clinical ecology


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clinical ecology

environmental medicine

Fringe medicine
A field that explores the role of dietary and environmental allergens in health and illness. The intent of EM is to identify toxins in the environment through elimination diets, skin testing, provocation/ neutralisation testing, electroacupuncture, biofeedback, and radioallergosorbent testing, and to reduce patient exposure to noxious agents in the environment. Environmental medicine (EM) is believed by its practitioners (clinical ecologists) to address a wide range of conditions.
 
The concepts and practices of clinical ecology (environmental medicine) have been evaluated by several professional bodies, including the American Academy of Allergy and Immunology; all have concluded that environmental disease has not been proven to exist and that clinical ecology (environmental medicine) is not a valid discipline. Although there is little data to support the efficacy of EM in peer-reviewed journals, the concept that low levels of noxious components in the environment may cause disease has been attractive to some workers.

Diagnosis
Neutralisation, a test of uncertain validity which consists of either subdermal injection or sublingual placement of the allegedly offending substance and evaluating the reactions; some clinical ecologists identify offending substances by crystals, pendulums, galvanometers and other devices.
 
Disease managed by environmental medicine
• Allergies;
• Cardiovascular (angina, arrhythmia, thrombophlebitis, vasculitis);
• Paediatric (bedwetting, chronic otitis, learning disabilities);
• Endocrine (autoimmune thyroiditis, hypoglycaemia);
• ENT (allergies, sinus headaches, vertigo);
• Gastrointestinal (bloating, constipation, gastritis, inflammatory bowel disease, irritable bowel syndrome);
• Gynaecologic (dyspareunia, premenstrual syndrome);
• Skin (angiooedema, eczema);
• Neuromuscular (epilepsy, headaches, migraines, myalgias);
• Psychiatric (anxiety, ADD/ADHD, bipolar disorder, schizophrenia, sexual dysfunction);
• Rheumatic (rheumatoid arthritis, systemic lupus erythematosus).

clinical ecology

A form of medical practice based on two concepts: that a broad range of environmental chemicals and foods can cause symptoms of illness (such as malaise, fatigue, dizziness, joint discomfort) and that the immune system is functionally depressed by exposure to many synthetic chemicals in the workplace, the home, or contemporary agricultural products. The premise of clinical ecology is that these exposures are toxic or that they trigger hypersensitivity reactions, or environmental illness.
References in periodicals archive ?
Some physicians regard clinical ecology as controversial and unproven, and they attribute the positive results achieved by clinical ecologists to the "placebo effect.
To the contrary, it has been discredited as unscientific, not only by traditional allergists, immunologists and toxicologists, but also by supporters of clinical ecology.
11) One of the strongest criticisms of MCS and clinical ecology comes from the American Academy of Allergy and Immunology, the most prominent professional medical organization in this field.
b]ased on the reports in the peer-reviewed scientific literature, the Council on Scientific Affairs finds that at this time (1) there are no well-controlled studies establishing a clear mechanism or cause for [MCS]; and (2) there are no well-controlled studies providing confirmation of the efficacy of the diagnostic and therapeutic modalities relied on by those who practice clinical ecology.
t]wo medical societies have issued position papers and one has issued an informational report on clinical ecology.
Several other medical boards have rejected the tenets of clinical ecology in general and MCS in particular.
The American College of Physicians, 1989: "The existence of an environmental illness as presented in clinical ecology theory must be questioned because of the lack of clinical definition.
The study, which followed a protocol considered fair by both advocates and detractors of MCS, was financed by two clinical ecology organizations, the Academy of Otolaryngic Allergy and the American Academy of Environmental Medicine.
Levin testified in court a few years ago that since 1974, when he began practicing clinical ecology, he had diagnosed every patient he saw as suffering from environmental illness.
Stir in a fringe specialty like clinical ecology, and many doctors become derisive.
The field of clinical ecology dates from the 1950s, when Chicago allergy-immunologist Thoren Randolph, M.
The methods of the study were reviewed in advance by both advocates and critics of symptom-provocation testing, and the research had the financial support of both the Academy of Otolaryngic Allergy and the Society for Clinical Ecology.

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