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The Global Threat to Alternative Medicines

1. The Pan Crisis & Moves to Introduce Dramatic Regulatory Reform of the Alternative Medicine Industry in Australia

2. The Therapeutic Products Bill 2007

 3. Regulatory Changes in the 'Land of the Free'

4. Dietary Supplements Added to Functional Junk Foods

5. The Codex in Australia: Natural Health Products on Trial

6. Australian Alternative Doctor Deregistered & Drug Treatment Legally Enforced


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Misinformation About Pan, & Increased Regulatory Control of Alternative Medicines in Australia & NZ: Codex & the Global Agenda

Anti-nutrition Bias, & Bizarre Beliefs About Codex and Pan: don't let the truth get in the way of a good biased story

Is the 'Natural Products Industry' Complaining About False Advertising in Support of the Natural Products Industry?

Who is Doing the Scaremongering and Who is Telling the Truth?
HolisticHealthTopics Response to NPNZ Complaints and ASA Decision

Fear and Its Exploitation by Opponents of Complementary Medicines & Natural Therapies

Natural Products New Zealand and Their Complaint About Fear & Scaremongering in Advertisements Supporting Complementary Medicines: the use of fear to promote and condemn complementary medicines

Using Fear to 'Promote' Complementary Medicines & Restore Confidence in the Industry

Exploitation of Public Fear to Condemn Complementary Medicines

Conclusions Made in Lieu of the Refusal to Publicise Evidence of The Alleged Adverse Reactions to Complementary Medicines in New Zealand: why the secret?

References

Appendix 1 - Complaint by Michelle Beckett of Natural Products New Zealand to the Advertising Standards Authority.

Appendix 2 - Response of the Advertising Standards Authority to the Complaint and Response from the Advertisers.

 

 
     
 

Anti-nutrition Bias, & Bizarre Beliefs About Codex and Pan: don't let the truth get in the way of a good biased story

 
  Orthodox medicine has a very long history of vitaminphobia or anti-nutrition bias (Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis). Deliberate medical bias of course is rooted in the desire to deceive and mislead, usually for personal or commercial gain, and therefore represents an abandonment of science (Medical Bias). I have repeatedly drawn attention to the false, misleading, or scientifically baseless statements made by governments, health authorities and others as a result of the Pan witch hunt (see Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free). Since those who have made such false or misleading statements have consistently refused to apologise or explain their actions one is left with the distinct impression that their actions represent a deliberate and devious attempt to justify the increased control of alternative medicines by causing widespread fear and panic about the safety of such products. Any deliberate attempts to exploit the fears of consumers are absolutely despicable, especially if such exploitation is based upon deliberate deceit.

Some of the bizarre beliefs demonstrated by opponents of alternative medicine or those who have been relentlessly pursuing increased regulatory control of complementary or alternative medicines include the following:

  1. When a pharmaceutical drug is shown to be toxic, as occurred during the Pan debacle, what is needed is tighter regulatory control of alternative medicines, not drugs (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill).
  2. When alternative medicines are shown to be much safer than drugs, as occurred during the Pan debacle, what is needed is tighter regulatory control of alternative medicines, not drugs (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill).
  3. Following on from this is the belief that if one drug (or alternative medicine), can be shown to be toxic then this justifies urgent regulatory control of all alternative medicines unlike the situation in the drug industry where the toxicity of one drug is considered to have no relevance to the safety of other different drugs (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Dietary Supplements).
  4. The best way of increasing confidence in alternative or complementary medicines is to make false scientifically baseless claims about the dangers of such products and even blame alternative medicines for adverse reactions to toxic drugs and then offer to 'save' the industry by introducing new regulations (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill).
  5. Adverse reactions to alternative medicines do not need to be caused by the alternative medicine itself as long as there is an "association" - in this regard a different standard of evidence applies compared to pharmaceutical drugs (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free, Dietary Supplements).
  6. Although falsely based public fear about safety should be exploited to justify increasing regulatory control of alternative medicines, commercial considerations such as "market exclusivity" and "data protection" should be central to new regulations (Alternative Medicine Takeover, Response to Government Inquiry).
  7. Although most modern drugs have a symptomatic effect only (Symptom Suppression, Darwinian Medicine) whereas nutritional supplements like folic acid have a curative effect when used to treat the relevant nutritional deficiency (Nutrition and Megavitamins, Nutrition is for the Birds), supplements must be prevented from carrying label claims stating they have a curative effect or they may be used to treat or prevent serious diseases such as birth deformities or heart disease (Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Nutrition Breakthroughs) even in spite of the fact that foods containing these same supplements may make various health claims (Dietary Supplements or Functional Foods).
  8. There should be a persistent avoidance of any commitment to guarantee the future availability of the current range or potency of retail dietary supplements and a refusal to include health freedoms and the right to freedom of choice of supplements in legislation (Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill).

There has also been a consistent campaign to discourage the public from establishing any connection between the simultaneous campaigns to control dietary supplements which are occurring in numerous countries throughout the world (TGA & Pan, Codex in Australia, Pan Crisis & Future of Alternative Medicines, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free, Dietary Supplements, Dietary Supplements or Functional Foods, Nutrition Breakthroughs). Those pursuing increased regulatory control of alternative medicines in Australia and New Zealand for instance, consistently try to distance themselves from simultaneous campaigns to erode health freedoms in other countries, especially by stating "Codex" does not apply to Australia (Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill). Since they deny a common global theme for these changes promoters of such campaigns have demonstrated the following beliefs.

  1. The simultaneous campaigns to introduce stricter controls of alternative medicines in different countries is just an amazing coincidence. There has been no communication between these countries - they just all decided to make the same changes at the same time (TGA & Pan, Codex in Australia, Pan Crisis & Future of Alternative Medicines, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free)!
  2. 'Codex' is the ONLY way of imposing restrictions upon alternative medicines. It is not possible to restrict alternative medicines by new regulations unless the new regulations are referred to as 'Codex' (Alternative Medicine Takeover).

Since I have already considered the above matters elsewhere (Pan Crisis, TGA & Pan, Codex in Australia, Pan Crisis & Future of Alternative Medicines, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free, Dietary Supplements, Dietary Supplements or Functional Foods, Nutrition Breakthroughs) I would like to focus here on recent claims in New Zealand that supporters of complementary medicine in that country have resorted to false advertising in their attempts to prevent the passage of the Therapeutic Products and Medicines Bill (Therapeutic Products Bill).

 

 
 

Is the 'Natural Products Industry' Complaining About False Advertising in Support of the Natural Products Industry?

 
  On 2nd May 2007 an organisation called 'Natural Products New Zealand' (NPNZ) issued a media release stating that they had lodged a complaint with the Advertising Standards Authority alleging that an advertisement opposing the Trans Tasman Bill placed in the New Zealand Herald by Health Freedom New Zealand involved false claims (1). According to Natural Products New Zealand (NPNZ), which claims to represent (1) "a substantial portion of the Natural Products industry"(1):
 
"NATURAL PRODUCTS NZ LAYS COMPLAINT WITH ASA OVER FALSE CLAIMS
Natural Products New Zealand (NPNZ), the industry body representing a significant proportion of New Zealand natural health product manufacturers and marketers, has laid a formal complaint with the Advertising Standards Authority (ASA) regarding an advertisement appearing in 26 April’s New Zealand Herald. The advertisement, headed “NZ Govt Moves to Outlaw Vitamins”, placed by a group calling themselves Health Freedom (NZ)) is misleading and deceptive and specifically breaches the Advertising Code of Ethics on no less than nine counts, according to NPNZ executive director, Michelle Beckett. “NPNZ is concerned about the amount of misinformation and scaremongering that has been circulating in a bid to stop the bill being introduced.
“This advertisement makes ridiculous, unsubstantiated claims that are designed to mislead the public and create fear in the minds of those who currently use vitamin supplements. Most of the statements are untrue and in many cases, there is no evidence to support their claims,” says Ms Beckett.

Note:

Natural Products New Zealand (NPNZ) represents a substantial portion of the Natural Products industry. Based on a survey of wholesale and retail sales information, export data and industry surveys, NPNZ’s members make up the overwhelming majority of the natural products industry in terms of product lines, turnover, employment and exports. For further information about NPNZ visit www.naturalproductsnz.org.
"

While NPNZ makes claims they represent a "substantial portion of the Natural Products industry"  they do not claim to represent consumers of natural health products or health freedom advocates. In fact they carefully emphasize that they have a commercial agenda which is (2) "focused on international trade" and full membership of the organisation will not be granted unless the applicant is involved in the exporting of natural health products. Unlike consumers of natural health products however, NPNZ is an extremely new kid on the block, having been in existence for only 4 years (3). Interestingly, according to the New Zealand Health Trust, claims that NPNZ represent the natural health industry in New Zealand are (4) "demonstrably false" since they claim it (5) "does not represent the views of the majority of NZ businesses in the natural health sector" (4). It should be noted that when I recently contacted NPNZ and asked them the following question I received no response:

"You claim that you represent a substantial portion of the natural products industry in NZ. Can you quantify your support level more precisely in percentage terms?"

While false advertising cannot be justified regardless of who is responsible for it, when an organisation which claims to support complementary medicines complains about an advertisement which supports the retail complementary medicine industry and the maintenance of health freedoms it is worth a closer look. It is vitally important that the public is not misled by claims that an organisation represents the "natural products industry".

Why would an organisation which claims to support the complementary medicine industry complain about the allegedly misleading nature of advertisements supporting consumers of complementary medicines? Are they simply impartially seeking truth in all advertising? Do they have a clear track record of impartially criticising all types of misinformation in the public health arena or is there evidence of selective concerns? It would seem to me that most organisations concerned with public health and safety of complementary medicines would object most vocally to those matters which pose the greatest public health risk OR which represent the most severe injustice and departure from truth.

The most serious public health matter as far as therapeutic substances are concerned continues to be  the scientifically proven dangers of pharmaceutical drugs and the complete inability of our current drug regulatory system to prevent the thousands of deaths which occur every year as a result of consumption of drugs which have allegedly been shown to be safe by double blind trials. This is an absolute scandal which should be at the top of the list of concerns for anyone genuinely interested in the safety of therapeutic products. On the other hand, the most important injustice and departure from truth in the natural health industry in Australia and New Zealand in the past 5 years has undoubtedly been the condemnation of complementary medicines when the pharmaceutical drug Travacalm was shown to be toxic (Pan Crisis). Condemning all complementary medicines when a drug was shown to be toxic represents a new low in dishonesty and mass deceit and a new high in the exploitation of consumers and the propagation of misinformation. Especially since the proposed legislative changes and tighter control of complementary medicines in New Zealand are clearly based upon the misinformation resulting from the Pan witch hunt (Therapeutic Products Bill) it is most noteworthy that NPNZ makes very little comment about this falsely based exploitation of fear (6):

"“While NPNZ understands the Australian TGA’s choice to err on the side of caution in calling for the recall of all products manufactured by Pan in the last year, many of these products are of relatively low risk. The proximate cause of the further scrutiny of Pan was not a natural product, but was an over-the-counter pharmaceutical product. To our knowledge, no natural health product had been the subject of a complaint in the period of further scrutiny, although some are now surfacing in Australia that shall have to be investigated for their merit.”
“We support the recall of any Pan-manufactured product in the New Zealand market, and are confident that our respected marketing companies not only have the records to identify any Pan product, that they also have the ability to trace these products to specific product names and batch codes.
"

 While acknowledging that "the proximate cause of the further scrutiny of Pan was not a natural product, but was an over-the-counter pharmaceutical product" according to their media releases (7) NPNZ avoid any specific reference to the monumental injustice and mass deceit perpetrated upon the New Zealand people by this attempt to falsely blame complementary medicines for the toxicity of a pharmaceutical drug. Neither do their media releases (7) mention the enormous insult to the collective intelligence of the New Zealand people perpetrated by those who seem to expect New Zealanders to believe that all complementary medicines should be blamed for the toxicity of a pharmaceutical drug. And neither did they complain (7) when the New Zealand government sought to exploit the falsely based fears generated by the Pan debacle to justify a legislative campaign (Therapeutic Products Bill) to harmonise with Australia and introduce tighter control of complementary medicines (Therapeutic Products Bill). Not only did NPNZ fail to issue any media release about this monumental injustice (7), other than the brief mention above they completely avoided these matters in their news releases (7).

Of course this matter may be partly rectified if NPNZ were to issue an urgent news release stating that the Pan drug crisis demonstrated once again the safety of complementary medicines (as compared to drugs) and condemning the exploitation of fear about the safety of such products and the use of the Pan drug crisis to justify trans Tasman harmonisation.

In spite of the lack of concern displayed by NPNZ regarding the exploitation of falsely created fear amongst consumers which resulted from the Pan witch hunt, on 27th April 2007 they issued the following news release because of what they claimed was "scaremongering" and "misinformation" being circulated by people who opposed Trans Tasman Harmonisation and the Therapeutic Products Bill (which resulted from the dangers allegedly demonstrated by the Pan witch hunt) (8):

"THE TRUTH STANDING IN THE WAY OF A GOOD STORY
Trans Tasman Agency: FACT v FICTION
Natural Products New Zealand, the industry body representing a significant proportion of New Zealand natural health product manufacturers and marketers, is taking a stand against the misleading information circulating around the proposed Trans Tasman joint agency for natural health products. Michelle Beckett, executive director of NPNZ says over the past few months opponents to the Bill have circulated information with omissions, misleading information and some significant distortion of the facts.
'We are concerned that scaremongering by opponents of the Bill and the circulation of misinformation through the media is painting an erroneous picture for the natural health industry and it is time to set the record straight,' says Ms Beckett.
'The New Zealand industry has been actively involved in the development of the treaty, establishing the rules and processes that will result in a world-class system for the regulation of complementary medicines increasing the standing and acceptance of New Zealand products in the international marketplace.'
'Regulation of natural products in New Zealand will provide consumers with the full assurance they need that all products are true to label and contain only the highest quality ingredients. Any company that has a problem with that, should not be in business,' concluded Ms Beckett.

FACT v FICTION
Opponents : 60% of products on shelves now, will not be there once ANZTPA comes into effect.
Fact : If you look at independently measured market share data for the New Zealand Nutritional Supplements market for both the Supermarket and Pharmacy channels, over 80% are products and brands that currently sell in both New Zealand and Australia that will therefore already qualify with the new standards and will be available under the new regulations.
Opponents : 1000s of ingredients will not be available
Fact : Many 1000s of ingredients are now approved for use in Australia under the TGA “white list”, and there are over a 100 more nominated by New Zealand industry that are on a short list for addition with the rollout of ANZTPA. Curious consumers are invited to view the current list of ingredients at http://www.tga.gov.au/cm/listsubs.pdf
Opponents : 60% of businesses in Australia disappeared after regulation introduced there.
Fact : This is an apocryphal claim not based in fact. There were businesses that exited the industry, as there would be in any change in the regulatory function of any industry sector. However, since that time Australian industry has expanded and prospered. Most industry organisations and businesses agree that on balance the implementation of the regulatory system in Australia has been good for the sector, and has increased confidence in complementary medicines and the ability to make claims.
Opponents : Traditional Maori medicines will not be available after the Agreement comes into affect.
There will not be a loss of opportunity to commercialise Maori traditional medicines. Any commercialised ingredient would be subject to the same assessment as any new ingredient so the opportunity for commercialisation still exists, however, safety and efficacy would need to be demonstrated. If the traditional use is demonstrated (three generations is the suggested time frame) and the preparation is in the traditional method, then it could be commercialised subject to assessment that would be streamlined. If traditional medicines are produced by Maori practitioners preparing their own materials for treatment of their immediate patients, then this bill does nothing to stop that.
Opponents : All rules will be made by Australia
Fact : The agreement provides for the 50/50 voice of NZ and Australia. All Rules are made jointly, and in joint consultation with industry on both sides of the Tasman.
Opponents: The agency would be an Australian corporation.
Fact : The joint agency will be incorporated in Australia for technical reasons because as with all agencies, it must be incorporated somewhere. They key to the operation however is the 50/50 governance and management structure created for the joint agency. New Zealand has done very well to achieve equal status with a partner many times our size.
Opponents: The Agency will regulate all natural products and medical devices immediately.
Fact: The agency will NOT ‘regulate all natural products’ rather it will regulate only products classified as complementary medicines in dose form. There is a five year transition period for the regulation to come into being, during which most products will remain on sale while they achieve legal status under the new Agency.
Opponents: All rules will be made by the managing director of the Agency at his or her total discretion and will not have to be approved by the NZ Parliament
Fact: The managing director will NOT be able to make ANY rules. The Treaty says that only the Ministerial council can make the rules, NOT the managing director. The Rules are also disallowable in New Zealand as we retain the right to autonomy and to opt out of a rule if it is not in the national interest.
Opponents : All products will be illegal until a licence is granted
Fact: INGREDIENTS may be illegal until approved or proven safe – not products. Approximately 4000 ingredients are already pre-cleared as safe ingredients for Class 1 complementary Medicines and ingredients for export-only complementary medicines are not required to be pre-approved in New Zealand.
Opponents : Breach of a product licence means fines up to $5.5 million for each transgression
Fact : There is a solid process anticipated for breaches: First, education. Secondly, a letter of warning. Thirdly, a small fine or infringement notice. A fine of $5.5million would be issued only for an enormously serious breach with dire consequences such as significant harm or criminal activity. All criminal activity can be met with a very strict penalty where the offending warrants it.
Opponents : This proposal is the same one that was assessed as being likely to cripple the NZ natural health industry while at the same time giving commercial advantage to Australia. This is the same proposal that the Select Committee have rejected twice as not being in the best interests of NZ.
Fact : The proposal is not the same. There has been significant progress including the support package offered by the NZ government to NZ industry only. (Note, there is no support provided to Australian industry)
"

Following the above allegations about scaremongering in April 2007, NPNZ lodged their complaint with the Advertising Standards Authority (ASA) in May (1) and the ASA upheld the complaints on 10th July and released the results on the 19th July (9,10,11,12). Since those who supported the Trans Tasman Bill and the control of complementary medicines in NZ have enthusiastically embraced the findings of the ASA, describing those who opposed the Bill as (10,11,12) "going ballistic", "telling lies", "chanting", and "scaremongering", it is vitally important we take a closer look at the initial complaint by NPNZ (1) and the findings of the ASA (9). Indeed, according to Annette King (10), "this decision epitomises the misinformation and lies that a minority of opponents used to pervert the democratic process." But these concerns about the democratic process are not consistent with the fact that Ms King preferred to do a deal in parliament rather than take the matter to the New Zealand people (10). Recently Gordon Copeland has again challenged Ms King to adopt a more democratic approach by listening to the people (13):

"However, as I said in the House last week to Ms King, and say now also to Mr Key, any proposal should be taken out by way of a road show so that it can be properly explained to the thousands of people who have sent postcards etc to all members of Parliament.”

“In my view it is simply not good enough to stitch a 'we know best' deal together here in Parliament and to continue to ignore the opinion of the people in these circumstances.”

“It is time that both Labour and National relearnt some of the basics of participatory democracy. Who knows, following the road show, we may find strong grass roots support for a two-tier approach but we’ll never know unless we ask. It is time that we all learnt to do some listening."

If democracy is uppermost on the mind of Ms King why the reluctance to take the matter to the people? Truth and the democratic process also seemed to be shamefully inconspicuous when Ms King used the Pan drug crisis to justify harmonisation and enhanced legislative control of supplements in NZ (14).

And Michelle Beckett of NPNZ apparently claimed that those who opposed the Bill have (15) "vested interests" in the industry and (15) "her group will continue to give what she calls the honest version of what the bill is about." But if Ms Beckett is concerned about the corrupting influence of vested interests why not be guided by consumers rather than by the commercially motivated NPNZ? Perhaps Ms Beckett is recommending the matter should be taken to the people in a referendum so that the influence of vested interests may be minimised. Anger from doctors and medical associations in New Zealand (12) which has been directed at the complementary medicine industry because they claim defeat of the Bill will result in more difficulty (12) "accessing new and improved drugs", is also seriously misdirected to say the least. If doctors will be unable to access "new and improved drugs" then this would be the direct result of the intransigence of both Australian and New Zealand governments who have both absolutely refused to accept a compromise solution by exempting complementary medicines from the Bill (16, 25, 26).  The anger of New Zealand doctors should therefore be directed totally at both Australian and New Zealand governments who have persistently refused to pass the Bill the doctors require. Their anger certainly should not be directed towards the complementary medicine industry since they have done absolutely nothing to reduce access to ""new and improved drugs".

Are the conclusions of the ASA consistent with all the available evidence? And why would an organisation which claims to represent the natural products industry fail to issue any public complaint about probably the most monumental injustice ever perpetrated upon the natural products industry (the Pan debacle) and yet issue media releases and complaints about advertisements in support of natural products? Do the above matters justify expressing more concern than the misinformation resulting from the Pan witch hunt which the New Zealand government used to justify the current legislative crackdown on complementary medicines? Why express more concern about alleged "scaremongering" in support of complementary medicine while ignoring "scaremongering" which is falsely critical of complementary medicines? Does NPNZ consider scaremongering which falsely criticises complementary medicines to be unimportant? If so, why? It is worthwhile examining the basis for the concerns of NPNZ and the conclusions of the ASA.

 

 
 

Who is Doing the Scaremongering and Who is Telling the Truth?
HolisticHealthTopics Response to NPNZ Complaints and ASA Decision

 
The details of the complaints to the ASA by Michelle Beckett of NPNZ (9) are reproduced below in Appendix 1. I will consider each of the nine complaints separately, all of which were subsequently upheld by the ASA, followed by the response of the advertiser. The comments below should be read in conjunction with the response of Health Freedom to the ASA decision (17).

1. NZ Govt Moves to Outlaw Vitamins

The advertiser offered the following statement in response to this complaint (9):

"The Australian approved list (white list) does not list the full number of vitamins that are freely available at the present time to New Zealanders. There are many ingredients present in imported and New Zealand made products that are not permitted in Australia as they are not on the Australian approved list."

In my view the claim that "NZ Govt Moves to Outlaw Vitamins"  is unnecessarily vague and I take little issue with this complaint although in the world of false advertising, concern about this statement seems to me to be extremely petty, if not mischievous. Supporters of dietary supplements have so much factual information at their disposal it is disappointing that sometimes ammunition is given to opponents of natural health by poorly expressed publicity campaigns. If this statement had been qualified as being the opinion of the advertisers it would have been acceptable. Alternatively, it could be stated thus: "NZ Gov Fails to Guarantee Future Availability of Present Range of Retail Supplements."

2. Did you vote for Australian Bureaucrats to make your health decisions?

The advertiser offered the following statement in support of this claim (9):

"The fact that this bill has been promulgated by Australian Bureaucrats that New Zealanders did not vote for affirms the right to publish this statement. The parent Bill for the current Therapeutic Products and Medicines Bill was in point of fact rejected by two select committees of parliament.

Our statement is fair comment in view of the fact that if the bill is passed in its present form thousands of dietary supplements will no longer be available to New Zealand consumers. This is a statement of fact and not speculation."

There are two issues here, although it must be noted that this is a question and not a statement of fact. How can a question be incorrect? Firstly, does the Bill have the potential to affect the "health decisions" of consumers? There is absolutely no doubt that this is so since there is no argument that the Bill will effect the cost and/or availability of supplements (Therapeutic Products Bill). Even NPNZ, who lodged the complaint with ASA, have acknowledged this is so in a news release entitled "Good Health Comes at Increased Cost" (7). According to NPNZ (7):

"Consumers taking a proactive approach to maintaining good health will have to pay more, and have less choice, if the Trans Tasman regulatory scheme for complementary medicines goes ahead in its current proposed form.......Executive Director of Natural Products New Zealand, Michelle Beckett, says the natural health industry is concerned with what appears to be a high level of unnecessary cost burden that will ultimately get passed on to consumers and will reduce the real benefits of regulation to consumers and the industry. “Many New Zealand companies will face substantial cost increases – both capital investment and compliance costs - when the Joint Agency is introduced and the customer will suffer. If these companies decide to rationalise ranges or delete particular substances due to the high cost of compliance then consumers may lose access to particular forms of healthcare. Compliance costs will end up being added onto the retail price and consumers will have to pay more to maintain good health and well being."

This has also been confirmed by many others (see Therapeutic Products Bill) including Dr Jonathan Coleman, National Party MP for Northcote and Associate Health Spokesman, who stated in regard to the proposed Therapeutic Products and Medicines Bill (18):

"we believe it should not proceed mainly because of the costs and excessive bureaucracy it will impose on New Zealand businesses. We have not been given any evidence from the Minister that proves that this will not be the case. These increased costs will also result in a reduction of choice for consumers as businesses exit the market, as well as higher prices for products that continue to be available."

Secondly, since the proposed health bill would undeniably affect "health decisions", would "Australian bureaucrats" have played any role in these effects? Since Australian bureaucrats played a fundamental role in the Pan crisis and the ensuing proposed regulations in NZ (Therapeutic Products Bill), a fact which was conceded by Ms King (Therapeutic Products Bill), there is absolutely no doubt about this. I cannot therefore see anything inaccurate in asking the question "Did you vote for Australian Bureaucrats to make your health decisions?"

3. 494 pgs of `safety' legislation yet no one has ever died from supplements

The advertiser offered the following statement in support of this claim (9):

"According to the Ministry of Health's own statistics, over the last 20 years there have been no recorded deaths from the use of Dietary Supplements. The Coronal Council Chairman Dr W. Bain instructed Government Departments to search the records and confirmed that there had been one alleged death attributed to a dietary supplement. This allegation was found to be non-factual and the cause of death was adjusted accordingly. The authority quoted by M. Beckett accepts uninvestigated allegations which when investigated by the Chairman of the Coronal Council were found to be incorrect in regard to coronal findings.

M. Beckett is basing her claim on uninvestigated allegations and not factual mortality statistics."

Since opponents of complementary medicines and natural therapies have a long tradition of exploiting fears in consumers (Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free), and considering the fact that "fear" is central to the complaints of Ms Beckett of Natural Products New Zealand, I will consider this matter in more detail in a separate section below entitled "Fear and Its Exploitation by Opponents of Natural Therapies".

4. NZ Acting chair of the coroners council Dr Bain (a lawyer and pharmacist) states that a thorough search of all records indicated that not one person has ever died from consuming a health supplement in New Zealand's history"

I will also consider this complaint below in the section "Fear and Its Exploitation by Opponents of Natural Therapies".

5. 60% of New Zealand made supplements & vitamins forced from the shelves.

The following statement was offered in support of this claim (9):

"This figure was publicly stated by one of Australasia's leading dietary supplement manufacturers. Government reports also state that 60 per cent of natural health products made in New Zealand for New Zealand could be taken off the shelves. Also the Australia New Zealand Therapeutic Products Authority (ANZTPA) will enact the Vitamin and Mineral Guidelines (VMG) developed by the European Food Supplements Directive eliminating over 300 vitamin and mineral forms, many being food state nutrients from the marketplace."

The interesting thing about this claim is that the figure of 60% was cited by Tony Ryall (and not refuted), in NZ parliament, apparently from the governments own research (19). According to Ryall (19):

"Can the Minister understand why New Zealanders are so strongly opposed to her plan to cover natural health products when the Government's own papers state that 60 to 65 percent of the products that are currently on shop shelves now will be wiped from those shelves under this proposal* and when the advice of one of New Zealand's leading natural health products companies is that the cost of regulating a product will go from $2,700 to $64,000 under her plan-a plan that she has mucked up completely?"

* Emphasis added

How is it possible to find the claim "60% of New Zealand made supplements & vitamins forced from the shelves" is untrue when it was cited in parliament allegedly from the government's own figures? It seems the ASA is not only accusing the advertiser of untrue claims, they are also accusing Tony Ryall and the government of not telling the truth. Who is telling the truth here? Is the ASA accusing the politicians?

6. Prices will increase by 20% and 100%

The advertisers offered the following support of this claim (9).

"It has been reported by a former Australian Therapeutic Goods Administrator that the Australian operation increased fees by 15 percent per annum over the last 15 years and last year the increase was 25%. Therefore the figure for New Zealand could be expected to be between the 20 -100% range."

Since according to Ms King (14), the proposed legislative changes in NZ have been structured in response to problems highlighted as a result of the Pan drug crisis, as also occurred in Australia, it is interesting to observe the affects of these changes in Australia according to Marcus Blackmore (20):

"In Australia, regulatory creep exacerbated by the recent Pan crisis has resulted in a model of over-regulation and unnecessary red tape that is too complex, too costly and bears little relativity to the level of public risk involved. As a result, Australians are paying more for their vitamins and herbs than most other countries around the world..........After the Pan recall, Australian industry has faced massive increases in government fees, charges and regulatory compliance and it would be grossly unfair to suddenly overlay these costs on a significant sector of the New Zealand industry that has survived under the Dietary Supplement regulations with minimal compliance cost and little or no safety risk to the New Zealand population."

To suggest this claim is untrue seems petty in the extreme. As I have considered above, even  NPNZ, who complained about this claim, have acknowledged there will be significant price increases. This fact is generally agreed (see Therapeutic Products Bill) so there seems no issue to complain about as far as this statement is concerned, unless of course NPNZ is preoccupied with precise percentages. However if this is so it implies a mischievous obsession with pettiness.

7.  50% of New Zealand manufacturers will close - associated loss of jobs

The advertisers offered the following statement in support of this claim (9).

"Subsequent to the Ministry of Health's financial impact report it was estimated by the health industry group which was in consultation with the ministry of health at that time that over 200 small New Zealand manufacturers would be forced to close due to registration fees, compliance fees, auditing fees and additional fees."

Widespread job losses are expected as a result of this Bill (see Therapeutic Products Bill) so there seems little to worry about with this claim although the use of the precise figure of 50% may not have been necessary. In the words of McCully (21):

"The trans-Tasman Therapeutic Goods (TTTG) regime was designed to have a single Australasian regulator for everything from pharmaceuticals, to blood products to complementary medicines. The problem was that the heavy-duty regime proposed, would have very heavy up-front costs for the players in the market. For pharmaceutical manufacturers planning to have access to a 20 million person trans-Tasman market, that was fine. But imposing those same costs on small domestic suppliers of complementary medicines was going to be crippling, even terminal."

8. It just gets worse - all decisions regarding what supplements and vitamins you are allowed - and levels - are to be made by unelected, unaccountable Australian bureaucrats, heavily lobbied by the pharmaceutical industry

The advertisers defended this claim thus (9):

"M. Beckett fails to point out for the benefit of the Advertising Standards Authority that 97% of the employees of this so-called Joint Agency will be Australian employees and Australian based. The Joint Agency Treaty document and its supporting legislation the Therapeutic Products and Medicines Bill in their detail and with critical examination confirm that the Australia New Zealand Therapeutic Products Authority will in effect be an expanded version of the present Australian Therapeutic Goods Authority (TGA). The Agency will be headquartered in Australia under Australian domestic law. It will be the first time in the world where an agency in one country has total control to regulate and enforce an industry in another country. This observation is in the detail of both documents and not speculation as M. Beckett suggests."

As has been noted by NZ politicians (see Therapeutic Products Bill), it is expected that the new Therapeutic Products Agency will be comprised of only about 7% New Zealanders while the remainder will be Australians. This simple fact demonstrates quite clearly that most of the bureaucratic processing will be done by Australians, unless of course Ms Beckett is suggesting the 7% of New Zealanders will do more work than the 93% of Australians! The final decision will be left to an unelected Managing Director who clearly cannot be both an Australian and New Zealander so there seems no significant error in this statement.

9. You deserve to know... that this is a move to limit your access to natural health products, thereby driving you toward pharmaceutical "solutions"

The advertisers offered the following statement supporting this claim (9):

"If the Australia New Zealand Therapeutic Products Authority is implemented therapeutic dosages of vitamins and minerals (and all other nutrients soon to follow) will become unavailable because they will literally become illegal. Australia was the first country to adopt the international regulatory model developed by the Global Harmonisation Task Force, and the Joint agency will form a new trans-Tasman regulator of therapeutic goods. This Joint agency will automatically operate under the terms of the World Trade Organisation (WTO) United Nations' Food and Agriculture Organisation (FAO) and the World Health Organisation (WHO) and align with all the international treaties Australia has signed including their pharmaceutical patent obligations under their free trade agreement with the United States of America, which will undermine advantages in patent law for New Zealand.

The Australia New Zealand Therapeutic Products Authority (ANZTPA) will enact the Vitamin and Mineral Guidelines (VMG) developed by Codex Alimentarius which classify nutrients as toxins. Therapeutic grade vitamins, minerals, and amino acids would be eliminated from the marketplace. Therefore any products that may be available will be at minimum dosage levels that may or may not compensate for dietary deficiencies.”

Since politicians in NZ have readily acknowledged that the proposed Bill would have the effect of reducing the availability and increasing the cost of complementary medicines (see Therapeutic Products Bill) there seems no doubt that these reduced options would tend to force consumers to utilise cheaper and more readily available pharmaceutical alternatives. In fact, according to Thomas Faunce, senior lecturer in law and medicine at the Australian National University, the ANZTPA is being deliberately structured to favour the views of the drug industry (22):

"Faunce said the "stakeholder consultation" sessions held by the Australian government to shape the development of ANZTPA were "a sham and a farce" were designed to accept only department and drug industry views.

And he claimed that had the joint regulator gone ahead, it would have forced New Zealand to also accept the obligations foisted on Australia as part of the free-trade agreement with the US that came into effect in 2005.

Faunce concluded that the rejection of the Bill by NZ parliament was a (22) "good thing" for NZ. It seems however, that according to the ASA, these experts are all wrong.

General Comments Made By Advertiser in Support of Claims

In addition to these itemised explanations the advertisers made the following general comments regarding the complaint by Natural Products New Zealand (9).

"The Natural Health Alliance Inc, on behalf of the Advertiser Health Freedom New Zealand, said:
(Response dated 26 June 2007)

“The publication that M. Beckett refers to in her complaint to the Advertising Standards Authority is not an advertisement as she claims. It is in fact a public notice placed by the Public Campaign Group and concerned citizens as to their opinion of pending legislation and could only be displayed prominently in the front section of the New Zealand Herald as an "advertisement".

While the statement that appeared in the New Zealand Herald on Thursday the 26th of April 2007 is the political opinion of the authors and the Health Freedom Movement it needs to be recognised that the parent legislation known as the (JTA) Joint Therapeutic Agency Treaty, was twice unanimously rejected by a Parliamentary Select Committee, which accounts for the abbreviated statement published on the 26th of April 2007. If we had been aware that any section of this public notice could have been misconstrued as a statement of claim we would have consulted with the Therapeutic Advertising Pre-Vetting System (TAPS) accordingly for their approval.

As far as we are concerned M. Beckett is using the Advertising Standards Authority for her own political ends to create a mischief, due to the fact that she now holds a contrary political position, which does not necessarily represent the majority view held by members of the organisation she represents.

M. Beckett has the right to publish her own opinion in a similar manner and not create a time consuming nuisance for the Advertising Standards Authority and individuals who may hold an opinion contrary to M. Beckett’s.

We recognise that the Advertising Standards Authority and the Therapeutic Advertising Pre-Vetting System (TAPS) have been established to ensure that statements of claim are not published in relation to health care products as a primary role cognisant to the New Zealand 1981 Medicines Act.

We are aware of the vital role that the Advertising Standards Authority plays in regard to spurious statements of claim.

We do not believe that the Advertising Standards Authority should be used to promote a political vendetta, as appears to be the situation in regards to the complaint presented by M. Beckett supposedly on behalf of Natural Products New Zealand.

We feel exonerated by the findings of the Government Administration Select Committee who after examining the Therapeutic Products and Medicines Bill were unable to reach agreement. The committee has advised that it cannot recommend that the bill be passed.”

 

Fear and Its Exploitation by Opponents of Complementary Medicines & Natural Therapies

History

Mainstream medicine has a very long history of anti-nutrition bias and utilising politicians or the media to discredit and marginalise alternative medicine (Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths, Global Trends in Health Care). As I have stated elsewhere (Global Trends in Health Care):

"Medicine became dominant not entirely because of the zeal with which the influence of social and political elites was utilised to promote it, but also because of their relentless attempts to outlaw and (14)* "marginalise other models of health".  It is this process of outlawing opposing paradigms which is particularly relevant today given current moves to reassert medicine's dominance over increasingly popular alternative medicine (see Alternative Medicine Takeover).

Tactics used to eliminate competing alternative health paradigms include (14,15,16)*, "subordination", "incorporation", "limitation", "exclusion", and "reformulation ............When it comes to the current crisis between alternative medicine and orthodox medicine, it is clear that the battle will not be fought in the laboratory - and it will not be won in the laboratory. The battle will be fought in the court of public opinion, with the assistance of politicians, because medical authorities know from experience they can never obtain the dominance they seek by laboratory research and scientific evidence. They are dependent upon the type of distortions and sensationalism which were employed during the Pan crisis (see Pan Crisis, Alternative Medicine Inquiry).

* See Global Trends in Health Care for references.

One of the main tactics used to discredit complementary medicines by supporters of mainstream medicine is the exploitation of public fears about the safety of such products (Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths). The practice of exploiting public fears is referred to as 'scaremongering' (23). As has recently been pointed out (23); "one thing that is not seen with scaremongering tactics is reference to quality clinical trials or studies. Claims have to be substantiated with evidence to have any value." In other words, as I indicated above (Global Trends in Health Care), "it is clear that the battle will not be fought in the laboratory - and it will not be won in the laboratory. The battle will be fought in the court of public opinion, with the assistance of politicians, because medical authorities know from experience they can never obtain the dominance they seek by laboratory research and scientific evidence." This was demonstrated very effectively during the Pan drug crisis when various 'experts' caused widespread community fear and alarm about complementary medicines when a drug was found to be toxic (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry). Rather than provide scientific evidence of the alleged dangers of complementary medicines however, resort was given instead to the use of false or unscientific claims in the media (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry). Orthodox medicine has traditionally been much more interested in any claim, no matter how spurious, about the dangers of vitamins rather than scientific evidence of their effectiveness (Medical Bias).

This inability to scientifically justify the widespread community fears they generate is a central part of scaremongering or the deliberate exploitation of  fear. Often those who cannot prove their case adequately using scientific evidence resort to emotive terms such as "quackery", "snake oil" or "expensive urine" to support their cause (Pan Crisis, Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths). Supporters of mainstream or so called 'evidence based' medicine (EBM) often seem to claim that randomised clinical trials are the only scientific truth and the only way of knowing (When There is Evidence for Nutrition but Little Evidence for Evidence Based Medicine) but strangely, such advocates of EBM often claim that vitamins are dangerous although it seems they cannot cite one double blind placebo controlled clinical trial confirming the toxicity of vitamins (24). They cite double blind trials as the gold standard by which the safety and effectiveness of therapies are judged (Medical Evidence or Medical Ignorance?) but yet they totally abandon their own gold standard when it comes to the safety of vitamins, preferring instead to use other scientifically inconclusive studies (Dietary Supplements, Nutrition Breakthroughs, Dispelling the Vitamin E Myths) or unscientific emotive terms like 'snake oil' in the popular media (Pan Crisis, Nutrition and Megavitamins, Holistic or Reductionist).

Another popular tactic employed by those who promote public fears about the alleged dangers of complementary medicines is to persistently avoid any scientific comparison between the safety of complementary medicines as compared to pharmaceutical drugs (Pan Crisis, Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Dispelling the Vitamin E Myths, Alternative Medicine Takeover, Response to Government Inquiry). Whereas genuine concern about public health will be clearly manifested by concerns which are obviously prioritised according to degree of toxicity and evidence of known risk, in reality most medical experts seem to express the most concern about the safest products (ie. supplements) and the least concern about the most dangerous (ie. drugs)(Pan Crisis, Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Dispelling the Vitamin E Myths, Alternative Medicine Takeover, Response to Government Inquiry, Holistic or Reductionist). Such an attitude suggests a contemptuous disinterest in scientific evidence and public health and the safety of therapeutic substances.

Strangely, although NPNZ and the ASA have suggested the Health Freedom advertisements in NZ were intended to promote or "play on" community fears about the future cost and availability of complementary medicines in NZ, when it comes to the safety of such products NPNZ has taken precisely the opposite stance and claimed these products are MORE dangerous than depicted in the advertisements. In other words it seems, when it comes to the safety of complementary medicines, Michelle Beckett and NPNZ seem to be complaining that the Health Freedom advertisements do not promote sufficient community fear! While Ms Beckett expresses her concern about scaremongering in regard to Health Freedom's claims about the impact of the proposed legislation upon the marketing and availability of complementary medicines (1,8,12), it seems that when it comes to safety she is complaining that there is not enough scaremongering! So according to NPNZ it seems, we should be promoting more fear about the safety of complementary medicines and less fear about the effects of the proposed legislation on the cost and availability of complimentary medicines! But if we promote more fear about the safety of complementary medicines would not this be expected to have a negative impact upon the cost and availability of such products?

Especially in view of the fact that allegations of unjustified fear, scaremongering, and the safety of complementary medicines, were absolutely fundamental to the complaint of Ms Beckett of NPNZ and the decision of the ASA, let us consider the truth about the safety record of complementary medicines and examine recent attempts to justify increased regulatory control of complementary medicines in Australia and NZ on the basis of safety or exploitation of community fears. 

 

Natural Products New Zealand and Their Complaint About Fear & Scaremongering in Advertisements Supporting Complementary Medicines: the use of fear to promote and condemn complementary medicines

Using Fear to 'Promote' Complementary Medicines & Restore Confidence in the Industry

Since the advertisements complained about by NPNZ were intended to support the retail complementary medicine industry it would seem, since NPNZ also claims to represent the complementary medicine industry, that NPNZ would seek to promote the industry by advertisements which contrast very sharply indeed with those authorised by Health Freedom. In regards to safety for instance, and the claims by Health Freedom (items 3 & 4) that the safety of complementary medicines is demonstrated by the fact that "no one has ever died from supplements" , Michelle Beckett of NPNZ states (Appendix 1):

"Unfortunately, according to the reports of The Centre for Adverse Reactions Monitoring (CARM) also known as the New Zealand Pharmacovigilance Centre, deaths have occurred in people taking `supplements' therefore we contend this statement is wholly untrue. It is therefore in breach of Item 2 (Truthful presentation) of the Code of Ethics. CARM reports summary for Serious Reports to Complementary and Alternative Medicines received by NZ Pharmacovigilance since 1992 to 31st December 2006 lists 3 deaths, 24 Life Threatening Events, and 25 cases requiring hospitalization associated with Complementary and Alternative Medicines. It is therefore in breach of Item 2 (Truthful presentation) of the Code of Ethics."

Michelle Beckett of NPNZ points out that scaremongering or causing community fear is fundamental to her complaints about these advertisements. In their news release of 27th April NPNZ state (8):

"We are concerned that scaremongering by opponents of the Bill and the circulation of misinformation through the media is painting an erroneous picture for the natural health industry and it is time to set the record straight,' says Ms Beckett."

And when Michelle Beckett lodged the NPNZ complaint with the ASA she stated (Appendix 1):

"This advertisement is designed to create fear through the use of false information......"

And when NPNZ welcomed the findings of the ASA she further stated (11):

"While the ASA’s decision justifies our claims that this group and others conducted a campaign opposing the Therapeutic Products and Medicines Bill based on misinformation and scaremongering; unfortunately for the public of New Zealand this has come a little too late."

Does NPNZ regard the Health Freedom claims that complementary medicines have caused no fatalities in NZ as scaremongering or promoting fear? Of course, if claims that complementary medicines are safe and have not been proven to kill anyone are scaremongering, then the position of NPNZ would be the opposite of scaremongering. In other words it seems, the best way to restore confidence in complementary medicines would be to make public claims such products are so dangerous that urgent legislative reforms are required! Strange as it may seem, politicians and health authorities have expressed similar views, especially as a result of the Pan drug debacle (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free).

Although the Pan drug debacle demonstrated yet again the safety of complementary medicines as compared to pharmaceutical drugs such as hyoscine hydrobromide (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill), it was astonishing to witness so many authorities or traditional opponents of alternative medicine attempting to blame alternative medicines and discredit the industry as a result of the toxicity of this drug (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill). After falsely condemning the safety of complementary medicines because of this example of drug toxicity for instance (Pan Crisis), the Australian government issued a media release entitled (27) "Government moves to restore confidence in complementary medicines industry". Similarly, after the  Australian government and the TGA specifically targeted the safety of complementary medicines as a result of the toxicity of the drug hyoscine hydrobromide during the Pan drug debacle, Parliamentary Secretary,  Trish Worth stated (28); "it is therefore important that all sectors of the community, including the Government, industry, and health care practitioners, work together to restore public confidence in the complementary medicines industry." According to then AMA President Dr Kerryn Phelps (30):

"where things presently stand, the evidence clearly tells us that complementary medicine faces a crisis of confidence in the wake of the Pan Pharmaceuticals’ scandal......Public confidence in the sector is low......What is most vital is that community confidence be restored."

The Pan debacle demonstrated the eagerness of various authorities or opponents of complementary medicines to falsely blame such products for the safety issues resulting from consumption of the toxic drug hyoscine hydrobromide and then offer a solution for this drug toxicity problem which involved tighter regulation of complementary medicines! Claims were repeatedly made that  tighter regulation of complementary medicines was necessary in order to "restore confidence" in the complementary products which made no one ill during the Pan debacle while in stark contrast no specific action was deemed necessary to restore confidence in the toxic pharmaceutical drugs which caused life threatening illness and which instigated the entire Pan drug crisis (Pan Crisis, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill). Expecting the community to believe that confidence in complementary medicines can best be achieved by exploitation of fear achieved by falsely blaming them for the toxicity of drugs is not just a new low in misinformation and scaremongering, it also represents an unprecedented insult to the collective intelligence of the community.

The facts are of course, that complementary medicines are infinitely safer than pharmaceutical drugs or even food. Food related illness causes around 5000 deaths in the US alone each year (31) with another 100 Americans dying each year from food allergies (33). In Australia around 4 million people suffer from food poisoning each year but apparently there is so little concern about this issue that it is not even known how many of these 4 million actually die (32). Why is there so little legislative concern about food safety and restoring confidence in the food industry?

Exploitation of Public Fear to Condemn Complementary Medicines

Unlike the use of fear to allegedly 'promote' complementary or alternative medicine, which seems to be a strange new phenomena, the exploitation of public fears to condemn or justify increased control of such products or practices, has a very long history indeed (Medical Bias, Nutrition is for the Birds, Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths). This exploitation of fear is usually achieved by the use of loosely based or exaggerated claims about the safety of complementary medicines, most commonly made by those who have been traditionally opposed to alternative forms of health care or those who may reap rewards from legislative reforms ( Nutrition and Megavitamins, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths). Additionally, those who make such claims frequently seem to avoid comparing the safety of alternative medicines with pharmaceutical drugs or expressing appropriate concern about the suffering caused by the toxicity of drugs. These practices are very popular amongst traditional opponents of alternative medicine who may feel threatened in some way by the popularity of such products (34,35,36,37,38; see also Medical Bias, Nutrition and Megavitamins, Pan Crisis).

The complaint by Michelle Beckett of NPNZ regarding the safety of complementary medicines depends upon her allegation that the claim by Health Freedom that "no one has ever died from supplements in NZ", is untrue. Although NPNZ claims to represent the natural products industry they also apparently seek to point out the alleged dangers of such products by citing the report entitled "Serious Reports to Complementary and Alternative Medicines received by NZ Pharmacovigilance since 1992 to 31st December 2006" which was issued by The Centre for Adverse Reactions Monitoring (CARM) or the New Zealand Pharmacovigilance Centre. According to Michelle Beckett and NPNZ this report by the New Zealand Pharmacovigilance Centre disproves the claim by Health Freedom that ""no one has ever died from supplements in NZ" and therefore this report is of fundamental importance.

Because of the importance of this report I contacted various sources in NZ in an attempt to obtain a copy of it and assess the reported dangers of complementary medicines. However, to date my efforts have been in vain with no one apparently wishing to release what seems to be rather secretive evidence. Indeed, when I contacted the New Zealand Pharmacovigilance Centre they informed me that the information I requested would only be released to "NZ health professionals". Even though I pointed out to them that this information was very much in the public interest my request was refused. And when I contacted Michelle Beckett of NPNZ, who supplied a copy of this report to ASA as part of her complaint, she would not comply with my request but merely referred me to CARM who had already refused to supply a copy of the report. Just why the alleged dangers of complementary medicines is such a secret is indeed a mystery. Especially since publicity of the alleged dangers of complementary medicines is of fundamental importance to those seeking to justify increased legislative control of such products, why has this information seemingly been classified 'top secret'. Let us all the see the full details of the evidence of the alleged dangers of complementary medicines. I appeal to the relevant authorities to publicise the full details so everyone can clearly see the truth.

Conclusions Made in Lieu of the Refusal to Publicise Evidence of The Alleged Adverse Reactions to Complementary Medicines in New Zealand: why the secret?

Regrettably I am compelled to respond to this issue without the secretive report in question and therefore I can only offer general comments.

Firstly I should point out that allegations of the dangers of complementary medicine traditionally are usually based upon very flimsy evidence (Pan Crisis, Medical Bias, Dietary Supplements, Functional Foods or Dietary Supplements, Nutrition Breakthroughs, Dispelling the Vitamin E Myths, Alternative Medicine Takeover, Response to Government Inquiry, Therapeutic Products Bill, Regulatory Changes in the Land of the Free) and this may be a very significant reason why there is such a reluctance to publicise the full details of the report in question. This is hardly surprising since health experts, including the TGA and the Australian government's own Expert Committee appointed to examine complementary medicines following the Pan debacle, have all stressed the safety of such products (Pan Crisis, Nutrition Breakthroughs Alternative Medicine Takeover, Response to Government Inquiry). Usually experts consider that adverse reactions to pharmaceutical drugs outnumber adverse reactions to complementary medicines by around 99 to 1 or, at worst, 98 to 2 (Alternative Medicine Takeover, Response to Government Inquiry), a fact which clearly indicates, given the claimed risk based nature of legislative reforms, that safety legislation should be at least 49 times more strict for pharmaceutical drugs than for alternative products.

Since complementary medicines have such a long history of safe use, especially when compared to the safety of pharmaceutical drugs or foods, traditional opponents of natural medicines or supplements tend to blame such products for adverse effects even when there is no clear evidence but merely a vague 'association' with the alternative product (Dietary Supplements, Nutrition Breakthroughs, Pan Crisis, Dispelling the Vitamin E Myths). In fact, it is considered acceptable to blame alternative medicines for adverse reactions to drugs which are being taken concurrently, with some experts even suggesting adverse 'events' can be blamed on complementary medicines (39,40) "whether or not it is confirmed to be related to the therapy." According to the Australian Paediatric Surveillance Unit  (39,40):

"An “adverse event” is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease associated with the use of CAM, whether or not it is confirmed to be related to the therapy."

This guilt by association or the blaming of complementary medicines for adverse reactions which may actually be caused by drugs which are being taken concurrently seems to represent a total abandonment of the normally accepted criteria for scientific evidence and therefore, in the absence of any other justification, suggests a considerable degree of desperation amongst those who seek to discredit the alternative medicine industry. Strangely, though this type of  flimsy evidence is often sufficient to judge the adverse effects of complementary medicines, when it comes to the benefits of such products even anecdotal evidence from millions of people is frequently considered irrelevant.

In New Zealand it seems similar principles were recently applied during a survey of the toxicity of complementary medicines by Nicholson (41). Although Nicholson found that (41) "the majority of people reported that CAM had helped them" and "reported no adverse effects from CAM", she also reported the following two "most serious adverse effects"; "The two most serious reactions reported were serotonin syndrome (when paroxetine was prescribed to a person already taking St John’s wort), and excessive post-surgical bleeding (in a patient taking Gingko biloba preoperatively)." Like so many reported adverse reactions to complementary medicines, these two incidents were also 'associated' with standard medical treatments such as drugs or surgery. Interestingly, neither of these adverse events occurred until the patients were either given drugs or surgery. It would be interesting to know how long these patients had been safely taking their alternative medicines prior to the incriminated medical interventions but unfortunately this information was omitted from the report of Nicholson. Although St John's Wort is blamed here for the serotonin syndrome when the antidepressant paroxetine was given to the patient (41), antidepressants have a well known history of causing this disorder irrespective of herb use (42).

Krone and colleagues have also recently noted the low risk of alternative medicines in New Zealand and made the following recommendations (43):

"Thus, current levels of vitamin and mineral supplementation do not appear to pose a health risk for most of the population. Furthermore, there are important roles for supplements in treating deficiency states. Conceivably, supplements could form the basis for inexpensive and easy methods for preventing various disorders, including malignancies. These potential benefits of dietary supplements deserve further study."

Returning to the matter at hand, it is interesting to note that the CARM report cited by Michelle Beckett to refute the claim by Health Freedom that no New Zealander "has ever died from supplements" may only be a report listing an 'association' of adverse effects with "complementary and alternative medicines" (Appendix 1). Since she has claimed that the assertion by Health Freedom that " no one has ever died from supplements" is untrue, Michelle Beckett should be able to prove this is so by supplying scientific evidence. But in her statement she describes the report she uses to refute the claim of Health Freedom as merely showing adverse events which have been 'associated' with "complementary and alternative medicines" (Appendix 1): 

"CARM reports summary for Serious Reports to Complementary and Alternative Medicines received by NZ Pharmacovigilance since 1992 to 31st December 2006 lists 3 deaths, 24 Life Threatening Events, and 25 cases requiring hospitalization associated* with Complementary and Alternative Medicines*. It is therefore in breach of Item 2 (Truthful presentation) of the Code of Ethics."

* Emphasis added

Quite clearly, guilt by association does not necessarily prove the complementary medicines in question were at all responsible for the adverse effects reported and the determination of New Zealand authorities to conceal the full details of these cases therefore makes it impossible to draw any firm conclusions. In general terms however, the specific claim that no New Zealander "has ever died from supplements" cannot be conclusively disproved by a report which provides no scientific proof but merely describes an "association" of certain symptoms or health outcomes with the use of "complementary and alternative medicines". Given these facts it is amazing to me that the ASA could uphold this complaint of NPNZ. I can only assume they have access to concrete scientific evidence rather than reports describing an "association", however, I cannot understand their reluctance to release this information to me when I requested it.

The top secret nature of the evidence in question, and the persistent refusal to publicise the full details is not in the public interest and raises huge questions about the credibility of anyone endorsing such a secretive attitude. If complementary medicines are so so dangerous why hide the facts? I challenge the authorities concerned to publicise the full details of these alleged cases of adverse reactions to complementary medicines. I expect that the urgency of their action will reflect their concerns about public health and the safety of complementary medicines.

If I am provided with the required details I will happily amend this article and provide any corrections if needed. Until then.........

 
References

1. http://www.naturalproductsnz.org/newsfile_gateway.php?newsid=186 Natural Products NZ Lays Complaint with ASA over False Claims, Media Release, NPNZ, 2nd May, 2007; see also  http://www.scoop.co.nz/stories/BU0705/S00043.htm , Scoop Independent News, 2nd May, 2007.
2. http://www.naturalproductsnz.org/about.htm
3. http://www.naturalproductsnz.org/newsfile_gateway.php?newsid=49 Natural Products Summit Hears of Sector's Need for Scientific Support, Media Release, NPNZ, 26th March, 2003.
4. http://www.nzhealthtrust.co.nz/pdf/ANZTPA_Public_Briefing_Points_Summary_11_Feb_07%20.htm ANZTPA Public Briefing Points Summary 11 Feb 07, NZ Health Trust.
5. http://www.nzhealthtrust.co.nz/pdf/rebuttal_Kings_article.htm Rebuttal to Annette Kings Article, 13th March 2007, NZ Health Trust.
6. http://www.naturalproductsnz.org/newsfile_gateway.php?newsid=54 Natural Products New Zealand Expresses Concern and Support for Market Credibility, Press Release, 5th May 2003, NPNZ.
7. http://www.naturalproductsnz.org/news.php
8. http://www.naturalproductsnz.org/newsfile_gateway.php?newsid=179 THE TRUTH STANDING IN THE WAY OF A GOOD STORY, Trans Tasman Agency: FACT v FICTION, Media Release, 27th April, 2007, NPNZ.
9. http://www.asa.co.nz/display.php?ascb_number=07198 07/198 - Health Freedom New Zealand Newspaper & Radio Advertisement, Advertising Standards Authority of NZ, 19th July 2007.
10.http://www.parliament.nz/en-NZ/PB/Debates/Debates/Speeches/2/f/1/48HansS_20070724_0000001 Fenton, Darien: , Questions for Oral Answer — Questions to Ministers, Hansard, NZ Parliament, 24th July 2007.
11.http://www.naturalproductsnz.org/newsfile_gateway.php?newsid=208 NATURAL PRODUCTS NZ WELCOMES ASA DECISION BUT DISAPPOINTED IT HAS COME TOO LATE, Media Release, NPNZ, 19th July, 2007; see also http://www.scoop.co.nz/stories/PO0707/S00216.htm , Scoop Independent News, 19th July, 2007.
12.http://www.nzherald.co.nz/section/story.cfm?c_id=204&objectid=10452818 Catherine Masters, The politics of selling drugs, NZ Herald, 21st July 2007.
13.http://www.scoop.co.nz/stories/PA0708/S00013.htm Gordon Copeland, Chance for the people to have say on Therapies, Press Release, Scoop Independent News, 1st August, 2007.
14.http://www.hansard.parliament.govt.nz/hansard/Final/FINAL_2003_12_04.htm Trans-Tasman Therapeutic Products Agency—Bilateral Treaty, NZ Parliament, 4th Dec 2003.
15.http://home.nzcity.co.nz/news/default.aspx?id=74986&cat=979 Natural products group angry bill shelved, NZ City, 17th July 2007.
16.http://www.newswire.co.nz/main/viewstory.aspx?storyid=382883&catid=33 Time Runs Out For Joint Medicines Agency, Newswire, 16th July 2007.
17.http://www.scoop.co.nz/stories/PO0707/S00250.htm  Health Freedom disputes ASA Ruling, Scoop Independent News, 21st July, 2007.
18.http://www.canterburysdigest.co.nz/details.php?id=561 Jonathan Coleman, Creating a more sustainable health system, Canterbury's Digest, Spring edition 2006, Box 32093, Christchurch, New Zealand.
19.http://theyworkforyou.co.nz/portfolios/state_services/2007/mar/14/o01#23 Questions to Ministers, New Zealand Parliament, 14th March 2007; see also http://www.hansard.parliament.govt.nz/hansard/Final/FINAL_2007_03_14.htm#_Toc163464757 .
20.http://www.blackmores.com.au/MediaCentre/Detail.aspx?ArticleId=8568 Marcus Blackmore, Trans-Tasman Harmonisation: Blackmores’ perspective, 5th July 2006.
21.http://www.mccully.co.nz/ Murray McCully, The Therapeutic Goods Saga – the Cock-up of the Century, mccully.co, No 297, 20th July 2007, ; see also Scoop Independent News, 20th July, 2007. http://www.scoop.co.nz/stories/PA0707/S00340.htm
22.http://www.theaustralian.news.com.au/story/0,25197,22141485-23289,00.html Adam Creswell, Drug regulator collapse dents patient hopes, The Australian, 28th July 2007.
23.http://www.skeptics.org.uk/article.php?dir=articles&article=the_art_of_scaremongering.php Health scares and the art of scaremongering, UK Skeptics, 2005.
24.http://orthomolecular.org/resources/omns/v02n06.shtml Abram Hoffer et al, VITAMIN SAFETY REVIEW PANEL ISSUES FOLLOW-UP REPORT May 26, 2006, Orthomolecular Medicine News Service, May 26, 2006.
25.http://www.newswire.co.nz/main/viewstory.aspx?storyid=385380&catid=3008 Paper Stands By Story After Key Denies U-Turn on Medicines Regulator, Newswire, 1st Aug 2007.
26.http://www.national.org.nz/Article.aspx?articleId=10754 John Key, NZ First 'proposal' doesn't make the grade, Media Release, National Party of New Zealand, 1st Aug 2007.
27.http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/health-mediarel-yr2003-tw-tw03043 Government moves to restore confidence in complementary medicines industry, Media Release, Department of Health, Australian Government, 31st Oct 2003.
28.http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-mediarel-yr2003-tw-twsp030909 Trish Worth, Lessons from the Pan Recall,  ASMI Conference, Department of Health, Australian Government, 9th Sept 2003.
29.http://www.abc.net.au/news/stories/2005/03/10/1319924.htm Alternative medicine rules tightened, ABC News, 10th March 2005.
30.http://www.ama.com.au/web.nsf/doc/WEEN-5MT8UY Kerryn Phelps, Doctors, healing, and the role of complementary medicine, Speech by AMA Federal President, Dr Kerryn Phelps to the International Holistic Health Conference - Australian Integrative Medicine Association (AIMA), Noosa, 23rd May 2003.
31.http://www.cdc.gov/ncidod/eid/vol5no5/mead.htm Paul S. Mead et al, Food-Related Illness and Death in the United States, Emerging Infectious Diseases, Vol 5 No.5, Sept/Oct, 1999. Centers for Disease Control and Prevention.
32.http://www.abc.net.au/science/news/stories/s785664.htm Food poisoning deaths may be wildly underestimated, News in Science, ABC, 17th Feb 2003.
33.http://www.wrongdiagnosis.com/f/food_allergies/stats.htm  Statistics about Food allergies
34.http://www.newstarget.com/001590.html Mike Adams, Cancer Industry Spreads Fear and Disinformation To Scare People Away From Learning About Alternative Treatments for Cancer on the Internet, 6th Aug 2004.
35.http://psychologytoday.com/articles/pto-19970201-000025.html Jill Neimark, On The Front Lines Of Alternative Medicine; More and more respected mainstream physicians are blending traditional and alternative medicine—even when it means risking their reputations and security, Psychology Today, Jan/Feb 1997.  
36.http://www.mdsupport.org/library/altmed.html Marcia Angell, Jerome P. Kassirer and response by Andrew Weil, Alternative Medicine - The Risks of Untested and Unregulated Remedies, New Eng J Med, 17th Sept 1998.
37.http://www.newstarget.com/008269.html Mike Adams, Why organized medicine wants to outlaw nutrition and turn healers into criminals, 6th June 2005.
38.http://www.channel3000.com/iteam/5006971/detail.html I- Team, Alternative Medicine Practitioners Under Attack - Patients Say Their Rights Are Being Violated, Channel 3000, 22nd Sept 2005.
39.http://apsu.inopsu.com/cam2001.pdf  See: Dr Mike South, (Principal Investigator) General Medicine,
Dr Noel Cranswick, Clinical Pharmacologist, Dr Susan Skull, Paediatrician/Epidemiologist,
Dr Alissa Lim,
Adverse Effects Associated with the use of Complementary or Alternative Medicine, 2001, Royal Children's Hospital, Flemington Road, Parkville VIC3052.
40.http://apsu.inopsu.com/CAMprotocol.pdf  See: Prof. Mike South, (Principal Investigator) General Medicine, Dr Noel Cranswick, Clinical Pharmacologist, Dr Susan Skull, Paediatrician/Epidemiologist,
 Adverse Effects Associated with the use of Complementary or Alternative Medicine, Australian Paediatric Surveillance Unit, 2001, Royal Children’s Hospital, Parkville, Vic. 3052.
41.http://www.nzma.org.nz/journal/119-1233/1954/ Tonia Nicholson, Complementary and alternative medicines (including traditional Māori treatments) used by presenters to an emergency department in New Zealand: a survey of prevalence and toxicity, Journal of the New Zealand Medical Association, 05-May-2006, Vol 119 No 1233.
42.http://www.biopsychiatry.com/serotoninsyn.htm  Mackay FJ, Dunn NR, Mann RD, Antidepressants and the serotonin syndrome in general practice, Br J Gen Pract 1999 Nov; 49(448):871-4.
43.http://www.nzma.org.nz/journal/117-1196/937/ Cheryl Krone, John Ely, Louis Harms, Nutritional supplements: friend or foe?, Journal of the New Zealand Medical Association, 18-June-2004, Vol 117 No 1196.

 

APPENDICES
 

Appendix 1 - Complaint by Michelle Beckett of Natural Products New Zealand to the Advertising Standards Authority.

"Complainant, M. Beckett – Natural Products NZ, said:
(Complaint letter dated 30 April 2007 regarding Newspaper Advertisement)

“I write in complaint about an advertisement that appeared in the New Zealand Herald (Page A13) on Thursday April 26th 2007. Copy of the advertisement is attached as Appendix A.

The advertisement was placed as:
"On behalf of Health Freedom (NZ) P.O. Box …, North Harbour AK 0751  Advertisement Authorised by D…"

The advertisement is misleading and deceptive and specifically breaches the Advertising Code of Ethics on no less than nine (9) counts. The objection to this advertisement and the basis for complaint is as follows:

1.             The headline: "NZ Govt Moves to Outlaw Vitamins"

This statement is untrue and is designed to create fear in the minds of those who currently use vitamin supplements or foods that contain them as additives. It is therefore in breach of Item 2 (Truthful presentation), and Item 6 (Fear) of the Code of Ethics. There is no action proposed or in train by the New Zealand Government to `outlaw vitamins'.

2.             "Did you vote for Australian Bureaucrats to make your health decisions?"

The bill makes it clear that this is a joint agency which will include New Zealand and Australian staff. The above statement implies that this will be an `Australian-only' operation and appears designed to create a block between the agreement of both Governments to create closer relations between our two countries. The Bill makes it quite clear that New Zealand sovereignty will be protected.

 Sub Line: If passed the Therapeutic Products and Medicine Bill, rejected by two select committees(a) and championed by Annette King will be another disaster for the health of all New Zealanders(b)

(a) The Bill is currently before Parliament and is in review by a Select Committee.

To date, the Bill has not been rejected by any Select Committee, let alone two as claimed in the advertisement. The statement suggests that the Government has rejected its own Bill. Therefore we submit this statement is untrue and breaches Item 2 (Truthful presentation)

(b) There is no evidence that this bill (or its implementation) will be a "disaster for the health of all New Zealanders".

Although this represents the opinion of the advertiser, it is designed to create fear, is exaggerated and gives no reasons or evidence for the claim.

3.             "494 pgs of `safety' legislation yet no one has ever died from supplements".

 Unfortunately, according to the reports of The Centre for Adverse Reactions Monitoring (CARM) also known as the New Zealand Pharmacovigilance Centre, deaths have occurred in people taking `supplements' therefore we contend this statement is wholly untrue. It is therefore in breach of Item 2 (Truthful presentation) of the Code of Ethics.

Copy of the CARM report is enclosed as Appendix B.

4.             "NZ Acting chair of the coroners council Dr Bain (a lawyer and pharmacist) states that a thorough search of all records indicated that not one person has ever died from consuming a health supplement in New Zealand's history"

CARM reports summary for Serious Reports to Complementary and Alternative Medicines received by NZ Pharmacovigilance since 1992 to 31st December 2006 lists 3 deaths, 24 Life Threatening Events, and 25 cases requiring hospitalization associated with Complementary and Alternative Medicines. It is therefore in breach of Item 2 (Truthful presentation) of the Code of Ethics. Copy of the CARM report is enclosed as Appendix B.

5.             "60% of New Zealand-made supplements and vitamins forced from the shelves"

There is no evidence presented to support this claim. It is designed to create fear, and therefore is in breach of Item 6 of the Code of Ethics.

6.             "Prices will increase by between 20% and 100%"

No evidence is submitted to support this claim. Currently the major suppliers to the Australian and New Zealand market already operate under a very similar system to that proposed for the control of complementary medicines under the Australia New Zealand Therapeutic Products Agency. Their prices are stable in light of competition. There is no evidence given to support the claim for price increase and it is designed to create fear (Item 6). Some manufacturers may be faced with increased costs of having to implement testing and other controls they do not do presently. Products will also have to be licensed, and there will be a fee for this - as there is for other medicines. There is no evidence presented that the impact will result in 20-100% price increases.

7.             "50% of New Zealand manufacturers will close - associated loss of jobs"

Again there is no evidence to support this claim which is intended to create fear from `loss of jobs'. This is a hyperbole, and no mention of the actual number of manufacturers or jobs involved - or why they will have to close. It is implied they will be forced to do so by this legislation.

8.             "It just gets worse - all decision regarding what supplements and vitamins you are allowed - and levels - are to be made by unelected, unaccountable Australian bureaucrats, heavily lobbied by the pharmaceutical industry"

The Bill currently before the NZ Parliament clearly defines that there will be an Office of Complementary Medicines in Wellington and Canberra and government appointed specialist committees comprising experts from both Australia and New Zealand will make recommendations to the regulators. Much the same process occurs here in New Zealand when New Zealand `bureaucrats' make similar recommendations. The Managing Director of the new joint agency will be responsible to the Ministerial Council which has one New Zealand and one Australian member.

In the Explanatory Note to the Bill, Page 2;

"The objectives of the agreement are to;

·                Safeguard public health and safety in Australia and New Zealand by establishing and maintaining a joint scheme consistent with international best practice for the regulation, quality and safety and efficacy or performance of therapeutic products, and of their manufacture, supply, import, export and promotion;

·                Establish a world class regulatory agency to administer the scheme and be accountable to both parties (the Australian and New Zealand Governments):

·                Establish a Ministerial Council (consisting of one New Zealand and one Australian Minister)

·                Avoid unnecessary barriers to trade"

9.             "You deserve to know that this is a move to limit your access to natural health product, thereby driving you toward pharmaceutical `solutions"'

There is nothing in the Bill that would support this claim. Therefore this statement is also designed to create fear. Item 6 of the Code.

General Comment: This advertisement is designed to create fear through the use of false information and statements to suggest that the New Zealand Government is planning to restrict New Zealanders' choices and access to complementary medicines and through this, force them to use products made by the prescription medicines industry.

Nothing in the legislation currently before Parliament suggests that 'NZ Govt Moves To Outlaw Vitamins'. Therefore we submit this advertisement breaches the ASA Code of Ethics on several counts including the principle of Truth in Advertising.

The Complaints Committee may wish to consider whether the unwarranted concern that this advertisement by Health Freedom NZ have caused warrants a retraction by Health Freedom. It may also be that the publication itself has some responsibility to check the veracity of statements made before going to press especially as paid advertisements.

It is our understanding that more advertisements of similar nature are likely to be placed in the next month by `Health Freedom NZ' and we ask for the Advertising Standards Complaints Board to consider this compliant with some urgency so as to prevent further misleading of the public. …

NPNZ looks forward to receiving the timely response of the Advertising Standards Complaints Board in relation to this advertisement.”

(Complaint letter dated 3 May 2007 regarding Radio Advertisement)

“I write in complaint about a radio advertisement that is appearing on Radio NZ and has specifically been broadcast on 1ZB in Auckland and other main centres as a syndicated advert, 12.20pm Thursday 3 May. 07 Please note this is a frequently repeated advertisement and is being broadcast on many stations across the country.

The advertisement is being "authorised by D… Kay of …" - D… Kay is also authorising written advertisements that breach the Code of ethics under:

"On behalf of Health Freedom (NZ) P.O. Box …, North Harbour AK 0751  Advertisement Authorised by D …"

The advertisement is misleading and deceptive and specifically breaches the Advertising Code of Ethics. The objection to this advertisement and the basis for complaint is as follows:

1.             "You will not be able to buy supplements"

There is no evidence presented to support this claim whatsoever and is in fact an intentionally misleading statement. The statement is untrue and breaches Item 2 (Truthful presentation); It is designed to create fear, and therefore is in breach of Item 6 of the Code of Ethics.

2.             "Prices will increase by between 20% and 100%"

No evidence is submitted to support this claim. Currently the major suppliers to the Australian and New Zealand market already operate under a very similar system to that proposed for the control of complementary medicines under the Australia New Zealand Therapeutic Products Agency. Their prices are stable in light of competition. There is no evidence given to support the claim for price increase and it is designed to create fear (Item 6). Some manufacturers may be faced with increased costs of having to implement testing and other controls they do not do presently. Products will also have to be licensed, and there will be a fee for this - as there is for other medicines. There is no evidence presented that the impact will result in 20-100% price increases.

This radio advertisement is designed to create fear through the use of false information and statements to suggest that the New Zealand Government is planning to restrict New Zealanders' choices and access to complementary medicines through this Bill. We ask that the Complaints Committee looks into this matter with some urgency as while the advertisement continues to be aired on NZ radio stations, the consumers are being further misled by D… Kay.

 We ask that the ASA moves quickly to remove these radio advertisements from the airwaves. NPNZ looks forward to receiving the timely response of the Advertising Standards Complaints Board in relation to this radio advertisement.”

(Further correspondence from complaint received 19 June 2007)

“As discussed, below is the original correspondence from the New Zealand Centre for Adverse Reactions Monitoring (CARM) and attached is the report which lists the three deaths related to Complementary and Alternative Medicines.

For support to Complaint 07/198. I look forward to the outcome of the meeting on 10 July.”

 

Appendix 2 - Response of the Advertising Standards Authority to the Complaint and Response from the Advertisers.

"Deliberation

"The Complaints Board perused the complaints and the correspondence before it and viewed a copy of the newspaper advertisement as well as listening to the radio advertisement. It noted the Complainant raised a number of issues about misleading claims made in the advertisements.

The Chairman directed the Complaints Board to consider the complaints with regard to Rules 2, 6, and 11 of the Code Ethics.  Accordingly the task before the Complaints Board was to determine whether in its view the advertisement made exaggerated claims that were misleading or likely to mislead the consumer and without justifiable reason played on fear.  The Complaints Board was also required to assess the advertisements in light of the requirements of Rule 11 for advocacy advertising.

As a preliminary matter, the Chairman also directed the Complaints Board to use the Advocacy Principles in their deliberation.  The Advocacy Principles are:

  • That Section 14 of the Bill of Rights Act 1990, in granting the right of freedom of expression, allows advertisers to impart information and opinions but that in exercising that right what was factual information and what was opinion, should be clearly distinguishable.
  • That the right of freedom of expression as stated in Section 14 is not absolute as there could be an infringement of other people’s rights. Care should be taken to ensure that this does not occur.
  • That the Codes fetter the right granted by Section 14 to ensure there is fair play between all parties on controversial issues. Therefore in advocacy advertising and particularly on political matters the spirit of the Code is more important than technical breaches. People have the right to express their views and this right should not be unduly or unreasonably restricted by Rules.
  • That robust debate in a democratic society is to be encouraged by the media and advertiser and that the Codes should be interpreted liberally to ensure fair play by the contestants.
  • That it is essential in all advocacy advertisements that the identity of the advertiser is clear.

The Complaints Board then addressed the comment made by the Advertiser in its response with regard to the newspaper advertisement being a public notice and not an advertisement.  The Complaints Board was in no doubt that the newspaper advertisement before it clearly met the definition of advertisement used by the Board in its deliberations.  This definition is listed in the ASA Codes of Practice Booklet and on the website www.asa.co.nz under “Interpretation”.

The Complaints Board also noted that the matter the advertisements referred to were the subject of significant media coverage and strong polarised views.  The Complaints Board noted that strong opposing views were not uncommon in the area of advocacy advertising and confirmed that robust debate is an important part of a free and open society.

In its deliberation, the Complaints Board first considered the newspaper advertisement before it.  The Complaints Board confirmed that it was clearly an advocacy advertisement and the identity of the advertiser and an authorisation statement had been included.  In addition, the Complaints Board noted the statements made by the Advertiser in its response, acknowledging the value of the self-regulatory system, the use of pre-vetting and that the advertisement being considered by the Complaints Board had not been published in that form again.

Turning to the content of the advertisement, the Complaints Board noted that a number of absolute claims had been made.  In the Complaints Board’s view, it was not clear in the advertisement which of these statements was fact and which was opinion.  It therefore considered that the advertisement was in breach of the part of Rule 11 of the Code of Ethics, which said “opinion should be clearly distinguishable from factual information”.

The Complaints Board noted the information provided by the Advertiser in substantiation of the claims made in the advertisement.  However, it considered that the material provided did not provide an adequate level of proof given the absolute nature of the claims made in the advertisement.  In particular the Complaints Board referred to the claims about job losses, price increases and availability of products.

The Complaints Board also agreed that such claims were likely to play on fear in relation to the reaction of the consumer and the Complaints Board agreed that it did not have information in front of it that would indicate such statements could be justified.

Therefore, in relation to the newspaper advertisement, the Complaints Board ruled that the advertisement had not made the separation of fact and opinion clear and was thereby in breach of Rule 11.  The absolute claims in the advertisement had not been substantiated in the Complaints Board’s view and therefore the advertisement was in breach of Rule 2.  It also played on the fear of consumers, thereby breaching Rule 6 of the Code of Ethics.

The Complaints Board then turned to the radio advertisement.  The Complaints Board considered that this advertisement made only one absolute claim in relation to the banning of 60% of the vitamins available to New Zealanders.  The Complaints Board agreed that adequate substantiation of this claim had not been provided and therefore ruled to uphold the complaint in relation to Rule 2 of the Code of Ethics.  The Complaints Board agreed that it also played on fear and thereby breached Rule 6.  The Complaints Board agreed that the identity of the advertiser had been clear, however, separation of fact and opinion had not, thereby breaching that part of Rule 11 of the Code of Ethics.”

 

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