Speaking ill of the dead

On 26th December last year, a 52-year old American woman called Christine Maggiore died. The world is a better place without her.

Isn’t that an appalling thing to say? Shouldn’t one only speak well of the dead? Not necessarily. Should we only say good things about Adolf Hitler, Joseph Stalin and Idi Amin because they’re dead? No, I think it’s OK to say that we’re glad when someone wicked stops disturbing the world with their foul deeds.

Christine Maggiore was wicked too. Maggiore was an AIDS denialist. Who died of AIDS.

She was HIV positive but instead of campaigning for better treatment, greater research and for public education she founded a deranged group of pseudoscientific charlatans called “Alive & Well” who denied the connection between HIV and AIDS, suggested that the she was still alive because HIV did NOT cause AIDS and that anti-retroviral drugs were of no value.

So far all we have is a fool, but Maggiore went much, much further.

Despite knowing her HIV status and despite the overwhelming evidence of the dangers she refused to take the appropriate medication while pregnant and then later decided to breast-feed her children.

When she was only 3 years old her daughter Eliza died of pneumonia, almost certainly brought about by AIDS. Still insisting that she was right she claimed that her daughter instead died from a reaction to an antibiotic. The autopsy disagreed. It showed that Eliza had AIDS encephalitis and PCP, the variety of pneumonia most associated with AIDS. In short it showed that her mother had killed her with neglect.

Sometimes people ask where the harm in so-called “alternative medicine” and denialism can be found. They think it’s just a few harmless homeopathic remedies bought by the gullible. They think that a few herbs here or there never did anybody any harm. Well, in most cases that’s perfectly true. Nobody ever died from taking a homeopathic remedy, simply because they don’t contain any remedies, they’re just water. Few people will come to any harm from taking some herbs sold by a quack.

However, every so often someone will take one of these remedies instead of something that works. Every so often someone will fall for the denialist claptrap we see and stop taking their real medication, the one that works. Then they pay the price, or worse still their children pay it for them.

I confess that in a very cruel moment I was glad that Christine Maggiore survived long enough to see what she’d done to her daughter but then I calmed down. Nobody should have to see that, it’s beyond understanding how terrible that must be.

But it WAS her fault. Science, medicine and rationalism could have saved Eliza’s life but they were all rejected in favour of stupidity, pseudoscience and denialism. There’s the harm.

New Year Sense?

I wonder if it’s too much to hope that 2009 will be a year characterised by rationalism? Is it too much to ask that we start the year committing ourselves, as individuals, as families and as a nation to being realistic, thoughtful and rational?

Sometimes I think it IS too much to hope but I’m an optimist.

I hope that this year we can put the so-called alternative, or complementary medical community in it’s place. I hope we can see that there’s no such thing as “conventional medicine” or “alternative medicine”. There is only medicine that works and that which doesn’t. There are drugs that help you recover from illnesses are those that don’t. It doesn’t matter whether they came from a test tube or tree bark. Some have been shown, by experiment, by research, by science to work and others have not. It really IS that simple.

I hope we can put behind us the whole “detox” nonsense. A study by a UK group called Sense about Science published just after Christmas showed that almost all the so-called detox products on the market in the UK (and they’re available in Botswana as well) made ludicrous claims that were totally unsupported by the facts. The group also state that the suppliers of these silly products “were forced to admit that they are renaming mundane things, like cleaning or brushing, as ‘detox’”.

None of us need to “detox”, it’s just a made up term used to push pseudoscience and, more importantly, to sell us useless products. The secret the detox industry don’t want you and me to know is that we all already have nature’s greatest detoxifier. It’s called a liver. All it needs is clean water and a fairly healthy diet and it will clean out the toxins for you. For free.

Maybe this year we can also ignore all the silly conspiracy theories about medicine. The conspiracy theories that lead to illness, misery and death. AIDS is not a conspiracy by the CIA or aliens. Vaccinations are a truly wonderful way to protect children and adults from illness and are not another conspiracy to enslave the poor. The medical profession aren’t evil oppressors doing their best to keep us in bondage.

We should remember our local example of what modern medicine can do. Our PMTCT program reduced the proportion of babies born with HIV to HIV positive mothers from 40% to 4%. It was modern medicine that did that, not superstition, denial or a conspiracy.

Perhaps this year we can also do away with the more revolting aspects of corrupt religion. Maybe we can all see that a preacher to whom you give money who then drives a hugely expensive car and lives in a dream home is almost certainly a liar, a thief and a crook. Maybe we can see that a significant number of religious leaders, particularly those in the American TV evangelist mould, are just in it for the cash. They really do see their flock as sheep: stupid, woolly-headed and ready for slaughter.

Is it too much to ask that we can all be a little bit more skeptical in 2009? That we can use our heads before we give away our money, our health and our beliefs? I hope so.

Christopher Hitchens on Sarah Palin

An excellent, scathing piece by Hitchens on Sarah Palin and her appalling scientific (and ethical) philistinism.

My Body Talks

It seems that I’ve irritated the BodyTalk community. Last week two supporters of this rubbish wrote to criticise my description of BodyTalk as “pseudoscience”.

They claim in their letter that BodyTalk is based on Quantum Physics. They said “Quantum physicists discovered that physical atoms are made up of vortices of energy that are constantly spinning and vibrating.” To their credit one of them had the honesty to say that “I am not a physicist so do not think I am qualified to go into the nitty-gritty of what this is all about.”

Never has a truer word been written.

I’m afraid that their letter shows that they indeed know precisely nothing about physics and, if it were possible, even less about quantum physics.

For the record physicists discovered nothing of the sort. Quantum physics is simply a model of reality at a truly miniscule level. It describes the way in which particles and energy at the smallest possible levels behave and it had a remarkable impact on our understanding of the way the universe works. Without wishing to sound even more pompous and patronising than usual, unlike Ms Gilbert and Ms Cadfan-Lewis, I do know a little bit about the subject. However, like them I can’t claim to be a specialist but I do know what the theory is and, more importantly, what the theory is not.

One thing that is true about quantum physics is that because it’s quite difficult to understand it’s very often used by woo-woo, New Age, alternative, mantra-chanting, crystal-waving, alien-abducted, energy-medicine groupies to support the latest health fad they’ve heard about, or invented to scam the naïve. Saying that your new energy treatment is based on quantum physics may persuade the gullible but that doesn’t make it real. In fact it’s usually a warning of impending nonsense.

They make some claims about the miraculous effects of their silly technique. Apparently an occupational therapist in Hamburg could revive coma patients using this magic. In South Africa another was apparently able to improve the physical appearance of a child with Down’s Syndrome. However, and very strangely, they neglected to tell us when or in which hospitals these miracles occurred. They neglected to say which real medical journals published these astonishing findings. They neglected to tell us when the medical world started exploiting these findings to help humanity and when when the wicked pharmaceutical industry started making lots of money from it.

I wonder whether this is because these miracles simply didn’t happen. I suspect that this is just more fakery designed to give credibility to an incredible idea. As Carl Sagan famously said, “incredible claims require incredible evidence”. The BodyTalkers offer us the claims but don’t deliver the evidence.

So is BodyTalk a pseudoscience? Well, it’s not based on those old-fashioned but useful scientific ideas of plausibility, double-blinded experiments, peer review and not being silly. But it’s dressed up using clever-sounding scientific terms. Pseudo means “false”. It IS a pseudoscience.

One last thing. Isn’t it curious how they didn’t deny my report that BodyTalk involves pressing on a so-called “energy point”, lightly tapping the top of the head to “stimulate the brain center” and then “tapping the patient’s sternum to announce the corrected energy flows to the rest of the body”. Maybe they didn’t want people to read that bit again. Perhaps because it’s embarrassing and deeply silly? Maybe I shouldn’t have mentioned it again.

It’s in the stars?

I've been naughty again. In fact I told a lie. I deliberately told someone something that I knew to be untrue.

I've been lying to astrologers.

Last week I was surfing the web when I saw a link that offered a free personal horoscope. Now of course I know that astrology is nonsense. It’s based on rubbish and produces nothing but rubbish.

However, just as an experiment, and as it was free, I thought I would see what happened. Off I went to the web site of an astrologer called Jenna who claims to be a Professional Astrologer, Psychic-Born, a Tarot Card Reader and a Numerologist.

Her web site asks for just your first name, email address, date of birth, sex, whether you’re happily married and if you’re employed. That’s all she needs.

A couple of hours later I got an email from “Jenna” saying she was working hard on my horoscope and that I should expect it within a couple of days. Two days later it arrived.

So how did I lie? Where was my wicked deception? My guilty secret is that I did this twice. The first time I gave Jenna’s web site my correct personal details and the second time I lied about everything. I changed sex, cut 10 years off my age and changed my birthday completely as well as my marital and employment status.

And how did the results compare? Both were about 2,500 words long and were virtually identical. The clever thing about this web site is that the “readings” I was given weren’t exactly the same. The sentence order was different but the message was exactly the same. Both said that I was going to live through “an event of great astrological importance”, that I was soon to be “in a rare astrological Transit which will not occur again in your skies before a very long time” and that if I “do not act in a very decisive manner concerning this period then it is extremely likely that all of these important opportunities will simply pass you by”.

[You can see one "reading" here and the other here.]

Of course this is the usual self-fulfilling claptrap you get from astrologers. Vague predictions about opportunities, challenges and life-changing events. Isn’t it curious how not a single astrologer specifically predicted 9/11, any earthquake or my cat dying last week?

What do I, sorry both of me, need to do to take this “decisive action”? That’s simple. All I have to do is give Jenna US$60 and she’ll give me a complete analysis. This, of course, is what the whole thing is about. You get a free teaser and then have to cough up real money if you have taken the bait.

Let’s be frank about this nonsense. First of all Jenna isn’t human, she’s a computer. The wonderful thing about the internet is that once they’ve been set up computers can perform many mindless things without any human intervention. Use sites like Amazon and eBay and you’ll have virtually no contact with any real people. Jenna’s site is the same. You give it some details and it assembles some standard sentences in semi-random order and emails them to you. It then sends the many later emails to encourage you to part with your cash.

The only difference between human astrologers and computerised ones is the efficiency with which they try and deceive you. Astrology is silly at best, abusive at worst.

Center for Inquiry

Talk to your body? - Botswana Guardian

There’s been yet another outbreak of pseudoscience in Botswana.  Sorry, I should correct that.  This example isn’t even worthy of the term “pseudoscience”.  Judge for yourself.

I recently received an email inviting me to “Botswana’s first BodyTalk Day”.  According to the invitation this is “a revolutionary new approach to healing that has become the language of health in over 30 countries”.  Wow.  Notice how that claim actually means precisely nothing?  It doesn’t say that millions of people are using it and it cures diabetes, AIDS and asthma.  No. it’s just become the “language of health”.

The invitation goes on to say that BodyTalk “utilises state-of-the-art energy medicine to optimise the body’s internal communications”.  Again, a statement that means precisely nothing.  Note the use of terms like “state of the art”, “energy medicine” and “optimise”.  All very vague don’t you think?

So off I went to the internet to do some Googling.  One of the first web sites I found described in detail how BodyTalk works. 

After a series of paragraphs explaining how our bodies are full of energy circuits, how the atoms we consist of are talking to one another and how we need to be resynchronised it explains what actually happens when you get yourself BodyTalked.

I hope you’re sitting down.  Trust me, I’m not making this up.  This is exactly what it says.

For every malfunctioning energy circuit found, the practitioner or client contacts the corresponding “points” with his or her hands. The practitioner then lightly taps the client on the top of the head, which stimulates the brain center and causes the brain to re-evaluate the state of the body’s health.”

“The practitioner then taps the client on the sternum to “announce” the corrected energy flows to the rest of the body.

So let me get this straight.  This “practitioner” who is presumably either deluded, deranged or depraved gets to touch you, pat you on the head and then tickle your tummy and you’re cured? 

I’m tempted to suggest a modified version of BodyTalk. I think I’ll call it BodyThump.  Come to me with your health problems, I’ll stroke whichever part of you looks appealing, perhaps for quite a long time if it’s VERY cute, smack you on the back of your head, punch you in the stomach and charge you P500. 

So you think I’m joking?  Well, I am, but so are BodyTalk, surely?  Do they really expect us to take them seriously when they are talking such palpable gibberish?

Of course there is no science behind BodyTalk or any of the other ludicrous so-called alternative therapies that abound.  There’s no real evidence that they do anything because they simply DON’T do anything.  OK, forgive me, they do so something.  In fact they do two things.  Firstly they allow the placebo effect to demonstrate itself.  That’s the effect you often see in medicine where simply doing something, even it’s just giving a sugar pill, has a slight effect.  It’s to do with positive thinking, optimism and taking a bit more care of yourself.  The second thing it does is to help you lose weight.  From your wallet.

The demons of televangelism - Botswana Guardian

There’s an advertisement going around for a forthcoming “Leadership Life Development Convention”. This is being run by Bible Life Ministries, a local evangelical church and will be attended by “Bishop Dr” I.V. Hilliard. This gentleman is shown in the advertisement looking very serious as he rests his theological chin on his no-doubt very spiritual fingers.

My problem is that the so-called Dr Hilliard appears to break Harriman’s 1st Law of Evaluating Preachers. This says that you shouldn’t trust a preacher who drives a better car than you do or, in this case, a preacher who wears a more expensive watch than you do.

He also breaks Harriman’s Law of Doctorates. Anyone who claims to have a doctorate when in fact they bought it from a diploma mill is a fraud. Both Hilliard and his charming wife Bridgett have honorary doctorates from Friends International University. Not even the normal dodgy degrees purchased over the internet after submitting an essay, these guys got honorary degrees, presumably after dropping some cash?

I’ll put aside my personal beliefs for a while and will willingly acknowledge that certain religious groups do provide a real sense of community to their members, they provide moral guidance and a vision of hope. Frankly I don’t believe a word of it but each to his own I suppose.

My objection is to the flagrant abuse that televangelists get up to. Hilliard and his fellow ministers like Joyce Meyer (who also has a doctorate from an unaccredited university) and Benny Hinn, who is simply stealing money from his victims, are exploiting the gullible, the naïve and the sick. Benny Hinn is my “favourite” in that I find him particularly repulsive. A series of undercover operations have exposed the way in which his teams filter out the really sick from his televised miracle healing. His financial operations are notoriously secretive although he has recently been under very close review by the US Senate Finance Committee who wonder where all the money goes that he gets from his unsuspecting and hugely credulous viewers. His public appeal for donations towards his new $36 million personal private jet just seems to summarise his approach.

In my very brief research on Fake-Dr Hilliard I found an online invitation to his wife’s 50th birthday party in 2006. OK, you might think, how sweet of him to invite people to celebrate his beautiful wife’s birthday! But not so. Firstly you had to pay him $100 to attend and then you’re asked to bring her a present. There was even a list of gift ideas that included “Monetary gifts. Designer handbags: Gucci, Chanel, Louis Vuitton. Gift Certificates: Neiman Marcus, Saks Fifth Avenue, Escada”.

I confess I don’t know what half of those things are but the first one is just so blatant that it deserves repeating. “Monetary gifts”.

Roughly translated this means. “Pay me $100 to attend my wife’s no doubt spectacularly vulgar birthday party and bring along some cash to give her.”

As George Carlin once said about the typical evangelist’s message from God: “He loves you, and He needs money!”

This seems to be the basic message we get from the televangelists. The solution to the problems we face, whether it’s perceived family breakdown, HIV/AIDS, crime or old-fashioned social isolation, is to listen, switch off your critical faculties and to hand over the cash.

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!