[Tony Sheldon: "Netherlands to crack down on complementary medicine", BMJ 2004;328;485-, doi:10.1136/bmj.328.7438.485-c]‚»‚ÌŒãA3–¼‚̈ãŽt‚ª’¦‰úˆ•ª‚ðŽó‚¯‚Ä‚�ｿｽ�ｿｽ‚éF
The Netherlands is considering tougher laws on practitioners of complementary medicine after government health inspectors who were investigating the death from breast cancer in 2001 of the actress and comedienne Sylvia Millecam severely criticised her treatment.
——D‚ŃRƒƒfƒBƒAƒ“‚¾‚Á‚½Sylvia Millecam‚ª2001”N‚É“ûŠà‚ÅŽ€–S‚µ‚½Œ‚𒲸‚µ‚½•{ƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚ªA”Þ—‚ÌŽ¡—Ã‚ð‹‚”á”»‚µAƒIƒ‰ƒ“ƒ_‚͕⊮ˆã—Â̎¡—Î҂ɑ΂·‚é–@‹K�ｿｽ�ｿｽ‚ð‹‚ß‚é‚�ｿｽ}‚Æ‚ðŒŸ“�ｿｽ�ｿｽ‚µ‚Ä‚�ｿｽ�ｿｽ‚éB
The investigators found that alternative practitioners contradicted the diagnosis of breast cancer made by her doctors and offered her instead the prospect of a cure with gunfounded methods of treatment.h
‚»‚Ì’²¸‚ÅA‘ã‘Öˆã—ÃŽt‚ª”Þ—‚̈ãŽt‚Ì“ûŠàf’f‚ð”ے肵Aª‹’‚Ì‚È‚�ｿｽ�ｿｽŽ¡—Ö@‚É‚æ‚鎡—Â̌©ž‚Ý‚ð’ñŽ¦‚µ‚½B
The report concluded that gvarious individual carersh had goffered such irresponsible careh that disciplinary action or criminal proceedings are likely. Their role prevented a cure or an extension of Ms Millecamfs life, and she died from untreated breast cancer.
•ñ‘‚ÍA’¦‰úˆ•ª‚ ‚é‚�ｿｽ�ｿｽ‚ÍŒYŽ–‘i�ｿｽ~‚É‚È‚è‚»‚¤‚È–³Ó”C‚ÈŽ¡—Ö@‚ð—lX‚ÈŒÂX‚ÌŽ¡—ÃŽÒ‚ª’ñ‹Ÿ‚µ‚½‚ÆŒ‹˜_‚µ‚½B”ނ炪’S‚Á‚½–ðŠ„‚ÍAŽ¡—ÖWŠQ‚ ‚é‚�ｿｽ�ｿｽ‚ÍSylvia Millecam‚̉„–½–WŠQ‚Å‚ ‚èA”Þ—‚Í–³Ž¡—Â̓ûŠà‚ÅŽ€–S‚µ‚½B
The Dutch Healthcare Inspectorate attacked the countryfs current gliberal regimeh for not gsufficiently guaranteeing the protection of the citizen against malpractice by alternative carersh and called for measures to improve protection against gdangerous quackery.h
ƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚Í‘‚ÌŒ»Ý‚ÌuŽ©—R‚È‘Ì�ｿｽ�ｿｽv‚ðu‘ã‘ÖŽ¡—ÃŽÒ‚½‚¿‚É‚æ‚é•s³sˆ�ｿｽ~‚©‚çŽs–¯‚ðŽç‚é‚�ｿｽ}‚Æ‚ð\•ª‚É•ÛႵ‚Ä‚�ｿｽ�ｿｽ‚È‚�ｿｽ�ｿｽv‚Æ”ñ“AuŠëŒ¯‚ȃjƒZˆã—Ãv‚©‚ç‚Ì•ÛŒì‚ð‹‰»‚·‚éŽè’i‚ð‹‚ß‚½B
Although relatives had lodged no complaint, the inspectorate launched an investigation in 2002 after persistent media reports saying that Ms Millecam had been a gdesperateh cancer patient who gforfeited the chance of a cure.h
Sylvia‚Ìe‘�ｿｽ�ｿｽ‚ÍR‹c‚È‚Ç‚ðs‚Á‚Ä‚�ｿｽ�ｿｽ‚È‚�ｿｽ�ｿｽ‚ªASylvia Millecam‚ªuŽ¡—Â̋@‰ï‚ðŽ¸‚Á‚½uŽ©–\Ž©Šü‚Ìv‚ª‚ñŠ³ŽÒ‚¾‚Á‚½‚Æ•ñ“¹‚ª‚È‚³‚ê‚ÄAƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚Í2002”N‚É’²¸‚ðŠJŽn‚µ‚½B
The investigatorsf report found that between September 1999 and her death nearly two years later, when she was aged 45, Ms Millecam was treated by 28 different practitioners and institutions. Though mainstream care was available she exclusively chose alternative treatments.
’²¸•ñ‘‚ÍA1999”N9ŒŽ‚©‚ç2”NŒã‚ÌŽ€‚Ü‚Å‚ÌŠúŠÔ‚ÉA45΂¾‚Á‚½Sylvia Millecam‚Í28l‚ÌŽ¡—ÃŽÒ‚©‚玡—ÂðŽó‚¯‚Ä‚�ｿｽ�ｿｽ‚½‚�ｿｽ}‚Æ‚ðŒ©o‚µ‚½B’Êíˆã—ÂðŽó‚¯‚é‚�ｿｽ}‚Æ‚Ík‚Ì‚¤‚¾‚Á‚½‚ªA”Þ—‚Í‘ã‘ֈ㗾‚¯‚ð‘I‘ð‚µ‚½B
Her general practitioner had first identified a lump of 1 cm radius in her breast. She was referred to a hospital radiology department, but the tests were inconclusive. She was referred to a surgeon, but instead she chose a doctor who practised alternative electro-acupuncture. She was assured that nothing was the matter.
”Þ—‚̎厡ˆã‚Íʼn‚ÉA‹¹•”‚É1cm”¼Œa‚̉ò‚ðŠm”F‚µ‚½B”Þ—‚Í•a‰@‚Ì•úŽËüŽ¡—ÉȂÉЉ‚ꂽ‚ªAŒŸ¸‚ÍŠm’è“I‚Å‚Í‚È‚©‚Á‚½B”Þ—‚ÍŠO‰Èˆã‚ðЉ‚ꂽ‚ªA‘ã‘Ö“d‹CèI—Ö@‚ðs‚¤ˆãŽt‚ð‘I‘ð‚µ‚½B”Þ—‚͉½‚à–â‘肪‚È‚�ｿｽ�ｿｽ‚ÆŠmM‚µ‚½B
The next May breast cancer was diagnosed, and surgery was recommended. Instead she saw a popular faith healer who said she did not have cancer and advised against chemotherapy. She then began regular visits for ghealings.h Over the next year she sought various cures, including gcell specific cancer treatmenth at a Swiss clinic and gsalt therapy,h and visited a psychic healer. She was told on at least two occasions that she did not have cancer but a bacterial infection.
—‚5ŒŽ‚ÉA“ûŠà‚¾‚Æf’f‚³‚êAŽèp‚ð„�ｿｽ�ｿｽ‚³‚ꂽB‚µ‚©‚µA”Þ—‚Íl‹C‚ÌM‹Â—Ö@Žt‚ð–K‚Ë‚½B‚»‚ÌM‹Â—Ö@Žt‚ÍA”Þ—‚ªŠà‚É‚©‚©‚Ä‚�ｿｽN‚炸A‰»Šw—Ö@‚ð”ð‚¯‚é‚悤‚É•Œ¾‚µ‚½B‚»‚µ‚ÄA”Þ—‚Í’èŠú“I‚Ƀq[ƒŠƒ“ƒO‚É–K‚ê‚é‚悤‚É‚È‚Á‚½B”N‚ð‰z‚¦‚ÄA”Þ—‚̓XƒCƒX‚̃NƒŠƒjƒbƒN‚Ìu�ｿｽ~–E“Á’èŠàŽ¡—ÃF‚âu‰–—Ö@v‚ðŠÜ‚Þ—lX‚ÈŽ¡—Ö@‚ð‹‚ßAS—ì—Ö@Žt‚ð–K‚Ë‚½B”Þ—‚Í‚È‚‚Æ‚à2‰ñ‚ÍAŠà‚Å‚Í‚È‚�ｿｽ~‹ÛŠ�ｿｽLõ‚¾‚Æ‚�ｿｽ�ｿｽ‚ç‚ꂽB
The inspectorate has reported six alternative practitioners to the public prosecution service. It has also confirmed that three doctors are being investigated for possible disciplinary action, including two of the six practitioners.
ƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚Í6l‚Ì‘ã‘Öˆã—ÃŽt‚ðŒŸŽ@‚É•ñ‚µ‚½B‚»‚Ì6l‚Ì‚¤‚¿‚Ì2l‚ðŠÜ‚Þ3–¼‚̈ãŽt‚ªA’¦‰úˆ•ª‚Ì‚½‚ß‚Ì’²¸‚ðŽó‚¯‚Ä‚�ｿｽ�ｿｽ‚½‚�ｿｽ}‚Æ‚ªŠm”F‚³‚ꂽB
The inspectorate now wants the law changed to ensure greater supervision of alternative practitioners and that all such practitioners have to be registered. It also wants it made illegal for anyone other than a trained doctor to be allowed to make a medical diagnosis.
ƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚Í‘ã‘Öˆã—ÃŽt‚½‚¿‚ɑ΂·‚é‚æ‚è‹‚�ｿｽ�ｿｽŠÄ“‚ðŠmŽÀ‚É‚·‚邽‚ß‚Ì–@‰ü³‚ÆA‚»‚̂悤‚È‘ã‘Öˆã—ÃŽt‚Ì“o˜^‚ð‹‚ß‚Ä‚�ｿｽ�ｿｽ‚éB‚Ü‚½Aƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚ÍAŒP—û‚ðŽó‚¯‚½ˆãŽtˆÈŠO‚ÌŽÒ‚É‚É‚æ‚éˆãŠw“If’f‚ðˆá–@‚Æ‚·‚é‚悤‚É‹‚ß‚Ä‚�ｿｽ�ｿｽ‚éB
The Royal Dutch Medical Association supports the proposals. A spokeswoman said that regulations that applied to alternative healers in the 1997 law covering professional practice in individual health care had been relaxed. The Millecam case was just one of several that cast doubt on whether this relaxation was justified, she argued.
‰¤—�ｿｽ�ｿｽƒIƒ‰ƒ“ƒ_ˆãŠw‰ï‚Í‚�ｿｽ}‚Ì’ñˆÄ‚ðŽxŽ‚µ‚Ä‚�ｿｽ�ｿｽ‚éB‰¤—�ｿｽ�ｿｽƒIƒ‰ƒ“ƒ_ˆãŠw‰ï‚ÌL•ñ‚Íu‘ã‘Öˆã—ÃŽt‚½‚¿‚É“K‰ž‚³‚ê‚é‹K�ｿｽ�ｿｽ‚ɂ‚�ｿｽ�ｿｽ‚ÄAŒÂX‚̃wƒ‹ƒXƒPƒA‚Ìê–å“IŽ¡—Ãsˆ�ｿｽ~‚ðƒJƒo[‚·‚é–@—\‚ª1997”N‚Ɋɘa‚³‚ꂽBMillecam‚ÌŽ–Œ‚ÍA‚�ｿｽ}‚̊ɘa‚ª³‚µ‚©‚Á‚½‚©‚Ç‚¤‚©‚ɂ‚�ｿｽ�ｿｽ‚Ä‹^‚�ｿｽ�ｿｽ‚ð“Š‚�ｿｽ�ｿｽ‚©‚¯‚é•¡”‚ÌŽ–Œ‚̂ЂƂ‚ł ‚év‚Æq‚�ｿｽ~‚½B
Sylvia Millecam died of breast cancer after having electroacupuncture, faith healing, salt therapy, and psychic healing
Sylvia Millecam‚ÍA“d‹CèI—Ö@‚ÆM‹Â—Ö@‚Ɖ–—Ö@‚ÆS—ì—Ö@‚ðŽó‚¯‚½ŒãA“ûŠà‚ÅŽ€–S‚µ‚½B
[wikipedia: Sylvia Millecam]‚»‚ê‚©‚ç5”N‚ÌŽž‚ª—�ｿｽ�ｿｽ‚ꂽ2009”N2ŒŽ‚ÉA‚悤‚₃Iƒ‰ƒ“ƒ_•{‚Í“®‚«o‚µ‚½F
Sylvia Millecam (Boxmeer, February 23, 1956 -- August 19, 2001) was a Dutch actor and comedian.
On June 19, 2007, three physicians who were involved in alternative therapies of Millecam, were prohibited to continue their work as physicians. Two of them permanently, the other for one year.
Sylvia Millecam‚̓Iƒ‰ƒ“ƒ_‚Ì——D‚ŃRƒƒfƒBƒAƒ“‚¾‚Á‚½B2007”N6ŒŽ19“ú‚ÉAMillecam‚Ì‘ã‘ÖŽ¡—Âɂ ‚½‚Á‚½3l‚̈ãŽt‚½‚¿‚ÍAˆãŽt‹Æ–�ｿｽ}‚ð‹Ö‚�ｿｽ�ｿｽ‚ç‚ꂽB‚¤‚¿2–¼‚͉i‹vA1–¼‚Í1”NŠÔB
[Bart B. Van Bockstaele: "The Netherlands on the offensive against alternative medicine" (2009/02/24) on Digital Journal]‘ã‘Öˆã—Âɂæ‚鎀‘Ì‚ªÏ‚Ýオ‚Á‚ÄA‚悤‚₃Iƒ‰ƒ“ƒ_•{‚Í‚à‚Ì‚·‚²‚–{‹C‚Åí“�ｿｽ�ｿｽ‚ðŠJŽn‚µ‚½‚悤‚¾B
For years, governments considered alternative medicine as not worth their time. After a number of high-profile deaths, the Netherlands has decided to take this growing problem seriously.
’·”N‚ɂ킽‚èA•{‚Í‘ã‘Ö—˜—p‚ɂ‚�ｿｽ�ｿｽ‚ÄŽžŠÔ‚ð‚©‚¯‚鉿’l‚ª‚È‚�ｿｽ�ｿｽ‚Æl‚¦‚Ä‚�ｿｽ�ｿｽ‚½BŠô‚‚©‚Ì’–Ú‚·‚�ｿｽ~‚«Ž€–SŽ–Œ‚ª‚ ‚èAƒIƒ‰ƒ“ƒ_‚Í‚�ｿｽ}‚Ì‘‘å‚·‚é–â‘è‚É^Œ•‚ɑΈ‚·‚é‚�ｿｽ}‚Æ‚ÉŒˆ‚ß‚½B
Alternative medicine has been perceived for a very long time as a rather harmless indulgence for people with money to burn, not a problem worth the time of politicians who, for the most part, are scientifically illiterate and unable to see the difference between real medicine and quackery.
This has given the public the impression that alternative medicine is indeed a valid alternative to conventional medicine, and with the help of celebrities and lifestyle pages in the media, it is becoming more and more popular.
In spite of what the public has been led to believe, there is no such thing as "conventional medicine" and "alternative medicine." There is only medicine. When a treatment is tested and shown to work, it becomes medicine. Alternative medicine is medicine that hasn't been tested, or that has failed the tests.
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Because of the growing popularity of alternative medicine, the number of deaths caused by alternologists of all types is on the rise, and there have been a number of high-profile deaths, such as popular actress Sylvia Millecam, in the Netherlands during the past few years. De Volkskrant, a leading Dutch newspaper, reports that Minister of Public Health Ab Klink now wants to address this problem.
Quacks of all types used to get a simple fine of up to 3,700 euros or up to three months of jail time when they were caught endangering the health of their customers, but this will now change. Such behaviour will no longer be considered a simple contravention, but a criminal offense with a fine of up to 74,000 euros or up to nine years of imprisonment.
‘ã‘Öˆã—ÂÌl‹C‚Ì‚‚Ü‚è‚É‚æ‚èAƒIƒ‰ƒ“ƒ_‚ł͉ߋŽ””NA‚ ‚ç‚ä‚éŽí—Þ‚Ì‘ã‘Öˆã—ÃŽt‚É‚æ‚鎀–S”‚ª‘‰Á‚µ‚Ä‚�ｿｽN‚èAl‹C‚Ì——DSylvia Millecam‚ɂ悤‚È’–Ú‚·‚�ｿｽ~‚«Ž€–SŽ–Œ‚ª‹N‚«‚Ä‚�ｿｽ�ｿｽ‚éBŽw“�ｿｽ}“I‚ȃIƒ‰ƒ“ƒ_‚ÌV•·De Volkskrant‚ÍAŒö‹¤•ÛŒ’‘ŠAb Klink‚ª‚�ｿｽ}‚Ì–â‘è‚É—�ｿｽ�ｿｽ‚¿Œü‚©‚¤‚Æ•ñ“¹‚µ‚Ä‚�ｿｽ�ｿｽ‚éB
‚ ‚ç‚ä‚éŽí—ނ̃jƒZˆã—ªŒÚ‹q‚ÌŒ’N‚ðŠëŒ¯‚ÉŽN‚·‚Ì‚ªŒ©‚‚©‚Á‚½‚çAÅ‚3700ƒ†[ƒ‚Ì”�ｿｽ}‹à‚à‚µ‚‚ÍÅ‚3‚©ŒŽ‚ÌŒYŠú‚ðŒ¾‚�ｿｽ�ｿｽ“n‚³‚ê‚邪A‚�ｿｽ}‚ê‚͉ü³‚³‚ê‚éB‚»‚̂悤‚Èsˆ�ｿｽ~‚Í’Pƒ‚Ȉᔽsˆ�ｿｽ~‚Æ‚Í‚Ý‚È‚³‚ꂸAÅ‚7400ƒ†[ƒ‚Ì”�ｿｽ}‹à‚à‚µ‚‚ÍÅ‚9”N‚ÌŒYŠú‚ðŒ¾‚�ｿｽ�ｿｽ“n‚³‚ê‚é”Æß‚Æ‚Ý‚È‚³‚ê‚éB
Improper use of the term "medical" will also no longer be tolerated. The minister says that use of this term can give patients the erroneous idea that a clinic offers conventional treatments when, in fact, they are administering alternative treatments. The national health inspection will now be authorized to close institutions that use this term improperly. The minister cites the example of an institution where a cancer patient was advised not to continue with her chemotherapy. She is now dead.
The inspection will also be able to take action against alternologists and quacks who present themselves as medical practitioners.
uˆã—Ãv‚Æ‚�ｿｽ�ｿｽ‚¤—pŒê‚Ì•s“KØ‚ÈŽg—p‚ÍA‚à‚Í‚âŠÅ‰ß‚³‚ê‚È‚�ｿｽ�ｿｽB•ÛŒ’‘Š‚Íuˆã—ÂƂ�ｿｽ�ｿｽ‚¤—pŒê‚ÌŽg—p‚ÍŠ³ŽÒ‚ɑ΂µ‚ÄAƒNƒŠƒjƒbƒN‚ª‘ã‘Öˆã—Âð‚â‚Á‚Ä‚�ｿｽ�ｿｽ‚é‚Ì’Êíˆã—Ã‚ð‚µ‚Ä‚�ｿｽ�ｿｽ‚é‚Æ‚�ｿｽ�ｿｽ‚¤Œë‚Á‚½ˆóÛ‚ð—^‚¦‚©‚Ë‚È‚�ｿｽ�ｿｽv‚Æq‚�ｿｽ~‚½Bƒwƒ‹ƒXƒPƒAŠÄŽ@‹Ç‚É‚ÍA•s“KØ‚Éuˆã—Ãv‚Æ‚�ｿｽ�ｿｽ‚¤—pŒê‚ðŽg‚¤‹@ŠÖ‚ð•Â½‚·‚éŒ ŒÀ‚ª—^‚¦‚ç‚ê‚é‚�ｿｽ}‚Æ‚É‚È‚éB•ÛŒ’‘Š‚ÍAŠàŠ³ŽÒ‚ɉ»Šw—Ö@‚ðŒp‘�ｿｽ}‚µ‚È‚�ｿｽ�ｿｽ‚悤‚É•Œ¾‚µ‚½—á‚ðˆø—p‚µ‚½B‚»‚ÌŠàŠ³ŽÒ‚ÍŽ€–S‚µ‚½B
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ƒ^ƒOFQuackery
