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November 5, 2001   
Los Angeles Times
 
THE HEALTH IMPACT
In a Crisis, Go With What Works
Medicine: Threat of anthrax raises warnings by conventional and
alternative health practitioners alike about dabbling with unproven
treatments.
 
By JANE E. ALLEN, TIMES HEALTH WRITER

Surfing the Internet or listening to talk radio in recent days, you might
get the idea that herbs, homeopathy and other alternative health
remedies can prevent and cure anthrax infection.

A guest on Howard Stern's talk-radio show last week touted garlic
and oil of oregano as natural ways to ward off and cure anthrax. And
some Web sites have recommended regular use of anthracinum--a
homeopathic remedy derived from super-diluted extracts of the anthrax
bacteria itself--to boost immunity and protect workers against anthrax
spores.

But medical doctors strongly caution that the only scientifically proven
treatments for anthrax are powerful prescription antibiotics. That view
is shared by many doctors of Oriental medicine, herbalists and other
alternative health practitioners, who believe their profession--and
potentially patients--may be harmed by bogus health claims. Dr.
Michael Hirt, medical director of the Center for Integrative Medicine at
Encino-Tarzana Regional Medical Center, said he knows of no credible
research suggesting that herbal or other alternative therapies can boost
the human immune system to protect against anthrax infection or help
fight infection after it occurs. "It's definitely a mistake if people think
they can thwart the disease just by using natural remedies," he said.
"This is an organism that has withstood the test of time. There's
nothing new under the sun that anthrax hasn't seen and beaten."

The blitz of pseudo-science comes as Americans are increasingly
alarmed by the continuing anthrax scare. Their anxiety is heightened
by the death last week of a New York City hospital worker that led
public health officials to acknowledge they don't know how the woman
contracted inhalation anthrax. About half of all Americans use
alternative therapies such as acupuncture, massage and herbal
supplements for at least some of their health needs, surveys have
found, and the anthrax threat has created a new potential audience for
opportunistic marketers. The Food and Drug Administration forbids
dietary supplement makers from claiming that their products cure or
treat disease. After federal regulators issued warnings that they would
crack down on manufacturers and distributors who violated those rules
to market anthrax-related products and services, some Web sites, such
as one advertising "anthrax survival kits," disappeared from the
Internet.

Some Web sites, and even some natural health advocates, have been
promoting the idea that you can "rev up" your immunity and fend off
anthrax without prescribed pharmaceuticals.

While there are well-documented ways to boost your immune system,
such as by getting adequate sleep and improving your diet, there is no
proof that any of these methods offers protection against anthrax.

And some herbs and extracts that have been shown to destroy bacteria
and other germs in the laboratory have not been tested against anthrax.

Even so, nervous Americans are flooding alternative-medicine
practitioners with questions about a number of therapies. "A very
educated, affluent and intelligent woman I know sent me an e-mail
about grapefruit seed extract," said Aviva Jill Romm, a clinical herbalist
in Canton, Ga., and executive director of the American Herbalists Guild.
The woman read that the extract "is antimicrobial and that's why it
would allegedly be able to prevent and treat anthrax."

Romm told the woman that the grapefruit seed's antimicrobial
properties come from absorbed pesticides and that she be wary of such
a therapy when antibiotics are known to be effective.

Romm said that if any of her four children were exposed to anthrax, "I
would give them Cipro or a comparable prescribed antibiotic. Why mess
around with it? I would have no hesitation about using appropriate
medical treatment."

The American Herbal Products Assn. recently recommended that
acupuncturists, herbal-medicine doctors and naturopaths advise patients
who may have been exposed to or infected by anthrax to "immediately
seek standard medical treatment" and "report any suspected exposure or
infection to your local health department."

"We know some substances can kill bacteria in a petri dish. That's not
the same as a scientific protocol," said Michael McGuffin, a former
herbal products businessman from Venice who is president of the herbal
products association.. McGuffin was visiting the Hart Senate Office
Building on Oct. 16, after an anthrax-contaminated letter was received
by the office of Senate Majority Leader Tom Daschle (D-S.D.).

McGuffin, who hasn't taken an antibiotic since 1976, said that should
he begin feeling ill and test positive for anthrax, he'd opt for the
recommended antibiotics.

Said McGuffin: "I'm not messing around."

Copyright 2001 Los Angeles Times
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