Presentation on theme: "Naturopathic Doctor & Information Specialist"— Presentation transcript:
1 Naturopathic Doctor & Information Specialist Finding Reliable Information on Complementary and Alternative Medicine (CAM)Elise Cogo, BSc, ND, MLISNaturopathic Doctor & Information SpecialistConsultant, OttawaOntario Library Association Super Conference,February 2011, Toronto
2 Complementary and Alternative Medicine (CAM) Complementary medicineAlternative medicineIntegrative medicineTraditional medicine(W)holistic medicineUnconventional medicine
3 Types of CAM Natural products; and certain dietary therapies Energy medicine – e.g., Reiki, magnetic fields, etc.Manipulative and body-based practices – e.g., chiropractic, osteopathic manipulation, massage therapyMind-body medicine – e.g., prayer, meditation, yoga, hypnotherapy, Tai Chi
4 Types of CAM Movement therapies – e.g., Rolfing, pilates, etc. Traditional Chinese medicine (TCM) – including acupuncture, etc.Naturopathic medicineHomeopathyAyurveda; & other whole medical systems (Ref: NCCAM).
5 Massage TherapyRegistered Massage Therapy (RMT) is a regulated profession.Must have completed a 2-3 year diploma program from a recognized massage therapy school.Other forms of massage are not regulated professions.
6 ChiropracticDoctor of Chiropractic (DC): 4 years post-grad. at recognized school.Regulated in all provinces.Assess for disorders related to the spine, pelvis, extremity joints, and their effect on the nervous system.
7 Naturopathic Medicine Combines: botanical medicine, clinical nutrition, hydrotherapy, homeopathy, naturopathic manipulation, traditional Chinese medicine / acupuncture, and prevention and lifestyle counselling.Regulated profession in 4 provinces, including Ontario; (+ 1 pending).2 accredited schools in Canada.Naturopathic Doctor (ND): 4 years post-grad.
8 Homeopathic Medicine Uses ultra-high dilutions of natural substances. Popular system of health care especially in Europe and South Asia.Product sale is regulated by Health Canada’s NHPD.Not a regulated profession in Canada.
9 Traditional Chinese Medicine (TCM) & Acupuncture TCM includes acupuncture, traditional Chinese herbal medicine, etc.Ontario passed the TCM Act in 2006, to regulate the profession. A Transitional Council is currently establishing the new Regulations and standards.Regulated in 4 provinces.
10 Some Additional CAM Terms Qi gong; Feldenkrais method; Trager;Alexander technique; Therapeutic Touch;Shaman; curandero; aromatherapy;Unani medicine; Tibetan medicine;Bowen technique; flower essences;Biofeedback; art therapy; macrobiotics;Shiatsu; reflexology, etc.
11 CAM Use20% of Canadians consulted a complementary or alternative health care provider in 2003 (Statistics Canada, 2005).74% of Canadians have used at least one complementary or alternative therapy sometime in their lives (Fraser Institute, 2007).
12 CAM UseCanadians spent over $5.6 billion out-of-pocket for complementary or alternative therapy treatments in one year (Fraser Institute, 2007).71% of Canadians regularly take NHPs like vitamins and minerals, herbal products, and homeopathic medicines (NHPD: 2005 Ipsos-Reid survey).
13 CAM UseFunctional Foods and Natural Health Products Survey 2007 (Statistics Canada): industry revenue was $3.7 billion.38% of adults use CAM in the USA (2007 National Health Interview Survey).
14 CAM Use 2007 National Health Interview Survey: 18% of American adults had used a non-vitamin/ non-mineral natural product (e.g., fish oil/ omega-3’s, echinacea, etc.) in the past year.These products were the most popular form of CAM among both adults and children.
15 CAM UseMassage therapy use in women in America last year was 25% (American Massage Therapy Association survey 2010).9% of American adults have used chiropractic or osteopathic manipulation (2007 National Health Interview Survey).
16 CAM UseMind-Body Practices: 13% of American adults had used deep-breathing exercises, 9% had practiced meditation, and 6% had practiced yoga.Progressive relaxation and guided imagery were also among the top 10 CAM therapies for adults(2007 National Health Interview Survey).
18 Online CAM Consumer Resources NB - the focus of the online sources discussed below is on free access for consumersU.S. National Institute of Health’s (NIH) National Center for Complementary and Alternative Medicine (NCCAM)Provides many resourcesList of Health Topics A-Z is very useful for consumer health queries
22 CAM ResourcesHealth Canada’s (HC) Natural Health Products Directorate (NHPD)NHPD’s Compendium of Monographs (also available in French) give recommended directions of use for the market approval (licensing) of many productsGuidance on how to report a product adverse reaction/ side-effect to HC’s MedEffect Canada at:
23 Natural Health Products Natural health products (NHPs) are a subset of drugs in Canada, vs. “dietary supplements” as foods in USA.NHP Regulations under the Food and Drugs Act in Canada, since 2004.Natural Product Number (NPN); or DIN-HM (homeopathic).Vitamins and mineralsHerbal remediesHomeopathic medicinesTraditional medicines (e.g., TCM)ProbioticsOther products like amino acids and essential fatty acids.
29 CAM ResourcesNHS Evidence - complementary and alternative medicine specialist collection (formerly a Specialist Library of the UK National Library for Health)Provide Annual Evidence Updates of the high-quality types of research on acupuncture and homeopathyAlso produces some Annual Evidence Updates of CAM for several health conditions
30 CAM ResourcesU.S. National Cancer Institute’s (NCI) Office of Cancer Complementary and Alternative Medicine (OCCAM)Includes a FAQ webpage and general guidance for cancer patients
31 CAM Resources The Research Council for Complementary Medicine (RCCM) Canadian Interdisciplinary Network Complementary and Alternative Medicine Research (IN-CAM)Pediatric Complementary and Alternative Medicine Research and Education Network (PedCAM)
32 CAM ResourcesPedCAM website also provides a good list of CAM-specific research databasesNatural Standard database (subscription)Alberta CAM Research Network has a good list of CAM research and professional organizations:
33 CAM ResourcesThe Richard and Hinda Rosenthal Center for Complementary and Alternative MedicinePasseport Santé (French)CARE Program: also provides evidence-based CAM reviews for several childhood illnesses
37 CAM Resources The Cochrane Collaboration – list of CM systematic reviewsCenter for Integrative Medicine (University of Maryland)/ Cochrane CAM Field - consumer summariesCochrane CAM Field - glossary of CAM terms
40 CAM ResourcesIntegrative Health Institute (Mount Royal University) - list of CAM associationsBoard of Directors of Drugless Therapy - Naturopathy (Ontario)College of Chiropractors of OntarioCollege of Massage Therapists of OntarioTransitional Council of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario
41 CAM ResourcesWorld Health Organization (WHO) Traditional Medicine (TM) Fact SheetWebsite includes details of the WHO TM global strategyContains list of WHO Collaborating Centres for TM