Dengue and papaya Elankath Dr J Sunil Kumar Dear friends, The - TopicsExpress

Dengue and papaya Elankath Dr J Sunil Kumar Dear friends, The greatest threat to our profession and health care in general is not from BRMS or Ayush. It is from the proponents of alternative therapies (scientifically unproven, of course) who create an illusion that these therapies are way better than scientifically proven methods. Most of these therapies rely on the simple fact that many of the supposedly dreaded illnesses have a self limiting course. An example is Viral Hepatits-A which is almost always self limiting. As soon as we make a diagnosis of Hepatitis-A patients flee for herbal treatment. Modern medicine doctors are also many a times guilty of pushing patients for alternative therapies. Please remember that the plural of ‘anecdote is NOT data’. A 1000 anecdotes will not make up a scientific data. The latest in line is Dengue fever. The Dengue-Papaya hoax stated way back in 2005 when chain emails spread claiming that leaf extracts can be used in the treatment of Dengue except it was making the claims for a completely different plant: Pegaga Juice - Cure for Dengue. When these emails came to India The Pegaga was changed to Pepaya. Since then many scientific investigations were made but scientists neither were unable to identify any substance with pro platelet properties nor was it tested in laboratories. Not to speak of any placebo controlled double blind studies. The advocates of Papaya juice harp on the scientific fact that 100% of Dengue patients will have a dramatic rise of platelet counts starting from the 6th day of their illness. The scientific reasons are many. 1. Hyperactivity of bone marrow in response to thrombocytopenia 2. Appearance of IgM antibodies which will neutralize the antiplatelet effect of the virus. 3. In the recovery phase of dengue, there is rapid resorption of the leaked fluid into the bloodstream which causes a dramatic increase in platelet counts and improvement in the health of the patient. Please go through the article of mine which appeared in the Mathrubhumi daily today. digitalpaper.mathrubhumi/129411/Mathrubhumi/27-June-2013#page/4/2 The scientific reasons for the rapid rise in the platelet counts in Dengue patients are elucidated in the article. With regards Dr. Saji Kumar.J Convener, IMA Academy of Medical Specialties Kayamkulam

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