Time is close for the 2025 Surf Coast Skepticamp (SCSC) held at Aireys Inlet this coming 15 March. This is Australia’s longest running Skepticamp and is lining up speakers for the eleventh time.
This year the event is being held at Aireys Inlet Community Hall from 10.30am to 4.30pm. The journey from Melbourne is around 1 hour 45 minutes by combustion engine, battery, or hybrid powered vehicles. Time absolutely slides by as the stunning vista of Great Ocean Road scenery cruises by. The cost, of course, is free. But you should still help with arrangements by popping into Eventbrite here and picking up a ticket. Full details are available there also.
Topics covered in the past include: UFOs (Saunders & Dunning beamed live from Bend, Oregon!), Anti-vaxxers after COVID, Going Solar, Fake Martial Arts, Catching Academic Cheats, Climate change in Australia: fact vs. fiction, Crowdfunding Scams, Shayna Jack, sports supplements and regulators, The Weeping Woman and Other Tales: The Belief in the Supernatural in Latin America, Quiz: Just how smart are skeptics?, and much more.
This year we will be headed by published author and researcher Karen Bijkersma who will alert us to on-line subterfuge with “Reading Between the Lies: applied rhetoric in the digital dating era“. Then, regular attender Richard Saunders (Lifetime Skeptics Achievement Award winner) of The Skeptic Zone will drop in for a chat about the current skeptical investigations in Australia (on-line from Sydney). Nathan Eggins (Thornett Award winner) will perform for us (on-line from Brisbane) and maybe ask us to contribute duck quacks to the lyrics of his famous song, Paul Gallagher (Skeptic of the Year) – speaks about the “turbo cancer” conspiracy theory; Terry Kelly (past Presidents of the Vic Skeptics) – “The Dodgiest Skepticamp Stuff I have Seen”; Karl “Rocket Man” Hemphill ‘will analyse and dissect possibly the worst Olympic performance ever with “Raygun – a case study for skeptics”; and Don Hyatt (Convenor of SCSC and the National Convention 2012) will consider the obscure topic “Was Captain Smith a Flash in the Pan?“ and somehow link it to Black Swans.
Come along and enjoy the day. Or, why not bring your interests to Skepticamp and present a 20 minute-ish talk? If that sounds like you, just drop an email with your details and chosen topic to sgofvic@gmail.com. Skeptical thoughts on public health, alternatives to medicine, communicating with the dead, UFO/UAP reports, or the many bizarre claims reaching social media; any and all are welcome.
We break for lunch and visit the various eateries around Aireys Inlet then finish the evening with a wind down and meal at Aireys pub.
January has ushered in some interesting developments for skeptics in Australia as dodgy practices seemingly jostle for attention. Australia’s Therapeutic Goods Administration (TGA) has published welcome updates and warnings, a QLD influencer sank to a new low, our most insistent anti-vaccine fantasist copped yet another fact-check from the Australian Associated Press (AAP) and 14 members of a faith healing cult have been found guilty of manslaughter.
Black Salve
Black Salve has been a long term problem for the TGA as it remains a dangerously reckless alternative cancer treatment, linked to the unwarranted belief it offers a cure. A company and its director were convicted in 2022 for advertising alternatives to medicine not on the Australian Register of Therapeutic Goods. A significant seizure of black salve also took place in late 2023. On 6 January this year, the therapeutic watchdog published information that following an investigation in conjunction with the Commonwealth Director of Public Prosecutions, an individual faced 12 charges for alleged criminal offences under the Therapeutic Goods Act 1989.
The alleged offences relate to the advertising and supply of black salve, bloodroot capsules and other unapproved therapeutic goods. It is alleged that the individual made claims about the products’ ability to treat serious health conditions, including anxiety and cancer.
The defendant faces a maximum penalty of 12 months’ imprisonment and/or a fine of up to $222,000 for each charge.
Sanguinarine, a primary corrosive agent in black salve, is listed as a Schedule 10 substance in the Poisons Standard. These are described as substances “so dangerous to health that they are prohibited from sale, supply and use in Australia”. Whilst the TGA has not named the individual, a certain Belinda Gae Harris (pictured) who operates Tickety Boo Herbal, had prior to Christmas, revealed via video on Rumble that she had been charged in the exact manner later outlined by the TGA.
Harris remains adamant she is being charged for “helping people” and wrote, “I have been persecuted for being a healer for many lifetimes”. In her video Harris announced she has spent her life finding solutions for the damage [the TGA] have done with mRNA vaccines and “allopathic treatments”. On the topic of mRNA vaccination, Harris wrote last month on social media she used black salve and, “sucked the jab out of people straight after that poison injection”. She continued on her Rumble channel:
I’m just going to keep doing it, because I’m helping people and I’m saving lives. My angels managed to keep this at bay until 2025… I need to have a stack of evidence saying these are all the people whose lives I have saved… Oh my God, Oh my God. It just never ends with this world. This matrix is bullshit. Bullshit lies. They’re allowed to administer carcinogenic chemotherapy to people and fry the fuck out of them with their radiation. But I’m not allowed to do a simple herbal remedy that I have tested over and over again… I’ll see you in court government – who always seem to be loving watching me. I bet you’ve got the hots for me. You probably do, just like the trolls… You can’t shut me up. If you put me in jail I’ll just be educating everybody around me. Okay. Namaste. Loving you. Ben Abou.
Harris was scheduled to appear before Deniliquin local court on 4 January for Commonwealth and Police criminal mentions. One awaits updates on the matter, which aren’t presently coming from the Tickety Boo Facebook page.
Melanotan tanning products
On 24 January the TGA published a warning about the risks of using tanning products containing melanotan. Illegally sold and advertised online they consist of nasal sprays and injectable and indigestible tanning products. Unapproved for sale in Australia, they may contain toxic or counterfeit ingredients. Melanotans are synthetic peptides that increase melanin production in the skin. The risk of serious side effects mean melanotans should only be used under medical supervision. However they are being illegally promoted as safe, including by social media influencers. Vulnerable young Australians struggling with body image issues are at significant risk. The TGA write:
While the most common side effects include headache, nausea, vomiting, loss of appetite, and facial redness, the most concerning one is the risk of serious skin cancers. With melanotan-II, there have been reports of increased moles and freckles, kidney dysfunction and swelling of the brain.
Melanotan is not approved for sale or use as a tanning agent in Australia. These tanning agents haven’t been assessed for their quality or safety. Since these tanning products are not approved for sale or use in Australia, you also have no way of knowing what’s in them, no matter what’s written on the label. They could be made with toxic, poor quality or counterfeit ingredients.
The TGA also warn about advertising such products and leave little to the imagination by reminding readers that “all media types visible to the public” are included and liable as breaches under the TGA Advertising Code. More so, they have “a dedicated workforce to investigate the inappropriate and unlawful manufacturing, distribution, sale, import and advertising of therapeutic goods”. Let’s hope the warning is heeded.
Meryl Dorey
Regularly warned, reminded, debunked, corrected and revealed to have a striking aversion to the truth is one Meryl Dorey, founder of The Australian Vaccination-risks Network and owner of a Very Big Tag (VBT) on this website. Meryl has been fact checked by AAP in the past for cultivating notions about child suicides, and claiming later the same year that vaccinated people are more likely to die from COVID. The latest very, very old chestnut wheeled out by Meryl during an interview on YouTube [relevant section here] with Australian Liberal MP and vaccine cynic, Russell Broadbent, is the baseless claim that medical students spend a mere few hours discussing vaccines during their entire time at medical school. This is a decades old lie and serves to support the preposterous assertion that anti-vaccine activists know more than medical professionals. Dorey told a gullible Broadbent:
When doctors study vaccination, and we had the curriculum for the New South Wales school of medicine at UNSW – University of New South Wales – and it was out of four years of medical school there was one morning where vaccinations were discussed. […]
I think that any parent who’s done a modicum of research will be able to know more about this issue than the average doctor.
Ah yes, doing your own research. Busted by AAP, Dorey replied to their queries saying the curriculum was from “many years ago” and she had spoken to “probably thousands” of doctors about vaccines. Doctors apparently supporting her version of vaccine risks. Both replies should be regarded as monumentally dubious. I recommend reading the AAP piece to appreciate medical training around immunisation, population health and the use of vaccines. However, one paragraph stood out for me. A spokesperson for the Royal Australian College of General Practitioners observed:
When it comes to vaccines, as with other health issues, GPs are trained to consider the patient’s history and relevant risk factors, discuss the options available to the patient and any risks associated, and enable the patient to determine the most appropriate decisions about their own health care.
This isn’t the post to dig into this point, but bear in mind that anti-vaccine activist Judy Wilyman was awarded a PhD for a meandering literature review that made much of so-called “undone science” and unverified claims that vaccination programmes pose serious risks because they do not accomodate the genetic diversity and unique health needs of individuals. The above quote should serve as yet another reminder that the decision by the University of Wollongong to award that PhD, was and is demonstrably flawed.
Influencer charged with poisoning
The ABC joined the world’s media reporting on a 34 year old QLD mother and social media influencer, who has been charged with torture and giving her baby unauthorised medications, with the aim of attracting donations. It was a simple, if repulsive tactic; inform followers of your child’s illness, then create and exacerbate symptoms filmed to elicit sympathy. Police allege up to $60,000 was raised this way. The crowdfunding platform, GoFundMe, is presently refunding donors. It was also reported that after hospital staff improved the child’s health, the woman filled additional prescriptions and recommenced the abuse. The drug, carbamazepine, had been stopped by treating doctors due to fears it was causing seizures. Last week the woman was charged with 11 offences.
5 counts of administering poison with intent to harm
3 counts of preparation to commit crimes with dangerous things
Torture
Making Child Exploitation Material
Fraud
On 28 January a Brisbane Magistrates Court heard the woman allegedly hid her then 12 month old daughter under a blanket prior to administering unprescribed substances via a nasal tube. The child, now 18 months, was born with tuberous sclerosis, a genetic disorder which caused benign tumours in organs and can lead to epileptic seizures. Doctors believe the illegal medication administration caused further seizures in this child. The woman was caught on CCTV fiddling with her daughter’s nasogastric tube and handling a syringe, which was unrelated to her daughter’s medication. In the timeframe observed, the child went from being alert and awake to unconscious – a symptom not related to her condition.
The ABC reported on 29 January that the seizures, unexplained loss of consciousness and a cardiac arrest between August to October 2024, led the baby’s medical team to carry out high risk surgeries on intra-cranial tumours caused by the child’s genetic condition, believing them to be the causal factor. However, after the surgery the woman’s conduct was discovered. Drug screening revealed “the presence of carbamazepine and other non-prescribed medications in the baby’s system”. Bail was granted on condition the woman have no contact with her daughter other than via supervised audiovisual visits.
This will prove an interesting case with respect to the woman’s defence or indeed the reasons behind her behaviour. No doubt Factitious disorder imposed on another (FDIA), originally Münchausen syndrome by proxy, is an explanation that provides answers. But in the age of social media speckled with complex reasons driving individuals to behave antisocially, illegally or in pursuit of their own malignancies, might this be too simple an answer? Critical thinking and rationality are frequently jettisoned by influencers. Perhaps we should be seeking to understand how social media influences certain users, as much as we seek to grasp how they use it to influence others.
Religious cult guilty of manslaughter
Fourteen members of a religious cult that believed God would heal an 8 year old insulin dependent type 1 diabetic and later raise her from the dead, have been found guilty of manslaughter in a judge only trial in the Brisbane Supreme Court, report the ABC. Elizabeth Struhs was denied her insulin, became critically unwell over several days and died in Toowoomba 3 years ago this month. As she suffered, the cult “prayed and sang” rather than contact emergency services. After Elizabeth died, they waited for more than 24 hours before contacting police. The Court heard the group rejected modern medicine “and put their full trust in the healing power of God”.
Being questioned by police the child’s mother, Kerrie Struhs, told police she hadn’t lost faith in God, who could raise her daughter up regardless of where she was. In a classic example of biblical fundamentalist literacy, she rejected a funeral for her daughter because, “the bible says let the dead bury the dead”. Elizabeth’s father Jason Struhs was originally charged with murder, and also told police that he expected his daughter to rise from death. The deceased’s brother Zachary, told police:
We saw the healing and we know that she was healed from the diabetes. The sickness of her natural death could have been anything that comes up on anyone — that’s not for me to know, I’m not God.
Another member, Therese Stevens, sounded quite chuffed as she explained that Elizabeth will rise again and because of their beliefs they are not “as stressed out and freaked out and emotionally damaged as you would be if you knew you’d never see that person again”. In a ruling that should prove controversial, Justice Martin could not find the child’s father guilty of murder unless he had a full realisation his daughter would die from withdrawal of her insulin. The ABC reported:
Justice Burns said he was not satisfied of this beyond a reasonable doubt, stating there was a possibility in the “cloistered atmosphere of the church which enveloped [him] and which only intensified once he made the decision to cease the administration of insulin, he was so consumed by the particular belief in the healing power of God … that he never came to the full realisation Elizabeth would probably die”.
For a similar reason he did not find cult leader Brendan Stevens guilty of murder, but found his claim that he did not influence Jason Struhs to be “arrant nonsense”. Justice Martin also found all other members influenced Jason to withhold insulin and medical care and thus, “counselled and aided in the unlawful killing of Elizabeth”. Of the 14 members, 8 were from the Stevens family, 3 from the Struhs family, there was one couple and one individual. Elizabeth’s sister Jayde who had not been on trial spoke outside the court. Whilst happy with the outcome of the trial she said the “system failed to protect Elizabeth in the first place”. In a revealing comment Jayde added:
We are only here today because more wasn’t done sooner to protect her or remove her from an incredibly unsafe situation in her own home.
Who will win this years Bent Spoon award dear reader? Why, the perpetrator of the most preposterous piece of paranormal or pseudo-scientific piffle, I hear you say. Yes indeed. But what a sterling collection of viable candidates there are. Judges face a challenging pile to sort through.
To find out who takes the gong we must wait until the winner is announced at Skepticon XL, which is being held courtesy of Australian Skeptics in Sydney over 23-24 November. To find out more about the Bent Spoon Award you can catch up here. To read up on this years nominations you can visit this page of proud piffle pushers. The predatory pseudoscientific pandemonium includes last year’s winner Ross Coulthart for his straight faced claim that Donald Trump fears for his life, should he reveal what he knows about UFOs/UAP. Coulthart also squeezed in an interview with Uri Geller during which he said:
I strongly believe there is a phenomenon of unidentified anomalous phenomena that is probably non-human, that is engaging with this planet.
Oh my, Ross. A phenomenon of phenomena? Really? There’s also one Cael O’Donnell clutching to the title of Australia’s Number One Medium and using the thoroughly debunked Spirit Box to tune in to so-called messages from the dead. Social media has been seemingly kind to Cael. I suspect Bent Spoon judges might not. For inflicting AstroTash on nightly news viewers, Channel 7 and news director Anthony De Ceglie are also nominated. Pharmacare Laboratories which popped up here recently thanks to claims relating to “clinically proven” Sambucol, are nominated for Adult Vita Gummies vitamin supplements. Marketed as “backed by science, memory and mind, seriously good, and triple immune support”, Vita Gummies for kids have already won a Choice Shonky, whilst the TGA are keeping a close eye on them via compliance reviews.
When you suddenly hear of a “medical wonder” you’re right to suspect it’s anything but. This is exactly the case with photobiomodulation. Sciencey yes, genuine no. Chiropractor Genevieve Dharamaraj claims a red torch light, when pressed against the heads of autistic children is “basically building new pathways in the brain and we can do that with cutting edge technology like photobiomodulation”. Outrageous stuff, and not missed by Media Watch. Another supporting chiropractor Kyle Daigle, sells the lights for US$8,000. Genuine experts label it pseudoscience. All the red flags were missed by channels 7, 9 and radio station 4BC, earning them all a nomination.
Our next nominee is erstwhile “controversial” Catalyst reporter Maryanne Demasi. Thanks to COVID, she has found her calling as an anti vaxxer and conspiracy theorist. Demasi narrates The Truth About COVID-19 Shots, which recounts the baseless claim that COVID-19 vaccines are contaminated with DNA, in addition to the usual grab bag of conspiracies. The film recounts the mythical beliefs of ex-barrister Julian Gillespie who sculpted the COVID vaccine court cases in Australia. Demasi focuses in depth on the Fidge v Pfizer case and the anti-vax fallout I’ve blogged about here. Because of that and other pertinent developments I shall revisit the Demasi caper in short order.
In a similar vein we find, unsurprisingly, that Port Hedland Council have also been nominated. The council voted 5-2 in favour of a motion to call for the immediate suspension of mRNA COVID-19 vaccines. The bogus claim that these vaccines are contaminated with DNA was again a feature here. It was brought forward by Adrian McRae who has a history of anti-COVID vaccine activity. Proving he’s no cooker, WA premier Roger Cook, memorably told the council to “stick to knitting”, suggesting they had “gone off the rails”.
Also from Western Australia, comes the focus on that state’s Cancer Council and the manner in which they offer the complementary therapies reiki and reflexology. This has earned Cancer Council WA a nomination. Due to the seriousness of this issue, it deserves some examination here. Whilst Cancer Council Australia, Tasmania, Victoria, South Australia, Northern Territory, ACT, QLD and NSW discuss and provide information on cancer and complementary medicines, they do not have the promotional tone or confusing claims found on the WA site. Let’s break that down a bit.
Landing on the national Cancer Council page or a state’s Cancer Council page and typing “complementary” into the search field yields a variety of results. Some states such as Tasmania, QLD and the NT direct you firstly to the national site’s Understanding Complementary TherapiesPDF. It’s a comprehensive resource and goes into appreciating the perils associated with “alternative” therapies and offers hints on how patients should navigate all promised therapies. It is prefaced by:
During your cancer journey you may hear about, or become interested in, complementary therapies. There are many therapies on offer and information about these can be confusing. The information below will help you to make informed and safe choices.
Other states such as Victoria, NSW and SA provide an extensive information page and always direct the reader to the same PDF located on their own server, such as this example in Victoria. Victoria state:
Complementary therapies are said to focus on the whole person, not just the cancer. They include practices like massage and yoga, as well as medicines that you swallow or apply to the skin. Complementary therapies are used with conventional medicines and may help people cope better with the physical and emotional impact of cancer, as well as side effects caused by conventional cancer treatments. There is no evidence complementary therapies can treat or cure cancer itself.
For example, the impact of healthy diet and exercise during conventional cancer treatment is appreciated today. We see that SA include in their information on complementary therapy; “Some have been scientifically tested and shown to work. Research into complementary therapies and medicines is growing”. Visiting the WA website we read when it comes to reiki, which is the ineffectual practice of moving hands near a patient; “People use reiki to improve physical, emotional and spiritual wellbeing.” And also:
Evidence: There is no reliable evidence that reiki has any benefits. Anecdotal reports suggest that reiki is calming and relaxing, often helping to relieve pain and anxiety, reduce stiffness and improve posture.
Which tells us for some, reiki has a placebo effect or may induce calmness due simply to belief in energy therapies. Anecdotes can never be regarded to “suggest” anything, which can be better understood with research. In discussing reiki, Understanding Complementary Therapies states on page 9, “There is no scientific evidence of an energy field or that energy therapies have any benefits“. There is also no evidence reflexology has a genuine impact on improving health. Even Cancer Council WA state it is based on a belief. The placebo effect it likely produces is evident in this summary on the same page.
Evidence: Clinical trials have shown that reflexology reduces pain and anxiety and helps improve quality of life, particularly for those receiving palliative care.
Australian Skeptics’ executive officer, Tim Mendham has looked further into the claims by Cancer Council WA regarding use of these therapies and reports also, that reflexology and reiki are no longer covered by the NDIS. There are many potential problems when non-evidence based practices are introduced alongside genuine treatments. The distinction should always be abundantly clear and this is not the case for Cancer Council WA.
One such potential problem brings us to the next nomination. Elle MacPherson has made absurd claims her breast cancer “manifested” due to her emotional and spiritual state. She has further alluded to a holistic cure, despite having had seemingly successful surgery for the cancer. With the current impact of social media this is potentially quite dangerous. Her promotion of dishonest wellness guru Simone Laubscher, who also contends her own cancer was cured with an attitude change, is covered here on ABC’s 7.30 programme.
Finally, channel 7 manage yet another nomination alongside David Miles and his latest impossible rain-making, drought-defying technology, “Atmospherica”. Seven offered no criticism or expert opinion to Miles’ claims that he has a device that generates DNA-like code based instructions to atmospheric pressure systems, permitting him control of “the shape, velocity and trajectory of an approaching event.” Media Watch plonks this porky in its place revealing some great quotes: “PT Barnum style bunkum… technical description…is gibberish”.
So, if you wish to pooh pooh the perpetrator of the most preposterous piece of paranormal or pseudo-scientific piffle, you know what to do.
Last week Jane Hansen passed away from glioblastoma, an aggressive form of brain cancer. Jane was a deeply committed and focused journalist who utilised evidence to challenge pseudoscience, scams and disinformation. Jane regularly used truth to expose those who profited from exploitation of the vulnerable. She had journalistic skills equal to multiple tasks. Her presentation style and writing made that abundantly clear.
Consequently, Jane’s colleagues have recently offered other adjectives to describe her as a journalist. Esteemed, celebrated, legendary, star, courageous, compassionate, revered, renowned, tireless, passionate, crusader, genuinely funny, a giant, a hero, a pioneering female, a warrior for truth. Social media reflected the extent of the respect Jane had engendered over the years. Amazing, awesome, tireless warrior, dedicated, excellent, great… and more. A quick search for Jane’s name yields a veritable stampede of honorific headlines, all jostling to make individual statements, yet all condensing around one notion: Praise.
Respected Australian journalist, Ray Martin offered this summary:
“Jane Hansen gave journalism a good name. She was formidable, energetic and ethical.
“She fought relentlessly for the underdog and the disadvantaged – especially women and Indigenous Australians.
“Jane was smart, funny and a reliable friend. We’ll miss her pursuit of excellence, as she tried to keep the bastards honest.”
Jane was also a loving and loved mother, sister and an adored friend of many. I knew Jane only through the occasional email exchange or direct messaging on social media, yet often enjoyed her well known talent for making people laugh. I’ve lost count of the number of times I consulted an article Jane had written to orient myself regarding a specific anti-vaccine insult, or from whom a certain deceit had arisen. One highlight for me was Jane’s work in the making, production and promotion of Big Shots: Anti-Vaxxers Exposed. Made in the early, pre-vaccine days of the COVID-19 pandemic, Jane capably bridged the harm that anti-vaccine lobbying had already caused in Australia, and the foreseeable damage COVID conspiracy theories would inevitably bring.
Readers familiar with the tactics of vaccine conspiracy theorists can certainly guess, or may well be aware, of how they have reacted to this news. Fortunately, Jane made a lasting schism in their fragile credibility, leaving in her wake a surging wash of evidence-based reasoning, powerful enough to smother both their deceit and vulgarity. Jane always focused on presenting the facts. Her critics focused on attacking the person. On the day Big Shots aired in 2021, Jane was interviewed on Sky News, and shared this observation, which in my mind reflects both her sense of fairness and respect for sound public health.
I don’t have a problem with questioning a vaccine. This is a new vaccine, we want to know if it’s safe. There’s no point in having an unsafe vaccine; we all want a safe vaccine. But some of the misinformation that’s being spread is just ludicrous.
Jane’s career was extensive, including her role as a war correspondent for Network 10 in both Iraq and Bosnia, later working on the current affairs programme Hard Copy. She worked at Channel Nine for fourteen years. Jane co-authored Boned, the eye-opening book on boys-club mentality in TV media, and also authored the deeply personal and emotional Three Seasons. Her own experiences aided her unbiased assessment of Kathleen Folbigg, culminating in Jane writing and presenting the popular podcast Mother’s Guilt. Of course, Jane also managed her extensive and impressive career at The Sunday Telegraph.
Jane’s tireless campaigning was instrumental to the introduction of the Abbott/Turnbull government’s No Jab, No Pay/Play policies. Introduced in 2016, this public health initiative has seen an ongoing increase in life-saving childhood vaccination and is regarded as an overwhelming success. Jane’s reporting on anti-vaccine responses to it continue to educate the community. The same can be said for her criticism of anti-fluoridation conspiracies. In 2018 Jane was the inaugural winner of The Barry Williams Award for Skeptical Journalism. Australian Skeptics Inc. explain:
The Barry Williams Award for Skeptical Journalism is awarded for journalistic work that critically analyses or exposes issues related to pseudoscience or the paranormal. The award is dubbed “The Wallaby” after Barry’s alter ego of Sir Jim R Wallaby, which he used for some of his more whimsical pieces published in The Skeptic magazine. In addition to a commemorative certificate, $2000 is awarded to the recipient or to a charity or cause of their choice.
Jane Hansen awarded the “Wallaby” 2018
Jane’s respect for evidence-based public health policies was linked to her desire for a more just world. In addition to her work exposing pseudoscience, Jane also reported on childhood muscular dystrophy, childhood medication, childhood cancer, cardiac health, teen vaping, IVF clinics, endangered animals, diabetes, organ donation and much more. Claire Harvey described Jane as “the most passionate journalistic crusader” she’d ever known. Jane’s work will remain and continue to positively influence others.
As a final note I’d like to stress there is no such thing as turbo cancer and no evidence COVID-19 vaccines cause cancer. Jane passed away late on 6th August after being diagnosed less than two years ago with glioblastoma, a particularly aggressive form of brain cancer. Outside of inherited syndromes or exposure to radiation, the cause of glioblastomas is not known. More common in older adults, they may occur at any age. Research has not identified anything that can prevent development of glioblastoma.
A couple of weeks before the start of winter, I wandered past a garish product display in my local pharmacy. A glossy purple hexagon boasted orange font across its middle; Clinically proven. Underneath that in white font: Shorten your cold by up to 3 days.
Taking in the entire sign, I spotted a familiar brand name. Sambucol® – Black Elderberry, a product of PharmaCare. The hexagon sat atop five cardboard shelves each labelled with more claims: Feel Better Faster, Intensive Immune, Shorten Your Cold, all packed with something for “kids”. Immune Defence Gummies,Soothing Throat Pops and Soothing Lozenges to “refresh the nose and throat”. It all sounded wonderful. I mean, who doesn’t want to feel better faster? Or puff up immunity with gummies? And knock 3 days off a cold? Surely it wasn’t just for kids. Then I wondered, could such claims really be “clinically proven”?
The elderberry grows on the elder plant (Sambucus nigra). Nataly Martini of the School of Pharmacy at the University of Auckland has written about elderberry in the Journal of Primary Healthcare, 31 March 2021 (2021;13(1):91–92. doi:10.1071/HC15960). It is reproduced by the Royal NZ College of General Practitioners, as a Potion or Poison article accessible here. The author notes “Dried or fresh berries have been used to treat constipation, neuropathic pain, headache, tooth-ache, sinus congestion, sore throat, influenza and the common cold, among others”. A meta-analysis of four randomised placebo-controlled studies, often cited by Pharmacare in promoting Sambucol, is also referenced. Martini reports that supplementation with elderberry, “reduced the duration of upper respiratory symptoms in verified cases of influenza, or symptoms consistent with either influenza or the common cold, when administered at the onset of symptoms”.
Martini continues:
Other studies have reported that elderberry supplementation significantly reduced symptoms and the duration of influenza A by 3–4 days, or the common cold by ~2 days in long-haul travellers. However, in the latter study half of the participants also used co-medication to relieve symptoms, limiting the application of these findings.
Writing in The Conversation Monash immunology researcher Kim Murphy referred to the latter study noting the collective duration of colds, rather than the average length, was compared in unequal group sizes, and concluded, “this isn’t a reliable finding”. What stands out in Martini’s article is the Summary Message. It highlights a recurring theme with the efficacy of elderberry preparations and symptom duration. Namely, that more research is needed to substantiate claims and high quality trials are currently lacking:
Although findings suggest that elderberry may be effective in reducing symptoms and duration of viral infections, more high-quality human trials are needed to substantiate these claims. Currently no studies support the use of elderberry in coronaviruses. Generally regarded as safe, toxicity may result from ingestion of raw or uncooked fruit, and allergies may occur in susceptible people. Use is not recommended in pregnancy and lactation due to insufficient evidence. Elderberry products may exacerbate symptoms in patients with autoimmune diseases. Caution is advised with immunosuppressants as elderberry may reduce effectiveness of these drugs. No major drug interactions are known.
Pharmacare is an alternative medicine manufacturer, and as such its primary concern is brand promotion and brand protection. In essence, Pharmacare is about sales. There’s nothing wrong with this, but as a skeptic I’m more concerned with the transparency of the claim that Sambucol® is “clinically proven” to reduce cold symptoms by up to three days. Can such a claim be trusted? Let’s review a 2018 article by Liam Mannix, science reporter for The Age and Sydney Morning Herald; University of Sydney pulls claims elderberries can fight flu, to get our bearings. The article opens:
One of the country’s leading universities has been forced to retract a claim its study showed eating elderberries could help beat the flu after admitting it was overhyping its own science.
The University of Sydney also concealed the research was part-funded by company Pharmacare – which sells elderberry-based flu remedies – at the company’s request. Although it was declared in the study itself, the university also failed to publicise that a Pharmacare employee was involved in the research.
The flu-busting claim, made in a press release and published on the university’s website, attracted national and international media attention, most of which did not mention the Pharmacare funding.
The article reveals that the study simply focused on in-vitro dosing of human cells in a laboratory environment. No mice or human subjects were involved. As stressed in the article such research is fine, but how it is represented is vital. Professor Ken Harvey, then-president of Friends of Science in Medicine observed:
“This is an appalling misrepresentation of this Pharmacare-funded in-vitro study. It was inappropriate and misleading to imply from this study that an extract was ‘proven to fight flu’.”
The article reveals that Pharmacare were aware of the press release but requested not to be named, for reasons study authors did not understand. Ray Moynihan, an assistant professor at Bond University’s Centre for Research in Evidence-Based Practice, who studies science reporting in the media stressed it raised “serious concerns” about transparency. “It is vital information for us to know who sponsored the study“, he said at the time.
The Sydney Uni episode said much about Pharmacare transparency and even more about claims relying on Pharmacare-funded studies. The company presently has a collection of articles gathered to back its many assertions. Some cite Pharmacare studies, whilst others present generalised health-related information, citing other studies, articles and reports. Following Sambucol® “shortening colds by up to 3 days” brings us to a page that opens with:
Sambucol® Black Elderberry Cold & Flu is the only Black Elderberry Cold & Flu product clinically proven to shorten your cold by up to 3 days.
The page refers to a study by Rao A, et al, and informs the reader it is an, “Unpublished study by RDC Global on behalf of Pharmacare Laboratories. Available on request.” More about this study, can be gleaned from a Pharmacare internal catalogue on their Clinically Proven Formula, which is marked on each page, “For Professional and Internals Staff use only. Not to be distributed”. The catalogue includes a number of Pharmacare-funded studies, and lists the Rao et al, study title in full: Rao A, Sethi M, Dick C, A double-blind, randomized, placebo-controlled study to evaluate the safety and efficacy Sambucol® liquid formulation to reduce the duration and severity of the common cold symptoms in adults. PHA-Sam15. 2016.
The catalogue summary of the study, offers graphs and a report on p.6. It professes a 31.8% reduction in symptom severity and a reduction in sick days from 8.9 to 5.9 (33.7%) days between placebo and Sambucol® recipients. The public summary includes:
The efficacy of Sambucol Black Elderberry Cold & Flu to reduce the duration and severity of common cold symptoms was researched in a double-blind, randomised and placebo-controlled study sponsored by Pharmacare Laboratories.
The study included 461 healthy, adult participants and found that participants who took Sambucol® Black Elderberry Cold & Flu daily from the onset of cold symptoms were sick for a significantly shorter period of time.
The median duration of illness for the placebo group was eight days, whereas the median duration of illness for the group taking Sambucol® Black Elderberry Cold & Flu was five days – a median three-day reduction in duration of illness.
According to the study, “The results show that supplementation with Sambucol® Black Elderberry Cold & Flu at the onset of cold symptoms significantly reduced the duration of a cold episode as well as significantly reduced the severity and impact of cold and flu symptoms.
Being unpublished, the Rao et al, study lacks the authority attributed to peer reviewed research. Nor has it been reproduced independently. Yet Pharmacare-funded studies are of paramount importance to their business model. It allows the company to produce and distribute positive material related to Pharmacare brands. As the FAQ page informs us under, What is the difference between Sambucol Black Elderberry products and other black elderberry products?
Not all black elderberry extracts are the same. Only Sambucol Black Elderberry, the original black elderberry extract introduced more than 20 years ago, contains the same proprietary, naturally balanced elderberry extract used in the published scientific studies. Other products use a concentrated, standardized elderberry extract. They are fundamentally different ingredients.
Pharmacare Brands
Nonetheless, the internal Pharmacare catalogue cites a number of studies where generic elderberry extract is used, to assert its effect on the duration and impact of cold and flu symptoms. There have been no comparative studies of extract efficacy, and as such there is no evidence that Sambucol® Black Elderberry is more or less effective than any other black elderberry extract. Generic extracts have been used in “the published scientific studies”, such as the Hawkins et al meta-analysis, which found an association with reduced influenza A symptoms and duration.
Speaking of influenza, Pharmacare cite two studies in their internal catalogue that conclude Sambucol® has an effect against influenza. On page 6 they refer to in-vitro and in-vivo efficacy against influenza A and B. On page 7 they refer to in-vitro efficacy in reducing H5N1 by 99%. The catch for Pharmacare here, is that Australia’s Therapeutic Goods Administration (TGA) limit the seriousness of diseases and symptoms that they can claim Sambucol® relieves. Influenza is not accepted (see below). On another note, one must be aware that Pharmacare’s Sambucol® benefits from generic use of the term Sambucol. Consider this entry for Sambucol at drugs.com.
Sambucol is a berry from a European or Black elder tree. The berries are used to make medicine. Sambucol is also known as Arbre de Judas, Baccae, Baises de Sureau, Black-Berried Alder, Black Elder, Boor Tree, Bountry, Elderberries, Ellanwood, Ellhorn, European Alder, Fruit de Sureau, Grand Sureau, Hautbois, Holunderbeeren, Sabugeuiro-negro, Sambequier, Sambu, Sambuc, Sambuci Sambucus, Sambugo, Sauco, Saúco Europeo, Schwarzer Holunder, Seuillet, Seuillon, Sureau, Sureau Noir, Sus, Suseau, or Sussier.
The emerging claim that Sambucol® improves immunity also deserves comment. The internal catalogue summarises a 2002 study by Barak et al, on page 8, with the conclusion:
Sambucol® activate the healthy immune system by increasing inflammatory cytokine production more effectively compared to other herbal remedies.
The study, The effect of herbal remedies on the production of human inflammatory and anti-inflammatory cytokines compared Sambucol® to propolis and Echinacea. These are used as herbal treatments and preventatives of upper respiratory tract infections in adults and children. The cytokine-modulating effect of echinacea has been demonstrated in-vitro and in animal studies. However, a 2021 systemic review concludes firm evidence linking elderberry to inflammatory cytokine production is lacking. However, accounts of elderberry syrup linked to Drug Induced Liver Injury and Autoimmune Hepatitis have become evident. In the latter case the overproduction of inflammatory cytokines has been considered. Depending on future incidence, proper management at the point of sale may thus require an understanding of patient history. Whilst this is possible in the pharmacy setting it is not so elsewhere.
The claimed reliability of elderberry lends itself to the appeal to antiquity as it has reportedly been used for centuries, for a host of purported reasons, as mentioned above, in addition to heart disease, gum disease, high cholesterol and obesity. The drugs.com entry for Elderberry and Sambucol are identical and include (bold mine):
It is not certain whether [Sambucol/Elderberry] is effective in treating any medical condition. Medicinal use of this product has not been approved by the FDA. This medicine should not be used in place of medication prescribed for you by your doctor.
The US Food and Drug Administration (FDA) have warned promoters of elderberry syrup, as evidenced by (for example) a September 2000 warning letter and another in August 2022, written to highlight breaches of the Federal Food, Drug and Cosmetic Act because the products advertised were “intended for use in the cure, mitigation, treatment, or prevention of disease”. The FDA does not regulate herbal supplements. In Australia the TGA accepts Sambucol Black Elderberry Cold & Flu and Sambucol Black Elderberry Cold & Flu + Pain as Listed medicines as opposed to Registered medicines.
Read more about TGA classifications here, and please remember a September 2022 TGA review of Sambucol® states, “The efficacy of the medicine was not assessed as part of this review”. Thus the term “TGA Assessed” cannot be used in relation to this product or on its label. Read more about TGA regulation of Listed medicines here. The TGA does not approve Listed medicine labels before marketing. The TGA state:
This is because we take a risk-based approach to regulation, which means higher risk medicines have more rigorous controls than lower risk medicines. However, we do require sponsors to certify that the medicine complies with all relevant regulation, and that they hold evidence that their medicine does what it says it will. Source: TGA – How we regulate medicines.
The public summary on the TGA Australian Register of Therapeutic Goods for Sambucol Black Elderberry Cold & Flu permits the following indications.
Relieve weariness/tiredness/fatigue/feeling of weakness.
Maintain/support general health and wellbeing.
Decrease/reduce/relieve common cold duration.
Helps decrease/reduce/relieve the severity of symptoms of common colds and flu.
Decrease/reduce/relieve symptoms of common colds and flu.
Label statement: If symptoms persist, talk to your health professional.
Product presentation must not imply or refer to serious forms of respiratory disorders/diseases, such as: asthma, pneumonia, COAD, COPD, influenza.
Label statement: Adults only, OR Not to be used in children under 2 years of age without medical advice (or words to that effect).
Respiratory tract infections must be qualified by ‘mild’.
Product presentation must not imply or refer to chronic fatigue syndrome.
Looking at the above it is clear the TGA have been more than generous with the allowed claims in the ARTG indications for this product. Particularly given the lack of published evidence and the absence of TGA assessment for efficacy. I don’t accept that Sambucol is clinically proven to shorten colds or boost immunity or any other claims made in sales promotion. The evidence simply isn’t there and relying on unpublished work organised and funded by Pharmacare is misleading. Whilst an impact of elderberry syrup on cold and flu symptoms is acknowledged in literature, the most common conclusion is that more research is needed. Quality human trials are still lacking.
So what might Pharmacare have planned to improve evidence in their favour? The Australian New Zealand Clinical Trials Registry, presently has the registered trial ACTRN12623000299606, last updated 7 April 2024. The title is, Determining the effectiveness of Sambucol in reducing the duration and symptoms of the common cold in children and teens. The age group is 2-17 and the aim is to use Sambucol and report on symptoms via, “a purpose-built study app ‘Sambucol Research’.” The methodology is likely to favour Pharmacare, particularly given that there is no control group. Rather, “a comparison will be made to two existing data sets”.
The first data set is reported as:
Data describing the incidence, severity and duration of different cold symptoms in children over a six-week period. (Troullos E, Baird L, Jayawardena S. Common Cold Symptoms in Children: Results of an Internet-Based Surveillance Program. J Med Internet Res. 2014 Jun 19;16(6):e144.) This study was not a randomised controlled trial or an intervention. The study observed duration and severity of colds and as such was not registered.
The second data set is “a confidential report to Pharmacare”, and is none other than the initial unpublished study that found Sambucol® “shortened colds by up to 3 days”; Rao A, Sethi M, Dick C. A double-blind, randomised, placebo-controlled study to evaluate the safety and efficacy of Sambucol liquid formulation to reduce the duration and severity of the common cold and flu symptoms in adults.
Losing In The Lucky Country 