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From 5 to 8 October the 8th annual European Health Forum Gasteintook place in Bad Gastein (Austria) under the title “Creating a better future for health in Europe”. The EHFG was founded in 1998 asa European health policy conference with the aim of providing aplatform for discussion for the various stakeholders in the field ofpublic health and health care. Since then, the EHFG has developedinto a unique annual event, bringing together politicians, senior decision-makers, representatives of interest groups, as well as expertscoming from government and administration, business and industry,civil society and science and academia (for more information seewebsitewww.ehfg.org)For the first time in its history a part of the programme wasdedicated to Complementary and Alternative Medicine. Under sponsorship of ECHAMP, a workshop on CAM was organized. Itstitle“Complementary Medicine – an efficient and safe contributionto patient satisfaction?”the subject: “Could more than 100 million European citizensbe wrong? - Developments around the evidence base ofhomeopathy”.The workshop was attended by about 40 people. There was a livelydiscussion in a good atmosphere. We were also able to present someinformation to counterbalance the Lancet meta-analysis.Apart from the workshop, a press conference was organized whichwas a good opportunity to get some extra attention and mediacoverage on the various subjects. There were also interviews withAustrian radio and television.All in all, this was an important event to bring CAM, and in particular homeopathy, more to the notice of policy makers. It is to be hopedWe are pleased to present the first full-colour electronic newsletter of the European Committee for Homeopathy. Our aim is to inform youabout noteworthy developments of any sort in the field of homeopathy, in particular in Europe. The newsletter will be circulated among everyindividual and organisation whose email address is in the ECH database and can be downloaded from the ECH website as well. Both an Englishand French version will be available. If you prefer another version than the one you have now received, please inform the ECH secretariat.And if you know of any event or development that, in your opinion, may interest the rest of the European homeopathic community, pleaselet us know.The editors
ECH NEWS - for you!
Presentations at the workshop were given by Prof Dr Stefan N.Willich (Director Institute for Social Medicine, Epidemiology & HealthEconomics, University Hospital Charité of Berlin, Germany) on cost-effectiveness of acupuncture and homeopathy, Dr Peter Fisher (Clinical Director and Director of Research of the Royal LondonHomeopathic Hospital) on the efficacy profile of homeopathy, ProfDr Maurizio Italiano (WHO Collaborating Centre for TraditionalMedicine and CAM, University of Milan) on the role of the WHOCollaborating Centre in the integration of complementary medicinein the regional healthcare system of Lombardy, Italy and Dr TonNicolai (president of the European Committee for Homeopathy) on
Homeopathy at the European Health Forum Gastein
From left to right: Dr Peter Fisher, Mr Nand de Herdt (ECHAMPGeneral-Secretary), Dr Ton Nicolai, Dr Maurizio Italiano
EFHPA member of EPF
The European Federation of Homeopathic Patients’ AssociationsEFHPA, a close ally of the ECH, has recently gained full member status of the European Patients’ Forum (EPF). The EPF should beseen as a response to calls by the European Commission and other EU institutions to have one pan-European patient body to addressand be consulted on issues concerning the interests of patients in theEuropean healthcare debate. The EPF’s aim is to strengthen the role and voice of European patients’organizations. The forum enables all pan-European patients’ groupsto exchange information and points of view in the area of EU HealthPolicy and all other EU initiatives of interest or concern to patients. Itoffers the views of patients, as external stakeholder in the Europeanhealthcare debate, by means of a broad, truly representative andindependent patient group resource. This way common positionson European health policy issues can be developed. The EPF seeksto become the natural first point of reference for the EuropeanCommission and other European institutions when seeking theopinions of patients and/or when seeking to consult patient groups.Within the European Patients Forum EFHPA will advocate theposition that patients have the broadest possible choice of therapy,and that high quality homeopathy is an integral part of general andspecialist healthcare.Websites: EFHPA:www.efhpa.com,EPF:www.europeanpatientsforum.org
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Prince Charles officially re-opened the Royal London HomoeopathicHospital in October, following its refurbishment. The Princetoured the hospital, meeting staff, patients and the volunteersfrom the League of Friends who run the Snack bar daily. ThePrince unveiled a replica of the hospital’s Coat-of-Arms in mosaicto applause from the Mayor, the local MP, officials of UniversityCollege Hospital London together with friends and supporters ofhomeopathy who gathered in what used to be the Board Room butis now destined to be an information centre on CAM.Referring gently to the negative press homeopathy hasreceived recently, the Prince said that he understood how we feltand that he often did not read the papers in order to protect hishealth.
Royal London Homeopathic Hospital re-opened
 Additional British Royal support for homeopathy was also shownin October by the annoucement that HRH Princess Alexandra hasgraciously agreed to become President of the Blackie FoundationTrust, a charity set up by the late Dr Margery Blackie, which supportsresearch and education in homeopathy. The announcement wasmade at meeting of supporters of the BFT who gathered together for the first showing of the film tracing the life of Dr Blackie and her contribution to medicine and homeopathy. Last year the Princessunveiled a blue plaque on what used to be Dr Blackie’s home andpractice at number 18 Thurloe Street.The Blackie Foundation Trust has commissioned a film showingaspects of Dr Blackie’s life and the unveiling of the blue plaque. Thefilm will be on sale shortly in both VHS and DVD format.For further details go the the websitewww.blackieft.org
The refurbished London Royal Homeopathic Hospital
London research conference 26/27 January 2005
The 5
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conference ‘Improving the Success of Homeopathy 5’ willtake a global view of homeopathy, both in a geographical sense, andin the sense of taking an all round look at the possibilities.This conference is inspired by the World Health Organisation’s(WHO) forthcoming report on clinical research in homeopathy. Itsmain objective is to explore homeopathy’s potential to contribute tothe health and well-being of the world’s people and how research canbe advanced through international collaboration. But we interpret‘global’ broadly: we will look at homeopathy globally, includingits potential outside human medicine, including animal husbandryand horticulture. The WHO’s report is likely to stimulate nationalgovernments and international bodies to adopt policies which willdefine the role of homeopathy in the 21st century and to act as acatalyst on the global expansion of homeopathy.The aims of the conference are to explore homeopathy’s potentialto contribute to the health and well-being of the world’s peopleand the implications for research; to review possible applicationsof homeopathy outside human medicine, including agriculture andto bring together scientists and opinion leaders and representativesfrom around the world, including countries where homeopathy iswell established, incorporated in public health systems or the subjectof academic or legislative initiatives.The programme will be organised into plenary, roundtablediscussion, smaller workshop sessions and poster sessions. There willbe ample time for discussion to encourage participation, debate andconvergence of views.For more details please go to the conference website:www.rlhh.org.uk/conference
Prince’s report urges CAM on the NHS
A report commissioned by the Prince of Wales has found thatcomplementary medicine should be more widely available on theNHS, as it benefits both the nation’s health and economy.The study concluded that people suffering from chronic conditionssuch as back pain, anxiety and depression could benefit fromtherapies such as osteopathy, chiropractic, acupuncture, homeopathyand herbal medicine. Patients treated with complementary medicinessaw a 30 per cent drop in the number of consultations with GPs anda saving in prescription drug bills of 50 per cent.Christopher Smallwood, who led the study, said that an increaseduse of complementary medicine would mean people get back towork quicker, leading to more tax revenue. He stated that: “Theweight of evidence we have examined suggests that complementaryand alternative medicines could play a much larger role in thedelivery of health care and help to fill recognised effectiveness gapsin healthcare provision.”The Prince of Wales has long been a supporter of complementarytherapies, setting up the Prince of Wales’s Foundation for IntegratedHealth to provide medical treatment linked to complementarytherapies. Clarence House welcomed the findings of the report. “By(continued on next page)
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commissioning this report the Prince hoped to further encouragean informed debate about how an evidence-based integratedapproach to health, which draws on the best of both orthodoxand complementary medicines, might offer wider benefits,” aspokesman said.The study is calling for the National Institute for Health andClinical Excellence to carry out a full clinical assessment of thecost effectiveness of those therapies identified in the report. Moreinformation can be found atwww.freshminds.co.uk/aboutus/chr.htm, where the full report can be downloaded.
Homeopathy and The Lancet: the hidden facts
The homeopathic community has raised a strong internationalprotest against prejudice and manipulation in scientific research.This was caused by a recent, controversial publication in therenowned medical journal The Lancet. The outspoken conclusionin the editorial was that homeopathy is no more than placebo andthat doctors need to be bold and honest with their patients abouthomeopathy’s lack of benefit.The conclusion of this extremely dubious research study is based ononly eight, anonymous, clinical trials. Out of 110 homeopathy trialsthat met their inclusion criteria, matched with 110 conventionalmedical trials, the authors identified 21 homeopathy trials and 8allopathy trials that are of higher standard according to their ownset criteria. They then proceeded to further select a ridiculously smallsubset of trials of purportedly larger and higher methodologicalquality (8 homeopathy trials and 6 conventional medicine trials),from which the paper’s main conclusion is drawn, i.e. that the clinicaleffects of homeopathy, but not those of conventional medicine,are unspecific placebo or context effects. They do not present acomparative analysis of this subset of trials. The reader cannot verifywhich studies were classified as methodically high quality, whichinterventions were examined or what results the individual studieshad. As a matter of fact, the study is a black box with completeopacity.Although no one exactly knows which 8 larger studies were usedfor the article’s conclusion, there are some hints. When searching inthe list of references for the largest 8 studies of high methodologicalquality, the following picture emerges. Three studies deal withthe prevention of flu (two of them were negative), two withthe treatment of flu (both positive), one with the prevention ofconjunctivitis (negative), one with the treatment of acute respiratoryinflammations (positive) and one with the treatment of musclesoreness in long-distance runners (negative). These studies mayhave a high methodological quality, but their external validity, inother words their validity for actual homeopathic practice, may bepoor. The larger numbers of the negative studies, however, have adecisive impact in the authors’ analysis.Mikel Aickin, a biostatistician at the University of Arizona, maintainsthat there are several areas in which the Lancet article does not meetthe minimum, conventional criteria for publication in biomedicine.For example, the difference between the treatment effects in the twogroups is 0.41 (SDE=0.249) with p=0.10, which by the conventionalcriteria is not statistically significant. In addition, the negative resultis reported with a miniscule sample size, and no power computationat all. In his opinion the most serious problem with the article ishow in the hands of the authors the meta-analysis as a tool – inprinciple a precise and useful form to collect scattered literature intoone place, to apply uniform criteria for study selection and analysis,and to come to a conclusion about the best therapeutic approach –“has degraded into an unrecognizable hash, in which any papers onany topic can be bundled together in an investigation of questionsof unlimited ambiguity.” His full, highly recommended article willsoon be published in the Journal of Alternative and ComplementaryMedicine.In a letter to the Lancet editor, Dr Peter Fisher and 31 other signatories wrote: “Shang et al state that ‘eight trials of homeopathicremedies in acute infections of the upper respiratory tract …indicateda substantial beneficial effect…sensitivity analyses might suggestthat there is robust evidence that the treatment under investigationworks. However, the biases that are prevalent in these publications,as shown by our study, might promote the conclusion that the resultscannot be trusted.’ They state that 8 studies is too few to questiontheir conclusion about the whole set of publications. Their conclusionabout the whole set, however, was also based on 8 studies. Is eightenough or not? The authors simply refuse to believe the results ofpositive clinical trials of homeopathy.”Kate Chatfield (University of Central Lancashire) and Clare Relton(University of Sheffield) assert: “The authors display their own biasin interpretation when they dismiss out of hand the substantiallybeneficial pooled effect from 8 trials of homeopathic remediesin upper respiratory tract infections. This in spite of the fact thatthe trials perform well in the authors own set test of funnel plotasymmetry which demonstrated that there was no significantdifference between effects in the higher quality trials and the lower quality trials. Here the authors speak of biases prevalent in thesepublications to excuse the effect without specifying in any way howthey relate to these trials and indicate that conclusions from thesetrials cannot be trusted.” Sceptic researchers such as Shang et al assume that the effectsobserved in placebo-controlled trials of homeopathy cannot butbe explained by a combination of methodological deficiencies andbiased reporting. They make the following extraordinary statement:“We assumed that the effects observed in placebo-controlledtrials of homoeopathy could be explained by a combination ofmethodological deficiencies and biased reporting. Conversely,we postulated that the same biases could not explain the effectsobserved in comparable placebo-controlled trials of conventionalmedicine. Our results confirm these hypotheses.” These pre-assumptions exhibit extreme bias from the start of the study and aretotally inappropriate in a study that sets out to objectively comparetwo different methodologies. Here alone the study fails by its ownstandards - not to mention by proper scientific standards.Several researchers submitted letters to the Lancet’s editors, almostall of which were rejected. They will, however, be published in thenext issues of Homeopathy and the Journal of Alternative andComplementary Medicine. Also, Explore - The Journal of Science andHealing will have an editorial on the Lancet article in its November issue.Websites: Homeopathy and Explore:www.elsevier.comJournal of Alternative and Complementary Medicine:www.liebertonline.com/loi/acm
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