Good news from South Africa

Excellent news from South Africa (for a change).

See http://africa.reuters.com/top/news/usnBAN351191.html
and http://www.tac.org.za/community/node/2348

The loathsome Matthias Rath and his colleague David Rasnick have been banned from conducting their ridicuous trials of vitamins on HIV positive patients and from advertising their worthless products. Instead perhaps the people of South Africa can gain access to the ARVs they so desperately need and deserve?

Curse update...

In the article below I challenged the amazing Lord Jaffa to curse me:

Give it your best, see if you can have some noticeable effect on me. Don’t try to bring about something generic like bad luck or a difficult week or killing me, make it something obvious and unlikely to happen by chance. Make me go bald. Turn my skin blue. Make all the flowers in my garden die overnight. If you have just a fraction of the powers you claim then any of those will be easy.

Bad news. I still have my hair, nothing's blue and my flowers are thriving!

Curse me if you dare - Botswana Guardian

Readers of local newspapers will perhaps have come across a strange advertisement from the so-called Lord Jaffa. His ad offers a range of paranormal services that can help us with our problems and he claims “no problem too big”. He offers “genuine talisman” (shouldn’t that be talismen?), occult books and can tell our fortunes. He can also teach us yoga, astral projection and “mystic science”. Wow, impressive, don’t you think?

For now I’m going to ignore the fact that fortune telling is ILLEGAL in Botswana. Someone else can tell him that.

Usually I think of all these psychic frauds as being rather old-fashioned and out of date but this guy has ventured into the information age and has his own web site and fascinating it is too. Take a look for yourself at www.lordjaffa.com. Go on, take a look and see if you can keep a straight face.

The web site explains how well-travelled and educated this crook is and his various memberships of august professional bodies such as the Associate Union of Mystics, the Universal School of Mysticism and the Illuminated Path Society. That last one isn’t very impressive, I’ve got one of those in my garden.

My reaction was a mixture of things. First was genuine amusement. How have I lived without his “Witchcraft Expeller Bath Mixture”, “Pow-Wow, Long Lust Good Luck Medicine” or his “Peaceful Home Oil” which offers protection from “Robbers and buglers”?

Then I got angry. Really very angry. Fuming, smoke coming out of the ears, swearing angry. This charlatan, this fraud, this crook offers a whole page of remedies to real medical problems. For R350 you get a cure for measles. For R500 you get his remedy for hypertension. For another R500 you get a malaria cure. For R550 you get “Kali Seeds” which apparently are “for treatment of cancer and prevention of cancer spread”. Near the end of the list is the scandalous, outrageous, criminal offer of a R750 treatment for AIDS.

I’ve said this before but if just one person stops taking their real medicine because of this man’s ridiculous products then he will have blood on his hands.

So I invite him to do two things. Firstly, Mr Jaffa, if you have genuinely scientific evidence that your products work, you think it is legal to market them in Botswana and you think that my comments are unreasonable then sue me for defamation. The Guardian will give you my contact details.

Secondly, if you really have the powers you claim then curse me. Give it your best, see if you can have some noticeable effect on me. Don’t try to bring about something generic like bad luck or a difficult week or killing me, make it something obvious and unlikely to happen by chance. Make me go bald. Turn my skin blue. Make all the flowers in my garden die overnight. If you have just a fraction of the powers you claim then any of those will be easy.

Of course if you can’t, we can just assume that you are what we all think you are.

Simple or true? - Botswana Guardian

There’s a big difference between an idea that is simple and one that can be expressed simply. Although scientists often describe a theory as “elegant” that doesn’t always mean that it’s easy to understand. Famously Richard Feynman said of quantum theory that if you think you understand it, then you clearly don’t understand it.

The trouble is that people often fall victim to theories and ideas that are just simple and no more. Theories that sound truly simple but are simply untrue.

The principle behind homeopathy for instance can be expressed very simply. A disorder can be treated with a tiny dose of the thing that caused it. Acupuncture can be “explained” by saying that it promotes the free flow of “chi” around your body to enhance your energy balance. Reflexology says that there are pathways between the soles of your feet and every organ of your body. Fiddling with your feet can therefore heal those other parts that are ill. All of these ideas can be expressed very simply, in no more than a sentence or two.

But simplicity is not the same as truth.

Every genuinely scientific study of homeopathy, acupuncture and reflexology shows that they are nonsense. They do nothing real. Any improvement can be traced back to the placebo effect.

If you want a real understanding of how health can be promoted and illness overcome then you have to do more than just come out with ignorant platitudes, you need to do some thinking. Real thinking. With your brain.

Real thought, real science and real knowledge are the sworn enemies of superstition, magical thinking and all the New Age lunacy that we see around us. They are also the enemies of prejudice in whatever form it shows it’s ugly face.

In a letter I wrote recently to the Guardian I mentioned that I resented being accused of being like a member of the Ku Klux Klan, the nasty, bigoted and profoundly racist hate group in the USA. This accusation was made because I had stood up for science, medicine and rationalism. During this letter I mentioned in passing that I was the “father of a Jewish son”.

Perhaps someone can explain to me the logic behind the comment in Bugalo Chilume’s tirade the following week when, referring to me, he used the phrase “In Israel, Harriman’s homeland”?

For the record, I’m not Israeli and neither am I Jewish. Similarly I’ve been to Italy but I’m not a Catholic. I’ve been to the Far East but I’m not a Buddhist. I’ve read many articles by Chilume but I’m still sane.

The real danger we face in the world today is the epidemic of nonsense. The nonsense of AIDS denial is killing people. The nonsense of global warming denial is threatening to kill our grandchildren. The nonsense of xenophobic hatred as a cover for gross criminality is killing people in South Africa.

I can be the father of a Jew without being Israeli. I can be white and, on a good day, a fairly good person. Chilume can be logical but he seems to choose not to be so.

Can’t he do better than that? - Botswana Guardian

In a letter to the Guardian on 11th April we saw the return of Bugalo Chilume. As Voltaire said about God, if Chilume didn't exist he'd have to be invented. He really is a walking advertisement for reason, rationalism and thought. OK, admittedly by NOT demonstrating any of those things but I think reading his writings is an educational experience nevertheless.

We are all used to his ravings about Mugabe and how he's such a nice guy, much maligned by the evil imperialist West and probably very kind to small animals but that's what we expect from him. Mugabe of course can do no wrong and the fact that his economy and in particular his currency are now a laughing stock is someone else’s fault. The fact that he brazenly tries to steal an election is no doubt another conspiracy by the CIA, Prince Philip and aliens to smear him.

However what provoked my greatest reaction to his letter was an implied reference to me.

The last sentence of his letter referred to the various letters and articles that Gilbert Sesinyi has written in the Guardian over the last few months. Most of these were in response to, or prompted, articles and letters by and from me. I wasn’t the only one who opposed Gilbert's ideas but I did play a significant role.

His last words describe Gilbert's opponent letter writers, and therefore presumably me, as "members of the local Ku Klux Klan sleeper cell".

Just in case anyone hasn't heard of the KKK they are a dreadful, despicable and disgusting racist group in the USA, the ones with the white robes and burning crosses. They have a history of lynching blacks, persecuting their opponents and hating Jews, Catholics, liberals and anyone with a functioning brain. So you can understand how being accused of being like the KKK is grossly insulting, particularly when I am a social liberal, the father of a Jewish son and in possession of a functioning brain.

However, despite a moment of anger I ended up rather amused by his comments. I couldn’t help but think that if that is the best he can do I must have overestimated his reasoning skills, although that IS quite a challenge I admit.

All I did was to express my belief that reason is better than superstition, that science is better than magic and that enlightenment is preferable to ignorance. If all he can do in response is launch an ad hominem attack against me and other rationalists then I find that rather disappointing. Where’s the argument, where’s the evidence that I’m wrong, where’s the critical reasoning? Somewhat absent it seems.

All we saw from him was the grossly defamatory suggestion that because I and others don’t share his views we must be a bunch of vicious racists. Come on Chilume, you can do better than that. Can’t you?

Homeopathy - Letter to Mmegi

I was appalled to see the article entitled "People living with HIV turn to homeopathy" in Mmegi on Thursday 28th February. Appalled because I don't think we should allow charlatans to sell their ludicrous products and, in so doing, exploit the desperate, the sick and the naïve.

Let's be clear. Homeopathy is based on nonsense. The article states that it is based on the idea of treating patients with a minute dose of the substance that causes the symptoms the patient is experiencing, but this is rubbish. What you actually get from a homeopath is water. Homeopathic "remedies" are so diluted that not a single atom of any original substance remains. If you push a homeopath on this subject you’ll eventually get them to confess that they believe the water somehow "remembers" a substance that it once contained. This is utter gibberish.

Every controlled test of homeopathic remedies has failed to show any real effect. The homeo-pathetic movement has consistently failed to help anyone other than themselves. Help themselves to fat bank balances that is. What the charlatans in Maun are really doing is breaking the law. Section 15 (1) (c) of the Consumer Protection Regulations forbids people from promising "outcomes where those outcomes have no safe scientific, medical or performance basis". If they take a single thebe for their water treatment they are breaking the law.

The most ridiculous aspects of what they say are almost unbelievable. The homeopath covered in the article confesses that she prescribed a "grief remedy" as well as something for liver toxicity. This is just scandalous.

So what about the wonderful effects the victims are supposedly seeing in Maun? They are nothing more than the placebo effect. Doctors around the world know that giving patients a totally ineffective medicine will make them a feel a little bit better for a short while. But that's more to do with getting a bit of attention and sympathy than any real effect.

What homeopaths pretend to offer people with HIV is hope. Hope is a great thing but only when it is based on a genuine hope, a real hope of improvement. What in fact homeopaths offer is false hope, based on a mixture of ignorance and lies. I have contempt for people who exploit the desperate. Utter contempt. I genuinely hope that nobody falls for this nonsense. If just one person does and stops taking their ARVs, the drugs that DO work, then the homeopaths who have come here thinking they can fool us will have blood on their hands.

Scence is blind - Botswana Guardian

Saying something out loud doesn't make it true. Writing something in a newspaper doesn't make it true. Even just believing something doesn't mean what you believe is true. In the past people were taught, and genuinely believed, that the world was flat. They believed that the stars were gods, that the Sun rotated around the Earth and that illness was caused by evil spirits. But we moved on. We embraced knowledge rather than superstition and we put behind us beliefs that had no foundation.

Or did we?

Last week the astonishing South African Minister of Health, Manto Tshabalala-Msimang, stated that traditional healers, whose work is soon to be integrated into the conventional health system would not have to prove that their remedies actually worked. Specifically she said that traditional medicine should not be "bogged down in clinical trials". According to the BBC she said that "We cannot use Western models of protocols for research and development".

Yet again she has missed the point. There is no such thing as a "Western protocol for research". There is no such thing as “Western research”. In fact there is no such thing as "Western medicine" any more than there is "Western sunshine". Medicine is medicine and the only real distinctions we should make are between medicines that work and those that do not, between ideas that are useful and those that are not, between things that actually help humanity and those that do not.

The scientific method, the approach that genuine medicine really uses, is based on one key thing. It's based on predictions that can be falsified. Not things that can be proved but things that can be falsified and that's what the clinical trials that Manto complains about are really all about. They are about really testing a theory that something works and testing it rigorously. What she presumably fears, along with homeopaths, reflexologists and herbal medicine sellers is the dreaded "double-blind, controlled trial". You get two groups, one gets the medicine you are testing and the other gets something that looks and feels like the medicine but is really often no more than a sugar pill or a glass of water. The key thing is that neither the people taking the medicine nor the doctors or nurses who actually give it to them know which is which until the end of the trial. Only then are the details taken out of a sealed envelope and the results properly analysed. That way can you remove the effect of people’s expectations. That way you can rule out the placebo effect, which is what happens when people believe they are getting a medicine when in fact they are not but they get slightly better anyway, just because they believe something is happening. The placebo effect is a powerful effect and it’s only by “blinding” both the patients and the doctors in a trial that you can rule out it’s effect.

In that sort of trial we could see whether so-called traditional medicines work. Hopefully some of them would. Maybe we really would find something marvelous that can really help humanity. Maybe science and tradition could come together and we could see through the medieval distortions and ignorance surrounding us

True science is a genuinely wonderful thing. Like justice it is blind. Blind to untruth, blind to expectations and blind to prejudice. Like all truth it is blind to prejudice, blind to ignorance and blind to lies.

A cure for everything? - Botswana Guardian

It really is getting worse. In the past I’ve been irritated by the nonsense from various organisations trying to sell their useless rubbish. To begin with it was the Scientologists selling their ludicrous “we can fix everything” courses while hiding their deranged belief that our minds are inhabited by the souls of multi-million year old aliens. Then it was the alternative health movements who advocate fiddling with your feet, your bottom or your gullibility, homeopaths who think water has a memory of an ingredient that is no longer there, pseudo-oriental doctors who think sticking needles into part of you will rebalance your chi and then the silliest product in the history of unscientific rubbish: the detox foot pads.

This is all, of course, utterly unscientific, utterly without evidence and utterly useless. It’s all based on lies, naiveté or ignorance.

However despite this being completely silly I have always been able to see the funny side. Until recently every bit of pseudoscientific hogwash that I’ve come across has at least been amusing.

Until last weekend.

There I was strolling with my family around Riverwalk Shopping Centre when we passed by a pharmacy. An advertisement in the window offered “Rise-up and walk – the broad spectrum herbal medicine”. OK, I thought, here we go again, some herbal concoction made from leaves that hints, in vague terms, that it can help your immune system or can boost your health. Not so. This one was different. I won’t describe their claims, I’ll quote them directly:

“Effective Solution to Athritis, Blood Pressure, Diabetes, Cancer, Typhoid, HIV/Aids, Gynaecological Disorders, Viral, Fungal & Bacterial Diseases among others”.

Where to begin?

Well, perhaps by nominating the producers of this remarkable medicine for a Nobel Prize for Medicine. If this rubbish can, in fact, cure everything from typhoid to HIV/AIDS then the producers deserve a prize. At one stroke they have cured the world of AIDS, bacterial diseases like TB and typhoid and removed the threat posed by cancer.

Alternatively we can have the peddlers of this criminal rubbish reported to the Consumer Protection Unit for breaking the law. Our very own Consumer Protection Regulations state that suppliers have breached the terms of the Regulations if they quote “scientific or technical data in support of a claim unless the data can be readily substantiated”. They are also in trouble if they promise “outcomes where those outcomes have no safe scientific, medical or performance basis”.

Let’s be clear about a few things. There are no products that can cure cancer that can also cure typhoid, HIV/AIDS and diabetes. Anyone who tells you differently is either a fraud or a fool.

I genuinely wish there was such a cure, I really do. If it existed my wife wouldn’t have lost her sister, my father wouldn’t have lost three years of his teenage life to TB and millions of other people would be alive today.

But it’s simply not true. It’s a deliberate lie. It’s an attempt to cash in on our desperation and that’s what makes it so repellant. Sooner or later someone is going to spend money on this worthless rubbish and will stop taking their real medicine. Then they’ll die.

I beg you all not to buy products from suppliers who sell false hopes to the desperate. We really must all stand up against this sort of deception. Lives are at stake.

Shouting fire? - Botswana Guardian

Do we have a right to unrestricted free speech? Well, most of us would instinctively say that yes, of course we do, we live in a democracy and we can say what we like. Or can we?

Oliver Wendell Holmes, the famed American Supreme Court judge once said in a ruling that “The most stringent protection of free speech would not protect a man falsely shouting fire in a theatre and causing a panic”. In other words there are certain things you can’t say. You can’t shout fire in a theatre if there isn’t actually a fire. We’re simply not allowed to say things that will cause panic or that may cause death, injury or civil disturbance.

So what are we going to do about Pastor Tshifhiwa Irene who visited Francistown recently and who told the crowds that God has decided to end HIV/AIDS in a few days?

According to the Midweek Sun Pastor Irene, who had presumably forgotten to take her medication that day, reported that HIV was caused by a committee of demonic principals, chaired by Lucifer himself, who took blood from a crocodile, a snake, a tortoise and a hyena, mixed it with demonic saliva and blood which then somehow produced AIDS to destroy humanity. There’s no point in trying to understand this deranged claptrap because it’s, well, deranged claptrap.

However I suppose we’re all entitled to our ludicrous opinions. Botswana is a free country where the state isn’t allowed to forbid ideas, no matter how weird they might be.

What I DO object to is when people like Pastor Irene shout fire when there isn’t one. She apparently went on to report that on 20^th November God started to roll out his big plan for ending HIV and AIDS and predicted that very soon “All children born of HIV positive mothers will be free of HIV”.

Let’s get our facts straight. There genuinely HAS been a reduction in the proportion of children of HIV positive mothers who were born with HIV and that’s tremendous news. But it wasn’t religion that did that, it was our Prevention of Mother to Child Transmission program. It was PMTCT that took the proportion of HIV positive children born to HIV positive mothers down from 40% to less than 4%. It was PMTCT backed up by rationalism, logic and medical science that did it.

Luckily also present at the so-called prayer crusade in Francistown was the local MP and Government Minister, Phandu Skelemani, who is reported to have said afterwards “She must be out of her mind” and proceeded to ask local politicians “How can any self-respecting leader attend such a misleading service?”

Coincidentally another recent story from Francistown reported that the police were investigating piles of anti-retroviral drugs and hospital cards that were found near makeshift community churches. It seems that encouraged by religious fanatics patients are throwing away their hugely expensive drugs in the hope of promised miracle cures. Cures that of course miraculously don’t ever happen.

I believe very strongly that if only one HIV positive person is persuaded to leave the PMTCT program or to discard their ARVs as a result of what Pastor Irene and her colleagues say then she and her fellow preachers will have blood on their hands. She has gone further than we should accept. Her speech may end up not being free but in fact very expensive indeed.

Barry Eustice – a personal tribute

Barry Eustice died last week and Botswana is a slightly poorer country because of it.

Barry was well-known throughout Botswana for his charitable walks, walks that covered Botswana but also other countries, raising many millions for the disabled wherever he went. I’m not going to repeat all the dates, distances and achievements, many others are better placed to report on those. Yes, he got an MBE for his achievements but that wasn’t what impressed people.

Barry was a role model, a demonstration of the spirit that can overcome the greatest of disabilities and was living proof that whatever fate throws at you there is always room for a smile. Well, in Barry’s case a load of smiles and a few beers as well.

I first grew to know him a decade ago as a regular in the bar at the President Hotel in Gaborone. He seemed to be forever there, sitting on a bar stool, surrounded by friends of every background, often with the Weekly Telegraph crossword half-completed (but not for long). One of the first things he ever said to me was “Who directed Dirty Harry?” “Don Siegel”, I said. We knew then that we had each met someone with the same level of passion for the sort of knowledge that is completely useless but that comes in very useful in pub quizzes and long conversations in bars after you’ve had a few.

A few years ago my wife Kate and I were part of a large team of people that was helping Nomsa Mbere and her followers prepare for her walk across the Makgadikgadi Pans. In order to launch the walk publicly there was a gathering at the Maharaja and I persuaded Barry, as a famous walker, to come along and give everyone an uplifting talk. After a series of, I have to say, rather unexciting lectures up sprang Barry. Within minutes he had the audience eating out of his hand. There were stories of mishaps, accidents, women ending up topless and the occasional President who would come along to wish him well. It ended with Barry doing one of his party tricks. After a comedian’s warm-up he showed us how he could balance one of his crutches vertically on the palm of his hand. “See”, he said, “just because I’m disabled, it doesn’t mean I’m incapable!”

The last time I saw Barry I was sitting in a restaurant with a visitor from South Africa when Barry slowly walked by. He joined us and then I watched as my guest sat open-mouthed as I made Barry share some of his stories. He seemed to have that effect on people. Here was a rather diminutive, elderly-looking, disabled man who would stun his guests with his achievements.

Barry raised the profile of the disabled in Botswana. He raised enormous amounts of money. He bothered government and businesses into donating to charity. He started the Botswana branch of the Cheshire Foundation. Like Leonard Cheshire, Barry achieved what very few of us can hope to do with our lives. He made a real difference to the society he lived in.

In an age of mortals, he was a hero.

A change of career? - Botswana Guardian

I think I’m going to train to be a lawyer. I know 43 might be a little old for a career change but I’ve spent some time recently reading our laws. Some of them like the Collective Investment Undertakings Act are incredibly dull but many of them are fascinating.

One of my favourites is the Penal Code. Discrimination is illegal. Anyone who treats another “less favourably” on the grounds of colour, race, nationality or creed can be fined up to P500 or go to prison for up to 6 months. It’s illegal to deliberately wound anybody’s religious feelings. It’s obviously not illegal to say you don’t believe something someone else believes or even to point out flaws in their belief systems but going out of your way to offend them is punishable by up to a year in jail. So don’t do it OK?

Then there’s witchcraft. Not acceptable. The Witchcraft Act makes it illegal to tell fortunes or to find stolen or lost things using any claim to supernatural power. The thing I like best about the Act is that it refers to “so-called witchcraft”. The authors of the law knew it was all unbelievable hocus-pocus and, quite rightly, outlawed it.

However, every so often the laws take a small step sideways and have, in my slightly humble opinion, erred. For instance the Botswana Health Professions Act, 2001 demands that any health professionals must be registered. All very sensible so far. Doctors, dentists, pharmacists and other recognised professionals like opticians, occupational therapists and physiotherapists all have to prove their legitimacy before they can practice. However the Act then mentions what are called “Associated Health Professionals”. This includes chiropodists who are a logical bunch but then goes on to include homeopaths and acupuncturists. This is a mistake. Those last two professions are based on pseudoscience. There is no real, scientific, rational evidence for either homeopathy or acupuncture. They are both based on rubbish. No clinical trials into their effectiveness have ever shown any real effect. I think it’s an insult to chiropodists to lump them in with charlatans.

Back to the Penal Code. The wonderful clause 92 makes it an offence punishable by a fine of up to P500 to say or write anything that expresses hatred, ridicule or contempt for any person or group based on their “race, tribe, place of origin, colour or creed”. It’s simply illegal to make sweeping, offensive generalisations about people because they’re black or white, born here or elsewhere. We are all given the same protection from being insulted.

Of course none of us have any protection against logical argument and reasoned criticism. None of us deserve any such protection. All of us, every day, are open to criticism of our beliefs, our values and our allegiances. That’s the way of a democracy and we are all VERY fortunate to live in a genuine democracy. Millions of people around the world are dying to have the rights of free speech and the protections we have. The people of Burma, led by Aung Sang Suu Kyi, are struggling to have just a fraction of what we have.

So I’m just very happy to be in a country where free speech is not only respected, it is also protected and encouraged. If anyone thinks I’m talking nonsense I would be delighted to see reasoned arguments saying why. If, however, all people can come up with is that I’m wrong because I’m white then not only are your arguments silly, they may even be illegal!

Alternative medicine can cause alternative illness - Botswana Guardian

It goes on and on. The parade of rubbish, nonsense and drivel masquerading as “alternative medicine”. In the Advertiser last week two advertisements offered something rather special.

Promises. Just promises. Nothing else.

The first was from Lam-Med Health Care. It asked whether we suffer from “Arthritis, Cramps, Cellulite, Muscular Pains, Back problems, Cancer, Poor circulation, Stress, High Blood Pressure, Diabetes, Asthma, Eczema etc”. The solution to all of these problems? “Health through the power of Oxygen Ozone”.

The second, from “Siloam”, asked if we’re suffering from problems including “Insomnia and Headache”, “Sciatic nerve, rheumatism, arthritis” and yet again “High blood pressure”. The solution? “Reflexology and muscle and bone adjustment”. This lot go one stage further and promise that “you will be free from the suffering”. They say that Siloam “is the solution to your problems”.

Where to begin.

Firstly everything offered is known to be utterly useless. In case you don’t know reflexology is based on the idea that the soles of your feet somehow map the structure of your body. They say that if you apply pressure to various spots on your feet it will affect your organs. Squeeze here and your liver will be affected, tickle here and your spleen will be in top-notch shape.

This is nonsense. Every time there has been serious scientific research into reflexology it has been shown to have no more of an effect that having your feet massaged. Of course some of us might like having our feet massaged. It’s not my thing but people say it’s wonderfully relaxing and feels terrific. But that doesn’t make it medicine. It doesn’t make it true.

As for ozone that’s rubbish as well. Not only is there absolutely no evidence that ozone helps with any health problems, there IS evidence that ozone can actually be harmful to our health.

Then there’s the danger of relying on this rubbish rather than things that do work. Like medicine. Medicine based on science. Science that is rational, logical and enlightened. My fear is that some poor soul, suffering from one or other of the nasty conditions mentioned will go to these charlatans and take their nonsensical treatments rather than something that actually works. The risk is terrifying. Instead of taking real medication for potentially dangerous disorders like high blood pressure, asthma and diabetes they’ll take some ludicrous herb or the useless reflexology approach. Who knows what might happen. Someone’s going to die, if they haven’t already.

I’m not going to say that traditional or herbal remedies have no effect. We all know how many conventional medicines come from natural origins. Penicillin was discovered when samples in a laboratory were infected by an air-born mould. Warfarin, commonly used to treat heart conditions, is found in many plants such as sweet clover and even in liqorice.

But the trouble is how unpredictable herbal remedies can be. If I go to my local pharmacy and buy paracetamol I know for sure that each tablet contains exactly 500mg of paracetamol. With herbal remedies, who knows? The only certainly I have is if I use a homeopathic “remedy”. At least with those I know they contain nothing at all!

I think it’s about time that we did something to fix this problem. Luckily we have the tools to act. These nonsensical therapies cost money. That makes us consumers. The Consumer Protection Regulations make it really unwise to offer products where “the supplier promises outcomes where those outcomes have no safe scientific, medical or performance basis”. Reflexology and ozone have no scientific or medical basis. The fantastic news is that they are illegal!

We’re being invaded - Botswana Guardian

No, I’m not talking about Zimbabweans, I think we’re under threat from something much more dangerous than illegal aliens, health charlatans and international consultants telling us we’re doing everything wrong.

We’re being invaded by nonsense.

In the last couple of weeks I’ve encountered several ludicrous ideas. The Scientologists will probably say this is because of alien ghosts in my brain but I blame something much more harmful: the internet.

Several times in the last few weeks I’ve received emails announcing the release of a DVD called The Secret. This DVD, which you’ll not be surprised to learn costs money, tells us that our thoughts can “create reality”. Just thinking that you’ll become a millionaire will make you a millionaire. If you just think that your marriage is going to be wonderful then it will be wonderful. Just thinking that it will rain, will, yes, you guessed it, make it rain. The trouble is it’s not all positive, there’s a negative side as well. We become ill apparently because we think bad thoughts. Presumably we get robbed, raped and murdered because we made it happen with our bad thoughts?

Apart from the cruelty of the message that The Secret delivers, there is of course, the utter nonsense that it comprises. Did we have a drought because we made it happen by being negative? Did the tsunami kill all those people because they weren’t thinking happy thoughts? Did tens of millions of people die during the Second World War because they hadn’t bought a DVD from a bunch of New Agers? Can you make HIV leave your body just by thinking?

Of course not.

I’m a big believer in positive thought but I do recognise it’s limitations. Positive thought alone doesn’t do anything. It’s what results from positive thought that matters. We’ve all known people who have managed to survive illness and adversity and whose positive outlook has made them a great role model but their outlook was just helpful, it didn’t itself cure anything. There is almost always a third factor behind such obvious associations.

Someone who retains a positive outlook when faced with illness is surely the one who is also more likely to improve their diet, cut down on the booze and start exercising? Surely it’s those things that help them live longer, recover more quickly and become healthier?

We get the same thing from all the other purveyors of the “thought makes reality” message. Whether it’s The Journey talking about cell memory, churches telling the congregation that prayer alone will make us rich or the Scientologists saying that we just need to clear out all those pesky aliens from our minds, it’s all the same.

As Oscar Wilde said, the truth is never pure and rarely simple. Our health and wealth are, in fact, heavily influenced by things beyond our control. Of course we can modify our destiny hugely by taking personal responsibility for it. We can work harder, learn something new every day, and listen to genuine, qualified experts when they give us health advice but we can’t avoid the fact that much of what happens in life is beyond the control of positive thinking.

At a more profound level my objection is that so much of this is simply untrue. Cells don’t have memory any more than rocks do. Wealth comes from good fortune for a few lottery winners and the grandchildren of millionaires but mostly it comes from hard work, imagination and talent. As for Scientology aliens in my brain, well, I think they gave up and went home years ago.

Colour blindness

It occurred to me that HIV, wickedness and ignorance all have something in common.

They are all colour-blind.

HIV can’t see in colour. It doesn’t check someone’s colour before it infects them. It doesn’t take a quick peek to see whether it’s about to infect someone black or white. It doesn’t even check to see if someone is male or female. In fact it’s very liberal and totally unbiased. If it didn’t cause such suffering and distress we’d probably admire it for being so unprejudiced.

Wickedness also doesn’t discriminate. It doesn’t decide who to corrupt by looking at their skin colour first. You don’t need to be an academic to see the appalling history of human wickedness.

Adolf Hitler was wicked and white, Idi Amin was wicked and black. Joseph Stalin was wicked and white, Haile Mengistu was wicked and black and Pol Pot was wicked and oriental. Like most serial killers each of them slaughtered largely within their own ethnic group. In none of those cases did skin colour play even a tiny role. They were all just plain wicked. No ethnic group has a monopoly, or even a majority share, in wickedness. In fact it’s fairly evenly distributed. It’s a thoroughly human failing, not an ethnic one.

And finally ignorance. Ignorance knows absolutely no boundaries and unfortunately seems to be present in epidemic proportions. Just take a look at the enormous spread of ludicrous superstitions and crazy pseudo-religions spreading through the world. Whether it follows the decline of regular religion I’m not sure but you can’t avoid the latest nutritional, self-help or other “New Age” lunacy everywhere you go.

I don’t think it’s pushing a point too far to state that willful ignorance has even played a huge role in the disastrous situation the US government got themselves into in Iraq. Pretty much everyone else in the world was saying they shouldn’t try it but their minds were closed and a determined ignorance won the day.

However, it’s not just in the west that ignorance raises it’s ugly head. Just across our border in South Africa their esteemed leaders have regularly fallen into disastrous and (verging on criminal) flirtations with AIDS denialism and the awful German Matthis Rath and his horrible vitamin concoctions that “allow the prevention, treatment and eventually the eradication of today's most common diseases”. Well, they do after you’ve made him rich of course.

It’s not just Rath though. We’ve had the misguided here in Botswana saying they can cure AIDS with apple juice and prayer and others who say that walnuts are better than ARVS. Is it improper of me to call that last one the “Nuts theory”?

It’s not been widely covered here but we had an even more remarkable case of either willful madness or possibly just badness a month ago in Gambia. Their president, Yahya Jammeh, has announced that with his own combination of the Quran and some herbs he found in the forest he can cure people of AIDS within three days. According to the Gambian State House web site (http://www.statehouse.gm) his claims have left medical experts in Gambia “mesmerised and stunned”. Presumably because they knew he’d have them shot if they didn’t look suitably impressed.

My point is simple, if a little long-winded. There IS a strange parallel between HIV on the one hand and wickedness and ignorance on the other, but to assume that any particular group has a monopoly on either wickedness or ignorance is, in my view, wicked and ignorant.

Medical malpractice?

Last week Gilbert Sesinyi wrote a response to a letter I wrote. I had objected to his idea that doctors and medicine were the source of our ill-health problems. According to Gilbert all we need is to do is avoid processed food and the “whiteman” and things will be OK.

For instance one of Gilbert’s central ideas seems to be that all organic chemicals are good for us and inorganic ones are all poisons. This is a huge simplification. Oxygen, baking soda and water are all inorganic along with an enormous range of minerals without which we’ll die. On the other hand nicotine, monosodium glutamate and most nerve gasses are all organic compounds. The terms organic and inorganic don’t mean the same as good and bad.

He says that people aren’t living as long as they used to and that this is medicine’s fault. I wanted evidence for this. All we got from Gilbert was an observation that his grandparents lived longer than his parents. Sorry Gilbert but that’s not evidence, that’s an anecdote. It’s a bit like saying that Uncle Albert smoked 20 cigarettes a day, lived to be 90 and therefore smoking isn’t dangerous.

The facts are actually simple. If you exclude the people dying because of AIDS, we are living longer than ever before. It’s our average life expectancy that has decreased and it’s AIDS that did this. Simple as that.

We then had to read Gilbert’s opinion that HIV doesn’t cause AIDS. Instead he says that AIDS is due to poor nutrition, cellphone usage and “the whiteman’s culture”. This is similar to the evil nonsense South Africa has been forced to endure from the revolting Matthias Rath. All you need to do, says Rath, is buy vitamins and AIDS will go away. Oh and if you can buy them from him things will be even better. Well for him they will.

I really do object to this reckless, often paranoid denial about HIV and AIDS. I know people living with HIV and they have achieved amazing feats in coping with their infection, modifying their lifestyle, taking ARVs when required and continuing to be valuable members of the community. The denial movement slaps them in the face.

We should count ourselves lucky that we live in a country that is relatively free of AIDS denialism. Countless numbers of our South Africans cousins have died as a result of it and it’s a tribute to us as a country that our government, our health sector and most of our people have avoided the temptation to blame someone else for our situation and instead have taken some level of responsibility for it ourselves.

While all this got me a little hot under the collar Gilbert’s other assertions just made me laugh. Apparently I’m “a member of the oppressor’s nation, the white people”. Furthermore white people are all “either evil or the beneficiaries of evil”. Why can’t we shed these out-dated notions that categorise people “by the colour of their skin rather than the contents of their character”?

A much wiser man than me once said “Nothing in all the world is more dangerous than sincere ignorance and conscientious stupidity”. He also said that “we must learn to live together as brothers or perish together as fools”. He was black by the way, although he did have a very “white” name: Martin Luther King.

Oh, did I mention that my grandmother is 87 and is fighting fit?

Richard Harri-whiteman

A reply from Gilbert Sesinyi in the Botswana Guardian
"Doctors do as they’re taught".
Rest assured a response has been submitted already from this "member of the oppressor’s nation, the white people".

Be wary of doctors?

I read with surprise and some degree of outrage the column by Gilbert Sesinyi last week in the Botswana Guardian. His piece entitled “Be wary of the doctors” was a startling piece of scaremongering and I think potentially dangerous.

In his column Gilbert suggests, amongst other things, that “the whiteman… is motivated by profit over excellence” and “His ways are surely the ways of death”.

It’s probably best if I gloss over who exactly this “whiteman” might be. I know it’s not me, because I happen to think profit and excellence are equally good things and that they can’t be divorced. Also, with the exception of that snake in my back yard a few months ago I don’t think I’ve killed anything recently.

The worrying thing about what Gilbert wrote was to do with health and the medical profession. Unfortunately much of what he wrote is clearly mistaken. For instance he states that “there is evidence that ancient man lived much longer than modern man”. What evidence? My understanding is that worldwide people are living longer than ever before. It is reckless to suggest that because the average lifespan here in Botswana has dropped into the 30s that this is because of medicine. It’s down to AIDS. It’s because of the medical and pharmaceutical professions that we have ARVs. The ARVs that are helping to increase lifespans despite the effect of HIV, not reduce them.

It’s also mistaken to suggest that doctors know nothing about nutrition. Gilbert asks why doctors don’t tell us to avoid processed food, refined flour and sugar and food laden with pesticides and fungicides. Well, as someone who spent the first half of his career surrounded by doctors I can’t remember ever meeting a doctor who didn’t go on and on about healthy eating. Also, without at least some of those chemicals we wouldn’t actually have any food to eat.

There is nothing inherently wrong with chemicals. Salt is a chemical. Baking powder is a chemical. Monosodium glutamate, otherwise known as MSG, which Gilbert suggests is a poison and “the root of chronic diseases”, is a naturally occurring substance found in tomatoes, peas and in soy sauce.

I firmly believe that we should be skeptical about all things and I certainly don’t exclude medicine and doctors from my skepticism. However we must be reasonable and accept that despite some failures, despite some scandals and despite some people seeing medicine as the solution to all of life’s problems, medicine is why most of us are alive today. Without medicine I probably wouldn’t have lived to an age when I would be grumpy enough to write irritated (and probably irritating) articles for newspapers. My wife would be dead, my eldest son would never have been born and my parents wouldn’t have lived long enough to know their grandchildren.

The solution is, as always to use our brains. If a doctor says that HIV was developed by the CIA in conjunction with aliens that doesn’t make it true. History is littered with the aftermath of charlatan doctors and healers who have brought about suffering and death, but that doesn’t undermine medicine as a body of knowledge and doctors as people who help us live to a ripe old age.

I often think it’s amusing, in a savage sort of way, to wonder who those who oppose medicine would call for if they, or heaven forbid, their children were injured in an accident? A nutritionist or a qualified doctor? I know who I’d want to see in a white coat.

Xenophobia - Botswana Guardian

I’ve been thinking about xenophobia. We can’t avoid it these days, it’s one of those fashionable words that suddenly become the in thing.

Whether it’s to do with foreign investment, the Basarwa relocation issue or the termination of expatriate’s work permits it’s a word that keep on cropping up.

People seem to think that xenophobia means a fear of foreigners but that’s not actually true. It’s much wider than that. It actually means a fear of the unknown. It can be anything, not just an unknown or perhaps strange-looking human being. You can be xenophobic about someone from the next village, not just someone from a different continent.

To some extent I suppose that it’s a natural reaction. If you think back a few hundred thousand years to when humanity was in it’s infancy, being afraid of something new was probably a very wise approach. The new, unknown thing really might want to eat you. Although we’ve moved forward a long way, there’s a huge part of each one of us that remains back in the primitive days, showing primitive reactions.

You see it all over the world of course. The list of places where xenophobia has led to death and destruction is endless. Rwanda and Burundi, Serbia and Croatia and, now I get really depressed, the Middle East. Despite reasonably successful efforts at reconciliation there are still issues in Northern Ireland, Cyprus and even in South Africa. In fact it’s probably easier to list the places where there hasn’t been any history of xenophobic conflict. Well, it would be if I could think of any. Iceland perhaps?

But just because something is “natural” that doesn’t mean we should just accept it. We all have so-called natural instincts that we know we shouldn’t give in to. I’m a man, I know these things! And just because it’s natural doesn’t mean it’s good. In the same way, just because something is “unnatural” it doesn’t mean it’s bad. Condoms, hypodermic syringes and newspapers aren’t “natural” but they are all wonderful inventions that do untold good.

I’m a firm believer in understanding our nature, where we come from and what our instincts are but I also believe we are smart enough, have developed a sufficient understanding of what’s right and wrong and most importantly have sufficient self-control to overcome our more primitive instincts. Whether it’s an instinct to steal, fight or rape we all know these things are wrong and repulsive and we shouldn’t do them. Saying it’s natural is no excuse. Saying that you can’t overcome your instincts is nonsense.

The same goes for that specific type of xenophobia: our fear of strangers. Just because your instinct says you should reject someone who looks different to you, well that doesn’t make it right.

Surely we all know that people vary? Isn’t that one of the most interesting thing about our miserable species? Isn’t it actually rather wonderful that if you walk though one of our many shopping malls you see people of every shape, size and colour?

I’d go so far as to suggest we need to adopt a new approach. Xenophilia. A love for the unknown, the new and even what we might call strange. Let’s start welcoming variety. It doesn’t mean we all have to change ourselves, just that we should see new people and things as challenging, interesting and maybe even exciting

One last question. Where would we be now if Seretse and Ruth had both been xenophobic?

Religious punchups

I’ve been experiencing a mixture of amusement and sadness following the recent arguments in the Botswana Guardian between Muslim and Christian writers.

Last week two Christian writers responded, in quite vicious terms, to Iqbal Ebrahim’s article suggesting that there is overlap between Christianity and Islam. A number of things struck me about their letters. Much of their argument was of the “My religion is better than yours, so there!” type, no more mature than an argument you might hear between two 7-year olds in a schoolyard.

However what struck me most was the absolute absence of logical thought. Arguments like “My religion is the sole truth because, well, my holy book says it is” aren’t even slightly intelligent debate in my view.

Quoting from scripture as an argument doesn’t really work terribly well when it’s the scripture you’re quoting that you are trying to prove is true. “My book is true and is the only true book, because it says it is” doesn’t work for me. Anyway can’t the same argument can be made for the Koran? And the holy texts of Hinduism, Judaism, Buddhism, the Moonies, even the lunatic ramblings of the Scientologists. They say they are the truth, so, well, they are the truth. Sorry, you’ll have to try a little harder than that.

Also I don’t think that the suggestion that Christianity is better than Islam because it came first works either. That’s about as logical as saying that my car is better than yours because it’s older than yours.

Actually maybe my car is analogous to religion. It consumes huge amounts of energy, it isn’t perfectly reliable and it pollutes the environment. I sometimes wonder if it’s worth the bother of keeping it. I love it though, however irrational that affection might be.

I would be very impressed if ever I actually saw a simple, logical and above all, rational argument from someone selling their religion. “It’s about faith, not rational argument” doesn’t work. Blind faith is, after all, blind. It can’t see.

On one of my occasional tolerant days I can be charitable towards religious organisations like the Salvation Army, like old-fashioned priests working for nothing in a village tending to the sick, the poor and the distressed and like those honest, hard-working and friendly people I know and respect. The trouble is they are undermined by the sharp-suited, limo-driven, mansion-inhabiting crooks you see on the religious TV channels.

More often than not I see religion rearing it’s ugly head behind almost all the conflicts our world sees. I don’t care whether it’s terrorism, Presidents saying they are advised by God to invade other countries or mullahs declaring fatwas that authorize the killing of authors because they wrote very long, dull books. What I see from religion is rarely peace. Instead I see hatred, contempt for followers of other faiths and a complete absence of rationality.

Back to the Guardian articles. The person I actually feel sorry for is Iqbal Ebrahim. In his article a couple of weeks ago he stood up, showed us that he is a member of that vast majority of Muslims who are perfectly decent people and extended the hand of friendship and understanding. And he got slapped in the face. Tell me, does the Koran teach that we should turn the other cheek?

I know some of the things I’ve said will irritate some people and I’ll probably be called an atheist, a heathen and perhaps even an infidel. Don’t worry though. I think those would all be compliments.

Detox your brain - Botswana Guardian

I’ve now twice seen a simultaneously hilarious and depressing bit of nonsense on DSTV, along, probably, with the rest of southern Africa. A Home Shopping spot dedicated to the amazing “Detox Foot Pads” from a company called Remedy Health for just R169.95. Apparently you stick these pads to the soles of your feet at bed time and they apply warmth to the reflexology points and "detox your body while you sleep". The advert claims that this boosts your immune system. According to the personal testimonials from a range of grinning faces you wake feeling refreshed and with "less toxins and impurities". (For now I’ll ignore the fact that I think they mean "fewer", not “less”.)

According to the various buffoons presenting these pads they generate "far infra-red radiation equivalent to a full cardiac workout". The graphics they showed of two glowing feet were apparently "Thermo X-Rays" that showed "the incredible effects". Actually it looked more like a kid's drawings of feet with wobbly orange spots but maybe I'm too cynical and perhaps "Thermo X-Rays" are a bit of medical technology I've missed over the years.

Unfortunately they fail to point out that what they say is just complete rubbish.

To begin with there’s the reflexology angle. Reflexology is based on the notion that the soles of your feet are somehow connected to every other part of your body. Stimulation of specific spots on your feet can remedy problems in related organs of your body. However, it overlooks the fact that these connections simply don’t exist. They’re not there. Nowhere. They are as imaginary as the supposed benefits that reflexology offers.

Bring me an anatomy textbook and we can fail to find these mythical connections ourselves.

Then there’s the issue of “detoxing” through the soles of your feet. The advert shows some used foot pads and, amazingly, they are all blackened with what we are told are the toxins extracted from your feet. No chance that the dirt could just be from dirty, sweaty feet is there? Feet are actually horribly grubby things. Why do you think they smell so bad if not washed?

My initial thought was that the marketers of this nonsense assume that we are just gullible but the more I think about the hints about boosting your immune system the angrier I become. Don’t forget people like Mantho Tshabalala-Msimang, the Minister of Health in South Africa who recommends beetroot as a remedy for AIDS? It was also Tshabalala-Msimang who at one point circulated around her Ministry a pamphlet explaining how the CIA and aliens were behind the pandemic.

The danger is that this sort of nonsense from national leaders opens up the victims of the pandemic to all sorts of charlatans and con-artists. Look at people like Matthias Rath and what he's been up to all over the world, claiming that ARVs make things worse, that HIV and AIDS aren’t connected at all and that if you buy a few vitamin pills things will get better. We are very lucky in Botswana that, when it comes to HIV/AIDS, our politicians, health professionals and community groups haven’t fallen victim to this criminal nonsense

While I think that satellite TV, newspapers and the internet are wonderful things they also have the ability to spread deception, dangerous conspiracy theories and outright lies. Detox foot pads may be a relatively innocent example but they are not that far from things that threaten our welfare, maybe even our lives.

Sometimes the detoxing we need is not of our bodies, but of our brains.