- Regulation and prevalence of homeopathy
Homeopathyis fairly common in some countries while being uncommon in others; is highly regulated in some countries and mostly unregulated in others. Regulations vary in Europe depending on the country. In some countries, there are no specific legal regulations concerning the use of homeopathy, while in others, licenses or degrees in conventional medicine from accredited universities are required. In Austriaand Germany, no specific regulations exist, while Franceand Denmarkmandate licenses to diagnose any illness or dispense of any product whose purpose is to treat any illness.cite web |url=http://whqlibdoc.who.int/hq/2001/WHO_EDM_TRM_2001.2.pdf |title=Legal Status of Traditional Medicine and Complementary/Alternative Medicine: A Worldwide Review |accessdate=2007-09-12 |date=2001 |format=PDF |work=World Health Organization |publisher= World Health Organization] Some homeopathic treatment is covered by the national insurance coverage of several European countries, including France, the United Kingdom, Denmark, and Luxembourg. In other countries, such as Belgium, homeopathy is not covered. In Austria, public insurance requires scientific proof of effectiveness in order to reimburse medical treatments, but exceptions are made for homeopathy. Two countries which formerly offered homeopathy under their public health insurance schemes have withdrawn this privilege. At the start of 2004, homeopathic treatments, with some exceptions, were no longer covered by German public health insurance, and in June 2005, the SwissGovernment, after a 5-year trial, withdrew insurance coverage for homeopathy and four other complementary treatments, stating that they did not meet efficacy and cost-effectiveness criteria, though additional insurance can be bought to cover such treatments provided by a medical doctor. [ [http://www.kaufmann-net.ch/ Bundesratsentscheid über die Leistungen für Alternativmedizin: Information about Homeopathy in Switzerlandby Vera Kaufmann, BHSc.Hom.] (in German)]
In 1992, the Council of the European Communities stated in the preamble to a directive that homeopathy was officially recognized in certain member states but only tolerated in others. In any case it was prescribed and used in all member states. To harmonize the market of homeopathic products, the council directed its member states to implement certain changes in their national legislation. [ [http://eur-lex.europa.eu/smartapi/cgi/sga_doc?smartapi!celexplus!prod!CELEXnumdoc&numdoc=392L0073&lg=en Directive 92/73/EEC] , superseded by 2001/83/EC.]
Member states are required to ensure that homeopathic products (for oral or external use) can be registered without proof of therapeutic efficacy, provided that there is a sufficient degree of dilution to guarantee the safety of the medicinal product; in particular, the product may not contain either more than one part per 10,000 of the mother tincture or more than 1/100th of the smallest dose used in mainstream medicine, with regard to active principles whose presence in a medicinal product results in the obligation to submit a doctor's prescription. In other words, the dilution must be at least D4/4X/C2, and even higher in special cases. Other homeopathic products can still be registered under the normal rules, and products such as Arnica D1 are legally available.
The labels of homeopathic products registered without proof of efficacy must include the words "homeopathic medicinal product without approved therapeutic indications" as well as "a warning advising the user to consult a doctor if the symptoms persist during the use of the medicinal product". [ [http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:32001L0083:EN:HTML Directive 2001/83/EC] . Amended by [http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:32004L0027:EN:HTML Directive 2004/27/EC] .]
In spite of the harmonization efforts, the availability of certain specific homeopathic products varies significantly between member states. According to the
European Committee for Homeopathy, homeopathic industrial manufacturers register only those products that are economically feasible, e.g. in the case of the Netherlands 600 out of a total of 3,000. The strict safety requirements even for very high dilutions of biological substances also impede registration for certain homeopathic products such as nosodes. As a result, several homeopathic products have disappeared from the market. This situation is caused in part by the fact that registration must occur separately in each member state, and that there are essentially no exemptions for medicines produced in low quantities. [http://www.emea.europa.eu/pdfs/conferenceflyers/homeopathic/50901906en.pdf Report] of a 2007 European Medicines Agencyworkshop on homeopathic medicinal products, including a [http://www.emea.europa.eu/pdfs/conferenceflyers/homeopathic/02_ECH.pdf presentation] by the European Committee for Homeopathy.]
In Britain homeopathy was first established by Dr. Frederick Quin around 1827, although two Italian homeopathic doctors (Drs Romani and Roberta) had been employed two years previously by the Earl of Shrewsbury based at
Alton Towersin North Staffordshire. Homeopathy in Britain quickly became the preferred medical treatment of the upper classes [Leary, B, Lorentzon M & Bosanquet, A, 1998, It Wont Do Any Harm: Practice & People At The London Homeopathic Hospital, 1889–1923, in Juette, Risse & Woodward, 1998 Juette, R, G Risse & J Woodward [Eds.] , 1998, Culture, Knowledge And Healing: Historical Perspectives On Homeopathy In Europe And North America, Sheffield Univ. Press, UK, p.253] as well as the aristocracy; [Leary, et al, 1998, 254] it retained an elite clientele, including members of the British royal family. [Sharma, Ursula, 1992, Complementary Medicine Today, Practitioners And Patients, Routledge, UK, p.185] At its peak in the 1870s, Britain had numerous homeopathic dispensaries and small hospitals as well as large busy hospitals in Liverpool, Birmingham, [cite web |url=http://www.homeoint.org/photo/bat/hopangla.htm#2 |title=PHOTOTHÈQUE HOMÉOPATHIQUE |accessdate=2007-07-24 ] Glasgow, Londonand Bristol.
The legislation concerning homeopathic remedies is as described above under European Union.
Although homeopathy is not regulated by law in the United Kingdom, the
National Health Service(NHS) currently operates five homeopathic hospitals for British citizens, and the London-based Faculty of Homeopathy, membership of which is open to statutorily registered healthcare professionals, [cite web |url=http://www.trusthomeopathy.org/faculty/fac_mem.html |title=Faculty of Homeopathy Membership |accessdate=2008-04-06 |publisher=British Homeopathic Association ] has over 1,400 members and was incorporated by an Act of Parliamentin 1950. [cite web |url=http://www.trusthomeopathy.org/faculty/fac_over.html |title=Faculty of Homeopathy Overview |accessdate=2008-04-06 |publisher=British Homeopathic Association ] There are also a number of organisations for non-medically qualified homeopaths, the largest of which, the Society of Homeopaths, was founded in 1978 and has over 1,500 members. [cite web |url=http://www.homeopathy-soh.org/about-the-society/ |title=About The Society of Homeopaths |accessdate=2008-04-06 |publisher=Society of Homeopaths ] There is some overlap between the memberships of these organisations. [cite web|url=http://www.homeopathicvet.co.uk/|title=Homeopathicvet.co.uk|publisher=www.homeopathicvet.co.uk|accessdate=2008-08-25]
According to a 2006 study, forty nine percent of Scottish medical practices prescribed homeopathic remedies. During the study period, 0.22% of patients were prescribed at least one homeopathic remedy; of that number, 16 percent were children. The study concluded that critical review of homeopathy's role in the Scottish branch of the national health care system was needed.cite journal |author=Ross S, Simpson CR, McLay JS |title=Homoeopathic and herbal prescribing in general practice in Scotland |journal=British journal of clinical pharmacology |volume=62 |issue=6 |pages=647–652; discussion 645–646 |year=2006 |pmid=16796701 |doi=10.1111/j.1365-2125.2006.02702.x]
England, the number of homeopathic remedies prescribed by GPs dropped by over 40% between 2005 and 2007, with homeopathy accounting for only 0.006% of the total prescribing budget. [cite web|url=http://news.bbc.co.uk/1/hi/health/7523302.stm|publisher=BBC|date=2008-07-24|title=Homeopathy prescriptions falling] The Tunbridge WellsHomeopathic Hospital, one of the five homeopathic hospitals operated by the NHS, has been scheduled to close in March 2008 after the West Kent Primary Care Trust withdrew its funding. [cite web|url=http://www.kentonline.co.uk/kol08/article/default.asp?article_id=45494|title='Lack of evidence' blamed as homeopathy funding is withdrawn | KentOnline| News|publisher=www.kentonline.co.uk|accessdate=2008-07-30]
Germany, the legislation for homeopathic remedies is as described above under European Union. Homeopathic remedies are subject to registration, but they need not be tested. (However, homeopathic remedies that are less diluted than D4, or for which a danger of adverse effects exists, cannot be registered under this rule.) [§38 and § 39 of the German [http://www.gesetze-im-internet.de/amg_1976/index.html Arzneimittelgesetz] (pharmaceuticals law).] They can be sold over-the-counter in pharmacies. Germany is the only member state of the European Union in which homeopathic remedies based on minerals or plants, and produced only in very low quantities, do not need to be registered. In other member states only remedies individually prepared in a pharmacy are exempt.
In 2006, homeopathic remedies accounted for 3.16 % of sold units (1.08 % of business volume) in the pharmaceutical sector. 0.48 % of prescriptions covered by public health insurance were for homeopathical remedies. [Bundesverband der Pharmazeutischen Industrie e.V., "Pharma-Daten 2007" [http://www.bpi.de/Default.aspx?tabindex=2&tabid=304] .]
The title "Homeopathic Physician" is legally protected; it is bestowed by the Federal Medical Chamber after a three-year training programme. Elements of complementary/alternative medicine are part of the standard curriculum for all
physicians, and three-fourths of physicians in Germany use complementary/alternative medicine. Homeopathy is taught officially at the medical faculties of universities in Berlin, Düsseldorf, Hannover, Heidelberg and Freiburg. Homeopathy accounts for 27.4 % of patient contacts in the area of complementary/alternative medicine.
The rules for the registration of homeopathic remedies without a concrete field of application are more liberal in
Switzerlandthan they are in member countries of the European Union. For the majority of homeopathic medicines (those based on well-known low-risk substances), Swissmedic, the regulatory authority, offers very cheap registration by means of a simplified electronic registration procedure. [Swissmedic: Rules for homeopathic medicines. [http://www.swissmedic.ch/files/pdf/Faktenblatt_Homoeopathie2.pdf German version] , [http://www.swissmedic.ch/files/pdf/Aide-memoire_medicaments_homeopathiques2.pdf French version] .]
According to one study, approximately 4.4% of
Australian adults have used homeopathic remedies at least once in their lives, including 1.2% that sought treatment exclusively from homeopathic practitioners.cite journal |author=MacLennan AH, Wilson DH, Taylor AW |title=Prevalence and cost of alternative medicine in Australia |journal=Lancet |volume=347 |issue=9001 |pages=569–573 |year=1996 |pmid=8596318 |doi=10.1016/S0140-6736(96)91271-4]
Canada, a study detailing the use of alternative medicines by children in Quebecfound that 11% of the sampled 1,911 children used alternative medicines, and 25% of those who did use alternative medicines used homeopathy. The study also pointed out that homeopathy is more commonly used in children in Canada than in adults, of whom only 19% of alternative medicine users used homeopathy.cite journal |author=Spigelblatt L, Laîné-Ammara G, Pless IB, Guyver A |title=The use of alternative medicine by children |journal=Pediatrics |volume=94 |issue=6 Pt 1 |pages=811–4 |year=1994 |pmid=7970994] physicians who choose to use alternative medicines such as homeopathy must follow guidelines set by their province's College of Physicians and Surgeons. Provincial health care generally does not cover homeopathy.
In Canada, the practice of homeopathic medicine is provincial jurisdiction while the regulation of homeopathic medicines is federal jurisdiction. In June 2007, the province of Ontario passed the Homeopathy Act to regulate the practice of homeopathy. This was a welcomed event given that homeopathic medicines have been regulated under the Natural Health Products Regulations which came into force on January 1, 2004. The regulations are administered by the Natural Health Products Directorate (Health Canada) located mainly in Ottawa, Canada.
In the United States, homeopathy is much less common, and the percentage of people seeking homeopathic treatment declined from 3.4% in 1997 to 1.7% in 2002.cite journal |author=Tindle HA, Davis RB, Phillips RS, Eisenberg DM |title=Trends in use of complementary and alternative medicine by US adults: 1997-2002 |journal=Alternative therapies in health and medicine |volume=11 |issue=1 |pages=42–9 |year=2005 |pmid=15712765] Homeopathy was first established in the United States by Dr. Hans Burch Gram [ [http://nccam.nih.gov/health/homeopathy/ "Questions and Answers About Homeopathy" NCCAM, National Institutes of Health] ] in 1825 and rapidly gained popularity, partly because conventional medicine of the time was inherently risky. [Frederick Karst, Homeopathy In Illinois, Caduceus, 4:2, 1988, pp.1-33; p.5] The height of its influence was the end of the 19th century where hardly any city with over 50,000 people was without a homeopathic hospital. In 1890, there were 93 regular schools, 14 of them were fully homeopathic and 8 of them were eclectic. In 1900, there were 121 regular schools, with 22 of them being homeopathic and 10 eclectic. [Charles S Cameron, Homeopathy in Retrospect, Trans. Stud. Coll. Phys. Philadelp., 27, 1959, 28-33; p.30] The use of homeopathy in the United States among adults is about 0.3%.Vague|date=March 2008 According to one study, in 1990, 0.7% of individuals used homeopathy in the year prior to being questioned; in 1997, 3.4% had used homeopathy at least once in the previous year. According to the same study, of those who used homeopathy, 31.7% had seen a homeopathic practitioner in the past year in 1990 and the number dropped to 16.5% by 1997.cite journal |author=Eisenberg DM, Davis RB, Ettner SL, "et al" |title=Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey |journal=JAMA |volume=280 |issue=18 |pages=1569–1575 |year=1998 |pmid=9820257 |doi=10.1001/jama.280.18.1569 ]
In the United States, homeopathic remedies, like all health-care products, are regulated by the
Food and Drug Administration. However, the FDA treats homeopathic remedies very differently from conventional medicines. Homeopathic products do not need FDA approval before sale; they do have to be proven safe per the Dietary Supplement Health and Education Actof 1994, but they do not have to prove efficacy. Homeopathic remedies do not have to be labeled with an expiration date, and they do not have to undergo finished product testing to verify contents and strength. All of these are voluntary actions done by the manufacturer. The manufacturer is required to have all ingredients on the label; however, it might not specify which ones are active. In the USA, only homeopathic medicines that claim to treat self-limiting conditions may be sold over-the-counter; homeopathic medicines that claim to treat a serious disease can be sold only by prescription.FDA Compliance Policy Guide [http://www.fda.gov/ora/compliance_ref/cpg/cpgdrg/cpg400-400.html Sec. 400.400 Conditions Under Which Homeopathic Drugs May be Marketed (CPG 7132.15)] . Revised March 1995. Downloaded September 2008.] A memorandum, written in 1985 by attorneys for the American Association of Homeopathic Manufacturers, describes a meeting between the AAHP attorneys and high-ranking FDA officials to discuss whether homeopathic products must be proven effective to remain legally marketable. [http://www.homeowatch.org/reg/meeting.html Meeting between FDA Officials and Homeopathic Pharmacists (1985)] . Memorandum, February 12, 1985] Such negotiations led to the issuance in 1988 (revised in 1995) of an "FDA Compliance Policy Guide" that permits homeopathic products "intended solely for self-limiting disease conditions amenable to self-diagnosis (of symptoms) and treatment" to be marketed as nonprescription drugs. In 2001, the FDA published a comprehensive review of mercury compounds in drugs. However, due to the extreme dilution of materials, the presence of mercury in the finished product would be minimal. [http://www.fda.gov/cder/fdama/mercuryreport.htm Report on Mercury Compounds in Drugs] MERCURY COMPOUNDS IN DRUGS AND FOOD FDA/Center for Drug Evaluation and Research Last Updated: August 09, 2001] At present the FDA Health Fraud Division only pursues claims which may cause direct harm to consumers through their use. Homeopathic drugs, largely regarded as equivalent to placebos, are not considered under these guidelines. Due to the significant dilution of the products, the agents become practically immeasurable: the harmful effects of homeopathic drugs is more likely to be that patients avoid conventional treatments. [http://www.fda.gov/cder/Offices/DNDLC/hfimain.htm Internet Health and Fraud Site, US Food and Drug Administration] US FDA Internet Site, 2007]
In a Time Magazine article in 1995, it was reported that homeopathy was enjoying a wider range of popular support as well as use by celebrities such as
Rush Limbaugh, Linda Wagner, and Larry King. However, the article went on to state that "opposition [to homeopathy] is mounting."cite news | last = Toufexis | first = Anastasia | title = Is Homeopathy Good Medicine? | newspaper = Time Magazine | language = English | date = 1995-09-25 | url = http://www.time.com/time/magazine/article/0,9171,983466,00.html | accessdate = 2008-06-26]
Mexico, homeopathy is currently integrated into the national health care system. In 1985, a presidential decree established the first homeopathic school as well as regulations specifying training requirements for homeopathic doctors. Of those individuals who use complementary alternative medicines, over 26% use homeopathy.cite journal |author=Nigenda G, Cifuentes E, Hill W |title=Knowledge and practice of traditional medicine in Mexico: a survey of healthcare practitioners |journal=International journal of occupational and environmental health: official journal of the International Commission on Occupational Health |volume=10 |issue=4 |pages=416–420 |year=2004 |pmid=15702756 ]
Some countries in
South America, such as Argentina, allow only professional doctors who are qualified and have graduated from a recognised medical schoolto practice homeopathy. Homeopathy has been regulated in other South American countries, such as Colombia, since the beginning of the 20th century. In Brazil, homeopathy is included in the national health system, and since 1991, physicians who want to practice homeopathy must complete 2,300 hours of education prior to receiving the proper licenses.
Middle East and Asia
In Asia, the use of homeopathic treatments is increasing, especially in
India. Homeopathy arrived in India with Dr John Martin Honigberger in Lahore, in 1829–1830. [cite web |url=http://www.hpathy.com/Status/homeopathy-India.asp |title=Homeopathy in India |accessdate=2007-07-24 |last=Bhatia |first=Manish ] [cite journal |author=Kishore J |title=About entry of homoeopathy into India |journal=Bulletin of the Institute of Medicine (Hyderabad) |volume=3 |pages=76–78 |year=1973 |pmid=11609675 ] India has the largest homeopathic infrastructure in the world, with low estimates at about 64,000, but going as high as 300,000 practising homeopaths. In addition, there are 180 colleges teaching courses, and 7500 government clinics and 307 hospitals which dispense homeopathic remedies. [Dr. Raj Kumar Manchanda & Dr. Mukul Kulashreshtha, " [http://www.delhihomeo.com/paperberlin.html Cost Effectiveness and Efficacy of Homeopathy in Primary Health Care Units of Government of Delhi- A study] "] [cite journal |title=World Health Survey, 2003 |journal=International Institute for Population Sciences |first=P |last=Arokiasamy |coauthors=M. Guruswamy, T.K. Roy, H. Lhungdim, "et al". |url=http://www.who.int/healthinfo/survey/whs_hspa_book.pdf |format=PDF |accessdate=2007-09-07 ] In China, homeopathy appears to be almost unknown; Traditional Chinese medicinestill plays an important role in the healthcare system, is used by over half the population and in most hospitals and has an official medical degree. [ [http://www.naturaldatabase.com/(S(qzjrf4bie5zg1b555l0elg45))/ce/ceCourse.aspx?s=ND&cs=&st=0&li=0&pc=07-24&cec=1&pm=5 Alternative Systems of Medicine: Homeopathy, Traditional Chinese Medicine, and Ayurveda] , retrieved March 21 2008] [http://www.paho.org/spanish/ad/ths/ev/PM-WHOTraditional_medicines_legal_status.pdf WHO: Legal Status of Traditional Medicine andComplementary/Alternative Medicine:A Worldwide Review] , 2001, retrieved March 21 2008] [http://www.minimum.com/interviews/drlucchina.htm Interview to Dr. Luc after a 3 weeks visit to china] , 2005, retrieved March 21 2008] In Japanhomeopathy has not a big presence, and the traditional medicines are classified into Kampomedicine and tradicional medicine indigenous to Japan. 72% of registered physicians currently use kampo medicines in their clinical services. In Laosthere is a diversity of traditional medical systems, one of them being homeopathy, and homeopathy will be introduced as a discipline at the newly established Faculty ofBiomedicine.
Asiatic countries many times were exposed to both homeopathic and non-homeopathic ideas about medicine through invading armies that had ties to Europe. In
Malaysia, homeopathy was introduced during World War II by Indians via the British army. The French army brought early modern medicineto Laosduring their 1893 invasion. In this region, the European models of medicine complemented, but did not replace, the local traditional medicines.
Homeopathy is becoming popular in the
United Arab Emirates(UAE) and in Iran. The UAE Ministry of Health (MOH) recognizes and regulates the practice of homeopathy in a systematic way. Both medical doctors and lay practitioners can practise homeopathy but they all should pass MOH exams which cover both medical science and homeopathy. [http://www.moh.gov.ae/new_web/altrtv_mdcin.html Ministry of Health of UAE] The Ministry of Health of Iranrecognizes homeopathy as a legal alternative treatment. The Iranian Homeopathic Association, formed with the permission of the Ministry of the Interior and the Ministry of Health, is the reference association for providing standards of homeopathy. In Iranonly medical doctors can practice homeopathy. [http://www.homeopathyiran.org Iranian Homeopathic Association (IHA)]
In many parts of China, homeopathy is a respected and professionally accepted form of medical treatment. [http://www.wholehealthnow.com/homeopathy_pro/china.html] . According to Dr Emma Bentlow, the Chinese have favored homeopathy throughout their country since 1911, as evidenced by its presence in a homeopathy hospital in
Shanghai. [http://www.wholehealthnow.com/homeopathy_pro/china.html] However, in Taiwanthe Government has failed to approve homeopathyand so its distrbution is purely through word of mouth.It is classified by the official regulatory bodies of Taiwan as an alternative medicine. [http://www.wholehealthnow.com/homeopathy_pro/china.html] However, homeopathy is popular in some areas. [http://www.euromonitor.com/Health_and_Wellness_Healthcare_in_Taiwan]
Homeopathy is widely practised in
Israel. It was relatively unknown in the Mandate of Palestine but after the state of Israel was founded in 1948 it widely became popular. [http://www.wholehealthnow.com/homeopathy_pro/israel.html Homeopathy in Israel ] ] Dr Jarus is credited with bringing homeopathy to Israel. In 1993 the Israeli Institute for Homeopathy was founded in order to regulate homeopathic practices within Israel. Approximately 50% of all Israelisare said to have used some form of complementaryor alternative medicineat some point in their lives, many of them including homeopathy. [ [http://www.intstudy.com/articles/twealtmd.htm Alternative medicine in Australia ] ]
Homeopathy was introduced in Singapore and Malaysia by Azim Khan,who went to Germany to learn about Homeopahty.In parts of
Singaporehomeopathy is sometimes practised. It is recognized by the Government of Singapore, which considers it a form of alternative medicine. [ [www.wholehealthnow.com/homeopathy_pro/singapore.html] ]
Russia / Soviet Union
Homeopathy was introduced to
Russiain 1824, [http://ollo.norna.ru/eng/arts/history.htm Ollo Homoeopathic center: The History of Homeopathy in Russia] , retrieved March 20 2008] [Alexander Kotok, "The History of Homeopathy in the Russian Empire until World War I, as compared with other European countries and the USA: Similarities and Discrepancies," unpublished PhD thesis, Hebrew University of Jerusalem, 1999 [http://homeoint.org/books4/kotok/index.htm] ] with the first Russian homeopaths claimed by some sources to be Dr Steghman and Dr. Bhizel. The practice of homeopathy in Russia has been growing over the past two years. The Russian government held a meeting of its Health Care Ministry in January 1998 to discuss the creation of a Doctor of Homeopathy. [http://www.lmhint.net/LigaLetter/March98/march98_2.html Liga Medicorum Homeopathica Internationalis: Reports from the national vice–presidents] , The Liga Letter, March 1998, retrieved March 20 2008] Homeopathic conferences are also common in parts of Russia such as St. Petersburg, Moscow, and other regions. [ [http://query.nytimes.com/gst/abstract.html?res=990DE7DE1030EE34BC4C52DFB7678383679FDE Homeopathy in Russia] , The New York Times, November 14 1868, retrieved March 21 2008] Homeopathy has also been accepted in other parts of the ex- Soviet Union, including Georgia. A key benefit that Russian homeopaths enjoyed during the Sovietera was that their patients paid out of pocket, which meant that the physicians earned slightly more than a conventional doctor, because conventional doctors were paid lower salaries by the state. [ [http://www.wholehealthnow.com/homeopathy_pro/homeopathy_russia.html Homeopathy in Russia Today] , WholeHealthNow, 2008, Dana Ullman, retrieved March 21 2008] Reportedly, a popular and successful homeopathic hospital in Russia is Krasnodarhomeopathic Hospital. [ [http://www.homeopaty.ru/?lang=eng&mid=12 www.homeopaty.ru | Krasnodar Regional Homeopatic Center ] ] Though an official US report in 1868 states that the Russian Empireof the Tsarsprohibited the practice of homeopathy by means of an administrative ukase(imperial decree), [http://query.nytimes.com/mem/archive-free/pdf?_r=1&res=990DE7DE1030EE34BC4C52DFB7678383679FDE&oref=slogin] another, possibly less-accurate states that Tsar Nicholas Iencouraged the use of homeopathy within Tsarist Russia. [ [http://homeoint.org/books4/kotok/1000.htm The history of homeopathy in the Russian Empire - Alexander Kotok, M.D ] ] However it is clear that the totalitarian Stalinist Soviet Unionobjected to the practise of homeopathy very much, to the point where it was constantly under threat of closure, ban and persecutions even extending into the early 1990s. [ [http://homeoint.org/books4/kotok/intro.htm Introduction - The history of homeopathy in the Russian Empire - Alexander Kotok, M.D ] ]
South Africa, homeopathy is regulated by the Associated Health Service Professions Actof 1982, which was set up to provide a registration and licensing framework for health professions. During the 1960s, all homeopathic colleges were closed by the South African Medical Council. However, conventional medical doctors retained the right to use homeopathic treatments.
Homeopathy is relatively more prevalent in Nigeria than in other parts of Africa.fact|date=August 2008 Both medically qualified practitioners and lay persons can practice homeopathy, with the Congress of Homoeopathic Medicine Practitioners having 30 medical doctors on its register in 2005. The All-Nigeria Homeopathic Medical Organization was founded in 1961, and the first homeopathic practitioner, I. Okogeri, began practice the following year. The Nigerian College of Homoeopathic Medicine, founded in 1972, is recognised by the government of the East Central State. [Das, E. (2005): "History and Status of Homeopathy Around the World", B. Jain Publishers, New Delhi, p. 189] The Nigerian Institute of Homeopathy has special consultative status with the United Nations Department of Economic and Social Affairs [ [http://esa.un.org/coordination/ngo/new/index.asp?page=viewOrg&nr=2190 United Nations - Department of Economic and Social Affairs - NGO Section ] ] [ [http://www.ncbi.nlm.nih.gov/pubmed/16569628 Homeopathy: the Nigerian experience. [Homeopathy. 2006 - PubMed Result ] ] .
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