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 Herbal therapists face regulation crackdown

The government has announced plans to force all providers of unlicensed herbal medicines to register with a regulator. It comes after several public consultations on how best to police the industry. The Complementary and Natural Healthcare Council (CNHC), will ensure practitioners are properly trained and operating a safe business. But some have said the proposals do not go far enough. From 2011 EU legislation will permit only statutorily registered professionals to prescribe manufactured herbal remedies. It is estimated that Britons spend about £1.6 billion a year on alternative remedies. The CNHC was launched in 2009. Its main purpose was to hold a voluntary register of complementary therapists such as massage therapists, nutritional therapists and reflexologists.

Those providing unlicensed herbal medicines - thought to be around 8,000 practitioners - are not currently covered by the council. In future, to be accepted on the register those providing unlicensed herbal medicines will have to show they have the right training and experience, abide by a code of conduct and ensure they have insurance in place. Clinics are not judged on whether the therapies they provide are effective.  Health Secretary Andy Burnham said: "Emerging evidence clearly demonstrates that the public needs better protection, but in a way that is measured and does not place unreasonable extra burdens on practitioners." He added that he was in discussion with health ministers in Scotland, Wales and Northern Ireland to come to a joint agreement on legislation for regulation. Proposals for those providing acupuncture are still being considered, he said, Maggie Dunn, head of the CNHC estimated the proposals would mean many thousands of practitioners being forced to sign up and meet their standards.
  
Flu jab could be replaced by skin patch 
 
As the pandemic virus has rapidly become the dominant influenza strain worldwide, it can be assumed that most cases of influenza in The conventional flu jab could be replaced by a skin patch applied by patients which would deliver the vaccine through hundreds of microscopic needles that penetrate the outer layer of the skin before dissolving. The scientists behind the development of the patch believe it could significantly increase influenza vaccination in developing countries, as it can be administered by someone with no medical training, according to a study published in the journal Nature Medicine. The patch is placed on the skin and left for 5-15 minutes, meaning the cost of mass vaccination could be vastly reduced via self-medication. The patches would also eliminate dangers posed by dirty needles, particularly in countries where conditions such as HIV and hepatitis are endemic. Scientists in the US designed a 100-needle patch that was first tested for its ability to penetrate pig skin, which is about the same thickness as human skin. The microscopic needles are made of biodegradable plastic that painlessly inoculate patients then dissolve harmlessly without trace.

The patch could greatly enhance flu vaccination programmes in the developing world, where re-use of hypodermic needles leads to the spread of infections such as HIV and hepatitis B, the study proposed. The patches do not need to be stored in refrigerators and would remove the risk of resource-strapped health services re-using dirty needles, as well as the problem of their safe disposal. "We envision people getting the patch in the mail or at a pharmacy and then self-administering it at home," said Dr Sean Sullivan, from the Georgia Institute of Technology in Atlanta, which carried out the study. "Because the microneedles on the patch dissolve away into the skin, there would be no dangerous sharp needles left over." Flu vaccination is recommended every winter for older people and those vulnerable to complications from an influenza infection, costing the NHS a considerable amount of money. Although the study focused on flu, the scientists believe the technique could also be extended for use with other vaccines.

Professor Mark Prausnitz, who led the study, said: "The dissolving microneedle patch could open up many new doors for immunisation programmes by eliminating the need for trained personnel to carry out the vaccination. This approach could make a significant impact because it could enable self-administration as well as simplify vaccination programmes in schools and assisted living facilities." Tests on mice found those vaccinated with the microneedles fought off influenza infections better than those rodents that received traditional hypodermic needle jabs. Prof Prausnitz, said: "We have shown that a dissolving microneedle patch can vaccinate against influenza at least as well, and probably better than, a traditional hypodermic needle."