2011/HEALTH/01/06/autism.vaccines/?hpt=T1

Krypton kills nine in Sweden

December 30, 2010

Krypton the drug (and not the element nor the fictional planet nor anything related to Superman’s kryptonite) is thought to have led to the deaths of 9 young people in Sweden.

http://www.thelocal.se/31134/20101229/ reports:

A team of Swedish forensic physicians have concluded that nine young people have died over the past year after having taken the legal drug Krypton. Krypton is sold widely over the internet and is marketed as a safe drug but the risk of overdosing is high, the physicians have observed.

“Krypton reminds me of other opiates such as morphine. It is not some sort of party drug,” said Björn Bäckström, who works at the National Board of Forensic Medicine in Umeå, to the local Västerbottens Kuriren daily. Bäckström, together with colleagues Gisela Classon, Peter Löwenheim and Gunilla Thelander, have penned an article published in the medical journal Läkartidningen warning of the risks of Krypton.

The National Board of Forensic Medicine receives intakes after deaths from across Sweden and one case involving Krypton led the physicians to consider the effects of the drug and found several more cases. The Krypton-related deaths are spread across Sweden and involve both heavy addicts and occasional users, while they all concern people born in the 1970s and 1980s, the newspaper reported.

Krypton is derived from the south-east Asian plant kratom which has been traditionally used for potency and to improve mood. Aside from the leaves and extracts from kratom, Krypton has also been found to contain caffeine and the synthetic opioid O-Desmethyltramadol.
O-Desmethyltramadol is a breakdown of the product tramadol, which is prescribed in moderation to alleviate severe pain and when taken as Krypton is turned into tramadol in the liver and becomes more potent. It is due to this high potency contained in the O-Desmethyltramadol that the risk of overdosing is considered high, leading to respiratory paralysis. The Swedish physicians expect the extract and opiate to turn up in other forms if they are not classified as narcotics.

“That is one of the purposes of the article – to bring attention to this drug so that it should be narcotics classified,” Björn Bäckström told the newspaper.

(news@thelocal.se)

Haiti: The UN cholera tragedy continues…..

December 26, 2010

Port-au-Prince, Haiti (CNN) — At least 45 people, most of them voodoo priests, have been lynched in Haiti since the beginning of the cholera epidemic by angry mobs blaming them for the spread of the disease, officials said.

“People who practice voodoo have nothing to do with the cholera epidemic,” said Max Beauvoir, the head of a voodoo organization in the Caribbean country.

Beauvoir said Thursday that he has appealed to authorities to help before the situation gets worse.

Some of the victims were killed with machetes, others were burned alive by mobs that added tires and gasoline to stoke the fires. The cholera outbreak started in October.

Forty of the victims were found in a southwest area of Haiti called Grand Anse, said Moise Fritz Evens, a communications ministry official.

The victims have been targeted because of “misinformation” that had been circulating in the community that voodoo practitioners were spreading cholera by using witchcraft, according to communications Minister Marie-Laurence Lassegue.

“It was necessary to increase awareness of the disease and educate the population countrywide instead of getting into a religious war that has no ending,” Lassegue said.

The killings add to ongoing woes that have hit the island after the devastating earthquake in January. About 220,000 people were killed in the earthquake, and countless others left homeless. A cholera outbreak after the earthquake has killed more than 2,000 people, health officials said.

Before the current outbreak introduced by UN troops, Haiti had not seen cholera for over 100 years.

https://ktwop.wordpress.com/2010/11/19/un-cholera-and-protests-against-un-reach-port-au-prince/

A small bright spot in the murky world of corporate ethics

December 21, 2010

Laws tell us what we must not do and morals tell us what we ought not to do – whether illegal or not.

But ethics – when they exist – tell us what is the right and proper and desirable thing to do.

Far too many corporates seem to think that mere compliance with laws is sufficient as a code of ethics. Much trumpeted Corporate Social Responsibilities are primarily public relations and image building exercises with little relation to ethics. Token gestures of engaging in some social programme are assumed to be evidence of the existence of an ethical code but the reality is that most corporates have no ethics. They are content – like children – to let others tell them by law what is forbidden and then take the easy path provided by assuming that all behaviour which is not illegal is – by default – ethical.

As if it is not possible to be completely compliant and completely corrupt at the same time. British Aerospace and their utter lack of ethics being a case in point.

Retraction Watch carries the refreshing story of Wnt Research which shows that some bright spots still exist in the murky world of corporate ethics.

Two weeks ago, we covered the retraction of a PNAS paper on a potential breast cancer treatment, one that would make tumors that didn’t respond to tamoxifen respond to the drug. We learned earlier this week from a Retraction Watch commenter that Wnt Research, a company based on the breast cancer finding and other work, was about to go public.

In fact, their initial public offering (IPO) happened today, and you can follow the price of their stock — listed on the Stockholm Stock Exchange as WNT — here. But what we learned when we looked into the IPO was that it was originally scheduled for late November, and was delayed because of the retraction.

Tommy Andersson, one of the researchers on the now-retracted paper and Wnt Research’s chief scientific officer, told Retraction Watch that the company had initially planned on going public on November 26. They had written a memorandum describing the company’s work to date, and its plans, and the public was given a chance to invest before shares hit the Stockholm exchange. That memorandum included a mention of the PNAS paper, as follows (translated from Swedish):

The research group has even shown that combining Wnt-5a or Foxy-5 will increase the expression of estrogen receptors in estrogen-negative breast cancer cells. It turned out that human breast cancer cells exposed to Foxy-5 regained tamoxifen sensitivity, which is clear from the increased apoptosis and reduced cell growth as a response to the endocrine treatment. Likewise, the research group found that administration of Foxy-5 in the body brought back the expression of estrogen receptors in a mouse model. Apart from the therapeutic potential of these observations, there is a potential to use the outcome of estrogen receptors as a biological marker, which should advance research.

The deadline for investment was October 27, and a number of people responded, allowing the company to continue its work. But on November 11, Andersson and his colleagues realized there were serious errors in the paper, and that it would need to be retracted. When Andersson called Wnt Research’s CEO, Bert Junno, on the 12th:

He rapidly called upon an extra Board meeting on the 15th of November (the same day my email of retraction was sent to the PNAS office). At this meeting we decided to make a press release on this matter and this went out on the 16th of November.

We again had an extra Board meeting on the 19th of November to discuss what other things that we needed to do. We agreed that the short press release must be accompanied by an addition to the already published memorandum, the reason being that you cannot change in the original memorandum. The CEO wrote this addition together with the people at the office of the small Stockholm Exchange “Aktietorget” where the company was to be listed. We also decided to ask for legal advice in how to handle the public that had already paid for shares in the company.

The board held another meeting on the 22nd, during which they approved the addition to the memorandum saying that the PNAS paper had been retracted. They also did something that can only be described as the right thing: They decided to write all of the approximately 275 people who had invested in the company by the October 27 deadline and offer their money back:

The reason for this was that the lawyer advised us to act according to good morals rather than to what we were required to do by law. His belief was that this would pay off in the long run.

The memorandum addition was published on November 25. And some people did ask for their money back:

The offer to retract their investments in the company resulted in a net loss of investments, but we still obtained enough investments to continue our work.

All of that back and forth also meant that the IPO was delayed by three weeks, until today.

We find this story wonderfully refreshing. Imagine, a company bending over backward to let investors — and potential investors — know about problems with its data.

I can only agree that this little story proves that, unlike what Milton Friedman had to say, it is perfectly possible to be ethical in the corporate world.

Today I did my bit and bought some shares in Wnt Research. I know too little about cancer research to judge whether this was or will be a good buy. But I applaud their ethics and my share purchase is just to put my money where my mouth is.

UN to “investigate” its introduction of cholera to Haiti

December 17, 2010

More than a month after the outbreak , the United Nations secretary-general plans to call for an independent commission to study whether U.N. peacekeepers caused a cholera outbreak that has killed more than 2,400 people in Haiti, an official said on Wednesday.

http://www.thehindu.com/health/policy-and-issues/article956037.ece?homepage=true

U.N. officials initially dismissed speculation about the involvement of peacekeepers. The announcement indicates that concern about the epidemic’s origin has now reached the highest levels of the global organization.

“We are urging and we are calling for what we could call an international panel,” U.N. peacekeeping chief Alain Le Roy said at a news conference at U.N. headquarters in New York. “We are in discussions with (the U.N. World Health Organization) to find the best experts to be in a panel to be completely independent.”

Le Roy said details about the commission would be announced Friday by Secretary-General Ban Ki-moon. He said cholera experts and other scientists will have full access to U.N. data and the suspected military base.

“They will make their report to make sure the truth will be known,” Le Roy said.

Soon after the cholera outbreak became evident in October, Haitians began questioning whether it started at a U.N. base in Meille, outside the central plateau town of Mirebalais and upriver from where hundreds were falling ill. Speculation pointed to recently arrived peacekeepers from Nepal, a South Asia nation where cholera is endemic.

U.N. officials rejected any idea the base was involved, saying its sanitation was air-tight.

WHO and the U.S. Centres for Disease Control and Prevention said at the time that it was unlikely the origin would ever be known, and that pinning it down was not a priority.

Then the Associated Press found not only sanitation problems at the base, but that the U.N. mission was quietly taking samples from behind the post to test for cholera.

When the CDC determined the strain in Haiti matched one in South Asia, cholera and global health experts said there was now enough circumstantial evidence implicating the likely unwitting Nepalese soldiers to warrant an aggressive investigation.

The experts have also said there are important scientific reasons to trace the origin of the outbreak, including learning how the disease spreads, how it can best be combated and what danger countries around Haiti could face in the coming months and years.

Many think the U.N. mission’s reticence to seriously address the allegations in public helped fuel anti-peacekeeper riots that broke out across the country last month.

This outbreak, which experts estimate could affect more than 600,000 people in impoverished Haiti, involves the first confirmed cases of cholera in Haiti since WHO records began in the mid-20th century. Suspected outbreaks of a different strain of cholera might have occurred in Haiti more than a century ago.

The current outbreak has spread to the neighbouring Dominican Republic and isolated cases have been found in the United States.

French epidemiologist Renaud Piarroux argues that “no other hypothesis” from the Nepalese being the origin could explain his findings that cases of the diarrheal disease first appeared near the U.N. base in Haiti’s rural centre, far from shipping ports and the area affected by the Jan. 12 earthquake.

Capitation fees: The stench of corruption in the Indian body academic

December 10, 2010
Varkala in Kerala. India.

Image via Wikipedia

This past week I have been travelling in the southern Indian states of Tamil Nadu and Karnataka.

The growth is palpable and vibrant. But it is chaotic and uncontrolled – and probably uncontrollable, The best that can be hoped for is that movement is in the general direction desired but it is futile to to try and exercise any micro-control. The speed is such that there is no time for consolidation, for reflection, for developing values or standards or for any feedback. Feed forward is the only thing that can keep up.

But in every field of operation – whether construction or government or industry or financial institutions or academia – the stench of corruption is contained under a thin veneer of apparent sophistication. The overpowering fundamental value which gets free reign is greed.

What has become apparent to me is that in spite of many good intentions by government, the shortage of supply in the face of an ever-increasing demand for education has allowed the unfettered growth of  private colleges and universities. But the demand is only used as a vehicle for satisfying greed not for satisfying educational needs.

All degrees and especially post graduate degrees in medicine, engineering and IT related subjects from private colleges in India are granted solely for the payment of a capitation fee.

http://en.wikipedia.org/wiki/Capitation_fee

Capitation fee refers to the unlawful collection of payment by educational bodies in exchange for a seat in the institution. It is also known as donations. This practice is popular in private colleges and universities in India, especially those that grant baccalaureate degrees in Engineering, IT and the sciences. This is an example of institutionalized corruption prevalent in India.The practice goes mostly unnoticed because the board/owners of these institutions hold political/financial powers and also the parents who pay the donations are more than happy to do so.

The Concise Oxford Dictionary defines capitation as follows:

The payment of a fee or a grant to a doctor, school, etc., the amount being determined by the number of patients, pupils etc. Origin (denoting the counting of heads)

The Kerala Self Financing Professional Colleges (Prohibition of Capitation Fees and Procedure for Admission and Fixation of Fees) Act 2004 defines capitation fees as follows.

“capitation fees” means any amount by whatever name called, whether in cash or in kind paid or collected or received directly or indirectly in addition to the fees determined under section 4.

The Supreme Court Judgement in 1993 in the Unni Krishnan Case declared that charging capitation fees was illegal.

But capitation fees are now the only way of  getting a seat in a private college. It guarantees a degree will be awarded. Academic staff  have no say in the selection of students. That selection is reserved for the owners and they usually auction the seats to the highest bidder. Capitation fees are unrecorded, undeclared and paid in cash. Academic standards are irrelevant.

This is not to say that competent engineers and doctors do not exist. But a degree from a private college is an empty thing. It only proves that a capitation fee was paid and is totally silent regarding the capability or competence of the person receiving a degree.

Settled Science? Smoking declines, lung cancer cases increase

December 1, 2010

 

I am afraid I find that whenever I hear the claim of “science being settled” – whether in medicine or astronomy or climate or physics – I am immediately suspicious that a political agenda is being pursued. Recent examples only convince me that there are few “scientific conclusions” free of a political agenda any more.
A new survey in the Upsala-  Örebro healthcare region of Sweden has found that though smoking has been declining since the 1970’s, the number of cases of lung cancer have increased by 41% since the mid 90’s.
Svenska Dagbladet reports (free translation):
To some extent this survey reflects smoking behaviour of a few decades ago since lung cancer typically develops only after several decades of intense smoking. But Associate Professor Gunnar Wagenius, chief physician at the University Hospital cancer clinic in Uppsala, is still surprised, given that smoking among men has fallen since the 1970s, while lung cancer cases have stopped falling and even started to rise again.
“It suggests that there are one or more additional factors other than smoking, which slowed this decline. What these factors might be is as yet very mysterious”, he told the Upsala Nya Tidning.
Lung cancer increased among women most as a consequence of changes in smoking habits. In the study, the researchers analyzed statistics from the regional registry for lung cancer, which started in 1995. The 598 registered cases in the seven counties in the healthcare region had risen to845 cases last year.
The study will be reported later today at the National Medical conference in Gothenburg.

 

 

Prematurely induced ageing reversed in mice

November 29, 2010

It is not quite the reversal of the normal ageing process but fascinating nevertheless. Mice deprived of telomerase suffered premature ageing and the reintroduction of the enzyme reversed it. But mice lacking telomerase are not necessarily a valid stand-in for the normal ageing process. Increasing the level of telomerase in humans could potentially encourage the growth of tumours.

A new paper in Nature:

Telomerase reactivation reverses tissue degeneration in aged telomerase-deficient mice

Nature advance online publication 28 November 2010 | doi:10.1038/nature09603; Received 8 May 2010; Accepted 26 October 2010; Published online 28 November 2010

Mariela Jaskelioff, Florian L. Muller, Ji-Hye Paik, Emily Thomas, Shan Jiang, Andrew C. Adams, Ergun Sahin, Maria Kost-Alimova, Alexei Protopopov, Juan Cadiñanos, James W. Horner, Eleftheria Maratos-Flier & Ronald A. DePinho

Nature News:

telomeres

Telomeres: Peter Lansdorp/Visuals Unlimited/Corbis

Premature ageing can be reversed by reactivating an enzyme that protects the tips of chromosomes, a study in mice suggests.

Mice engineered to lack the enzyme, called telomerase, become prematurely decrepit. But they bounced back to health when the enzyme was replaced. The finding, published online today in Nature, hints that some disorders characterized by early ageing could be treated by boosting telomerase activity.

It also offers the possibility that normal human ageing could be slowed by reawakening the enzyme in cells where it has stopped working, says Ronald DePinho, a cancer geneticist at the Dana-Farber Cancer Institute and Harvard Medical School in Boston, Massachusetts, who led the new study. “This has implications for thinking about telomerase as a serious anti-ageing intervention.”

After its discovery in the 1980s, telomerase gained a reputation as a fountain of youth. Chromosomes have caps of repetitive DNA called telomeres at their ends. Every time cells divide, their telomeres shorten, which eventually prompts them to stop dividing and die. Telomerase prevents this decline in some kinds of cells, including stem cells, by lengthening telomeres, and the hope was that activating the enzyme could slow cellular ageing.

Two decades on, researchers are realizing that telomerase’s role in ageing is far more nuanced than first thought. Some studies have uncovered an association between short telomeres and early death, whereas others have failed to back up this link. People with rare diseases characterized by shortened telomeres or telomerase mutations seem to age prematurely, although some tissues are more affected than others.

When mice are engineered to lack telomerase completely, their telomeres progressively shorten over several generations. These animals age much faster than normal mice — they are barely fertile and suffer from age-related conditions such as osteoporosis, diabetes and neurodegeneration. They also die young. “If you look at all those data together, you walk away with the idea that the loss of telomerase could be a very important instigator of the ageing process,” says DePinho.

To find out if these dramatic effects are reversible, DePinho’s team engineered mice such that the inactivated telomerase could be switched back on by feeding the mice a chemical called 4-OHT. The researchers allowed the mice to grow to adulthood without the enzyme, then reactivated it for a month. They assessed the health of the mice another month later.

Shrivelled testes grew back to normal and the animals regained their fertility. Other organs, such as the spleen, liver and intestines, recuperated from their degenerated state. The one-month pulse of telomerase also reversed effects of ageing in the brain. Mice with restored telomerase activity had noticeably larger brains than animals still lacking the enzyme, and neural progenitor cells, which produce new neurons and supporting brain cells, started working again.

The downside is that telomerase is often mutated in human cancers, and seems to help existing tumours grow faster. “Telomere rejuvenation is potentially very dangerous unless you make sure that it does not stimulate cancer,” says David Harrison, who researches ageing at the Jackson Laboratory in Bar Harbor, Maine.

Harrison also questions whether mice lacking telomerase are a good model for human ageing. “They are not studying normal ageing, but ageing in mice made grossly abnormal,” he says.

“Root canal” performed successfully on elephant

November 26, 2010

Dentists in India have successfully carried out a “root canal” procedure on a 27 year old elephant which had been suffering from tusk-ache for 5 years.

From AFP:

A three-member team of dentists helped by a veterinary surgeon carried out the two-and-a-half-hour operation on the male pachyderm which developed a cavity in one of its tusks, they said. The operation took place in early November after the owner of the pet elephant brought the animal for an examination of the infection that had damaged the tusk. “We decided to use the traditional root canal process as a remedy,” dentist Sunil Kumar told AFP in state capital Thiruvananthapuram.

The elephant had a six centimetre cavity in its tusk: photo AFP

The Hindu reports:

In a procedure claimed to be the first of its kind in the world, an elephant in Kerala has successfully undergone a conservative dental treatment to repair his cracked tusk. Twenty-seven-year-old Devidasan, the tusker from Thrissur, had been living with a crack on its tusk for the past five years which was causing him discomfort.

The elephant’s owner and Dr. V. Sunil Kumar, Forest Veterinary officer, approached Dr. C. V. Pradeep, Conservative dentist and Endodontist of Kannur, to see if the crack could be treated and beauty of the tusk restored. Dr. Pradeep, former principal of Pariyaram Dental College, and currently professor and head of the Department, PSM Dental College, Thrissur, first extensively studied the structure of the tusk and found that that the elephant tusk and human teeth had similar structure. He chose a method of treatment based on the histology of the tusk. Dr. Pradeep told PTI that the 50 cm long and 4 cm deep crack was filled using micro and macromechanical bonding using light cure composite resin. The resin was bonded to the elephant dentin by using nano-filled bonding agent. The dentin was cleaned, microblasted and etched. Bonding agent was applied layer by layer and light cured two weeks ago.

The animal was not tranquilised during the treatment which took two and half hours and it was fully cooperative throughout the procedure, Dr. Pradeep said.

Lot of water and dirt was accumulating in the tusk and if the crack was not treated, it would lead to the death of the pulp and result in pus formation which could endanger the animal’s life, he said. The elephant could not be taken for temple festivals as the crack on the tusk was not pleasing to the eye. The treatment was a challenge and this was the first time in the world that a ‘conservative approach’ was followed and no part of the tusk was removed, he said.

Finding the equipment to treat the pachyderm was an elephantine task. “We had to modify and customise some of the equipment”, he said adding some of the equipment had to be made specially for the procedure. About 47 tubes of composite resin was used to fill the crack, he said. The cause of the crack in the tusk is unknown. However the owner of the elephant was conscious of the consequences of the widening crack and hence had requested for the treatment. The animal has now recovered and has already started going for temple festivals.

Dr. Pradeep was assisted by Dr. Jayaprasad Kodoth, Prof. of Periodontics, Kanhangad and Dr. George Jacob, of PSM Dental College, Thrissur.

 

Haiti cholera death toll revised up to 2,000, elections this weekend

November 25, 2010

The UN has has released revised information about the cholera outbreak in Haiti. What they are reporting now is what others were reporting already last week:

http://www.un.org/apps/news/story.asp?NewsID=36853&Cr=haiti&Cr1=

A baby and other patients suffering from acute diarrhoea lie on the floor of St. Nicholas Hospital in Haiti: photo UN

The number of reported cases of cholera in Haiti is now approaching 50,000, but health experts have cautioned that the figure could be higher because data on the epidemic has not been received from some rural communities, a United Nations relief official said today. Nigel Fisher, the UN Humanitarian Coordinator for Haiti, said that epidemiologists in the Pan-American Health Organization (PAHO) – the regional arm of the World Health Organization (WHO) – estimate that the number of cases could be as high as 70,000.

The experts have said that the disease might have claimed as many as 2,000 people, with some fatalities in remote areas going unreported. Speaking via a video link from the capital, Port-au-Prince, Mr. Fisher told a news conference in New York that PAHO epidemiologists have also revised their projections of the spread of the disease and now anticipate that cases could rise to 200,000 over the next three months. The experts had earlier estimated that the number of cases could rise to that figure in six months.

“This epidemic is moving faster,” Mr. Fisher said.

Meanwhile, general elections will proceed on Sunday as planned, despite the cholera outbreak and the recent streets protests in the country, Edmond Mulet, the Special Representative of the Secretary-General and head of the UN Stabilization Mission in Haiti (MINUSTAH), told the same press briefing.

Operational Biosurveillance had reported similar figures last week and now says:

  • In some areas of Haiti, we have confirmation that in-patient statistics are under-reported by as much as 400%. In many areas of Haiti, we are documenting outbreaks that are not being accounted for in the official statistics.  We therefore estimate the upper bound of estimated total (subclinical and clinically apparent) case counts to be nearly 375,000.
  • It is likely the elections will facilitate the spread of the epidemic due to population mixing.