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From the DEA
Methylphenidate (available as the brand-name product Ritalin) is a Schedule II stimulant which is structurally and pharmacologically similar to the amphetamines. Approximately 85 to 90% of all prescriptions for methylphenidate are written for young children and adolescents for the treatment of ADHD. According to the United Nations 1993 statistics on psychotropic substances, the U.S. produces and consumes more than 80% of the total world supply of methylphenidate. The United Nations International Narcotics Control Board has, on two recent occasions, written letters to U.S. officials expressing concern about the sharp increase in the use of methylphenidate in the United States.

Support and advisory groups play an important role in the distribution of information regarding ADHD and its treatment. In recent years there have been large increases in membership in these organizations. Children and Adults with Attention Deficit Disorder (CHADD) is the nation's largest ADHD support organization. CHADD sponsors parent support groups, convenes meetings featuring speakers, works with local school systems and provides information regarding ADHD and related issues.

It has recently come to the attention of the Drug Enforcement Administration that Ciba-Geigy (the manufacturer of the methylphenidate product marketed under the brand name Ritalin) contributed $748,000 to CHADD from 1991 to 1994 [Editor's note: according to Fred A. Baughman, Jr. M.D., the figure is now well over $1,000,000]. A spokesman for Ciba-Geigy stated that "CHADD is essentially a conduit for providing information to the patient population." The relationship between Ciba-Geigy and CHADD raises serious concerns about CHADD's motive in proselytizing the use of Ritalin.
- Information from "Methylphenidate, A Background Paper," October, 1995; Drug and Chemical Evaluation Section, Office of Diversion Control, U.S. Department of Justice, Drug Enforcement Administration (copies of this booklet are available free)

In 1990, 900,000 American children were taking Ritalin, a powerful psychostimulant. By 1996 the number had risen to 2.6 million, and an estimated 80% of those were boys. The number of children taking stimulants for ADD has doubled every two years since 1988 and is expected to reach 8 million by the year 2000. Diagnoses are sometimes made in children as young as three years old.

Attention Deficit Disorder - commonly known as ADD - was first defined in the 1960's, and the definition is still a rather loose one. Today, a child who cannot focus, who is more active than his peers, or who daydreams is often suspected of having an attention deficit disorder. In the 1960's, before drugging became commonplace, students who had a difficult time were given extra time and attention by the teacher. To be fair, classes today are usually larger, and much of the behavior that is "all in a day's work" today would not have been tolerated 20 or 30 years ago. These factors make the teacher's job more difficult, and often make specialized attention almost impossible.

Of course, discipline - or the lack thereof - is not the only factor that can cause inappropriate behavior. There is significant evidence that diet can play a major role in the behavior of children. In 1975, Dr. Benjamin Feingold was able to reduce hyperactivity in many of his patients by eliminating artificial food ingredients (e.g., coloring, preservatives, flavoring, etc.) from their diets. Dr. William G. Crook, a pediatrician and allergist, further verified the link between diet and behavior with his study of more than 100 overactive children. When allergens were eliminated (milk, eggs, wheat, corn and sugar are common), about 75% of the children became "normal."

Dr. Mendelsohn, a renowned pediatrician and medical school professor, states that both allergies and nutrition receive little attention in medical school, which results in most doctors being vastly ignorant of these branches of health care. This may explain why many doctors do not spend more time exploring these possibilities before writing out a prescription for behavior-modifying drugs, but it does not excuse them from dismissing the possibility of a link when questioned. In his book, Confessions of a Medical Heretic, Dr. Mendelsohn criticizes the tendency of many doctors to look upon anything outside of conventional medicine as "quackery", such as nutritional healing and alternative medicines.

At the present time, the diagnosis and subsequent treatment of ADD involves the parents, but the question has been raised whether the establishment of school-based clinics via Goals 2000 and related legislation will permit the school system to diagnose and treat children without parental knowledge or consent. The text for Goals 2000 refers to school-based clinics as "one-stop shopping" for the community, and they include "social services, health care, nutrition, related services, and child care." (Title 3).

The piggy bank for all these services is Medicaid, which was created to provide health insurance for the poor and disabled. However, a loophole in the Omnibus Reconciliation Act of 1989 permits schools to claim Medicaid reimbursement for special education services for students eligible for Medicaid. The Act greatly expanded Medicaid coverage and in 1991 the U.S. Department of Education formally included ADHD (attention deficit hyperactivity disorder) in the handicaps covered under the Individuals with Disabilities Education Act and Section 504 of the 1973 Rehabilitation Act. Therefore, children with ADHD are now recognized as "disabled" and covered by Medicaid. (ADD and ADHD are used interchangeably in most literature.)

The U. S. Department of Education directed all state education offices to see that local school districts establish procedures to screen and identify ADHD children and give them special education and psychological services. Goals 2000 is used to authorize programs in health care and to create a system that enables teachers to select children and have them regularly tested for emotional, social, mental and physical disorders (including ADD/ADHD) in the school clinics. School officials then have the authority to treat them by prescribing and administering mood and behavior altering drugs like Ritalin, Valium, Lorazepam and Prozac.
Putting the authority to diagnose and treat ADD in the school system and funding such services via Medicaid is not going to stem the problem. Parents need to seriously question any diagnosis of disability in their children, explore non-medical options, and fight to keep their rights to oversee the health care of their children.


 

The Vaccination Connection
Of all the controversy surrounding ADD and other learning disabilities, perhaps the most disturbing yet least researched is the link between vaccinations and various disabilities.

Medical historian Harris L. Coulter, Ph. D. contends that post-vaccinal encephalitis (inflammation of the brain), which is known to be a side-effect for both the pertussis (the "p" in DPT) and measles (MMR) vaccines, can cause neurological and nervous system problems ranging from autism and ADD to mental retardation to dyslexia and learning disabilities. In fact, Mr. Coulter points out that the pertussis toxoid is used to induce encephalitis in lab animals. He further states that lack of a "severe reaction" at the time of the inoculation does not guarantee the absence of a low-grade encephalitis reaction; even very "mild" reactions, such as fever, fussiness or drowsiness can be indicators.

Presenters at the National Vaccination Information Center's First Annual Conference last September agreed that vaccines which cause brain inflammation are biologically capable of causing mild brain damage, which can appear as learning disabilities and ADD.

The past 30 years have seen a dramatic jump in children diagnosed with developmental and learning disabilities of all kinds, as have the number and universality of vaccinations given to children. The long-term effects of vaccines have simply not been researched enough for doctors to say with any degree of certainty what can or cannot happen as a result of vaccination. Safety studies are limited to 7 days after the inoculation, and since ADD and other learning disabilities can take years to surface, these links are not taken into account.

As consumers, parents are entitled to a lot more information than they are routinely given before vaccinating their children; information that is not available needs to be researched. To do otherwise is to make a mockery of the concept of informed consent.

© 1998, Jodi Guistolise

....(HEM's Information Library Index | Special Situations Index | Index of ADD Articles)....

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