Ruminations

Blog dedicated primarily to randomly selected news items; comments reflecting personal perceptions

Friday, May 17, 2019

Sound Nutrition Mandated for Good Health

"We must explain to the parents before compelling them, but we can no longer tolerate this endangerment."
"We are talking here about stunted growth and psychomotor delays, under-nutrition, significant anaemia. Some developments must be done at a specific time in life and if they are not done, it is irreversible."
"When we are children, the body manufactures among other things brain cells. That brings with it a major requirement for proteins and essential fatty acids. The body itself does not produce these, they have to be taken in from animal proteins. We are speaking here of retarded growth in height and weight, as well as retarded psycho-motor development, malnutrition an severe anaemia. Some developments have to take place at a precise moment of life. Otherwise, the delay is irreversible. It is not recommended, and may even be forbidden, to submit a child, in particular during periods of rapid growth, to a potentially destabilizing diet."
Professor Georges Casimir,  Queen Fabiola Children's Hospital

"What a load of ignorant codswallop! A well-planned vegan diet is perfect for babies and children."
"But as with any dietary regime, it's the parents' responsibility to ensure their child is getting all the necessary nutrients."
Dawn Carr, People for the Ethical Treatment of Animals

"It's possible to provide all the nutrients needed for growth and development without animal products."
"[It is] recognized that well-planned vegan diets can support healthy living in people of all ages, including infants, children, teenagers and pregnant and breastfeeding women."
Heather Russell, dietitian, The Vegan Society

"[The demise of 7-month-old baby Lucas was] the result of the systematic offer of food that was not suitable."
"[Because of that imposed diet], his health was seriously impeded and he eventually died [three years ago, weighing only 4.3 kilograms (9.5 pounds), barely 1 kilogram [2.2 pounds] more in weight than when he was born]."
"It is clear that the defendants have already been severely punished because they need to proceed with life in the knowledge that they are responsible for the death of their son, who they truly loved."
Judge Mieke Butstraen, Belgian court, June 2017



Professor Casimir was instrumental in leading the commission responsible for writing a report issued by the Royal Academy of Medicine of Belgium. It has the recognized authority of a legal opinion. And that legal opinion reached through a collaboration of medical and scientific professionals could very much influence future court judgements in Belgium where a number of deaths have occurred in schools, nurseries and hospitals, all traced to the fact that Belgian parents are placing their children on vegan diets.

The couple in Beveren, convicted of withholding a nutritious diet from their baby who died of malnutrition and dehydration, fed the infant vegetable 'milk' exclusively. Because the judge considered that the loss of their youngest child entirely the result of their choice of nutrition for him represented punishment sufficient unto itself, they were given a six-month suspended sentence. The seven-month-old's vital organs were considerably smaller than they should have been, with no fat surrounding them.

Estimates of the number of children in Belgium affected by their parents' decision to feed them a strictly vegan diet run to three percent. And because there has been a rash of infant and child deaths linked to the vegan diet, doctors in Belgium now call for prosecution of parents who persist in withholding a more normal diet from their children. According to the Royal Academy of Medicine of Belgium the legal opinion they have produced states it to be unethical to subject children to veganism.

A vegan diet is exclusive of animal proteins and vital amino acids required by growing children to aid in their development, and in the prevention of health problems. Should such a diet be complemented with medical supervision, blood tests and vitamin supplements, the diet could be made child-safe. But the opinion points out that most parents are not qualified to ensure that these provisions are seen to. The parents of the 7-month-old who died operated a vegan provisions shop and were obviously committed to veganism.

A Belgian official responsible for child protection initiated the study that resulted in the professional opinion. Bernard De Vos, in view of hospitals in Belgium reporting a growth in the number of children reporting with a range of ailments after being fed a vegan diet, felt the situation required a deep analysis and turned to the professional pediatric group for an opinion, feeling it incumbent upon himself to make that request as the country's children's rights commissioner.

A Belgian law dating to 1961 holds that no one can be convicted of "non-assistance to a person in danger", a crime carrying a sentence of up to two years in prison along with fines, if they are unaware they are placing someone in danger even though the recently issued legal opinion makes it common knowledge of the potentially lethal effects of a vegan diet. 

In other words, a public education campaign is required to ensure that all parents are aware of the situation, to refrain from placing their children in danger through an inappropriate diet.
A vegan diet can be bad for children, says Royal Academy of Medicine
© Pxhere
Feeding a child a vegan diet is “unsuitable and not to be recommended,” according to the Royal Academy of Medicine.

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Sunday, August 23, 2015

Enlightened Compassion

"...The concept of 'unbearable suffering' has not yet been defined adequately. There are no guidelines for the management of euthanasia requests on grounds of mental suffering in Belgium."
Lieve Thienpont Belgian psychiatrist

"What is presented at first as a right is going to become a kind of obligation."
Belgian law professor Etienne Montero

"...Physicians must remain primary healers."
"Part of the problem with the slippery slope is that you never know when you are on it."
"[Reports published in JAMA Internal Medicine] seem to validate concerns about where these practices [approving euthanasia for psychiatric patients] might lead."
Bioethicists Barron Lerner and Arthur Caplan
Belgian law allows euthanasia for patients who suffer from severe and incurable distress, including psychological disorders.

Belgian law allows euthanasia for patients who suffer from severe and incurable distress, including psychological disorders. Credit Photograph Courtesy Tom Mortier

The growing clamour in the public arena taking place in Canada and the United States for people suffering from incurable chronic illness diminishing the quality of their lives, or those facing certain death after diagnoses of incurable conditions like metastasized cancer or Lou Gehrig's disease is steadily bringing those countries toward the legalization of assisted suicide. Canada's Supreme Court has come down in favour of assisted suicide.

And the medical profession finds itself facing a situation where the healing profession becomes the enabling profession and many physicians struggle with their moral conscience and the pledge taken when they hung out their professional medical shingle to 'do no harm'. Those who believe in the right to die, feel that a medical professional giving them assistance to leave life behind is doing no harm, but rather obliging their wishes.

Many in the medical profession, however, having dedicated their professional lives to improving the quality of life for patients, envision that to be achieving success in mitigating the ill effects of disease or chronic conditions, as much as is medically feasible. Their black bag stuffed with protocols and pharmaceuticals doesn't include drugs to stop the heart and give surcease to suffering patients.

There is suspicion from within the medical community and from the public at large as well, who don't subscribe to the positive aspects of deliberately aiding someone to die, that society, once accustomed to helping people in end-stage medical conditions to take leave of their miserable lives prematurely, will become desensitized to the issue and begin the process of extending the 'right' to people merely dissatisfied with their lives.

A clinic in Belgium served people with depression or schizophrenia and in a few instances Asperger's syndrome, who sought the solution to their problems in euthanasia. One hundred people between 2007 and 2011 reached out to doctors at the clinic for "help". The doctors in their wisdom chose to agree with 48 of that one hundred and agreed to end their "untreatable", "unbearable" conditions by lethal injection.

One of the doctors working at the clinic wrote of her experience, in a BMJ Open journal article. The clinic's operation was legal under the country's 2002 euthanasia statute which includes terminal physical illness and a growing minority of psychological issues. Nine cases of euthanasia resulting from "neuropsychiatric" disorders took place in 2004-05, and the figure rose to 120 in 2012-13.

The Netherlands decriminalized euthanasia in 2002 and right-to-die activists opened a clinic to "help" people whom their family physician refused to "help". In the year that followed euthanasia was approved for six psychiatric patients and another eleven whose complaint was that they were "tired of living".

Dr. Thienpont, working out of her Belgian clinic insisted the clinic respects patients' wishes, while stating that "further studies are recommended". The co-author of the article which was critiqued by Drs. Lerner and Caplan in JAMA Internal Medicine is an advocate of  euthanasia, Wim Distelmans. Dr. Distelmans saw nothing amiss in ending a 44-year-old's life. who was upset over a botched sex-change operation.

Nor did he see anything immoral when he put to death identical 45-year-old deaf twins who claimed to have lost the will to live when they were informed they would eventually lose their eyesight. Another man, given a 30-year prison sentence for rape and murder claimed his incurable impulses to violence and the anguish he felt behind bars qualified him for assisted death.

The irony is that in Belgium there is no death sentence for murder. Dr. Distelmans had second thoughts and decided against acting on his original acquiescence in this instance. In any event Dr. Distelmans is unlikely to face professional chastising since Belgium's Euthanasia Control and Evaluation Commission which reviews cases is co-chaired by himself. And of thousands of cases reviewed since 2002, none were referred to law enforcement.

In the socially and medically enlightened Netherlands, euthanasia accounted for one of every 28 deaths in 2013, three times the figures of 2002. In Belgium's Dutch-speaking area one of every 22 deaths was due to euthanasia in 2013 representing an increase of 142 percent since 2007. Euthanasia for children under 12 has been legalised for terminal physical illness in Belgium.

Activists of the collective Yellow Safety Jacket protest against the proposed statutory amendment legalizing the euthanasia of young children, in Brussels, Feb. 11, 2014.

Julien Warnand—EPA Activists of the collective Yellow Safety Jacket protest against the proposed statutory amendment legalizing the euthanasia of young children, in Brussels, Feb. 11, 2014.


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