Evidence based vs. eminence based

From	"Dr. Joachim Neudert" <neudert@5sl.org>
Newsgroups	ger.ct
Subject	Evidence based vs. eminence based
Date	2024-09-19 18:59 +0200
Message-ID	<vchl8q$f1mh$1@solani.org> (permalink)

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Nur mal ein weiteres Beispiel, wie der "gesunde Menschenverstand" 
genauso wie der "Sachverstand" der gewichtigen Experten häufig in die 
Irre führt:

Empfehlungen zur Verhütung der Erdnuss-Allergie:


https://www.nytimes.com/2024/09/19/opinion/medicine-allergies-research.html


"The Medical Establishment Closes Ranks, and Patients Feel the Effects
Sept. 19, 2024

Carl Godfrey
You probably know about the surge in childhood peanut allergies. Peanut 
allergies in American children more than tripled between 1997 and 2008, 
after doctors told pregnant and lactating women to avoid eating peanuts 
and parents to avoid feeding them to children under 3. This was based on 
guidance issued by the American Academy of Pediatrics in 2000.

You probably also know that this guidance, following similar guidance in 
Britain, turned out to be entirely wrong and, in fact, avoiding peanuts 
caused many of those allergies in the first place.

That should not have been surprising, because the advice violated a 
basic principle of immunology: Early exposure to foreign molecules 
builds resistance. In Israel, where babies are regularly fed peanuts, 
peanut allergies are rare. Moreover, at least one of the studies on 
which the British advice was based showed the opposite of what the 
guidance specified.

As early as 1998, Gideon Lack, a British pediatric allergist and 
immunologist, challenged the guidelines, saying they were “not 
evidence-based.” But for years, many doctors dismissed Dr. Lack’s 
findings, even calling his studies that introduced peanut butter early 
to babies unethical.

When I first reported on peanut allergies in 2006, doctors expressed a 
wide range of theories, at the same time that the “hygiene hypothesis,” 
which holds that overly sterile environments can trigger allergic 
responses, was gaining traction. Still, the guidance I got from my 
pediatrician when my second child was born that same year was firmly “no 
peanuts.”

It wasn’t until 2008, when Lack and his colleagues published a study 
showing that babies who ate peanuts were less likely to have allergies, 
that the A.A.P. issued a report, acknowledging there was a “lack of 
evidence” for its advice regarding pregnant women. But it stopped short 
of telling parents to feed babies peanuts as a means of prevention. 
Finally, in 2017, following yet another definitive study by Lack, the 
A.A.P. fully reversed its early position, now telling parents to feed 
their children peanuts early.

Pamela Paul is an Opinion columnist at The Times, writing about culture, 
politics, ideas and the way we live now."


(Klar, hier in der NG haben es schon immer alle gewußt. Ich tatsächlich 
auch. Das Immunsystem muß trainiert werden, Sagrotan-Kinder schwächeln.)

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Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-09-19 18:59 +0200
  Re: Evidence based vs. eminence based Michael Bode <m.g.bode@web.de> - 2024-09-19 19:12 +0200
    Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-09-20 07:11 +0000
      Re: Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-09-20 09:31 +0200
        Re: Evidence based vs. eminence based Michael Bode <m.g.bode@web.de> - 2024-09-20 09:40 +0200
          Re: Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-09-20 10:09 +0200
            Re: Evidence based vs. eminence based Michael Bode <m.g.bode@web.de> - 2024-09-20 13:19 +0200
            Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-20 13:24 +0200
              Re: Evidence based vs. eminence based Diedrich Ehlerding <diedrich.ehlerding@t-online.de> - 2024-09-20 18:55 +0200
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-20 19:15 +0200
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 18:27 +0100
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-05 17:53 +0200
                Re: Evidence based vs. eminence based Dr. Joachim Neudert <neudert@5sl.org> - 2024-10-05 16:33 +0000
                Re: Evidence based vs. eminence based Frank Nitzschner <nospam@nitzschner.de> - 2024-10-06 07:57 +0200
                Re: Evidence based vs. eminence based Peter McD <peter.posts@gmx.net> - 2024-10-06 10:28 +0200
                Re: Evidence based vs. eminence based Dr. Joachim Neudert <neudert@5sl.org> - 2024-10-06 08:30 +0000
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-06 10:52 +0200
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-10-06 10:45 +0100
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-06 12:15 +0200
                Re: Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-10-06 12:21 +0200
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-10-06 10:43 +0000
                Re: Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-10-06 13:07 +0200
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-10-06 11:23 +0000
                Re: Evidence based vs. eminence based Dr. Joachim Neudert <neudert@5sl.org> - 2024-10-06 11:41 +0000
                Re: Evidence based vs. eminence based Hartmut Ott <hottm@arcor.de> - 2024-10-06 14:45 +0200
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-10-06 17:52 +0100
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-10-06 11:22 +0100
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-10-06 10:38 +0000
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-06 13:06 +0200
                Re: Evidence based vs. eminence based "Dr. Joachim Neudert" <neudert@5sl.org> - 2024-10-06 13:03 +0200
                Re: Evidence based vs. eminence based michaelnoeusenet@mac.com (Michael Noe) - 2024-10-06 11:28 +0200
                Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-10-06 13:14 +0200
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-06 10:32 +0200
                Re: Evidence based vs. eminence based Dr. Joachim Neudert <neudert@5sl.org> - 2024-10-06 09:47 +0000
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-10-06 10:01 +0000
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-06 12:13 +0200
                Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-10-08 13:59 +0200
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-10-08 12:11 +0000
                Re: Evidence based vs. eminence based Peter McD <peter.posts@gmx.net> - 2024-09-20 20:30 +0200
          Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-09-20 08:20 +0000
            Re: Evidence based vs. eminence based Bonita Montero <Bonita.Montero@gmail.com> - 2024-09-22 16:02 +0200
          Re: Evidence based vs. eminence based Stefan+Usenet@Froehlich.Priv.at (Stefan Froehlich) - 2024-09-20 09:17 +0000
            Re: Evidence based vs. eminence based Heiner Hass <usenet@hhass.de> - 2024-09-20 11:59 +0200
            Re: Evidence based vs. eminence based Michael Bode <m.g.bode@web.de> - 2024-09-20 13:23 +0200
            Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 12:50 +0100
            Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-09-20 13:54 +0200
          Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 12:46 +0100
          Re: Evidence based vs. eminence based Joerg Walther <joerg.walther@magenta.de> - 2024-09-20 17:06 +0200
            Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-09-20 17:13 +0200
              Re: Evidence based vs. eminence based Michael Bode <m.g.bode@web.de> - 2024-09-20 17:16 +0200
                Re: Evidence based vs. eminence based Carlo XYZ <carloxyz@invalid.invalid> - 2024-09-20 18:08 +0200
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 18:19 +0100
                Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-09-20 17:35 +0000
                Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 18:48 +0100
              Re: Evidence based vs. eminence based Joerg Walther <joerg.walther@magenta.de> - 2024-09-21 11:28 +0200
                Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-09-21 11:33 +0200
        Re: Evidence based vs. eminence based Ulf_Kutzner <Ulf.Kutzner@web.de> - 2024-09-20 08:14 +0000
        Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 12:45 +0100
          Re: Evidence based vs. eminence based Stefan+Usenet@Froehlich.Priv.at (Stefan Froehlich) - 2024-09-20 15:42 +0000
          Re: Evidence based vs. eminence based Diedrich Ehlerding <diedrich.ehlerding@t-online.de> - 2024-09-20 18:58 +0200
            Re: Evidence based vs. eminence based Goetz Schultz <ng.expire1225@goetz.co.uk> - 2024-09-20 18:25 +0100
        Re: Evidence based vs. eminence based Bonita Montero <Bonita.Montero@gmail.com> - 2024-09-23 08:37 +0200
  Re: Evidence based vs. eminence based Georg Gruber <g.gruber_hauwech@gmx.net> - 2024-09-20 10:37 +0200
  Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-20 22:49 +0200
  Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-21 00:58 +0200
  Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-21 01:00 +0200
    Re: Evidence based vs. eminence based Stefan+Usenet@Froehlich.Priv.at (Stefan Froehlich) - 2024-09-22 13:50 +0000
      Re: Evidence based vs. eminence based Lothar Kimmeringer <news201705@kimmeringer.de> - 2024-09-23 00:07 +0200
        Re: Evidence based vs. eminence based Lars Gebauer <lgebauer@live.de> - 2024-09-23 00:43 +0200
          Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-09-23 01:49 +0200
  Re: Evidence based vs. eminence based Lothar Kimmeringer <news201705@kimmeringer.de> - 2024-09-23 00:09 +0200
    Re: Evidence based vs. eminence based Georg Gruber <g.gruber_hauwech@gmx.net> - 2024-09-23 08:15 +0200
      Re: Evidence based vs. eminence based Dietz Proepper <dietz.usenet@rotfl.franken.de> - 2024-09-23 11:42 +0200
  Re: Evidence based vs. eminence based Wuns Haerst <Wuns.Haerst@wurstfabrik.at> - 2024-09-27 17:23 +0200

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