| Edition #7 |
October 2006 |
| Editor: Monica Fairall |
Writer: Suzanne Ellis |
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NEED TO FAST-TRACK REGULATIONS
THE need for appropriate regulations for complementary medicine to be put in place by the Department of Health has never been more apparent. As you will see from many of the stories in this 7th edition of your HPA Headlines, concerns around claims, taking liberties with advertising and marketing material as well as complaints about substances are increasing. Which is why the establishment of a self-monitoring body by the HPA is timely – as is the appointment of an executive director to bolster the credibility and professional standing of the industry. (See stories below.)
| The absence of a regulatory structure from government within which CAMS can function not only creates loopholes for what HPA chairman Dr Alan Tomlinson has described as industry “cowboys” but provides the popular media with an opportunity to attack what’s being depicted as “hundreds of illegal and unsafe products”. |
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Dr Tomlinson expressed concern about articles that recently received prominence in two major daily papers. “They sensationalised the situation and gave readers the impression that they were in danger when using our medicines and products. This is not true. The substances we use are generally safe and have a long track record to substantiate this, and anyone on any kind of medication, following everydayhealth.com or otherwise should have access to them.
“While there might be a few ‘illegal’ medicines making claims that they’re not entitled to, our self-regulatory programme is now addressing these problems and cleaning things up.”
The HPA is also appealing to editors of publications to view with caution any advertising material that contains medical claims.
Dr Tomlinson added that the HPA was continuing to work closely with the Department of Health and the Advertising Standards Authority – and made good progress at a recent meeting with the Complementary Medicines Committee of the Medicines Control Council.
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HPA SETS UP INDUSTRY WATCHDOG
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GOOD progress has been made with the HPA’s plan to set up a CAM’s (Complementary and Alternative Medicine) industry watchdog. A small, proactive committee that will be known as the HPA Self Monitoring Technical Committee (SMTC) has been drawn from among the Association’s EXCO members – and Solgar’s Denise Maidment is in the chair. |
Alongside her are Andrew Butler, Mathi Kona and Celecia Roos with Deirdre Allen as secretary. The SMTC already has a list of technical experts to be drawn as consultants when needed, as well as laboratories that may be required for assays.
“We will meet on a regular basis to process complaints from the market place and give advice on advertising and promotional material,” Denise said. “We will evaluate products according to substances, indications and claims but not efficacy or quality issues.”
Strict procedures will be applied to complaints, regardless of whether they come from one HPA member against another or a non-member company questioning claims and statements on labels and adverts as well as concern about substances.
“When it comes to substance, we will refer to the lists already developed by the Broad Based Reference Groups acting under the authority of the Complementary Medicines Council of the MCC,” she added.
Denise anticipates a range of complaints from the simple, such as a medicinal claim for a nutritional supplement - which is irresponsible advertising and can be corrected by changing a few words on labels and adverts – to more complex issues such as new substances on the market that have not yet been tested for safety and validity.
“If a complaint goes beyond our mandate, then we refer it for expert opinion,” she said. “If there is non-compliance with our counsel, we will pass the matter on to agencies such as the ASA, MRA and law enforcement bodies. They have indicated full support for our self-monitoring initiative.
“I must stress that this is not a witch-hunt – and the SMTC should not be used for that purpose,” she added. “We want to enhance the credibility of the industry so that consumers know our products are safe and above board.”
Deirdre Allen reports that the SMTC has already received over 10 complaints. “We’ve had a lot of co-operation and my sense is that most problems stem from ignorance; people want to comply – and the SMTC can help them do so.”
- Complaint forms are available from the HPA, and the next meeting at which complaints will be discussed is on 23 November.
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NEW HPA TOP POST CREATED
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The HPA has announced the appointment of Mathoba (Mathi) Kona as executive director of the Association
Mathi sees her new position as “an opportunity to give CAM the profile it deserves”.
Deirdre Allen will continue to be responsible for the day-to-day running of the organisation while Mathi will concentrate on political and legislative matters pertaining to complementary medicine. |
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“I see myself as a bridge, as a mediator to make people more aware of the positive benefits of complementary medicine,” explains Mathi, who is a pharmacist with 12 years in the industry. She is well-qualified to take an objective stance and view things from a medical and scientific viewpoint, while maintaining respect for the potential of natural medicine. In her pharmaceutical capacity, she has worked in production, quality control, project management, sales management as well as medical regulatory affairs and marketing.
Her esteem for natural healing dates back to her youth. She recalls childhood days in Attridgeville when her grandmother gave her regular doses of home-made grape seed extracts. “I never caught a cold in winter,” laughs Mathi. “Now I know it was due to the immune boosting elements found in grape seed. I feel it is very important to promote the natural healing wisdom passed from generation to generation for centuries.”
More importantly, however, her mission is to create awareness of verifiable scientific support for natural medicine. “I aim to make people aware of the wealth of scientific research conducted on CAM products. Reputable scientists have studied many of these plants, herbs and oils for decades but people are just not aware of it.”
In CAM’s quest for respect and recognition, it is vital that products are of a consistently high quality, that unsubstantiated claims are avoided, therapeutic doses are adhered to and verifiable research made available. But it is also important that the medical and pharmaceutical industry understand the essential role CAM products and therapists can play in the national health care arena. This is another project on Mathi’s ‘to-do’ list. “I intend to foster positive dialogue between the CAM industry and the medical fraternity in order to build healthy relationships for a better tomorrow,” she declares. |
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MARKETING GLUCOSAMINE? Take note…
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FOLLOWING a recent clash between two companies marketing competitive products containing glucosamine, a new resolution is now in place to regulate the marketing of the substance that has become a favoured ingredient in CAM preparations for joint problems.
All medical terminology relating to pathologies must be avoided on labels, in advertising leaflets, products inserts and any other promotional material. It is no longer acceptable to use ‘osteoarthritis’, ‘osteochondrosis’, ‘spondylosis’ or just the word ‘arthritis’ for products which have note been registered for these indications. These are to be replaced with adjunctive phrases based on physiological functions such as ‘helps in joint function’ and ‘helps with joint maintenance’.
Companies marketing glucosamine are expected to comply with this resolution and those who do not conform will be referred by the HPA to the law enforcement of the Department of Health.
Said John Spence, MD of Pharmachoice who produce a formulation for joint conditions: “Companies have to be responsible in the way they communicate and what they say about their products. Although we cannot advocate a cure, we do have the right to educate the consumer. The HPA and complementary medicine companies have got to take control, and ensure that all promotions and claims are accurate.” |
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BUSINESS OPPORTUNITY: Probiotic potential
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While many probiotic supplements are currently under the spotlight in the UK for containing far fewer of the ‘friendly bacteria’ than claimed on the label - or none at all - Prime Directive is one probiotic that lives up to high standards. Considered one of the most advanced probiotics in the marketplace, it contains an unprecedented 12 lactobacilli and is the only product to offer the full family of lactobacillus. Rob Harrewyn Organics in Cape Town is looking for the right distributor to promote this product in South Africa.

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EVENTS…
DON’T MISS THIS GREEN EXPO!
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THE natural and organic industry will be in full force for this year’s Natural & Organic Products Exhibition, taking place at Gallagher Estate, Midrand, from 20 to 22 October.
With the expo focusing on opportunities for sustainable business development and activating the South African movement to sustainable change, organisers are seeing interest in things organic rocketing. Sixty-four exhibitors took part in the first exhibition in 2004. There are 220 at the latest show.
| Exhibition director, David Wolstenholme, is thrilled. “At a 25% annual growth rate, the organic industry is the fastest growing industry segment worldwide. Compare this with conventional produce using chemicals and GM seeds (which is only growing at 2% per year) and we can start to understand the intensity of a worldwide consumer demand for chemical free products.” |
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As a consumer and trade information platform, the exhibition not only provides access to a range of products and services but also supports the expansion of the local organic industry. The programme includes the Go Organic Conference with presentations such as The Money’s in Organics – the Buyer’s Wish List; Big Business is Turning Organic and Brazil’s Organic Revolution – How Does It Apply to South Africa. Dr Maria Neeves, the research scientist behind the development of Brazil’s national organic and bio-fuel programmes, will provide insight into the practicalities of going organic.
The South African Natural Products Trade Association will be launching their phytotrade award – and the No Kak Eco-Friendly Fashion Show will show how green fabrics and fibres can be fashionable and fun. This event promises to be the best one yet.
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ANOTHER NEW FACE FOR THE HEALTH INDUSTRY |
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MEDICAL doctor and TV celebrity, Dr Michael Mol, takes up the reins this month as CEO of Paragon Health, a group of companies that includes Sportron International and Regal Nutrients, supplier of the FoodState brand. Michael will pay particular attention to expanding the group’s involvement in lifestyle management, corporate wellness programmes and HIV management. |
Sportron chairman, Dr Alan Tomlinson, described Michael’s appointment as providing young, dynamic leadership as well as management continuity. “He is uniquely suited to lead the group into a strong new season of business growth and success,” said Dr Tomlinson. “His medical background, interpersonal and communication skills, and his business acumen are key credentials. Michael is keenly interested in all aspects of wellness and has a passion for helping people find a holistic, balanced approach to the world they live in.”
After qualifying, Michael did further training in emergency medicine and advanced trauma, cardiac and paediatric life support. A former Mr SA, he is also a Red Cross Children’s Champion and a patron of SA Cares for Life and The Living Hope Community Centre. He has a keen eye for the meta-forces shaping the world. Michael will add value to the world of health and wellness and his appointment is good news for the HPA. |
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QUALITY THAT COUNTS
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THE Dr Reckeweg range of homoeopathic products is world renowned for quality but is barely known in this country.
Developed by Dr Heinrich Reckeweg in the early 20th century, the range first came to SA in the 1970s. Many homeopaths practising at the time swore by them. For decades this brand offered the combination remedy of choice and was prominent in every self-respecting health shop. Unfortunately, Reckeweg visibility took a downturn in the 1990s and was quickly supplanted by other brands. In some areas today, one can be hard-put to find the range.
But this is going to change, if John Smithers has anything to do with it. He was enticed out of semi-retirement three years ago to work with Michael Reckeweg to re-establish the range in the local market.
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“Dr Reckeweg products are not in all the places they should be,” admits Smithers. “For many of the older homeopaths, this product was the one and only, but few people are aware of them today. Although it is difficult with current competition, we are determined to get the range back to prominence.” |
And the brand deserves it. Dr Reckeweg products are of the highest quality. Produced in Bensheim, Germany, they are still sucussed by hand and not machinery. The preparations consist of ingredients derived from vegetable, animal and mineral sources. Decades of practical applications and clinical use established their reputation as being safe, effective and free from side-effects.
John Smithers, who confesses to having once been an “antibiotic man”, has been astounded by the healing results he has witnessed that can be directly attributed to Dr R. “I have seen people recover from serious problems thanks to these products,” he says. “Reckeweg is the ‘real-deal; pure homeopathy.”
Although the products are imported, the prices are competitive. But they can be difficult to find. Gauteng provides 80% of the business and the Cape just under 20%. So if you live in KZN or the Free State, it will be a hard search. Currently the products are available from most Dischem outlets.
- Head office: 011-886-2555
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HOW TO SPICE UP HEALTH CARE...
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A new book by Cape Town medical practitioner Dr Keith Scott not only offers insights into the healing powers of spices but provides scientific proof of their mechanisms of action. Called MEDICINAL SEASONINGS: The Healing Power of Spices, the book describes the disease-preventing properties of over 20 spices – from turmeric and ginger to rosemary to liquorice - as well as discussing the effect of spices in inhibiting diseases from cancer and diabetes to Alzheimers and systemic inflammation. It makes for fascinating reading – and should get every reader spicing up their diet to good effect.

www.medicalseasonings.com |
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GET YOUR HEALTH KICK FROM COFFEE?
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SA coffee lovers can now have their palates tempted by a range of strong and tangy coffees from Africa. |
A marketing drive by ten countries to the north of us means that local connoisseurs can choose from a number of Arabica and Robusta single origin coffees – grown in counties from Kenya and Ethiopia to Uganda and Tanzania. Commented spokesperson for the East African Fine Coffees Association, James Kibera: “Not only will these dark, strong flavours appeal to the discerning coffee drinker but there’s good news on health front. Coffee is a source of anti-oxidants.” And it appears that for many Americans, coffee is their main source of these vital micro-nutrients! Looks like the US anti-oxidant marketers need to get busy…
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SUPPORT FOR ANTI-DOPING DRIVE
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MANUFACTURERS and suppliers of performance-enhancing supplements are being urged to come clean about the substances contained in their products. Due to the strict anti-doping rules now imposed in sport, it is of paramount importance that athletes know what they are taking – yet contaminated nutritional substances are often blamed for positive tests.
Many athletes are often not to blame for testing positive for doping. As far as they were aware, they were ingesting an acceptable substance. Claims of innocence from athletes have been backed up in research conducted by the International Olympic Committee (IOC). In 2002, the IOC tested 634 nutritional supplements and found that 15% contained banned substances – and none of the products listed any steroid as an ingredient.
To help combat this situation, EAS – which has a portfolio of recognised high performance brands – is working with one of the world’s largest anti-doping laboratories that tests for banned substances like steroids and stimulants. The laboratory and testing service used by EAS is currently the only one of its kind in the UK – and has been accredited by the United Kingdom Accreditation Service. This move reinforces the commitment by EAS to maintain its ‘clean’ supplements in a market saturated with banned substances. |
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FRENCH FIGHT LOW SUPPLEMENT LEVELS
The French dietary supplements trade association, SDCA, is to make an official complaint to its administrative courts about the French decree on maximum levels for vitamins and minerals in food suplements. This decree, made in advance of the EU levels yet to be set by the European Commission, sets low national maximum levels for vitamins and minerals.
MEDICINE VS SUPPLEMENT STRUGGLE IN SPAIN
The European Commission continues its proceedings against Spain over infringements of single market rules on products containing herbal ingredients. The Commission sent Spain a ‘reasoned opinion’ regarding obstacles in that country to the marketing of products containing herbal ingredients that are legally marketed and/or manufactured in other member states. Among the products concerned are those containing guarana, ginseng, soy isoflavones and alfalfa. All are legally sold as food supplements elsewhere in the European Union but are classified as medicines by the Spanish authorities.
BEWARE OF INTERNET ‘SEX-AID SUPPLEMENTS’
The US Food and Drug Administration recently warned consumers not to purchase products promoted as ‘dietary supplements’ that were being sold on the internet for the treatment of erectile dysfunction and enhanced sexual performance. Analysis of 17 such products, which were not approved by the FDA, revealed that they contained potentially harmful and undeclared ingredients that could interact with prescription drugs.
E.U. LOOKING INTO LYCOPENE
The Lycocard project, funded under the European Union’s Sixth Framework Programme, is to investigate the bioavailability, metabolism and molecular mechanisms involved in lycopene’s biological activities, as well as its role in reducing the risk of cardiovascular disease. With 16 partners in Germany, Spain, France, Italy, Hungary and the UK, the project will address the full food chain - from ‘farm to fork’ - and foster the development of healthy new foods optimising lycopene’s beneficial properties.
JAPANESE RISK ANALYSIS OF CoQ10
THE medicinal dosage of Co-Enzyme Q10 in Japan is 30mg/day but it is more commonly taken as a dietary supplement at the daily dosage (permitted since 2001) of 100mg to 200mg. About a year ago, Japan’s Ministry of Health, Labour and Welfare (MHLW) requested a risk analysis of CoQ10 and the conclusions have now been announced.
The Food Safety Committee found it difficult to decide on an upper daily safe dose due to lack of data. They also noted that the level of CoQ10 contained in many products marketed in Japan exceeded the medicinal dosage. Therefore, its view was that MHLW should take risk management action to:
- Require manufacturers and distributors to confirm the safety of the dose in long-term use.
- To provide information to consumers on any warnings or cautions as to intake.
- To document information on adverse reactions etc.
FOLIC ACID FORTIFICATION DOWN UNDER
With the goal of reducing the number of children born with neural tube defect, the Australia and New Zealand Food Regulation Ministerial Council asked Food Standards Australia New Zealand (FSANZ) to consider the development of a food standard for the mandatory fortification of food with folic acid. Noting the success of similar projects in other countries, such as Canada and Chile, FSANZ has proposed that all bread-making flour should be fortified with folic acid on the grounds that bread is a common food for women of child-bearing age. |
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