--- Kevin Tarr <[EMAIL PROTECTED]> wrote:
> you [I think it was Gary] wrote:
> 
> >Not that I am a habitual Ephedra user, but I have
> taken it in the past
> >(in dietary supplements) so I am aware of the risks
> and effects.
> >
> >New York County Bans Sale of Ephedra
http://abcnews.go.com/wire/Living/ap20030305_2037.html
> >
> >"The federal Food and Drug Administration has
> reports of 100 deaths among
> >Ephedra users, and Baltimore Orioles pitcher Steve
> Bechler recently died
> >while using the amphetamine-like stimulant,
> commonly used for weight loss and body building..."

> >The article doesn't say this, but that is 100
> deaths *nationwide* out of
> >millions of people that have safely taken it.
> >
> >So just for comparison, I looked up some
> statistics.  The National
> >Council on Alcohol and Drug Dependency say that
> *ANNUALLY*  105,000
> >Americans die from alcohol-related causes which
> could include everything
> >from falls to drunk driving accidents to cirrhosis
> of the liver. Also,
> >there are about 365,000 tobacco-related deaths in
> the U.S. each year.
> >
> >It is almost funny at the things that people will
> pursue like religious
> >fanatics but yet are willing to overlook others.
> >
> >It's not that I think that they are wrong ( I think
> that Ephedra should
> >be better controlled) , and it's not that I am
> against alcohol, but the
> >causes that they decide to become champions for
> seem to be very, very skewed... 
<snip> 
> 
> Since *someone else* hasn't jumped in here, the
> better measure would be % 
> of deaths per users, not just total numbers right?

Yes.  As a frex, while I couldn't find a reference for
how many aspirin users there are/have been, an
eMedicine article estimates the US annual consumption
of aspirin at 10,000 *tons* - exposure/poisoning
deaths
(from an earlier article) are quoted later.

> This list's the deaths at 137, but over nine years.
> http://www.ephedrine-news.com/html/effects.html
> 
> Sorry, I'm not thinking clearly enough to Google
> correctly. I agre with the 
> tobacco and alcohol problems, either band them all
> or band none.

>From a 2001 eMedicine article (not sure if the link
will work wothout registering):

http://www.emedicine.com/emerg/topic514.htm
In the US: Data from the American Association of
Poison Control Centers' annual report indicate that,
in 1998, a total of 14,253 exposures to salicylates
were reported; of which, 3837 exposures were in
patients younger that 6 years, and 5053 exposures were
in patients older than 19 years. Of the total
exposures for that year, 33 deaths were reported.
These numbers include only pure aspirin formulations;
toxic exposures to pharmaceuticals with aspirin in
combination with other drugs are not included in this
report. 

Here's one excerpt that should be accessible (?sp):
http://www.emedicine.com/ped/byname/toxicity-salicylate.htm

Again, my personal take is that *anything,* either in
excess or in the rare susceptible person, can cause
illness or death.  Frex, "Leber hereditary optic
neuropathy" WRT ephedra use (but note also cigs/alc): 
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12470769&dopt=Abstract

Better testing for "natural" or "nutraceutical"
chemicals/compounds would ensure increased safety, but
rigorous studies/trials are expensive, and few
non-drug companies either care to conduct or can
afford them.  The FDA certainly doesn't have that
capability, but there are good studies underway at the
NIH for a select few chemicals/products.

If you go to
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
and type 'ephedra' with Search Limits of "English" and
"human," about 50 articles are retrieved, many without
accessible abstracts, many are only case reports.  

I also agree that alcohol and tobacco impose a large
health burden on the populace, but banning won't work,
so education on responsible use, and heavy taxation on
the products themselves will have to do.  Maybe the
powers-that-be figure it's easier to ban something, do
studies, and then decide on rescinding the ban, than
allowing a possibly harmful product to become
well-established and later trying to ban it?

Debbi
who's drinking tea as she types  :)

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