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The European Academies of Science and Medicine call for evidence-based diagnosis and therapy in response to the WHO inclusion of Traditional Chinese Medicine in its standard framework.
“Just because the World Health Organisation includes a chapter on Traditional Chinese Medicine in its new International Classification of Diseases, it is not automatically safe to use without robust evidence,” says Prof. Dan Larhammar, President of the Royal Swedish Academy of Sciences and chair of the expert group of the Academies.
EASAC and FEAM urge European lawmakers to protect the health of European citizens. In a statement released today, the two organisations respond to the WHO move and ask for a revision of the existing European regulatory framework to make sure Traditional Chinese Medicine is held to the same standards of proof and evidence as conventional medicine.
“There have been examples where some Traditional Chinese Medicine has undergone thorough preclinical investigation and proven in rigorous clinical trials to contribute significant health benefit – e.g. artemisinin therapy for malaria [WHO, 2015],” says Prof. Larhammar. “There may be more leads to diagnosis and therapeutic benefit yet to be discovered, but this can in no way mean that other claims can be accepted uncritically.”
Risk of severe diseases treated ineffectively
“It may not be the intention of the WHO to legitimise and encourage the use of Traditional Chinese Medicine without substantial evidence being available. But the inclusion in the new diagnostic coding will encourage proponents to push for market uptake,” explains Prof. van der Meer, Past President of EASAC and one of the experts. “There are significant financial interests at stake”. Scientists warn that as a result, patients will be confused about which diagnosis is appropriate and which therapy is efficacious.
Increased patients’ interest could create additional pressure on public health services. “But what is worse,” warns Prof. van der Meer, “some Traditional Chinese Medicine can have serious side effects and interactions with other treatments. Moreover, patients may be at risk that severe diseases are treated ineffectively and conventional medical procedures delayed.”
EASAC and FEAM recommend European lawmakers to revisit the European Union’s Directive on Traditional Herbal Medical Products [Directive 2004/24/EC amending Directive 2001/83/EC] and advise to re-examine national regulations and labelling requirements. “In the absence of solid scientific evidence, no medical product or procedure – be it Chinese, European or other - should be approvable, registrable or reimbursable”, concludes Prof. George Griffin, President of FEAM and member of the expert group.
The scientific Journal of Internal Medicine will publish a commentary which is based on the EASAC-FEAM Statement and titled „Globalization of Traditional Chinese Medicine: what are the issues for ensuring evidence‐based diagnosis and therapy?“ It will be available from 7 November under the link: https://onlinelibrary.wiley.com/doi/10.1111/joim.12989
About the European Academies’ Science Advisory Council (EASAC)
EASAC is formed by the national science academies of the EU Member States, Norway, and Switzerland, to collaborate in giving advice to European policy-makers. EASAC provides a means for the collective voice of European science to be heard. Through EASAC, the academies work together to provide independent, expert, evidence-based advice about the scientific aspects of European policies to those who make or influence policy within the European institutions.
About the Federation of European Academies of Medicine (FEAM)
The Federation of European Academies of Medicine (FEAM) is the umbrella group of Academies of Medicine, Medical Sections of Academies of Sciences and Academies of Pharmacy. FEAM promotes cooperation between national Academies and provides a platform to formulate their collective voice on matters concerning medicine, health and biomedical research with a European dimension. Its mission is to extend to the European authorities the advisory role that national Academies exercise in their own countries on those matters.
Professor Dan Larhammer
Department of Neuroscience, Uppsala University, Sweden
Professor George Griffin
Department of Infectious Diseases and Medicine St. George’s University of London London UK
Phone: +32 2 792 39 56
Professor Jos van der Meer
Emeritus Professor of Medicine at Radboud University Nijmegen, The Netherlands
For general enquiries
Ms Sabine Froning
EASAC Communications Officer
(Communication Works - Banek, Froning, Reise GmbH)
Phone: +49 15208727000