Australian Vaccination Network: Selling what’s available for free

If you’ve ever wandered about the Australian Vaccination Network‘s online shop you’ll notice quite a lot of themes.

Anti-vaccination, natural health, the evils of medicine, the bounty of mother earth, cancer cures, vitamin miracle stories, courageous people, tortured children, the horror of government malignancy and a general cornucopia of articles, DVD’s and books usually with one central theme. Conspiracies.

Yet before you go “shopping” and grab a few of those oh-so-cheap “downloadable articles”, or “25% discounted Special Offers!!” DVD’s and books, please be aware you’re buying what is almost certainly available for free, or at most substantially less. As Reasonable Hank pointed out some days back with delightful screen-shotted pwnage on his blog, Dorey scams even those who ask a question, or seek advice. You see, the error filled yet freely available article at whale.to, Tetanus Toxoid Vaccination by Chris Gaublomme is being sold by Meryl Dorey. It gets worse in that she consciously directed a Facebook commenter to her shop rather than to the free site which contains exactly the same information.

I was shocked! Could it be that family friendly and child loving Meryl Dorey might seek to profit from parents’ curiosity? The motherly Dorey who only wants the best for children and their parents? Apparently. With a little digging I found exactly the same information on the International Medical Council on Vaccination‘s certifiably loony site. You may remember them from hosting Meryl’s “Death threats, health fascism and suppression of vaccine truth in Australia” webinar. The question had to be asked then. How much else was she ripping off? Random selection of a few items proved most telling.

The article The MMR vaccine is not holy water – copyrighted to Sherri Tenpenny – is available free on many other sites. HPV Vaccine Mysteries selling on the AVN site, is available in PDF format – one may even say as a “downloadable article” – for free right here. For double the price of HPV Vaccine Mysteries you can download “reprints” from an already published AVN magazine of Debating Vaccination; the mind boggling pseudoscience from failed physicist and PhD enabler of Judy Wilyman, Dr. Brian Martin. Or for free you can download the entire article with identical cover, colours and cockypop right here.

In fact, where might Meryl Dorey be sourcing her “downloadable articles” from? Do you really need to clutter your computer with articles that are available online – sometimes on several websites? More so, do you want to be giving banking details to an organisation with a documented history of financial deception as confirmed by NSW Office of Liquor Gaming and Racing? Who acted to revoke their fundraising licence?

This deceptive conduct has already manifested in 23 (known) breaches of The Charitable Fundraising Act 1991. Breaches carried out boldly and that do not include the hanky panky of selling freely available material. To be sure some articles are $2:50 or even $1:50. All the better to splurge. Yet other items are “discounted” to $25:00 when they exist elsewhere for far less, or in the case of most books almost half AVN’s price.

But of course this is nothing new. In September last year Kate Bensen wrote in the SMH Copyright breaches land antivaccination group in trouble:

An anti-vaccination group is under fire for allegedly breaching copyright laws by selling newspaper and medical journal articles online without permission from the authors.

The Australian Vaccination Network, which was the subject of a public warning issued by the Health Care Complaints Commission last month, withdrew 11 information packs from its website yesterday after complaints from authors. The packs, which were selling for up to $128, included home-made books filled with articles photocopied from journals around the world, information on drugs taken from MIMS, the medical guide used by doctors and nurses, and copies of brochures inserted in medication boxes by pharmaceutical companies. [….]

The president of the network, Meryl Dorey, said she was unaware she had breached copyright but accepted there had been problems with her licence.

”We’ve made mistakes but they’ve been honest mistakes. They’ve been out of ignorance rather than fraudulence,” she said.

One author stressed that apart from never hearing of the AVN, her material was out of date. Also, under copyright law penalties can reflect if material is used in a way that makes readers think less of the author. In regard to the former, selling outdated material is just scamming members again. As for the latter there’s ample scope for that.

Keeping the deception theme alive, in a recent article (November 2nd) in The West Australian Meryl Dorey:

… denied claims the group was involved with religious organisations that have an anti-drugs stance.

Which is rather fortuitous given our present little jaunt about her online shop dear reader. One of the “25% discounted” DVD’s is Scientology’s Citizen Commission on Human Rights, Making a killing: the untold story of psychotropic drugging. You can pad Meryl’s pocket with $25:00 to have and to hold your very own copy… if it arrives. Or watch it free here as a Google Video. Dorey is also selling in her “downloadable articles” scam, the CCHR’s Labelling and drugging kids for profit, which is identical to material on the Scientology/CCHR’s USA sites that’s also available with videos. Dorey has a long history of promoting the CCHR and other material and books she sells are religiously themed and anti-conventional medicine.

So a.) Meryl Dorey is indeed involved with “religious organisations that have an anti-drugs stance”, b.) is profiting from selling their otherwise freely available material and c.) continues to promote these views. Wow. Caught with lies and fraudulence again. Why am I not surprised?

Speaking of books, The Virus and the Vaccine is $35:00 AU at the AVN shop or under $13:00 US on Amazon. Choosing Not to Immunise Our Children is $40:00 AU at the AVN or $25:00 US at Inkview.com. Fear Of The Invisible by Janine Roberts is a whopping $42:00 AU at the AVN. On the promotional site it’s $20:00 US. At Amazon it’s $18:61 US. Drug Muggers: Which medications are robbing your body of essential nutrients… is $35:00 AU at the AVN or $14:20 US at Amazon. Child Health Guide – $33:00 AU vs $16:86 AU at the Aussie online store, Fishpond. The Age of Autism… by Olmsted and Blaxill. $35:00 AU vs $18:65 US at Amazon. The Vaccine Guide – 10 years old – is $44:00 AU vs $13.01 US at Amazon.

On and on it goes. With absolutely no guarantee your product is in stock (there is no notice) nor if it will arrive as per the great Living Wisdom swindle. Which, amazingly also contained free articles within that subscribers had already paid for. Even Peter Dingle’s, David Icke admiration winning The Great Cholesterol Deception is $5 dearer than at Aussie online retailer Fishpond who guarantee rapid delivery. Of course the rubbish on offer ranges from nature-obsessive to offensive (Hep B vaccine – good for new born prostitutes and drug addicts but who else?) to completely fictitious such as homeoprophylaxis or “vaccine guides” written by homeopaths, to New World Order themes.

The best way to uncover the pay-for “downloadable articles” scam is to bring up the offending item page. Highlight only the title and search for that. So why pay for Judy Wilyman’s A new strain of swine influenza… when the same is available here for nicks? Or Dr. Eisenstein’s vitamin D recommendations for the same disease, when it also available at the Center for healthy living?

Who else would publish that gross Greg Damato title Hep B vaccine – good for new born prostitutes and drug addicts… that Meryl is selling her members? Only our old friend Mike Adams – who happens to have it for free. Speaking of Mike I wonder if our Health Danger knows that his MacGyver inspired article How to build a pharmaceutical factory in your back yard and grow your medicine for free is being sold by Meryl word for word. Ecstatic Birth – by Sarah J Buckley is for sale as an article at AVN, or available as exactly the same PDF for free from her own site or even on Mothering.com.

Cancer – How scientific are Orthodox cancer Treatments? – by Walter Last, for sale at AVN or free at whale.to. Perhaps the most face palm-worthy is No Limits by Dianne Trussell. Not only is it for sale but it’s also on the AVN site for free. Many other pieces are seen to be recycled articles from Living Wisdom or Informed Voice written both by Meryl Dorey and other authors. T-Shirts are 40% dearer than similar items from elsewhere.

Back copies of cobwebbed Informed Voice are for sale for goodness sake! Piles of antivaccination brochures, “information packs” and CD’s of old seminars that lie scattered about a moldy old shipping container near a certain ramshackle house. A bit like Steptoe and Son meets The Twilight Zone. My you’d need to be up on your tetanus shots if you’re buying from that shambles.

All up that’s only about 20 items out of many, many more. Material that is freely available or markedly cheaper elsewhere. One is left wondering about the legality of copyright or such price markups with articles and books respectively. Certainly a great deal of material is quite old and even more certainly the bulk is simply pseudoscience dressed up as advice.

The price of some other items, such as Baby Gift packs is simply astonishing. Selling Homeopathic Home Prescriber manuals without warning is exactly why the HCCC sought to protect the public. I for one would be concerned about proper delivery.

It goes without saying. The AVN Shop is a dishonest rip off. A shonkster. A scam. A fugazi. A sting.

Hold onto your money.

[PS: Ample use of “nofollow” was used in linking to such sites of ill repute]

SensaSlim Shonky Shows Up TGA

By now you most probably know that SensaSlim won the Choice Shonky for “making snake oil look good”. Or rather, “SensaSlim (and friends)”.

Delightfully the TGA receive an honorary Shonky for their mind blowing apathy and inbred inability to delist the rubbish. Choice report:

The TGA, who deserve an honorary Shonky for their role in this, have had ample reason and opportunity to delist the product, ensuring it can no longer be sold in Australia, but have declined to do so. Even after the TGA’s advertising Complaints Resolution Panel recommended its delisting due to non-compliance with regulations, they have sat tight and done nothing.

Of course the TGA who can, according to the TGA simply do no wrong, rejected this award in the same hilarious manner they reject any responsibility for regular TGA failures. Reported in The Australian, “Unproven slimming spray wins a shonky”:

The TGA revoked Sensaslim’s approval to make such claims, but it has not delisted the product for sale, as suggested by its panel, earning it an “honorary Shonky”. A spokesperson says the Shonky is unwarranted: “The TGA continues to take regulatory action against SensaSlim Solutions to remove it from the Australian Register of Therapeutic Goods.”

The spray continues to be sold by several Australian internet pharmacies. This prompted [Ken] Harvey to write to the Pharmacy Board of Australia this week, alerting it to possible “breaches by pharmacists” of legislation prohibiting them from misleading advertising.

Which is exactly why the spray should have already been delisted. People are still being ripped off. More on the failing effectiveness if not relevance of the TGA can be read here at Australian Skeptics.

Just recently on October 27th the Parliamentary Secretary for Health and Ageing, Catherine King, hinted at regulatory change. Speaking at the Complementary Healthcare Council of Australia’s (CHC) National Conference King agreed that the Auditor General’s report into the TGA this year highlighted concerns. Pharmacy Daily report:

These issues, including poor compliance rates, resulted in recommendations for improving the process of regulation for complementary medicines and the handling of advertising complaints. Specific recommendations listed in the report, including: the timely completion by TGA of key guidance material for complementary medicines; improving the integrity of the self-assessment process for listing complementary therapies whilst limiting the use of inappropriate claims and indications, have been accepted by the TGA and are now in the planning stages for implementation.

King also said planning is now occurring for further report recommendations including making information available to the public on each listed complementary medication; improving the quality of the regulatory framework through the use of risk profiles; and the development of documented procedures for handling advertising complaints including timelines for completing investigations.

An informal working group had also identified that the current system doesn’t “sufficiently encourage compliance”. Indeed. It cannot be understated how appalling the TGA behaved in setting in train some of it’s regulatory powers, such as seeking original and stated evidence from sponsors of ARTG products, only upon discovering the Auditor General was to investigate. Put simply, the TGA can at any time ask for the evidence of any ARTG listed “alternative to medicine” product and act accordingly. Put rather more simply, they don’t.

Despite having several months to discern whether SensaSlim (and a plethora of other scam products) meet requirements Pharmacy News reported last week on the TGA dodging any criticism surrounding Sensaslim. Not happy about it’s honorary Shonky for apathy in the face of urgency, it was noted that:

… a TGA spokesperson insisted it was reviewing whether the product met the requirements for listing on the Australian Register of Therapeutic Goods (ARTG). “It is nonsense to say that the TGA has taken no action in relation to SensaSlim,” the spokesperson said. “The TGA continues to take regulatory action against SensaSlim Solutions to remove it from the ARTG.

As for the SensaSlim Scam itself, well the European and American markets – always the primary target – are now copping it. The same flashy websites once active in Australia, with exactly the same claims are misleading consumers on those continents. The UK Medicines and Healthcare Products Regulatory Agency cannot act to have the misleading advertising removed unless:

  • The site is hosted in the UK
  • The profits are banked in the UK
  • The product is distributed from the UK
  • And is a medicinal product

Profits from sales of SensaSlim go via PayPal into the bank account of Peter Foster’s QLD girlfriend Liana Emberg. Liana is understandably keeping quiet. Emberg was one of seven SensaSlim scam scally wags who had their bank accounts frozen by the ACCC.

Somehow I doubt poor Liana is losing out.

Check out all 2011 Shonky Awards here (SensaSlim 2:40)

Meryl Dorey caught out lying (again) by her own words

After yesterday’s hysteria from Meryl Dorey about “rabid anti-vaccine safety (cough) press”, to describe accurate reporting about her antivaccination lobbying, AVN fans must be much happier with a piece from Lismore’s Northern Star.

It goes very easy on the illegal money raising tricks and public health damage we know and love from the Australian Vaccination Network. However, in a nice surprise it confirms a scandalous grab for money from businesses to help the AVN in it’s civil action against the HCCC. The piece, Vaccine group aims to win out West includes:

The NSW Office of Liquor, Gaming and Racing (OLGR) revoked the AVN’s licence to fundraise as a charity last year after a warning from the Health Care Complaints Commission (HCCC) that its website contained information that was “misleading and incorrect”.

The then gaming and racing minister said the group “breached charitable fundraising laws and potentially misled the public” and was no longer permitted to accept charitable donations. The AVN launched a civil suit against the commission in the NSW Supreme Court which is due to begin on November 9 in Sydney.

“We are hopeful of winning on the grounds that the complaint against us was not valid and that the HCCC failed to carry out a proper investigation,” Ms Dorey said.

The AVN had had to depend on donations from members since the OLGR ruling, but its barrister in the civil action was acting on a pro bono basis, she said.

Pro bono eh? Well that immediately calls into question the fate of pledges called for by Meryl Dorey in August 2010. There has been no public announcement from the AVN that donations are not needed. Nor has there been any clear and concise deliberation on the fate of monies donated to and collected by the AVN. This was the case with the raising of almost $12,000 to place a fictitious advertisement in a magazine, and also with the raising of another $12,000 to assist a family “on the run from Hepatitis B vaccination”. Money the family never saw but a story – a lie – which Meryl Dorey still tells to this day along with falsely claiming to have helped a family in QLD.

The AVN has helped not one family in this way. Of course these scams are dwarfed by the money raised through lying to members about placing material in Bounty Bags, given to new mothers. Money was raised but no material produced. So the OLGR has very good reason to revoke the charity licence of a fraudster. You can read up on the court action to date, and how Dorey’s own arrogance actually brought about far worse condemnation from the HCCC than the initial request for transparency on antivaccination status.

Which brings us back to an outrageous email to members in August, 2010. It’s a bumper edition of lies, conspiracies and demonstrable deceit, interspersed with delusions of grandeur. Under the heading Urgent Update – what is happening with the AVN? Dorey goes on a long winded rant of persecution, promises and piffle. Including [bold mine]:

After discussions with our legal advisers, we have been told that there is one chance for us to overcome the push to shut us down – and it is far from 100% even if we are successful.

In speaking with many other organisations and seeking out the best possible legal advice, we have discovered that this is not the first time the HCCC has stepped outside of its jurisdiction to persecute a non-profit organisation. There is another group who was in our situation less than a decade ago. They fought against the HCCC  – all the way to the Supreme Court. And they won! It cost them $150,000 – but they got every cent back and more because the court found that the HCCC had acted outside of its jurisdiction when they tried to prosecute this organisation.

As I said, we will not seek donations from our members – so please don’t worry about donating as an individual. If you have a business however, and are in a position to donate a larger amount – say $10,000 to $20,000 – and this donation can be given as sponsorship so it will be tax-deductible, then we want to know about it.

We are not asking you to give us your money at this point in time. Like we did when we had our large fund-raiser earlier this year, we are only asking for pledges. If we get enough pledges to get this action going (and we need a minimum of $100,000 – $150,000), then we will go for it. We will NOT give up if we are given the means to fight. I’m in this until the bitter end if businesses will support me, as is the rest of our incredibly dedicated committee.

“Push to shut us down”? Paranoid much or just misleading readers? All the HCCC asked for was an admission that the group is anti-vaccine and that their advice is not to be taken as medical advice. Today we have a bit more clarity through which to view this piece. On day one in court it was immediately established that Dorey was most certainly within HCCC jurisdiction. Most curious however is this “other group” who fought against the HCCC.

In Meryl Dorey’s trouble with the truth part 3 – Lies and Fraud on page 55, Ken McLeod highlights Dorey’s three comparisons to the HCCC supposedly stepping “outside of it’s jurisdiction to persecute…”. Quoting Peter Bowditch it’s shown that the Walker Inquiry was not “into the HCCC” as claimed by Dorey. The investigation into Graeme Reeves had nothing to do with “those in the natural health area” and Reeves was in fact deregistered. That finally leaves this mysterious group who defeated the HCCC in the Supreme Court NSW getting back their money “and more”. McLeod writes:

I and some lawyers have gone through the Supreme Court Case Law database, and there is no mention of such a case. So, this claim is pure invention.

Which is certainly Meryl Dorey’s form. Fiction. Now that she has publically admitted to pro bono defence one would hope in the interests of transparency that a full disclosure of any pledges given, collected or declined will be made as equally public. Yet this email yields quite a lot more fiction. For example:

And we are certainly not giving up. We have a lot of work to do and an awful lot of plans that are nearing fruition. For instance, we are planning on sending a delegation to Canberra for the next sitting of Parliament (when we actually have a government in place, that is) to request the following changes to Federal legislation:

1- A requirement for all health practitioners to report vaccine reactions to the TGA when these reactions are reported to them by parents.2- A requirement to reveal the vaccination status of those who contract ‘vaccine preventable’ illnesses.3- The funding of a study using the already-available information from the Australian Childhood Immunisation Register’s (ACIR’s) database which currently tracks who is vaccinated and who is not.

Completely false. The AVN has to my knowledge not lobbied Parliament beyond urging members to write letters or lying to senators about unprovable vaccine reactions. Certainly the notion of “sending a delegation to Canberra for the next sitting of Parliament”, is close to hilarious. But there’s more:

In addition, we have made contact (finally!) with labs and researchers overseas who are willing to work with us on testing the currently-licensed Australian vaccines for the presence of heavy metals and other ingredients such as vegetable oils. If these results come back as we expect they will, this information may well blow the currently-held beliefs in the safety of modern vaccines out of the water.

Again false. The AVN has no contact with overseas researchers or labs and no-one is willing to work with them to test anything but the vacuum of truth to similar claims. The money needed to pursue such a venture is extraordinary and this lie is designed as a gap filler for the very same money raising scam they have pulled since the early 1990’s. The so-called independent testing has been imminent for almost two decades and it’s high time Dorey abandoned this pie in the sky waffling. I’ll gladly accept any input to prove this wrong.

Dorey also floats off into some quite bizarre musings:

You may not be aware of this, but the persecution of the AVN has started a tidal wave which is reaching out to all other natural therapies and therapists. Many of these organisations have not wanted to be involved with our group though many of their individual members have been long-time supporters. Let’s face it – this is a very controversial issue and as you can see by what’s happened with me and the rest of the AVN – when you raise your profile as being a pro-information advocate, you are likely to get knocked down in a very ugly way.

So for 17 years, natural therapy organisations have used our resources and directed patients to us for help and support, but in general, they, and many therapists have not taken a stand on this issue.

A tidal wave of persecution? Rubbish. The Wellness Industry is thriving in Australia and in no small part thanks to the paper tiger stand of regulatory authorities. All kicked off because Mother AVN is in trouble? Well that scarcely explains Cure All homeopath, Fran Sheffield snubbing her nose at the TGA and Complaints Resolution Panel (CRP) after a complaint was upheld on November 26th, 2009 as reported here by ABC Lateline.

For 17 years the AVN has had “patients” directed to them for help and support by natural therapists? I doubt it. The position of the Australian Natural Therapies Association is in support of conventional vaccination. As the CRP reported in upholding a complaint against false claims made about the efficacy of homeopathic immunisation – a favourite of the AVN:

The Executive Director of the Australian Natural Therapies Association has stated that no properly qualified natural therapist would recommend homoeopathic ‘immunisation’ as an alternative to conventional immunisation.

Despite claiming yesterday “I always say to people to go to their doctor and get information”, it seems to be a problem as the email continues under, “What has the result of this been?“:

The National Registration Board of the CAA is trying to put through a policy which will require that Chiropractors not be allowed to discuss vaccination with their patients. Instead, they will be required to direct parents to a GP for answers to any questions they may have.

There is a bloc in the WA Parliament that is trying to get homeopathy outlawed due to one woman’s choice to use homeopathic remedies to treat her cancer – a treatment which ultimately failed – but that was her choice. The 100 Australians who die every day on chemotherapy are not considered in this equation – but one woman who dies whilst using a natural therapy is a reason to destroy a 200-year old evidence-based therapy that is in competition with allopathy.

And every day now, there are more and more supplement manufacturers, suppliers of herbal medicines, Chinese herbal medicine producers and others who provide healthy, natural products, who are being targeted, not allowed to advertise their products or services and shut down by the TGA and their minions. The AVN has always been there for these groups – we and our members have supported you. Now, it’s time to see if you have the intestinal fortitude to stand tall and support not only the AVN’s but your own continued survival.

Stop, Stop, Stop! Dorey goes on to ask for $1,000 from any of these businesses she has “always been there for”. Those that must have the “intestinal fortitude” to hand over money to help out the AVN and thus, save themselves. The size of this woman’s ego and delusional narcissism is breath taking.

Dorey is actually claiming that her unnecessary fighting of the HCCC request to have a sign posted on her website and a public warning they issued, which she herself began civil action over is:

  • Persecution
  • An orchestrated push to shut them down
  • Media, advocacy and government plotting
  • Reason for other businesses to pledge large amounts of money
  • The beginning of the end for the Wellness Industry
  • The catalyst for the CAA Regulation Board to prevent chiropractors discussing vaccination
  • The reason WA parliamentarians are concerned at the lack of regulation of homeopathy as evidenced by Penelope Dingle’s death
  • Increased targetting of natural product and therapy providers who are being “shut down by the TGA and their minions”
  • Reason for small providers to hand over money to Dorey for “your own continued survival”
  • And quite a bit more besides…

Fortunately most decisions are made with neurons surrounded by the skull not the intestine, no matter how fortified. The crucial point here is this cost is a cost Dorey alone brought upon herself. She could have done what most other suspect and shonky providers do and simply ignore the request. The HCCC can realistically do nothing beyond the public health warning.

Far from shutting people down, “the TGA and their minions” are simply ignored. Fran Sheffield of Homeopathy Plus responded to a CRP request to post a retraction of false advertising claims that homeopathy could prevent diptheria, smallpox, polio, influenza, measles, pertussis, rubella, mumps, meningococcal disease, etc with:

“Well obviously I’m disagreeing with them and that’s why the retraction hasn’t gone up”

The real question is why has Dorey chosen to self sabotage and why does she assume it’s the responsibility of everyone else to solve this for her? Her terrifying claims about the TGA are close to insulting. Fran Sheffield is not alone. 80 of 82 complaints pertaining to the Advertising Code this year were upheld by the TGA. The two that weren’t were from competing companies.

As written in the recent Auditor Generals performance audit into the regulation of complementary medicine:

The size of penalties attached to criminal offences may also mean that it is seen as not in the public interest to proceed. This view is consistent with legal advice provided to the Advertising Unit about specific breaches.

The TGA has also observed that “prosecution is currently the only available option where administrative requests fail to achieve compliance”. There have never been any cases that have been referred for prosecution action and accepted. As a consequence, the prospect of using prosecution action against non‐compliant behaviour, and as a deterrent, seems limited.

In 2010 a DoHA review found 90% of products reviewed were found to be non-compliant with regulatory requirements. The infamous 31 products selected at random yielded 68 breaches;

  • 20 medicines had labelling issues such as non‐compliance with labelling requirements and/or breaches which may mislead consumers.
  • 12 included incomplete and/or inappropriate information on the Australian Register of Therapeutic Goods (ARTG).
  • 22 were found to have manufacturing and/or quality issues.
  • 14 did not have adequate evidence to substantiate claims made about the medicines.

No-one is being “shut down” by Australia’s appalling feather touch of the TGA. More so, Meryl Dorey’s claimed position as being the head domino is some cascade of Wellness Industry persecution is demonstrably false and a product of her own ego, cunning and imagination. It’s high time Meryl Dorey stopped crying persecution and took responsibility for her own conduct.

The real victims are the innocent children, babies and parents who suffer from the consequences of decreasing vaccination.

Bad politics vs good drug policy and prison health

Australia’s National Drug Strategy consists of the three pillars of Harm Minimisation

To hear major parties speak of Australia’s national drug strategy one may be forgiven for assuming it is a competition of muscle. To be sure, we’ve come a long way since the great stupor of the Howard years, as then federal Health Minister, Tony Abbott taunted Opposition leader, Kim Beasley for being “soft on drugs”. Translation? Taking the evidence based advice of global drug strategists.

Terrified of losing votes, Beasley all too readily took the bait. In this way successive debates and policy changes had a ratcheting effect on absurd non evidence based and wasteful attempts to be seen to be “tough” on drugs. Manfully tearing up cannabis plants and thrashing them against rocky outcrops or cursing at bags of cocaine aside, it follows quite logically that “tough on drugs” is nothing less than tough on people.

Should Abbott become PM we will quickly find that there is more to Aussie politics than just carbon taxes, boat arrivals and the odd NBN slur. It wasn’t just Howard’s homophobia, weapons of mass destruction lies and black and white 1950’s relativism we’d woken up from. Howard’s skill as a politician is rivalled very well by his inability to understand the 21st century. Indeed, perhaps the last third of the one before.

I’m not suggesting drug policy should become a national focus to the exclusion of any other policy. It never will. Yet, the list of human rights abuses ushered in by stealth and without reason under Howard is a long one. It was Tony Abbott himself who funded the extreme right evangelical lobbyists, Drug Free Australia with the explicit aim of destroying Neal Blewett’s 20 year old successful policy of Harm Minimisation. Howard’s sabotage of our role as world leaders in Harm Reduction is legendary.

Even in 1997 going against the advice of then health minister Michael Wooldridge, and taking that of (later) DFA board member, evangelist and disgraced Salvation Army Major, Brian Watters (initial Chair of the ANCD) to dump the heroin on prescription trial. From The Politics Of Heroin – ABC 4 Corners:

KATE CARNELL: The approach that we put, or I put, to that meeting, was that this was a small trial, only 20 people or so in the first instance. That the trial would be a medical trial with appropriate science backup.

ANDREW FOWLER: The vote came as a huge surprise. The Federal Health Minister, four States and the ACT voted for the trials to go ahead.

A 6-3 result. The decision marked a radical shift in policy.

KATE CARNELL: This is not just a heroin trial. It’s an integrated, national approach that brings in the majority of States in this country. I think it shows a huge amount of maturity and it really is a mammoth step forward.

ANDREW FOWLER: The Federal Health Minister, Michael Wooldridge, telephoned the Prime Minister to tell him the news. But a few minutes later, as he made his way back into the meeting, observers say he looked shaken.

Nothing to this day has beaten Bronwyn Bishop’s 2007 Parliamentary Committee Inquiry. A despicable abuse of our parliament and the role of standing committees, the final report was rejected by every D&A body in Australia. All except our installed enemies of humane policy, lobbyists Drug Free Australia. As Chair and at John Howard’s urging she intoned to field experts that, “the PM says he doesn’t want that” (Harm Minimisation), sounding much like an Inquisitor instructed to reject reference to heliocentrism. That this was her governments policy was entirely lost on her. It was a predetermined farce to attack progressive successes, and demonstrably so.

Her attacks upon Alex Wodak‘s internationally respected skill and evidence in favour of biblical stories from fundamentalist zealot Dr. Stuart Reece, left jaws agape. A bastard baptising, bible wielding, Jesus summoning fruit cake who’d knocked off 25 of his patients in 20 months with reckless naltrexone treatment. The investigation into which he described as “a conspiracy”. “They’re only drug addicts anyway”, he informed a grieving parent who later wrote to me.

As reported in Crikey by Ray Moynihan in Naltrexone II: no trials, just the power of prayer:

In lengthy evidence to a current parliamentary committee inquiry into illicit drugs, being run by Bronwyn Bishop, Reece suggested one of the biggest problems at the moment was a disease called “drugs, s-x and rock and roll.” As part of his evidence, Stuart Reece cited Sodom and Gomorrah, the Biblical cities destroyed by God for their immorality.

Reece’s testimony then suggested Australia’s civilisation was under threat of being destroyed by the scourge of injecting rooms, give-away syringes, and methadone. These of course are the well-established strategies of “harm minimisation”, the approach that underpins the way Australia deals with the dangers of illicit drug use. In contrast to his attacks on harm minimisation, Stuart Reece spoke reverentially of the work of Dr George O’Neil, and the immense value of the still unproven naltrexone implant.

Asked during an interview whether he currently prescribed naltrexone implants to heroin addicts, Dr Reece answered cryptically, “Yes and No”.

Suffice it to say, Reece as a member of Drug Free Australia still marches front and centre with the most dangerous and most irrational opponents to Harm Minimisation. Our National Drug Strategy. What they call “the noramlisation of illicit drug taking”.

However, the Public Health Association report below on the proposed Needle, Syringe Program (NSP) trial at the Alexander Maconoche Centre is clear:

The Australian government web page on the National Drug Strategy (NDS) identifies that

“the National Drug Strategy, a cooperative venture between Australian, state and territory governments and the non-government sector, is aimed at improving health, social and economic outcomes for Australians by preventing the uptake of harmful drug use and reducing the harmful effects of licit and illicit drugs in our society”. (Australian Government Department of Health and Ageing-DoHA, 2011)

The NDS is based on three inter-related strategic approaches to dealing with drugs in our community – the NDS refers to them as the “three pillars” of the overall approach of harm minimisation.
Harm minimisation, therefore, is our agreed national approach to drug policy which encompasses the three pillars of:

Demand Reduction

Demand reduction to prevent the uptake and/or delay the onset of use of alcohol, tobacco and other drugs; reduce the misuse of alcohol and the use of tobacco and other drugs in the community; and support people to recover from dependence and reintegrate with the community. To achieve this requires effort to:

  • prevent uptake and delay onset of drug use
  • reduce use of drugs in the community
  • support people to recover from dependence and reconnect with the community
  • support efforts to promote social inclusion and resilient individuals, families and
    communities

Supply Reduction

Supply reduction to prevent, stop, disrupt or otherwise reduce the production and supply of illegal drugs; and control, manage and/or regulate the availability of legal drugs. To achieve this requires effort to:

  • reduce the supply of illegal drugs (both current and emerging)
  • control and manage the supply of alcohol, tobacco and other legal drugs

Harm Reduction

Harm reduction to reduce the adverse health, social and economic consequences of the use of alcohol, tobacco and other drugs. To achieve this requires effort to:

  • reduce harms to community safety and amenity
  • reduce harms to families
  • reduce harms to individuals

Our NDS does not simply limit its scope to the broad community but states categorically:
“The approaches in the three pillars will be applied with sensitivity to age and stage of life, disadvantaged populations, and settings of use and intervention”. (DoHA 2011)

Over the years we’ve had the rants of Alan Jones and John Laws. The rubbish of Piers Akermann and Andrew Bolt. The fear mongering of the anti-science mob. Still many fail to appreciate not just good policy but the responsibility under human rights which (as I’ll get to in time) is exactly what Alexander Maconochie is about. Right down to using the name of the great penal reformer himself.

This Lateline segment from October 2009 gives excellent insight. On October 2nd 2009 they reported, “The Australian drugs conference in Melbourne has today called for a trial of needle and syringe programs in Australian prisons. One in three Australian inmates has hepatitis C, and it is thought that a needle and syringe program could reduce the incidence of blood-borne viruses in jail.”

Resistance born of political will, not evidence, continues today. It will be a great shame if ignorance prevails.

Lateline


Public Health Association Report on NSP Trial at the Alexander Maconochie Centre

Needle, Syringe Programs needed in Aussie prisons

Needle Syringe Programs in prisons have proven successful across the globe, including in Iran.
Gains are directly transferred to
individuals, family members, community members, custodial officers, law enforcement officers and health professionals.

Australia once led the world in Harm Reduction initiatives, a number of which pertain to safe injecting of illicit drugs.

Because of the illegality, potential for tragedy and high risk associated with IV drug use it is very easy to be led astray from the evidence base supporting harm reduction initiatives. Primary amongst these is the funding of over 1,000 Needle, Syringe Programs (NSPs) across Australia. Although introduced against considerable opposition, community acceptance is now very high. More to the point, similar misinformation and conservative opposition was raised against another harm reduction initiative when introduced. Condom use amongst men having sex with men (MSM).

Harm Reduction measures were introduced by then federal health minister, Neal Blewett in 1985, ushering in unprecedented acceptance, understanding and management of high risk behaviour leading to the spread of HIV in Australia.

Led by the Minister for Health under the Hawke government, Neal Blewett, Australia undertook several unprecedented and pragmatic steps: it introduced a needle exchange program for intravenous drug users, encouraged open discussion of safe sex, and created the famous Grim Reaper advertising campaign.

There was fierce opposition from the religious right, but 25 years after the initial AIDS outbreak, Australia’s decision to accept human nature in policy making has saved thousands of lives – especially when compared to the USA where ‘morality’ has outweighed practicality in dealing with the illness.

Harm Reduction (HR) is one of the three major prongs of Australia’s illicit drug policy. The policy is called Harm Minimisation. Not “tough on drugs”, not “zero tolerance”. Harm Minimisation includes Supply Reduction, Demand Reduction and Harm Reduction. Over the years the gay lobby and LGBTQ community has forged itself a formidable legal and social identity. I pity the conservative zealot who would insult their ontology. Not so for IV drug users. This is due to many reasons, the more obvious being the transient nature of drug use (experimentation), the social, professional and personal cost of outing oneself as a chronic addict, the complete lack of intention to politically mobilise and the volume of comorbid mental health problems.

To be rather crude whilst it is demonstrably bigoted to discriminate against Australia’s disabled population they are not a force of reckoning. Our communities remain poorly suited to accommodate disabilities. Stigma persists leading to discrimination and inequality.

Similarly whilst we clinically accept the disease model of addiction, many community members still remain blinded to this very real health problem in favour of pop culture “bad guy” stereotypes. This is sheer manna for those with political interests to be seen to be “tough on drugs” or who seek to exploit individuals with a range of disabilities, including drug dependence.

Most Aussie addicts are alcoholics and cigarette smokers. The bulk of public health money dealing with drug induced harm is spent here. Illicit drug addiction consumes under 5% of the total expense. Writing in, Redefining Addiction in MJA Insight Paul Haber noted:

The American Society of Addiction Medicine (ASAM) grappled with this problem for 5 years before releasing its new definition of addiction, which has stimulated interest from around the world with commentaries in The Lancet, Time and elsewhere. ASAM proposes that addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. It is a chronic relapsing and remitting disorder that manifests in continuing use of substances or alcohol despite accumulating harm to the individual and to others. [….]

This addiction disease concept facilitates a medical approach to management, including the need for quality evidence to support clinical interventions and it encourages engagement of medical professionals in this field. Acceptance of the disease model can also reduce the stigma of the disorders. Specific neurobiological abnormalities have been identified such as certain dopamine receptors in the reward system and these are targets for therapeutic intervention.

The funding pittance that is dealt to illicit drug harm reduction in part reflects the dwarfing of this demographic alongside drinkers, smokers and gamblers. The rest is explained in that the lions share is consumed by futile supply reduction efforts in the endless cycle of importation, distribution, dealing and administration. Demand reduction – fighting the demand for drugs through education, rehabilitation and disincentives also receives more money than harm reduction. It remains far, far too easy to raise a voice of ignorance and accuse HR initiatives of “allowing” or “encouraging” drug use.

The ABC news items below discuss the need for needle exchange programs in Australian prisons and the potential for a trial beginning in Canberra’s Alaxander Maconochie prison. It’s probable an HIV epidemic beginning in injecting drug users, and placing the wider Australian community at risk, would begin in Australian prisons. Questions are also raised as to the “shameful” state of Australia’s Harm Reduction initiatives that have fallen behind what is considered effective evidence based practice for prison population health. This is further evidenced by successful programs in other countries around the world. Needle Syringe Programs are strongly supported by a large global evidence base. Significantly, one public health success story is Australia.

Indeed return on investment research in 2009 [PDF] show that “investments in needle and syringe programs were yielding a twenty seven fold return in health, productivity and other gains.” Gino Vumbaca, Executive Director of the Australian National Council on Drugs wrote at the time:

What is striking is the level of public support for the program. The largest regular survey on drug use issues we have, the National Household Survey on Drugs, now records public opposition to the program at less than 20%. The Hawke, Keating, Howard and now Rudd Governments, as well as a myriad of state and territory governments of varying hues over the past 20 years have all lent their support to the program. For some this was in the face of strident opposition. A truly admirable achievement based on evidence, common sense and humanitarian grounds

Discussing the 2009 report findings Anex wrote:

The World Health Organization commissioned a review of evidence of the effectiveness of Needle and Syringe Programs to reduce HIV which concluded:

There is compelling evidence that increasing the availability and utilisation of sterile injecting equipment for both out-of-treatment and in-treatment injecting drug users contributes substantially to reductions in the rate of HIV transmission. Research from around the world clearly indicates that NSPs make a significant contribution to preventing the spread of HIV/AIDS and hepatitis C.

Between 2000 and 2009, the Australian Government invested $243 million in Needle and Syringe Programs. This resulted in the prevention of an estimated 32,050 new HIV infections and 96,667 cases of hepatitis C. $1.28 billion dollars were saved in direct healthcare costs. [….] The report states: “If NSPs were to decrease in size and number, then relatively large increases in both HIV and hepatitis C could be expected with associated losses of health and life and reduced returns on investment. Significant public health benefits can be attained with further expansion of sterile injecting equipment distribution.”

Countries, like Australia, that have implemented NSPs have averted HIV epidemics among injecting drug users and, therefore, the community at large.  Those countries that have not implemented these measures have often experienced uncontrolled HIV epidemics. There is strong evidence to suggest that when HIV becomes endemic among the injecting drug user community it can then spread to their sexual partners and children, resulting in high mortality rates and large social and economic costs to the entire community.

Conservative ideologues and those with vested interests in punitive measures, have attempted to discredit NSP efficacy. Nations without proper NSPs, such as Sweden are deemed in breach of the UN International Right to Health. See page 3, item D. Religious fundamentalists & other totalitarian belief systems frequently reference Sweden’s “war on people” mentality, obfuscating the human rights abuse. As revealed by WIKILEAKS, the USA work actively to sabotage Harm Reduction initiatives as part of their War On Drugs policy, citing Stockholm as a reliable ally. An excellent discussion of this matter is to be found at Neurobonkers. The Global Commission on Drug Policy has demonstrated the failure of the Drug War. [CNN News]

With respect to needle exchange, rather than advance challenges to NSP efficacy with new research the tactic of a small minority is to attack existing methodology in an out of context, subjective fashion creating the illusion of an argument. An analogue today might be “pertussis diagnoses have increased, therefore the vaccine is ineffective” – a claim advanced by comparison of unrelated data sets.

In May 2010 Norah Palmateer et al. produced a meta-analysis using what they called “Critical appraisal criteria” to challenge the methodology of NSP research. However, even whilst selecting particular modes of distribution and leaving out others, a conclusion that “New studies are required to identify the intervention coverage necessary to achieve sustained changes in blood-borne virus transmission”, was delivered. This is scarcely revolutionary, yet is falsely cited as discrediting NSP efficacy by fundamentalist conservative groups. In truth Palmateer et al actually argue for a shift in analytical focus to biological rather than behavioural data. More so, they write:

The findings of this review should not be used as a justification to close NSPs or hinder their introduction, given that the evidence remains strong regarding self-reported IRB and given that there is no evidence of negative consequences from the reviews examined here. [….] We recommend a step change in evaluations of harm reduction interventions so that future evaluations: (i) focus on biological outcomes rather than behavioural outcomes and are powered to detect changes in HCV incidence; (ii) consider complete packages of harm reduction interventions rather than single interventions; (iii) are randomized where possible (preferably at the community level); and (iv) compare additional interventions or increased coverage/intensity of interventions with current availability.

“The findings of this review should not be used as a justification to close NSPs or hinder their introduction”. Yet this is exactly what the enemies of reason have done, misquoting Palmateer at every turn. The “AVN” of Blood Borne Virus control is a group of far right evangelical lobbyists known as Drug Free Australia. Their “Meryl Dorey”, as it were is their “secretary”, young earth creationist and climate change denialist, Gary Christian. The similarities between Dorey and Christian are striking. No medical or health qualifications, citing of global conspiracies, “social experiments” – not evidence based public health, saving Australians, provision of “truth”, attacking certain research identities, cherry picking of data and outright lies.

When a 27 fold return on investment for NSPs was claculated after years of research, Mr. Christian promptly dismissed this claiming NSPs actually serve to promote drug use and spread viruses. WHO data would prove this if properly adjusted he cried, mimicking Dorey’s claims to “properly read research”. Thus he was able to immediately dismiss what is absolute proof opposition to NSPs is baseless. Indeed, Christian went further.

Harm Reduction is the “normalisation of illicit drug use” not just correlating to, but causing a rise in drug use. Hands up if knowing about NSPs motivates you to experiment with IV drugs. This new take on “condoms cause AIDS” is demonstrably flawed. Just as abstinence, not condoms will prevent STD’s, Christian claims “free HIV testing” not NSPs or harm reduction will control HIV, citing discredited non peer reviewed sources.

Thus arguments raised against the value of exchange program efficacy in cutting blood borne virus spread are emotive, supposedly backed by misrepresented, spurious and/or biased “research” and driven by discredited, conservative fringe lobby groups.

Unsurprisingly the opposition to NSPs in Aussie prisons is based on misinformation and a lack of evidence.

ABC TV News October 15th

ABC AM Program October 15th

NSP Information, Q&A. Australian Government