Dana Ullman
Huffington Post
Posted: November 1, 2009 07:49 AM
Opening remarks…
The primary purpose of this article is to encourage a stronger commitment from doctors and parents to consider using safer medical care for infants and children FIRST before resorting to more dangerous treatments. One would hope and assume that doctors and parents would have a natural inclination to make the safety of these young human souls a significant and sincere priority, but sadly, the power and propaganda of Big Pharma has inappropriately turned this equation around and made it seem that doctors and parents are putting their children at risk if they don’t prescribe powerful drugs first. I personally disagree with this assumption and sincerely hope that people consider this health issue to be of primary importance today.
I certainly realize that the evidence that I present below on the epidemic proportions of “medical child abuse” is somewhat inflammatory, but due to the fact that this issue is presently being ignored by so many doctors and parents, a little “inflammation” may be a necessary symptom that will lead to great attention to this problem and perhaps to some concrete solutions to it.
Although many people consider American health care to be “the best in the world,” the World Health Organization has ranked the United States to be the 37th (!) in the world in the “performance of the overall health system” and 72nd (!!) in “overall level of health” (of the 191 member countries). American health care may be the most expensive, but there is no evidence to prove that increased expense leads to improved health status.
When one looks at the countries where health status and overall health scores the highest, they are countries in which there are a significant number of physicians and other health care practitioners who use herbal medicines, homeopathic remedies, acupuncture and nutritional treatments. Perhaps American doctors and patients would benefit from a significant change in health care practices that are not only considerably safer than modern medical treatments, but that also seem to create better health care status.
A newly published review of the six leading medical journals uncovered a truly shocking observation:Â “No information on severe adverse events and withdrawal of patients owing to an adverse event was given in 27.1% and 47.4% of articles, respectively.”[1] When one considers that this review only analyzed the “best” medical journals, we can and should seriously worry about the safety of many drugs that are used today, and we should express real indignation when doctors prescribe two or more together (unless they were formally tested together) or when doctors prescribe them for conditions for which they have not been tested (called “off-label”).
Ultimately, although physicians assume that they are practicing “scientific medicine,” most drugs today are not tested on infants or children, and most children and adults are prescribed more than one drug at a time (and drugs are very rarely tested for efficacy or safety when used in combination with other drugs). These common practices lead one to assume that modern medicine is not adequately scientific, and these practices may be part of the explanation for the poor health status of Americans.
The Very Real Problem…
We all know people who have children who have benefited from conventional medical care, but sadly, we all also know people whose children have been harmed by it. The most famous words of the father of medicine, Hippocrates, are “First, do no harm.” This dictum was directed at doctors, but it is as appropriate for parents. Sadly, however, our children are being put in front of harm’s way with our present, almost callous overuse of powerful drugs for our young ones.
The bottom line is that too many physicians and parents are giving drugs to children that have not been proven to be either safe or effective for them. It is important for parents to know and to remind doctors that it is widely acknowledged that drugs act differently on the bodies of infants and children than on adults. And yet, it is extremely common for doctors to prescribe powerful drugs to infants and children and even prescribe more than one drug at a time, despite the fact that drugs are very rarely evaluated scientifically in combination with other drugs.
The FDA recently withdrew from the marketplace many popular cold and cough drugs that were marketed for infants and children,[2] but the problem of doctors over-prescribing other more dangerous and unproven drugs for children and the inappropriate overuse of over-the-counter drugs in children by parents is a very significant health problem. One must wonder if the increase in psychiatric disorders, immune dysfunction, autism and various other chronic diseases result from the use of the drugs that have not yet been proven to be either safe or effective for our infants and children.
Most consumers do not know that many drugs commonly prescribed for children today are not tested on them.[3] A 2002 survey in the British Medical Journal (BMJ) found that almost one-half of children were prescribed a drug that was “unlicensed” or “off-label” prescriptions for children.[4] A 2007 study of over 350,000 children found that a shocking 78.7% of children in hospitals are prescribed drugs that the FDA has not approved for use in children.[5] If this isn’t shocking enough, it is seriously problematic to report that a survey in England found that 90% of infants were prescribed drugs that were not tested for safety or efficacy in infants.[6]
If the off-label use for drugs was not found to be dangerous, it would not be a problem. However, the use of off-label drug use is significantly associated with adverse drug reactions. In fact, there is almost a 350% increase in adverse drug reactions in children prescribed an off-label drug than children who were prescribed a drug that had been tested for safety and efficacy.[7] The use of drugs for infants and children that have not been proven to be safe constitutes a type of “medical child abuse.”