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Naturopathic Doctor & Information Specialist

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1 Naturopathic Doctor & Information Specialist
Finding Reliable Information on Complementary and Alternative Medicine (CAM) Elise Cogo, BSc, ND, MLIS Naturopathic Doctor & Information Specialist Consultant, Ottawa Ontario Library Association Super Conference, February 2011, Toronto

2 Complementary and Alternative Medicine (CAM)
Complementary medicine Alternative medicine Integrative medicine Traditional medicine (W)holistic medicine Unconventional 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 therapy Mind-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 medicine Homeopathy Ayurveda; & other whole medical systems (Ref: NCCAM).

5 Massage Therapy Registered 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 Chiropractic Doctor 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 Use 20% 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 Use Canadians 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 Use Functional 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 Use Massage 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 Use Mind-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 consumers U.S. National Institute of Health’s (NIH) National Center for Complementary and Alternative Medicine (NCCAM) Provides many resources List of Health Topics A-Z is very useful for consumer health queries




22 CAM Resources Health 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 products Guidance 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 minerals Herbal remedies Homeopathic medicines Traditional medicines (e.g., TCM) Probiotics Other products like amino acids and essential fatty acids.




27 CAM Resources NIH’s Office of Dietary Supplements (ODS)
Natural Medicines Comprehensive Database (NMCD) MedlinePlus - Herbs & Supplements (information from NMCD): consumer-friendly website with many products.


29 CAM Resources NHS 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 homeopathy Also produces some Annual Evidence Updates of CAM for several health conditions

30 CAM Resources U.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 Resources PedCAM website also provides a good list of CAM-specific research databases Natural Standard database (subscription) Alberta CAM Research Network has a good list of CAM research and professional organizations:

33 CAM Resources The Richard and Hinda Rosenthal Center for Complementary and Alternative Medicine Passeport Santé (French) CARE Program: also provides evidence-based CAM reviews for several childhood illnesses


35 CAM Resources CAMline Provides evidence-based reviews of products (NHPs) in patient and professional versions Provides useful information on CAM professions in Canada Has a CAM dictionary

36 CAM Resources CAM on PubMed (subset search limit)
PubMed’s Dietary Supplement (DS) subset (search limit)

37 CAM Resources The Cochrane Collaboration –
list of CM systematic reviews Center for Integrative Medicine (University of Maryland)/ Cochrane CAM Field - consumer summaries Cochrane CAM Field - glossary of CAM terms



40 CAM Resources Integrative Health Institute (Mount Royal University) - list of CAM associations Board of Directors of Drugless Therapy - Naturopathy (Ontario) College of Chiropractors of Ontario College of Massage Therapists of Ontario Transitional Council of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario

41 CAM Resources World Health Organization (WHO) Traditional Medicine (TM) Fact Sheet Website includes details of the WHO TM global strategy Contains list of WHO Collaborating Centres for TM

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