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Media lose message

March 27, 2000

BY STEVEN J. MILLOY

Deerfield-based Baxter Healthcare has been vindicated on a major health

scare. But don't expect to read about it in the media. It's more fun to

scare readers about vinyl IV bags causing cancer than it is to set the

record straight.

" Environmentalists allege cancer risks associated with plastic IV bags " was

the headline in Mealey's Litigation Report on March 5, 1998. The scare has

continued with more widely read headlines, including " Vinyl IV bags may

leach liver-damaging toxins " and " Blood bags deemed dangerous. "

The alleged cancer risk was from a chemical called di-ethylhexyl phthalate

(DEHP), and the " environmentalists " in question included Greenpeace and an

offshoot, Health Care Without Harm. They claimed DEHP leached from IV bags

into patients.

As a major manufacturer of vinyl IV bags, Baxter is a primary target.

Healthcare Without Harm even became a Baxter shareholder to apply pressure

as an " owner. " The group should think about reinvesting.

A science panel from the World Health Organization's International Agency

for Research on Cancer (IARC) reviewed the science on DEHP and downgraded

DEHP's classification of " possibly carcinogenic to humans " to " not

classifiable as to carcinogenicity to humans. "

IARC concluded that while larger doses of DEHP--much higher than humans

would ever be exposed to through IV bags--were associated with increased

liver tumors in rats and mice, the biological mechanism by which DEHP

produced those tumors doesn't exist in humans.

Without other evidence of carcinogenicity, IARC decided the rat and mouse

data weren't relevant to humans.

The downgrading is unusual. The only other time IARC reclassified a chemical

was in late 1998, when the artificial sweetener saccharin was downgraded.

Though there is no evidence DEHP caused any harm in more than 40 years of

use, the IARC decision should be reassuring. You might expect the major

media that so eagerly sounded the alarm earlier--including the Chicago

Tribune, Time magazine, National Public Radio and CBS News--would reassure,

or at least update their audiences.

But other than a lone report in a trade publication, Plastics Week, nary a

word about the IARC decision has been read by the public.

Unlike the media, Health Care Without Harm noticed the IARC action. It can't

change its tune fast enough. Until the IARC decision, Health Care Without

Harm always spotlighted the alleged cancer threat from DEHP. Now Health Care

Without Harm says, " Our concern has always been more focused on reproductive

and developmental effects as well as the potential for kidney damage. "

No one disputes that high doses of DEHP produce noncancerous effects in some

lab animals. But there are two major problems with extending these results

to humans.

A fundamental tenet of toxicology is, " It is the dose that makes the

poison. " Even water, sugar and table salt can be " toxic " if ingested in

sufficient amounts. The lowest levels at which rats and mice exhibit toxic

effects from DEHP are still tens and hundreds of times higher than the

highest human exposures from vinyl IV bags.

High doses of DEHP may cause reproductive problems in rats and mice. But

hamsters are more resistant, and monkeys are unaffected. Decreased kidney

function was reported in rats exposed to DEHP. But not in dogs or humans.

This probably explains why no studies link DEHP from medical devices with

harm to humans.

With the facts against it, why won't Health Care Without Harm give up the

IV-bag scare? Because " safer " medical products aren't the goal. Fund-raising

for Greenpeace is.

Blandly described by Health Care Without Harm as a " member, " Greenpeace

boasts a $20 million annual budget. Scaring the public about plastic

products made with polyvinyl chloride (PVC), including IV bags, feeds the

Greenpeace coffers.

Last March, when the vinyl IV-bag scare peaked, the Medical Post astutely

reported, " The underlying problem is that PVC . . . is a chlorine-based

product. Chlorine has been on Greenpeace's global hit list for years, and

the organization has, of late, made a successful fund-raising gambit out of

it. In doing so, it seems to be indulging in hyperbole, its possibly

sensible warnings sensationalized to the brink of extremism. "

The IARC decision should put an end to even the " possibly sensible warnings "

about vinyl IV bags. Now if only the media would tell someone.

J. Milloy is a lawyer, biostatistician, publisher of Junkscience.com

and adjunct scholar at the Cato Institute.

Chicago-Sun - Times

http://www.suntimes.com/output/business/baxter27.html

----------------------------

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Media lose message

March 27, 2000

BY STEVEN J. MILLOY

Deerfield-based Baxter Healthcare has been vindicated on a major health

scare. But don't expect to read about it in the media. It's more fun to

scare readers about vinyl IV bags causing cancer than it is to set the

record straight.

" Environmentalists allege cancer risks associated with plastic IV bags " was

the headline in Mealey's Litigation Report on March 5, 1998. The scare has

continued with more widely read headlines, including " Vinyl IV bags may

leach liver-damaging toxins " and " Blood bags deemed dangerous. "

The alleged cancer risk was from a chemical called di-ethylhexyl phthalate

(DEHP), and the " environmentalists " in question included Greenpeace and an

offshoot, Health Care Without Harm. They claimed DEHP leached from IV bags

into patients.

As a major manufacturer of vinyl IV bags, Baxter is a primary target.

Healthcare Without Harm even became a Baxter shareholder to apply pressure

as an " owner. " The group should think about reinvesting.

A science panel from the World Health Organization's International Agency

for Research on Cancer (IARC) reviewed the science on DEHP and downgraded

DEHP's classification of " possibly carcinogenic to humans " to " not

classifiable as to carcinogenicity to humans. "

IARC concluded that while larger doses of DEHP--much higher than humans

would ever be exposed to through IV bags--were associated with increased

liver tumors in rats and mice, the biological mechanism by which DEHP

produced those tumors doesn't exist in humans.

Without other evidence of carcinogenicity, IARC decided the rat and mouse

data weren't relevant to humans.

The downgrading is unusual. The only other time IARC reclassified a chemical

was in late 1998, when the artificial sweetener saccharin was downgraded.

Though there is no evidence DEHP caused any harm in more than 40 years of

use, the IARC decision should be reassuring. You might expect the major

media that so eagerly sounded the alarm earlier--including the Chicago

Tribune, Time magazine, National Public Radio and CBS News--would reassure,

or at least update their audiences.

But other than a lone report in a trade publication, Plastics Week, nary a

word about the IARC decision has been read by the public.

Unlike the media, Health Care Without Harm noticed the IARC action. It can't

change its tune fast enough. Until the IARC decision, Health Care Without

Harm always spotlighted the alleged cancer threat from DEHP. Now Health Care

Without Harm says, " Our concern has always been more focused on reproductive

and developmental effects as well as the potential for kidney damage. "

No one disputes that high doses of DEHP produce noncancerous effects in some

lab animals. But there are two major problems with extending these results

to humans.

A fundamental tenet of toxicology is, " It is the dose that makes the

poison. " Even water, sugar and table salt can be " toxic " if ingested in

sufficient amounts. The lowest levels at which rats and mice exhibit toxic

effects from DEHP are still tens and hundreds of times higher than the

highest human exposures from vinyl IV bags.

High doses of DEHP may cause reproductive problems in rats and mice. But

hamsters are more resistant, and monkeys are unaffected. Decreased kidney

function was reported in rats exposed to DEHP. But not in dogs or humans.

This probably explains why no studies link DEHP from medical devices with

harm to humans.

With the facts against it, why won't Health Care Without Harm give up the

IV-bag scare? Because " safer " medical products aren't the goal. Fund-raising

for Greenpeace is.

Blandly described by Health Care Without Harm as a " member, " Greenpeace

boasts a $20 million annual budget. Scaring the public about plastic

products made with polyvinyl chloride (PVC), including IV bags, feeds the

Greenpeace coffers.

Last March, when the vinyl IV-bag scare peaked, the Medical Post astutely

reported, " The underlying problem is that PVC . . . is a chlorine-based

product. Chlorine has been on Greenpeace's global hit list for years, and

the organization has, of late, made a successful fund-raising gambit out of

it. In doing so, it seems to be indulging in hyperbole, its possibly

sensible warnings sensationalized to the brink of extremism. "

The IARC decision should put an end to even the " possibly sensible warnings "

about vinyl IV bags. Now if only the media would tell someone.

J. Milloy is a lawyer, biostatistician, publisher of Junkscience.com

and adjunct scholar at the Cato Institute.

Chicago-Sun - Times

http://www.suntimes.com/output/business/baxter27.html

----------------------------

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