Category Archives: Legal

Naltrexone implants backed by zealotry but not evidence

Posted in Anti-Drug Lobby, Health, Human Rights, Illicit Drug Policy, Science by

Less than a month after Sydney coroner Mary Jerrum referred a provider of naltrexone implants to the NSW Health Care Complaints Commission, the Christian Democrats’ Reverend Fred Nile revealed he wants them used as compulsory treatment for opioid addicts.

Naltrexone implants are not backed by any convincing evidence but the rapid opioid detoxification [ROD], opioid blocking properties they offer appeal greatly to anti-drug crusading Christian evangelists. Long opposed to harm reduction measures and evidence based treatment of addiction, such as methadone maintenance, far right Christians and conservatives see naltrexone implants as a moral masterstroke. Muscling into the action in recent years are the profit-focused, such as Sydney’s Ross Colquhoun, director of Psych ‘n’ Soul.

I’ve previously written about Dr. Stuart Reece, who features in the video below with the same title as this post. His abuse of patients with naltrexone and Jesus saw 25 of them die in 20 months. His career is the epitome of callous faith based pseudoscience which uniquely targets evidence based harm reduction measures. When I posted on a faux “research” paper he had co-authored with other members of Drug Free Australia, I referred to an exchange on an email list hosted by the Alcohol and Drug Council of Australia. It was on this list years ago that I first read Ross Colquhoun defend naltrexone implants as “common sense”. Indeed his evidence free defence of implants led me to conclude that his “common sense” was the equivalent of the religious zealots’ “belief”.

Both individuals are signatories to Drug Free Australia’s so-called position statement which includes funding of naltrexone implants as an “urgent pro-active change to our illicit drug policies”.

DFAposition_statement_sigs1

Handing down scathing findings into three deaths, the coroner recommended that the HCCC consider proceedings against a doctor working at Colquhoun’s Pysch ‘n’ Soul, Dr. Jassim Daood. According to the ABC she noted, “a number of disciplinary cases have already been completed about some of the clinic’s other staff”. The scale of potential problems becomes clear when one considers the implants have never been approved for use, eager staff have little or no training and post-implant support regimes are entirely absent. For over a decade these implants have been available via the TGA’s Special Access Scheme, which is designed to allow patients access to otherwise unavailable drugs to treat conditions deemed potentially fatal in the absence of that drug.

In this case the Scheme is being exploited as a loophole whilst the implant option itself has left in it’s wake a litany of failure and fatalities. Colquhoun is unlicenced to perform ROD but ignored requests from the NSW Health Department in mid 2010. SMH wrote on October 20:

Despite this direction, Colquhoun resumed the treatments while still unlicensed between July and September of that year, only desisting when Grace Yates, a 23-year-old with a five-month-old baby, was given ROD and naltrexone at the clinic on September 29, 2010. She suffered a heart attack and died two months later, having never regained consciousness.

It’s worth considering this failed treatment option is likely to be expanded under a coalition government. As health minister in the Howard Government, Tony Abbott provided the funding for the launch of the evangelical Drug Free Australia from the Tough on Drugs/Assets of Crime kitty. Describing themselves as “Australia’s Peak Drugs Body” they failed to meet the conditions of the funding, choosing instead to sabotage related health policy basics. Without doubt they have proven to be to addiction treatment what the Australian (anti) Vaccination Network is to the management of vaccine preventable disease.

Abbott also sent $50,000 they way of Psych ‘n’ Soul in the same year, showing exceptionally poor judgement. There is little doubt with enemies of Harm Minimisation such as Bronwyn Bishop, Sophie Mirabella and Christopher Pyne on his proposed front bench, Australia’s strong evidence based approach to addiction management would suffer. As the coroner noted:

It appears that a patient only had to present at the clinic to be enthusiastically recommended for rapid opioid detoxification, no matter what their history or situation, without alternatives being discussed or considered or any information given out of the risks involved.

Another death related to the attempts at ROD Psych ‘n’ Soul is now infamous for, involved Michael Poole, 48. He was described as “delirious and delusional” after ROD and died at the Prince of Wales Hospital in Sydney two days later. The third death involved James Unicomb, 23 who died from drug toxicity following a poly-drug overdose, which followed the ROD and occurred whilst an implant remained active. This lack of appropriate follow up of patients is perhaps the most appalling failure related to the practice of ROD and implants.

Rapid detox’ doesn’t treat addiction. It removes cravings and leaves patients open to the possibility of overdose. Often they are dependent upon high doses of benzodiazapines which raises the risk of opioid induced respiratory depression. As addiction is not treated, behaviour cannot be expected to change. It is for this reason follow up should form the most important aspect of rapid detoxification. It is for the same reason that implants have such a high failure rate in “curing” addiction.

One can only imagine the profit made and moral crusading accomplished from treating now dead addicts who were essentially exploited, not treated. Of course, testimonials abound. Whether it’s those who adore Reece for showing them the way to Jesus or Colquhoun’s (third time lucky) performer in the below video, let’s not kid ourselves. The dead cannot speak.

Alex Wodak, director of Sydney’s St. Vincents Hospital Alcohol and Drug Service observed:

How they are allowed to be used for routine purposes in several states in this country beats me. It goes against all the normal regulations and I think the only explanation I can understand is that this is allowed in this case because they’re only drug addicts. […] We really need a national independent inquiry into the regulatory failure, the serious regulatory failure that’s gone on with Naltrexone implants for over a decade.

Indeed we do.

Naltrexone implants backed by zealotry but not evidence

Psych ‘n’ Soul Naltrexone Deaths Inquest Findings

Legitimate Rape: for sufferers of Sexually Liberated Uterine Tendency

Posted in General, Health, Human Rights by

Thanks to USA Republican candidate Todd Akin we now know women need have little interest in their own body on the matter of pregnancy.

For sufferers of SLUT – sexually liberated uterine tendency – there is a way out. Legitimate Rape.

This video explains how.

FOR HELP IN AUSTRALIA

National Call Australia: Call 1800 RESPECT / 1800 737 73 28

Kids Helpline: 1800 55 1800

Lifeline: 13 11 14

Emergency: 000

Judy Wilyman: What price a life?

Posted in Anti-Vaccination Lobby, AVN, Human Rights, Judy Wilyman by

A radical conspiracy theorist who once reasoned infant and childhood mortality was a necessary price to prevent fictional “genetic deterioration” she blames on vaccines, has added up to 200 Australian women per year to her body count.

University of Wollongong student Judy Wilyman responded to the release of a Victorian Cancer Council advertisement (below) by republishing misleading information about HPV, and the HPV vaccine Gardasil as part of her ongoing anti-vaccination campaign. The advertisement targets cervical cancer and the importance of pap smears. Judy is unhappy that the Council correctly observe that women “only need to have sex once to risk cervical cancer”. Wilyman writes [emphasis hers]:

This statement is not reflective of the risk of cervical cancer. The majority of women in Australia are not at risk of cervical cancer even if they are infected with HPV 16 and 18.

Yes, cervical cancer makes up only 1.6% of cancers that Aussie women face, leading to about 750 diagnoses annually. The main cause of cervical cancer is HPV – human papillomavirus. Genotypes 16 and 18 are responsible for most cases of cervical cancer. As late as 2007 mortality from cervical cancer was 1.9 per 100,000. Looking at ABS population figures for 2007 this translates to something like 200 women and teens – minus young females.

Wilyman plays semantics with the reality that HPV 16 or 18 “rarely” progresses to cancer. I accept this is important and comforting knowledge. Just as I know road users will “rarely” drive into telegraph poles or be “rarely” hit with severe force from behind. Wilyman then lists what is in the Gardasil vaccine in a typical attempt to scare.

Whilst there’s a lot to pick fault with in both the article and the so-called fact sheet, what I found compelling is the insouciance with which Judy Wilyman regards the death of others. Deaths that can be prevented by vaccine and are thus accepted collateral damage in her war against this aspect of public health.

Using the figures above we can see that 53% of cervical cancer cases are terminal. Put another way a woman may need only have sex once to have about a 50/50 chance of dying from cervical cancer. This would be notably rare. Yet it would also be vastly more probable than the one in a million chance of anaphylactic shock or severe reaction following MMR that Wilyman presents as a near certainty. It would be incalculably more likely than the never substantiated deaths from vaccination.

It seems Judy Wilyman can understand risk-benefit when it suits her. She writes:

  • HPV 16/18 is a common infection in women in all countries but 90% of infections do not progress to warts or cervical cancer
  • In 2004, before the vaccine was introduced, the death rate from cervical cancer in Australia was 1.9/100,000 women. This represents a very low risk to Australian women

It’s just too bad if you’re in the 10% or one of the 200 Aussie women to develop cervical cancer each year. But this isn’t Wilymans only stint at suggesting death should take precedence over vaccination.

At an Australian Vaccination Network seminar at the W.A. State Library in mid 2010, Wilyman told the audience that “it is known” that vaccines switch on otherwise dormant genes. “This is called predisposition to disease”, Wilyman continued without providing evidence. “Things like autism, diabetes and asthma”.

This has been refuted in reproduced studies across the globe. The Australian Immunisation Handbook lists these three conditions along with SIDS, inflammatory bowel disease and MS as conditions in which “research has constantly replicated no link”. Wilyman, who wrote to Australia’s federal health minister in November 2011 contending incentives to immunise are a “crime against humanity”, defends this falsehood with two criteria.

Firstly she conveniently dismisses scientific consensus and reputable government backed advice as part of a “conflict of interest” conspiracy driven by profit. This includes the media for publishing reports of fatalities from vaccine preventable disease and even the parents of deceased infants. The practice of accusing grieving parents of being paid to promote vaccination or even to not blame vaccination as the cause of their child’s death is common within the AVN. Despite public claims to the contrary it is a practice sanctioned by AVN president, Meryl Dorey.

The second criteria Wilyman exploits is the misrepresentation that environmental factors that may influence DNA include vaccines. Wilyman asserts vaccine components have “synergistic, cumulative and latent effects” on both health and DNA. Well aware that components are not present at toxic levels, Wilyman set out to scare her W.A. audience:

Your doctor will say “oh yes but they’re only in trace amounts”. I say to you, what is a trace amount? How much is a trace amount? It sounds minute, it sounds small but it’s all relative. And I’ll say to you, what is a safe level of a safe amount of a trace amount in an infant? How does a trace amount of mercury combined with a trace amount of aluminium adjuvant react in an infants body? They don’t know. It is counterintuitive to suggest adding toxins to infant’s bodies makes them healthier. It doesn’t make them healthier. Black is not white.

Source W.A. Audio  (at 26min, 06sec)

Wilyman then goes on to misrepresent a 60 year old quote from Sir Frank Macfarlane Burnet. Burnet notes that infant and childhood mortality is (to be blunt) a way in which seriously defective genes are removed from the gene pool. He observes that preventative and curative medicine may have an impact on this. Wilyman quotes Sir Frank:

In future years we may have some hard thinking to do. It may be that we will have to realise that mortality in infancy and childhood in the past has been the necessary price that had to be paid to prevent genetic deterioration and that some of our modern successes in preventative and curative medicine, may on the longest view be against the best interests of the state.

A rather challenging ethical and moral dilemma to ponder indeed. Fortunately in the sixty years since Burnet apparently made that statement the science of genetics, modern medicine and our grasp of what it means to be human have marched forward. So much so that we now seek to enrich developing nations with the same advances that have dramatically improved our lives.

We cannot ignore either that modern successes of that time are now long passed. We’ve pursued and realised preventative and curative medicine Burnet could only have dreamed of. Today the hard thinking we have to do surrounds our potential to select genetic perfection.

Yet Wilyman is either so deluded as to see what isn’t there or so deceptive as to bend its meaning to suit her own fantasy. I strongly suspect the first. Whilst Burnet’s comment can be seen in proper context, there’s no doubt Wilyman selected that passage to convey that vaccines inflict such “synergistic, cumulative and latent effects… epidemics of genetic diseases“, that it’s time to realise infant and childhood mortality is arguably a necessary price.

“Today”, she offered publically, the “overall health of children in the 21st century would appear to be supporting Burnet’s prophecy”. Genes, the environment (vaccines) and timing “interact together in the occurrence of disease.”

The intellectual paucity of her so-called reasoning is truly stunning. There is absolutely no evidence that “the chemicals” in vaccines are deleteriously effecting children’s health so as to be placing our genome at risk of deterioration. That the research Wilyman wants to see is deemed unnecessary by experts, does not by default validate her wild speculation.

This is a fiction of her own making. The scale of paranoia and delusion driving her belief in conspiracy has already made way for the callous abuse of others and a career of deception. That the lives of innocent women and seemingly infants and children rate lower than adherence to an ideology is perhaps not surprising.

Judy Wilyman is supposedly “researching” to complete a PhD under the auspices of anti-vaccine academic, Brian Martin. To date no actual research has been produced.

One hopes the University of Wollongong will ultimately address this matter ethically.

Cancer Council Victoria Advertisement

Pseudoscience and Christian bigotry

Posted in Australian Christian Lobby, Human Rights, Legal, Religion by

First of all, from what I understand from doctors, that’s [pregnancy] really rare. If it’s a legitimate rape, the female body has ways to try to shut that whole thing down.

US Republican Senator Todd Akin, August 19th 2012

Some doctors have told me that health outcomes are worse for gay and lesbian people, and gay activists themselves point to health problems. I mean this in the widest sense, not just HIV-AIDS but rates of cancer, alcoholism and other disease.

Sydney Anglican Archbishop Peter Jensen, September 10th 2012

An interesting article headed When did it become okay to bag Christianity? was published in Mamamia recently.

The author recounts hearing what appears to be a fairly unjustified anti-theistic rant directed at Christians, then poses some queries as to why such criticism is common. Common in various media and comedy sketches. Of course this applies also to drama, casual discourse, public debate and genuine lobbying for equal rights.

Perhaps the question should have been phrased differently, or presented as an observation. Christianity particularly, has practitioners adhering to many different practices, beliefs and intention. Regrettably there are those who ignore the privacy of faith and wield their version of Christianity as if it were authoritative. Or worse, an absolute truth or blueprint for life. Everyone’s life.

It is this constant song of demand that the only life we know be discarded in servitude or demoted to a test run that sustains a deep and painful wound in the Australian psyche. The strange mix of fundamentalism and patronising insistence that others must live by an unwelcome moral code is at once offensive and utterly absurd. The intellectual paucity upon which it rides is truly astonishing.

Yet it is the message of Christianity as put forward by those in a position to command media attention, those who lobby or horrifically as revealed in recent years, those who seek to indoctrinate our children at public schools. The scale of material wealth enjoyed by the institutions that protect and nurture this archaic message and sadly defend those known to have abused so many children is not lost on Australians.

That religious institutions based on Christianity and the faith of Christianity are not one and the same, is not always clear. This may explain why it’s seemingly “okay to bag Christianity”. On the most recent episode of Q&A on Australia’s ABC, Aussies were treated to some splendid bigotry and misogyny from Anglican Archbishop Peter Jensen. Such views would and do disgust many Christians. He also spoke of the message of Jesus Christ and the positives associated with this. This view would be celebrated by all Christians.

Therein lies much confusion and the source for criticism of Christianity. It may not be Christianity in it’s entirety or individual Christians that are intended to be “bagged”. Yet the inordinate wealth, control and unwanted influence afforded truly unpleasant individuals based upon what is essentially a belief in magical beings, does not sit well with the progressive 21st century mind. Christianity remains a most irritating influence and/or manifestly detrimental force for so many that “bagging” or mocking, is not surprising.

The divisive and deceptive nature of many messages pushed out by Christian identities is reflected in the above comments. In both instances we see an appeal to authority. Toss in the claim some doctors have said this or that and apparently one has the opportunity to trot out whatever bigoted opinions one would like to be fact. In both cases it backfires because “doctors” in general say nothing of the sort.

Hence no proper research was attempted but the faux impression of having sought informed consensus is bravely put forth. Worse, these are smart men so this author will assume they knowingly lied. I hasten to add Jensen followed with, “I do not know whether there is sound evidence for this or not”. Which far from saving him should rightly raise questions about his access to Google or who on earth advises him. At the time, the claim had already been in the headlines for five days.

Hiding behind dodgy “research” is nothing new for Christian bigotry. The myth that homosexuality and paedophilia are linked has been the topic of bogus, offensive, pseudoscientific and at times bizarre reporting. Quite benign findings are breathlessly reported as evidence of children in danger from gay men. For example, one source from the US Family Research Council (Advancing faith, family and freedom) is cited:

In The Gay Report, by homosexual researchers Karla Jay and Allen Young, the authors report data showing that 73 percent of homosexuals surveyed had at some time had sex with boys sixteen to nineteen years of age or younger.

The wording seeks to convey that gay men have overwhelmingly had sex with teens, whereas “at some time” conveniently distorts consensual legal sex. Exactly the type of findings we’d expect with heterosexuals.

An in depth article by Mark E. Pietrzyk, Homosexuality and child sexual abuse: science, religion and the slippery slope, followed the 2006 resignation of US Congressman Mark Foley. We read in part in the conclusion:

A number of recent studies and articles have attempted to discredit the gay rights movement by linking homosexuality to pedophilia.  These writings have either cited articles in the scientific literature alleging to show that homosexual males are more inclined to molest children than heterosexual males, or they have attempted to demonstrate an inevitable trend toward toleration of pedophilia by employing the “slippery slope” argument.

However, the very scientists that are cited in support of the contention that gays are more likely to be molesters explicitly reject the idea that homosexuals pose a disproportionate threat to children.  […]

In fact, the Judeo-Christian tradition and many other religious traditions tolerated and even affirmed pedophilic relationships for centuries.  The contemporary taboo against such relationships developed only a little over one hundred years ago…

On Q&A Jensen was lending credence to Australian Christian Lobby head Jim Wallace’s argument that the “gay lifestyle” leads to death 20 years earlier than heterosexual estimates. Perhaps relying on Modelling the impact of HIV disease on mortality in gay and bisexual men, published in 1997, Wallace certainly chose to ignore the important follow up paper, Gay life expectancy revisited, by the same authors.

They open with this paragraph:

Over the past few months we have learnt of a number of reports regarding a paper we published in the International Journal of Epidemiology on the gay and bisexual life expectancy in Vancouver in the late 1980s and early 1990s. From these reports it appears that our research is being used by select groups in US and Finland to suggest that gay and bisexual men live an unhealthy lifestyle that is destructive to themselves and to others. These homophobic groups appear more interested in restricting the human rights of gay and bisexuals rather than promoting their health and well being.

Wallace might like to buttress his bigotry with the solidly debunked “gay obituary study” published by the head of Family Research Council (a documented Hate Group) Paul Cameron, with Playfair and Wellum. Choosing only obituaries these guys “concluded” gay men die at 43. I’m sure this came as quite a shock to all the living gay men from the same generation over 43 years of age. Especially as the sample had no living subjects and further skewed it’s results by sampling only urban openly gay men.

Today, with antiretroviral drugs mean life expectancy from the time of diagnosis with HIV is over 40 years. So, these chaps had to zero in on a particular time period and ignore living subjects. Average age of death from AIDS was around 40 years. 20% of gay men would die of AIDS in the period before drug treatment. According to Steven Ross, even if we crank that up to 50% Cameron’s mean lifespan of 43 years requires healthy gay men to die at 46. Said differently, if healthy gay men died at 70 those with AIDS would need to die at 16.

Then there’s the group of bigoted evangelicals I personally enjoy catching out in their abuse of science. The conservative anti-drug lobby continues to produce junk science arguing measures to control blood borne virus spread have failed. They remain at the forefront of efforts to undermine the methodology of expert panels who conclude illicit drug prohibition tactics in present form are quite damaging. An assorted group of Christian fundamentalists bent on faith based practices, it is quite sad to see them attack Christian run faith based charities.

When Drug Free Australia published an attack on research supporting Vancouver’s safe injecting site under the guise of science, Mark Wainberg, professor of medicine and director of the McGill University AIDS Centre concluded in part:

In my view, the allegations that have been made by ‘Drug Free Australia’ are without merit and are not based on scientific fact. In contrast, it is my view that the work that has been carried out by the team of Thomas Kerr et al is scientifically well-founded and has contributed to reducing the extent of mortality and morbidity in association with the existence of the safer injection facility. . . . The University of British of British Columbia should be proud of the contributions of its faculty members to the important goal of diminishing deaths due to intravenous drug abuse.

Thus in all three examples the demonstrable abuse of existing science or presentation of pseudoscience to justify or defend outright discrimination is clearly demonstrated. The quest for abstinence – forced if need be – in all it’s forms certainly leads to bigotry.

Clearly the discrimination and abuse levelled at members of the LGBTI community has a demonstrable impact on health and lifestyle. For gay Christians or those raised in Christian families the effects of bigotry can be negatively life changing. If Wallace was honest he would admit that his identified lifestyle problems of drug abuse, self harm and suicide would reduce without his bigotry.

If HIV is of genuine concern he would accept stable, monogamous relationships and of course marriage, reduce the risk of not knowing the HIV status of a partner. Instead he prefers to cite a Danish study that found brief relationships of around 18 months. He might not let on this was a sample of young men aged 18-21 years. In fact same sex civil unions are rather boringly unlikely to differ from the general population.

Wallace’s claims are surely demonstrably false. What is more shocking than Jim’s predictable bigotry is his attempt to link choice to sexual orientation. In arguing that smoking reduces lifespan by up to a decade and we educate children not to smoke, he’s suggesting we should similarly educate about the dangers of the “gay lifestyle”.

Of course as Jim tells it he was misrepresented by “gay activists”. Just as his anti-Islamic, homophobic ANZAC Day tweet was a misrepresentation by “twitter activists”. In both cases Aussie Christians vocally distanced themselves from him and his mess. His knack for denial is almost impressive.

Fortunately this debacle will have a notably positive outcome. More children being educated not to listen to Jim Wallace and the outmoded Australian Christian Lobby.