homoeopathic association of south africa the bhf southern african conference 22-25 july’07 sun...
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
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Homoeopathy as an Example
Dr. Neil Gower M.Tech Hom (UJ)
HSA National Secretary
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Complementary Medicine in a Basic Benefit Package
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
CAM Professions
• As regulated through the Allied Health Professions Act, 1982 (Act 63 of 1982):– PBHNP – Homoeopathy, Naturopathy,
Phytotherapy– PBCO – Chiropractic, Osteopathy– PBAUC – Ayurveda, Unani Tibb,
Chinese Medicine and Acupuncture– PBARM – Therapeutic: Aromatherapy,
Reflexology, Massage Therapy
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Basic Benefit Package
DEFINE:• What are we trying to achieve?• What needs are we trying to satisfy?
– common basic benefit for all South Africans
– Bearing in mind right to choose and access to healthcare
– Treatment, maintenance AND prevention– Support Health maintenance / chase our
tails? SYSTEMS• Essentially: primary healthcare?
– Established patients of homoeopathy use it for this purpose
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathy
Two definitions:• Homoeopathy: a comprehensive
system of treatment based on the principle of likes cure likes.
• Homoeopathy in SA:Inclusive of the use of a variety of medicinal options and applications fulfilling a role of primary contact physician
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathic Training
• South Africa:– M.Tech Hom – only degree
permitting registration (since 2000)
– 5 year Masters degree– University of Johannesburg and
Durban University of Technology– Aimed at preparing a practitioner
for a role in primary healthcare as a first contact and fulfilling the prescribed scope of practice
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Scope of Practice
• Allied Health Professions Act, 1982 (Act 63 of 1982):– Section 1 (2): (a) a practitioner may-
(i) diagnose, and treat or prevent, physical and mental disease, illness or deficiencies in humans;
(ii) prescribe or dispense medicine; or(iii) provide or prescribe treatment for such
disease, illness or deficiencies in humans;
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Scope of Practice (Cont…)
• Allied Health Professions Act, 1982 (Act 63 of 1982):– Reg. 28:Subject to the provisions of the Medicines and
Related Substances Control Act, 1965, a practitioner registered as a homeopath may, for the purposes of his or her practice‑
(a) possess or have under his or her control-(b) prescribe for a patient or supply to a patient-(c) formulate, compound, prepare, manipulate or
dispense-
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Scope of Practice (Cont…)
• Allied Health Professions Act, 1982 (Act 63 of 1982):– Reg. 28:Crude substancesHomoeopathic substances (any &
all)Vitamins, minerals, supplementsInjectable forms thereof
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Scope of Practice (Cont…)
• Allied Health Professions Act, 1982 (Act 63 of 1982):– Reg. 47:The following acts are acts specially pertaining to
the profession of a homeopath:(a) The physical examination of any person,
taking into account the totality of symptoms and the modalities and peculiarities thereof, for the purpose of diagnosing any physical defect, illness or deficiency in such person.
(b) The treatment or prevention of any physical defect, illness or deficiency in any person by remedies, dietary advice or dietary supplementation in accordance with and based on homeopathic principles.
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathy?
• What does it have to offer?– Comprehensive system that
requires a comprehensive analysis– Profound understanding of disease
prevention, pathology and its progression
– Offers a viable “alternative” for:• Acute conditions• Chronic conditions
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathy? (Cont…)
• Misunderstandings:– “Natural”– Ethereal, mystic– Severely limited:
• Sinusitis• Eczema• Allergies• Immune boosting
– Safe, easy - picked up from a book
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Yet at same time “last hope” and “miracle workers” for so many.
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathy? (Cont…)
• In fact:– Healing mechanism assists natural
healing processes iatrogenic effects and persistent side effects are not present. Homoeopathic aggravations can occur but under professional guidance are part of the “healing crisis”
– Comprehensive system and methodology through precise symptomatology and prescribing
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Homoeopathy? (Cont…)
• In fact (cont…):– Every condition is treated – limitations are
by way of medical logic: surgical need, end-stage disease, “obstacles to cure”:
• Infectious diseases, Hormonal imbalances, Pain, Dermatological conditions, Neurological complaints, Cardio-vascular, Respiratory, Arthritis, Blood pressure, Diabetes,, ADHD, Depression, SLE, Hepatitis, Cancer and Aids.
– Due to its nature requires continuous education, reading: pathology, diagnosis, medicine, pharmacology, homoeopathy, prescription, compounding, dispensing, other CAMs
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence
• American Journal of Pain Management Osteoarthritic Pain: A Comparison of Homeopathy and Acetaminophen
The investigators conclude that homeopathic treatments for pain in OA patients appear to be safe and at least as effective as acetaminophen, and are without its potential adverse effects including compromise to both liver and kidney function.
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Shealy et al.; American Journal of Pain Management; 1998;8:89-91; Osteoarthritic Pain: A Comparison of Homeopathy and Acetaminophen
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• British Medical JournalEffect of Homoeopathic Treatment on Fibrositis
It showed a significant reduction in tender spots, by 25%, when patients were given the homeopathic medicine, as compared to when they were given the placebo.
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Fisher et al.; British Medical Journal; Effect of Homoeopathic Treatment on Fibrositis; August 5, 1989, 299:365-66.
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• CHESTInfluence of (homoeopathic) potassium dichromate on tracheal secretions in critically ill patients
CONCLUSION: These data suggest that potentised (diluted and vigorously shaken) potassium dichromate may help to decrease the amount of stringy tracheal secretions in COPD patients.
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M. Frass et al. CHEST, March, 2005; Influence of (homoeopathic) potassium dichromate on tracheal secretions in critically ill patients
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• BMC Complementary & Alternative MedHomeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting. CONCLUSION: In primary care, homeopathic treatment for acute respiratory and ear complaints was not inferior to conventional treatment. [Ed.: faster improvement in first 7 days; no adverse drug reactions for adult group]
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M. Haidvogl et al. BMC Complement Altern Med. 2007 Mar 2;7:7 Homeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting.
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• Explore (NY) Efficacy of a complex homeopathic medication (Sinfrontal) in patients with acute maxillary sinusitis: a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trial
CONCLUSION: This complex homeopathic medication is safe and appears to be an effective treatment for acute maxillary sinusitis.
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DI Zabolotnyi et al.; Explore (NY) 2007 Mar-Apr;3(2):98-109.; Efficacy of a complex homeopathic medication (Sinfrontal) in patients with acute maxillary sinusitis: a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trial.
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• Complementary Therapies in Medicine
Homoeopathy in primary care: self-reported change in health status.
1 year after first examination 73.5% of patients reported a marked or moderate improvement in their health status.
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F. Attena et al. Complement Ther Med. 2000 Mar;8(1):21-5. Homoeopathy in primary care: self-reported change in health status.
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• Biomedical Therapy Acute Otitis Media in Children: A Comparison of Conventional and Homeopathic Treatment
They found that the total recurrences of the homeopathic treated group was .41 per patient, while the antibiotic treatment group was .70 per patient. Of the "homeopathic" children who did have another earache, 29.3% had a maximum of three recurrences, while 43.5% of the "antibiotic" children had a maximum of six recurrences.
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KH Friese et al.; Biomedical Therapy, 60,4,1997:113-116; Acute Otitis Media in Children: A Comparison of Conventional and Homeopathic Treatment
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
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• British Homeopathic Journal Homeopathy in acute otitis media in children: treatment effect or spontaneous resolution?
Pain control was achieved in 39% of the patients after 6 h, another 33% after 12 h. This resolution rate is 2.4 times faster than in placebo controls. There were no complications observed in the study group, and compared to conventional treatment the approach was 14% cheaper.
H. Frei et al.; Br Homeopath J. 2001 Oct;90(4):180-2; Homeopathy in acute otitis media in
children: treatment effect or spontaneous resolution?
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• Homeopathy Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in children
Homeopathy may be a cost-effective alternative to antibiotics in the treatment of recurrent infantile rhinopharyngitis
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M. Trichard et al.; Homeopathy. 2005 Jan;94(1):3-9; Pharmacoeconomic comparison between homeopathic and antibiotic treatment strategies in recurrent acute rhinopharyngitis in children
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• Homeopathy Adjunctive homeopathic treatment in patients with severe sepsis: a randomized, double-blind, placebo-controlled trial in an intensive care unit.
On day 180, survival was statistically significantly higher with verum homeopathy (75.8% vs 50.0%, P = 0.043). CONCLUSION: Our data suggest that homeopathic treatment may be a useful additional therapeutic measure with a long-term benefit for severely septic patients admitted to the intensive care unit.
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M. Frass et al.; Homeopathy. 2005 Apr;94(2):75-80; Adjunctive homeopathic treatment in patients with severe sepsis: a randomized, double-blind, placebo-controlled trial in an intensive care unit
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Evidence (Cont…)
• European Journal of Pediatric SurgeryHomeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial CONCLUSION: The trial suggests scientific evidence of the effectiveness of homeopathy in the treatment of attention deficit hyperactivity disorder, particularly in the areas of behavioural and cognitive functions.
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H. Frei et al.; Eur J Pediatr. 2005 Dec 164(12):758-67; Epub 2005 Jul 27; Homeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial
Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Examples
• The WHO noted in 19941 that homeopathy had been integrated into the national health care systems of numerous countries, including:– Germany– United Kingdom– India - AYUSH– Pakistan– Sri Lanka– Mexico
Poitevin, B. "Integrating Homoeopathy in Health Systems." Bulletin of the World Health Organization. 1999. 77(2):160-6
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Examples (cont…)
• France– Homoeopathic treatment reimbursed by
French social security system• United Kingdom*
– Homoeopathic treatment reimbursed and part of National Health System
• Brazil– Homoeopathy – recognised speciality by
medical authorities since 1992 – forms part of public and community health programmes
Poitevin, B. "Integrating Homoeopathy in Health Systems." Bulletin of the World Health Organization. 1999. 77(2):160-6
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Basic Benefit Package
• Primary Healthcare:– First contact
• Base Referral System with a recognition of limitations (through education)
– Comprehensive– Systematic– Trusted– Prevention – HEALTH based,
individualised
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Homoeopathicassociation ofSouth Africa The BHF Southern African Conference 22-25 July’07 Sun City
Sir William Osler, Father of Modern Medicine (1849 – 1919):
“The individual, not the disease, is the entity.”
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