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Transcript of CAM Immunization
Medicine & Immunization By Christina Rust &
Kirsten Miller What are Complimentary & Alternative Therapies/Medicines (CAM)? defined as any procedure or product that is used as an adjunct to conventional medical treatment
been through rigorous scientific testing, which shows that it has some reliability (NCCAM in London, Ladewig, Ball, Bindler & Cowen, 2011, p.37). Acupuncture Acupressure Massage Examples of Complimentary Therapies is usually considered a substance or procedure that is used in place of conventional medicine
has not undergone rigorous scientific testing in this country, although it might have been thoroughly tested in other countries (NCCAM in London, Ladewig, Ball, Bindler & Cowen, 2011, p. 37) Aromatherapy Reiki Examples of Alternative Therapies Naturopathy or Naturopathic medicine is a form of complimentary or alternative medicine that ascribes to the healing forces of nature.
Focus is to improve health, prevent disease & treat illness by promoting the use of organic foods & exercise; encouraging a healthy, balanced lifestyle
counseling, nutrition, acupuncture, stress management, ayurveda, homeopathy and herbs are various techniques used (Health Link BC, 2011). Naturopathy Alternative Therapy is a healing approach in which a person is treated with small doses of medicines that would cause illness when given to someone who is healthy.
Allopathic medicine is usually given to suppress symptoms where as in homeopathy, the symptoms are viewed as the way the body heals itself and small doses of medications are given to enhance the symptoms.
Based on two unconventional theories:
"like-cures-like" —the notion that a disease can be cured by a substance that produces similar symptoms in healthy people
“law of minimum dose”—the notion that the lower the dose of the medication, the greater its effectiveness. Many homeopathic remedies are so diluted that no molecules of the original substance remain Homeopathy Statistics it is estimated that 36% of adults in the United States use some form of CAM
if prayer for health reasons and megavitamin therapy are added to the definition, that number increases to 62%
Women use CAM more often then men
people with higher education levels use CAM more often then people who have lower education levels
people who have been hospitalized within the past year use CAM more often then people who have not been hospitalized.
(London et al. 2011) Why do people choose CAM?
109 million infants vaccinated with 3 doses of DTP in 2010
2-3 million deaths averted annually by vaccination
19.3 million infants not immunized in 2010 References HealthyPeople, (2012). Immunizations and infectious diseases. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=23 Market Place, Cure or con. http://www.cbc.ca/marketplace/2011/cureorcon/ London, M.L., Ladewig, P.A., Ball, J.W., Bindler, R. & Cowen, K. (2011). Maternal and Child
Nursing Care. (3rd edition). Toronto: Prentice Hall. Complimentary Therapy/Medicine NCCAM in London, Ladwig, Ball, Bindler & Cowen, 2011, Maternal and Child Nursing Care. (3rd edition). Toronto: Prentice Hall. 1. Wanting a holistic approach that goes to the
root of the problem, e.g., ‘‘I wanted (the doctor) to look at what the real problem beyond the physical, beyond the obvious pathology’’ 2. More time and attention given by the ND, e.g.,
‘‘I find more personal, more individual focused
care here (with the ND)’’. 3. Medical doctors were unable to help with the
child’s condition(s). 4. Previous (positive) experience with naturopathic
treatment, e.g., ‘‘I got better with treatments from my ND, so I’m using this for my child as well’’. 5. I wanted to use all possible options for my child 6. I was concerned about the side effects of drugs on my
child. 7. I wanted more control over what treatment my child
receives. Leung, B., & Verhoef, M. (2008). Survey of parents on the use of naturopathic medicine in children--characteristics and reasons. Complementary Therapies in Clinical Practice, 14(2), 98-104. (Leung, Verhoef, 2008) Vaccine-preventable diseases have been eliminated
Immunization weakens the immune system. Multiple vaccines overload the immune system and cause harmful effects
Thimerosal use in vaccines may cause mercury poisoning
It would be better to let the child get the disease than get immunized
Vaccines do not work: children still get the disease. Common Misconceptions No vaccine is 100% effective, and immunity does wane over time, leading to the need for a second immunization.
Could this be an area for education and implementation of "naturopathic concepts" into our patients care? What does it mean when a patient says they are seeing a Naturopathic Doctor regarding immunizations? How do we approach the subject? proposed educational activities may be incorporated into Child Health Clinics, Prenatal Classes, Healthy Beginnings, New Mom’s Network, and potentially through a mail out to family clinicians in higher risk areas, such as Bonnie Doon. When should the topic be brought up? Affirming the parents knowledge about immunizations
Eg. "You're right immunizations are not 100% effective - are you interested in discussing how naturopathic philosophies and immunizations can work together to provide the best protection for your child?" Give examples of discussions you have had in the past with other families who were considering naturopathic immunizations.
Eg. "It has often been my experience that families who are open to CAM are very educated & make their decisions regarding immunizations after they have researched various view points. Would you be willing to discuss some of the current evidence-based research I am familiar with?" Ask questions.
Eg. "Have you thought about combining "Western Medicine" and alternative therapies to protect your family and friends from vaccine-preventable diseases?" Discussion:
Any ideas on how you could adapt the way you work with these clients to address some of their concerns or needs? How have you used CAM in your nursing practice? Homeoprophylaxis is used to protect individuals from the effects of infectious diseases.
does not rely on antibody formation, but on changing the susceptibility of the child or adult to disease.
micro-organisms are not in themselves seen as the sole cause of disease, but rather the interplay between the micro-organisms and the individual susceptibility of the child or adult: the healthier the patient, the less susceptible he or she is to a disease"
(Ralf Jeutter, 2009) What is Homeoprophylaxis? HOMEOPROPHYLAXIS (HP)
is the use of homeopathically prepared potentised substances in a systematic manner to prevent the development of the characteristic symptoms of infectious diseases (Wellness Homeopathy, 2009)
Claimed benefits of Homeoprophylaxis:
Naturally enhances the 'vital force' and consequently strengthening the resistance of the individual.
Homeopathic immunization protects when vaccines may be unsuitable, (e.g. those who have already had an adverse vaccine reaction, the malnourished, the sick and debilitated, the immune-compromised, the pregnant, those allergic to vaccine materials, and those on steroids.)
Recent Australian research showed that homeopathic immunization provided 90.4% protection against childhood infectious diseases. This figure is consistent with overseas studies. It also compares favourably with the 75-95% protection rates offered by vaccines.
Homeopathic immunization is easily distributed and dispensed. One dose usually consists of a small, round, sugar pill that is dissolved in the mouth - pleasant for all ages.
(Wellness Homeopathy, 2009) Wellness Homeopathy, (2009) Vaccination or homeoprophylaxis: Homeopathic way of safe immunizationRetrieved from http://homeoprophylaxis.wellnesshp.com/Homeoprophylaxis.php (London et al. 2011) Agenda:
Learn about :
Complimentary and Alternative therapies/ medications
When & how to approach the subject
If people say "No" to immunization Homeoprophylaxis originated about 200 years ago in Hahnemann's time. (Mackay, 2012, p. 56-57)
Samuel Hahnemann - considered using vaccination for disease prevention because it seemed to follow his philosophy of curing "like with like" but rejected it "due to its toxic nature and the risks involved in introducing disease into the human body" (p. 56)
Use of homeoprophylaxis is known as "genus epidemicus prescribing". Hahnemann believed that the remedy must be capable of curing the disease it was trying to prevent, in order for it to be effective as a prophylactic.
Genus epidemicus remedies were exclusively used until the invention of nosodes, which are now more commonly prescribed. What is a Nosode?
Developed by Constantin Hering (1800-1880)
Homeopathic remedy created from some element of the disease itself such as a discharge or disease tissue (The Free Dictionary, 2012).
ie: Hering "potentised the saliva of a rabid dog and used lyssinum as a cure and preventative for rabies."
(Mackay, 2012, p. 57)
ie: "Bowel nosodes are the medicines prepared from the non-lactose fermenting, pathogenic intestinal flora"
(Saha, 2010, p.151) Health Link BC, (2012). Retrieved from http://www.healthlinkbc.ca/ NCCAM (2012). Homeopathy: an introduction. Retrieved from http://nccam.nih.gov/sites/nccam.nih.gov/files/D439_04-12-2012.pdf (NCCAM, 2012) Arguments against: (Mackay, 2012)
no standard homeopathic program in terms of potency and dosage strategy
preventative measure = routinely prescribing homeoprophylaxis medications when no contact of the disease has occurred (contradicts the law of minimum dose).
WHO has declared Europe a polio free zone - some homeopathic Dr.'s question the need to take preventative measures against the disease (does this take into account that people travel?)
no true comparison of conventionally vaccinated and homeoprophylaxis studies have been conducted.
Study -“Children who saw a CAM provider were more likely to be diagnosed with a vaccine-preventable disease than than those who saw only a conventional provider; the percentage of those diagnosed was low (about 1 percent)—and most diagnoses (85 percent) involved chickenpox. Use of naturopathy was associated with significantly more vaccine-preventable disease diagnoses than were other CAM therapies.” (NCCAM, 2012; Downey, L., Tyree, P., Huebner, C., & Lafferty, W., 2010) Trust or lack of trust and a relationship with a pediatrician or another influential care providor (ie; naturopath) were pivotal for decision-making of new mothers about vaccinating their children. Attempts to work with mothers who are hesitant to vaccinate their infants should focus not only on providing facts about vaccines but also on developing trusting and positive relationships (Benin, Wisler-Scher, Colson, Shapiro & Holmboe, 2006) Benin, A.L., Wisler-Scher, D.J., Colson, E., Shapiro, E.D. & Holmboe, E.S. (2006). Qualitative analysis of mothers’ decision-making about vaccines for infants: the importance of trust. Pediatrics. 117(5), 1532-1541. Saha, S. (2010). The bowel nosodes in homeopathy. Homoeopathic Links, 23(3), 151-154. doi:10.1055/s-0030-1250192 World Health Organization (2012). Immunization, vaccines and biologicals. Newsroom
events: world immunization week 2012. Retrieved from http://www.who.int/immunization/newsroom/events/immunization_week/en/index.html World Health Organization Statistics 2012 Individualized treatment and trust are a couple of the major reasons why people choose Naturopathic Dr's.
- Develop a relationship early with families (ie. Prenatal classes and encourage discussions)
- Healthy Beginnings Visits
- Delayed Immunization Phone calls (emphasize all the topics covered in a Clinic Visit not just the immunizations) College of Naturopathic Physicians of British Columbia. Retrieved from http://www.cnpbc.bc.ca/doctors/documents/QAC-VACCINATION-ISSUE-CHECKLIST.pdf NCCAM, (2012). Study reveals association between childhood vaccination and care provided by CAM providers. Retrieved from http://nccam.nih.gov/research/results/spotlight/110610.htm Frame the discussion in terms of the shared goal of achieving optimal health for the client and family, and the client's right to informed choice. While the information is important, notice the difference in tone presented here and how it may not work with a collaborative approach... Downey, L., Tyree, P., Huebner, C., & Lafferty, W. (2010). Pediatric Vaccination and Vaccine-Preventable Disease Acquisition: Associations with Care by Complementary and Alternative Medicine Providers. Maternal & Child Health Journal, 14(6), 922-930. doi:10.1007/s10995-009-0519-5 Questions, Comments