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Federal Court of Australia |
Last Updated: 4 February 2011
FEDERAL COURT OF AUSTRALIA
Australian Competition and Consumer Commission v Jones (No 5)
[2011] FCA 49
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Citation:
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Australian Competition and Consumer Commission v Jones (No 5) [2011] FCA
49
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Parties:
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File number:
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QUD 54 of 2010
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Judge:
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LOGAN J
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Date of judgment:
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Catchwords:
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HIGH COURT AND FEDERAL COURT –
Apprehension of bias as a result of past findings as to credit of the respondent
– Where application for Judge to not
conduct trial was withdrawn –
Whether Judge should of his own motion not to conduct the trial – Where no
findings as
to credit were required to be made in the course of the trial
Held: No need in circumstance to refrain from hearing trial
PRACTICE AND PROCEDURE – Application by respondent to adjourn
the trial – When trial dates had been fixed six months in advance –
Where
proceeding involved a matter touching on public health – Where
respondent also requested that the case be dealt with as soon
as possible
– Where next available hearing date would have involved considerable delay
– Where no offer was made by the
respondent to pay the applicant’s
costs thrown away by any adjournment
Held: In the interests of justice not to adjourn the trial
EVIDENCE – Affidavit evidence – Admissibility of
opinions in articles annexed to affidavit (of the respondent) which were not
authored by the deponent – Where applicant would not have had opportunity
to cross-examine the authors of the articles in question
– Where
unfairness to the applicant could have occurred were the opinion evidence to be
admitted
Held: The articles not be admitted into evidence
TRADE PRACTICES – Misleading or deceptive conduct –
Whether respondent engaged in misleading or deceptive conduct in the
contravention
of s 52 or s 53(c) of the Trade Practices Act 1974 (Cth)
– Where respondent represented that his “program” could be
followed to cure cancer – Where representations
were admitted –
Where the applicant led medical opinion evidence probative of a conclusion that
the admitted representations
were misleading or deceptive – Where
respondent led neither compelling medical evidence nor evidence to support the
kind of
intuitive reasoning outlined in EMI (Australia) Ltd v Bes (1970)
2 NSWR 238
Held: The representations were misleading or deceptive
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Legislation:
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Evidence Act 1995 (Cth) s 79
Federal Court of Australia Act 1976 (Cth) ss 21, 37M Trade Practices Act 1974 (Cth) ss 6, 52, 53 |
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Cases cited:
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Aon Risk Services Australia Limited v
Australian National University (2009) 239 CLR 175 cited
Australian Competition and Consumer Commission v Jones (No 3) [2010] FCA 908 cited Ebner v Official Trustee in Bankruptcy [2000] HCA 63; (2000) 205 CLR 337 cited EMI (Australia) Ltd v Bes (1970) 2 NSWR 238 considered Foster v Australian Competition and Consumer Commission [2006] FCAFC 21; (2006) 149 FCR 135 applied George v Rockett [1990] HCA 26; (1990) 170 CLR 104 cited Johnson v Johnson [2000] HCA 48; (2000) 201 CLR 488 cited Jones v Australian Competition and Consumer Commission [2010] FCAFC 136 cited ICI Australia Operations Pty Ltd v Trade Practices Commission [1992] FCA 474; (1992) 38 FCR 248 followed |
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Place:
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Brisbane
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Division:
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GENERAL DIVISION
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Category:
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Catchwords
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Number of paragraphs:
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Solicitor for the Applicant:
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Australian Government Solicitor
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Counsel for the Respondent:
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The Respondent appeared in person
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THE COURT ORDERS THAT:
Declaratory Relief
1.1. the reduction or elimination of glucose from the diet;
1.1.1. was effective in the treatment or prevention of cancer;
1.1.2. had been proven to bring even the worst cancers under control; and
1.1.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.2. taking laetrile, also known as amygdalin, also referred to as "vitamin B17";
1.2.1. was effective in the treatment or prevention of cancer;
1.2.2. had been proven to bring even the worst cancers under control; and
1.2.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.3. there were reasonable grounds to make the representations referred to in paragraph 1.1 and 1.2 hereof; and
1.4. there was a reliable and current scientific or medical basis to make the representations referred to in paragraph 1.1 and 1.2 hereof;
when:
1.5. the reduction or elimination of glucose from the diet;
1.5.1. was not effective in the treatment of cancer;
1.5.2. had not been proven to bring even the worst cancers under control; and
1.5.3. was not, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.6. the taking of laetrile;
1.6.1. was not effective in the treatment or prevention of cancer;
1.6.2. had not been proven to bring even the worst cancers under control; and
1.6.3. was not, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.7. there were no reasonable grounds for making any of the representations referred to in paragraph 1.1 and 1.2 hereof; and
1.8. there were no reliable, current scientific or medical bases for any of the representations referred to in paragraph 1.1 and 1.2 hereof;
in the case of each of the said representations at 1.1, 1.2, 1.3 and 1.4 hereof:
1.9. engaged in conduct that was misleading or deceptive or likely to mislead or deceive in contravention of section 52 of the Trade Practices Act 1974 (Cth) (TPA); and
1.10. represented that his goods or services have uses or benefits they do not have in contravention of section 53(c) of the TPA.
Injunctive Relief
2.1. in the course of trade or commerce between Australia and places outside Australia, among the States, within a Territory, between a State and a Territory or between two Territories; and
2.2. in trade or commerce involving the use of internet, postal, telegraphic or telephonic services or taking place in a radio or television broadcast;
from making any representation to the effect that the occurrence or growth of cancer or any medical condition can be prevented or successfully treated by any means whatsoever unless the respondent:
2.3. first has obtained:
2.3.1. from a person then registered with a medical practitioners board to practice medicine in Australia; or
2.3.2. from a professor, associate professor, reader, senior lecturer, or lecturer then teaching or researching in medicine at an Australian university;
written advice certifying that the proposed treatment is in the opinion of that person supported by reliable scientific evidence or expert medical opinion and is believed to be effective and safe; and
2.4. at the time of making the representation, prominently discloses details of the said advice, including the name, qualifications and position of the person providing the said advice; and
2.5. retains a copy of the said advice and provides a copy of the same to the applicant within 7 days of him receiving the certificate.
3.1. any person or unincorporated entity:
3.1.1. in the course of trade or commerce between Australia and places outside Australia, among the States, within a Territory, between a State and a Territory or between two Territories; or
3.1.2. in trade or commerce involving the use of internet, postal, telegraphic or telephonic services or taking place in a radio or television broadcast; or
3.2. any corporation, in trade or commerce;
any representation to the effect that the occurrence or growth of cancer or any medical condition can be prevented or successfully treated by any means whatsoever unless the respondent:
3.3 first has obtained:
3.3.1 from a person then registered with a medical practitioners board to practice medicine in Australia; or
3.3.2 from a professor, associate professor, reader, senior lecturer, or lecturer then teaching or researching in medicine at an Australian university;
written advice certifying that the proposed treatment is in the opinion of that person supported by reliable scientific evidence or expert medical opinion and is believed to be effective and safe; and
3.4. at the time of making the representation, prominently discloses details of the said advice, including the name, qualifications and position of the person providing the said advice; and
3.5. retains a copy of the said advice and provides a copy of the same to the applicant within 7 days of him receiving the certificate.
Ancillary Relief
4. Should the respondent become aware that any natural person or entity is:
4.1. representing expressly or impliedly to be him, or to be associated with him, or to be acting with his consent or on his behalf; and
4.2. making a representation in circumstances that, if made by the respondent would contravene paragraph 2 of these orders;
the respondent shall forthwith:
4.3. fully inform the applicant of those matters;
4.4. take all steps reasonably available to him to cause the person or entity to cease representing themselves to be him or to be associated with him, or to be acting with his consent, or on his behalf as the case may be, and to cease making representations referred to in paragraph 4.2 above;
4.5. furnish a copy of these orders to the person or entity as soon as he is able to do so and inform the person or entity that the person or entity may be committing contempt of these orders by their actions;
4.6. inform the applicant in writing that he has taken the steps required by paragraph 4.5 of these orders as soon as he has done so; and
4.7. refuse to treat and refuse to accept any payment from any person who, to the respondent's knowledge, sought his services as a result of the making of representations of the type referred to in paragraphs 4.1 and 4.2 of these orders.
5.1. www.darryljoneshealth.com.au; and
5.2. any other website that at the date of this order is, or within 3 months of the date of this order becomes, controlled, owned, operated or maintained by the respondent that offers or promotes goods or services associated with the treatment or prevention of cancer or any other medical condition whatsoever;
and shall take all reasonable steps to ensure that such notice shall:
5.3. be a size that consists of at least 40% of the web page;
5.4. be published on the web page in text format;
5.5. be clearly viewable immediately on screen after the web page is accessed;
5.6. not be blocked by a pop up blocker;
5.7. remain on screen until closed by the person accessing that website; and
5.8. not require a further selection of hyperlinks or scrolling on the screen to be seen.
Note: Settlement and entry of orders is dealt with in Order 36 of the Federal
Court Rules.
The text of entered orders can be located using Federal Law
Search on the Court’s website.
SCHEDULE 1
COURT RESTRAINS DARRYL JONES FROM MAKING CANCER TREATMENT CLAIMS
On 4 February 2011, the Federal Court of Australia made declarations and orders including injunctions in relation to representations about the prevention and treatment of cancer made by Mr Darryl Jones through The Darryl Jones Health Resolution Centre.
The proceedings were instituted by the Australian Competition and Consumer Commission (ACCC) in relation to claims made on a website at http://www.darryljoneshealth.com.au and in an electronic book titled The Truth About Overcoming Cancer, sold through that website.
The Court declared that certain representations made by Mr Jones were false, misleading or deceptive under the then sections 52 and 53(c) of the Trade Practices Act 1974 (Cth). (The Trade Practices Act 1974 is now known as the Competition and Consumer Act 2010 and the equivalent provisions are Schedule 2, sections 18 and 29(g)).
The injunctions permanently restrain Mr Jones from making, or being involved in others making, or encouraging others to make, any claim concerning means of treating or preventing cancer or any medical condition unless Mr Jones has first obtained written medical or scientific advice to support the claim.
A copy of the Court's orders can be obtained by calling the ACCC on 1300 302 502 (Australian callers) or + 612 6243 1305 (overseas callers).
The ACCC urges anyone who wishes to take steps to treat or prevent cancer or other medical conditions to seek advice from a suitably qualified medical practitioner.
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BETWEEN:
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AUSTRALIAN COMPETITION AND CONSUMER
COMMISSION
Applicant |
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AND:
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DARRYL PETER JONES
Respondent |
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JUDGE:
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LOGAN J
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DATE:
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4 FEBRUARY 2011
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PLACE:
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BRISBANE
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REASONS FOR JUDGMENT
...
(c) represent that goods or services have sponsorship, approval, performance characteristics, accessories, uses or benefits they do not have;
(i) between Australia and places outside Australia;
(ii) among the States;
(iii) within a Territory, between a State and a Territory or between two Territories.
2.1. from at least about July 2009 has conducted business under the registered business name Darryl Jones Health Resolution Centre (BN21267005) (DJHRC); and
2.2. since about July 2009 has, in trade or commerce, carried on the business of supplying goods and services to persons in Australia, namely:
2.2.1. treatment and prevention services in relation to medical conditions including cancer (the DJHRC services); and
2.2.2. goods including a book in electronic form entitled “The Truth about Overcoming Cancer” written by Jones (the e-book).
Jones Conduct
3.1. the owner of; and
3.2. responsible for all operations relating to;
the domain name “darryljoneshealth.com.au” (domain name).
4.1. promoted the DJHRC services; and
4.2. promoted and offered a means of purchasing and downloading the e-book;
(the website)
Representations by Jones
6.1. the reduction or elimination of glucose from the diet:
6.1.1. was effective in the treatment or prevention of cancer;
6.1.2. had been proven to bring even the worst cancers under control; and
6.1.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy.
6.2. he had reasonable grounds to represent the matters alleged in paragraph 6.1 hereof; and
6.3. there was a current and reliable scientific basis to represent the matters alleged in paragraph 6.1 (the representations pleaded in sub-paragraphs 6.1, 6.2 and 6.3 are collectively, the glucose representations).
Particulars
The glucose representations are to be implied from the use of the following words on the website:
6.3.1 “Nobel Peace Prize Winner Dr Otto Heinrich Warburg Links The Fermentation of Sugar As The Prime Cause Of Cancer”;
6.3.2. “The following is taken from a revised Lindau lecture: The Prime Cause and Prevention of Cancer by Otto Warburg, Director, Max Planck Institute for Cell Physiology, Berlin-Dahlem, Germany adapted from a lecture delivered by Otto himself at the 1966 annual meeting of Nobelists at Lindau, Germany.
‘... for cancer, there is only one prime cause. Summarized in a few words, the prime cause of cancer is the replacement of the respiration of oxygen in normal body cells by a fermentation of sugar. All normal body cells meet their energy needs by respiration of oxygen, whereas cancer cells meet their energy needs in great part by fermentation.”;
6.3.3. “The Darryl Jones Health Resolution Centre methodology is based on the resolution of life-threatening diseases without dispensing pharmaceutical drugs, advocating radium therapy, surgery or harmful chemotherapy – focusing instead on a 3-step “Triune Wellness Offensive’ – utilizing nutrition, exercise and vitamins along with close, professional, personal accountability.
The Darryl Jones Health Resolution Centre – committed to your total victory over modern-day life-threatening diseases – with time-proven personal strategies, empowering you with the tools you need for a prolonged life, greater health and real hope for the future.”;
6.3.4. “Darryl Jones and his staff – many members being over corners of life threatening diseases themselves (known as “Champions”) – offer an effective and personalised mentoring regimen for all sufferers.
Their methodology is based on the resolution of modern illnesses and other diseases naturally, without dispensing pharmaceutical drugs, advocating radium therapy, surgery or harmful chemotherapy.
No nasty side effects here!”;
6.3.5. “Founder Darryl Jones from the Darryl Jones Health Resolution Centre says the simple secret is a strict regime of diet and exercise which has been proven to bring even the worst cancers under control.
In fact, Darryl helps clients gain success in even terminal cases – cancer patients whose doctors have told them there is nothing more that traditional healthcare medicine can do.”,
in the context of the website as a whole.
Further, the representations are to be implied from the following words in the e-book:
6.3.6. “So now we come to cancer’s ‘Achilles heel’ ... it is totally dependent on the nutrients given it by its host. The point here is that modern 21st century hosts (i.e. us) are culturally submerged in and ADDICTED to the foods that cancer likes.
The crux of the problem is that Cancer Loves Glucose* and Glucose is easily obtainable from many of the vast majority of foods that we ingest daily. So to take away its major source of nutrition will deprive it of ‘its life-source’ and therefore compromise it ability to persist and grow.
This access to Glucose helps to explain the awesome rise in new cases of cancer, at a rate which is unprecedented at any time in our history. It is a modern-day epidemic!”
6.3.7 “What do we really need to consider?
Claim outlined in “The Physician’s Handbook of Clinical Nutrition”, Henry Osiecki, pg. 22. We say that the rocket-like acceleration of cancer in our culture is definitely the result of lifestyle behaviour. It is beyond doubt in my mind that cancer’s main food is Glucose*”
in the context of the website and the e-book as a whole.
A printout of the website and a copy of the e-book are contained in the affidavit of Shane Denzil Dallas affirmed and filed in these proceedings on 24 February 2010 and are available for inspection at the offices of the solicitors for the Applicant, by appointment.
7.1. the taking of laetrile, also known as amygdalin, also referred to as “vitamin” B17 (laetrile):
7.1.1. was effective in the treatment or prevention of cancer;
7.1.2. had been proven to bring even the worst cancers under control; and
7.1.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs radium therapy, surgery and chemotherapy;
7.2. he had reasonable grounds to make the representations referred to in paragraph 7.1 hereof;
7.3. there was a current and reliable scientific basis to make the representations referred to in paragraph 7.1 hereof (the representations pleaded in sub-paragraphs 7.1, 7.2 and 7.3 are collectively, the laetrile representations).
Particulars
The laetrile representations are to be implied from the use of the following words on the website:
7.3.1 “The pre-eminent senior cancer researcher in America was Dr. Kanematsu Segiura – who possibly holds the greatest respect in which scientific research on cancer is regarded. It has been said by a visiting cancer researcher from Russia that “when Segiura publishes, we know we do not have to repeat the study, for we would obtain the same results he has reported.”
Among the conclusions of Sugiura’s work was that laetrile inhibited the growth of tumors. It stopped the spreading (metastasising) of cancer of mice. It acted as a cancer preventative.”;
7.3.2. “It is also widely recognised and promoted by other non-orthodox sources that B17 (Laetrile) amygdalin is key for the human body when it comes to building the immune system.
This is essential to overcome any form of modern-day cancers such as melanoma, leukaemia, bone cancer, prostate cancer, breast cancer, ovarian cancer and so on.”;
7.3.3 the words at paragraphs 6.3.5, 6.3.6 and 6.3.7 hereof;
in the context of the website.
Further, the laetrile representations are to be implied from the use of the following words in the e-book:
7.3.4. “3. Lack of nutrition
Following is a direct transcript of a speech presented by Ernst Krebs Jr.* before the second Cancer Control Society Convention at the Ambassador Hotel in Los Angeles, California. This speech can easily be found on a search engine on the Internet.
This man’s name can be found in any decent medical book because of the discoveries regarding the cellular source of energy, which to this very day is credited to him in the name of the “Krebs cycle”.*
By Ernst Krebs, Jn*.
...
As I look back through the years marketing (sic) the emergence of these two fine Societies, I can recall the number of miraculous victories we have had in those intervening years; that it is as true today as it was eleven years ago that Laetrile, Vitamin B17, is the first and last final hop in the prophylactics in therapy of cancer in man and animals. The reason for this is that Laetrile is a vitamin. It is the 17th of the B vitamins*
We hear a great deal about its use in terminal cancer, but the time to start with vitamin B17 is now before the disease has become clinical. The time to start is the same with any matter of adequate nutrition and that is right now.
...
And when we fail in view of our knowledge now to take Vitamin B17 this is a sin against our physical nature. And when we develop cancer we will receive the results of this transgression in the old fashion Biblical sense that the ‘wages of sin are death.’
If you are not getting Vitamin B17 in your food the best way to get it is in the pure form. If you have cancer, the most important single consideration is to get the maximum amount of Vitamin B17 into your body in the shortest period of time.
...
We believe the use of vitamin B17 is vital in cancer control. But we also see that poor nutrition in general, i.e. lacking in good proteins, fats etc and overbalanced with sugar – leaves our body vulnerable to the formation of cancer.”
in the context of the website and the e-book.
A printout of the website and a copy of the e-book are contained in the affidavit of Shane Denzil Dallas affirmed and filed in these proceedings on 24 February 2010 and are available for inspection at the offices of the solicitors for the Applicant, by appointment.
[emphasis in the original]
The approach that I offer is an holistic one, which is explained in [the e-book]. It is based on the foods to be eaten, the foods not to be eaten, positive attitudes, support from family and friends. The program aims to bring the client to total wellness with processes that include diet and exercise, so that the body is able to fight the cancer. The program does not administer any prescription drugs, and does not recommend any supplements, other than food.
HAS THE COMMISSION MADE OUT ITS CASE?
This second report results from a review of the material provided as Annexure A (Documents provided by Darryl Jones). I will provide an opinion on each [allegation in the statement of claim]. There are no matters contained in the first report [that of February 2010] that require revision.
In addition to the provided material, I have searched medical and general databases for evidence to support the claims of prevention and treatment of cancer with altered glucose intake, laetrile, and each combined with exercise. Unless specifically stated, no reliable scientifically valid evidence has been found.
2.1 (a) The reduction or elimination of glucose from the diet is effective in the treatment of cancer.
None of the papers in Annexure A provide any data about the effectiveness of altering glucose intake in the treatment of cancer.
Instead, the papers provided in Annexure A are reports on investigations into a possible association or causal relationship between carbohydrates in general, or glucose in particular, and the risk of developing certain cancers. Some of the papers eg Terry et al (page 1) fail to show any relationship. Other reports eg Franceschi et al (page 4) do show a relationship.
In my opinion, a causal relationship has not yet been established.
Nether-the-less, the matter of whether there is a relationship or not in the development of cancer has no bearing at all on the claim that exclusion of glucose is effective in the treatment of an established cancer. With rare exceptions, the removal of cancer causing agents does not reverse the malignant process. I know of no evidence that glucose is one of the rare exceptions.
The article on Otto Warburg from Wikipedia is provided in support of the claim that glucose is important as a cause of cancer. As stated in my previous report, this is based on the (mistaken) belief by Otto Warburg in 1930 that abnormal glucose metabolism in malignant cells is the cause of cancer. Modern scientific opinion is that this is an epiphenomena (that is, altered glucose metabolism occurs in cells as a consequence of becoming malignant, but is not a cause of cancer). All cells whether normal or malignant require glucose for survival, and can make glucose from other nutrients if necessary.
(There is a the incorrect assertion (page 163) in support of Warburg that states this theory was the reason he received the Nobel prize in 1931. He received the Nobel Prize in Physiology or Medicine “for his discovery for the nature and mode of action of the respiratory enzyme”. http://nobelprize.org/nobel_prizes/medicine/laureates/1931/press.html)
However there have been views expressed by Craig Thompson, Chi Dang and others that glucose has a primary role in the development of malignancy. However the general scientific view at this time is that altered glucose metabolism is not the cause of cancer.
To demonstrate the complexity of this situation, a recent report from Yun et al has shown that low levels of glucose around cancer cells can increase the levels of mutations in some genes that control growth (Science. 2009 Sept 18; 325(5497):1555-9). This effect will lead to increased malignant activity in such cells.
2.1 (b) The reduction or elimination of glucose from the diet is effective in the prevention of cancer.
The fallacy of the argument that glucose is the cause of cancer has been discussed above.
In the literature looking at the relationship between dietary glucose and cancer, as described above, demonstration of a relationship does not prove causality. Even if glucose is causal, it must be demonstrated in a suitable experiment in humans (as a clinical trial) that alteration in glucose intake alters the cancer risk. I have searched medical databases and can find no evidence of such a study.
The complex relationship between glucose, insulin and the development of cancer is discussed in a recent editorial (Diabetes May 2010 vol. 59 no. 5 1129-1131). The authors believe that any relationship between glucose and cancer reflects the effects of other hormones such as insulin and insulin-like growth factors rather than glucose primarily. In addition, some glucose reducing drugs can influence cancer risk while others do not (http://webcast.easd.org/press/glargine/download/090831Smithfinalproofs.pdf). Therefore the common pathway is not via the level of glucose but some other mechanism.
2.1 (c) The reduction or elimination of glucose from the diet is proven to bring even the worst cancers under control.
This is discussed in 2.1(a). The “severity” of the cancer is not relevant in this context. If it had been shown to be effective, it would be expected to work even better for less severe cancers. No evidence has been found in the medical literature for benefit in cancers of any severity.
2.1 (d) The reduction or elimination of glucose from the diet together with an exercise program is more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy.
Survival is the best measure of effectiveness of cancer treatment.
Overall, 60% of all cancer patients are alive at 5 years with scientifically based treatments (“Cancer Survival Victoria 2007”, Cancer Council Victoria 2007). For some cancers, eg large cell lymphoma, testicular cancer, high cure rates (more than 90%) are achieved with conventional treatments, even when the cancer is very advanced at diagnosis.
...
I have been unable to find any detailed statistics for the survival of patients with cancer who undertake reduction in dietary glucose combined with exercise.
In the absence of such data, there is no scientific basis for the claim that such interventions are more effective as conventional therapies (drugs, radiotherapy and surgery) as shown in many reports (two examples above). In my opinion, on the basis of the provided information (Annexure A), there is no reason to believe that interventions with glucose reduction and exercise have any beneficial effect at all.
(I presume that the term “radium therapy” is used synonymously with radio-therapy, which is no longer produced by radium sources).
Similar arguments would apply for other measures of effectiveness of cancer treatment (eg. quality of life, tumour regression, time to tumour recurrence after primary treatment).
2.1 (e) The taking of laetrile (also known as amygdalin or “vitamin” B17) is effective in the treatment of cancer.
The provided papers (Annexure A) describe claimed benefits of laetrile without any specific supportive information that is interpretable.
Summaries of the background and the evidence about the lack of effectiveness of laetrile can be found in the papers by Wilson http://www.quackwatch.org/01QuackeryRelatedTopics/Cancer/laetrile.html and the National Cancer institute (USA) http://www.cancer.gov/cancertopics/pdq/cam/laetrile/healthprofessional/allpages.
The two main clinical papers in the scientific literature are:
A clinical trial of amygdalin (Laetrile) in the treatment of human cancer. Moertel C et al. New Engl J Med 306:201-206, 1982.
This describes a non-randomised non-controlled study of amygdalin plus a metabolic therapy program that failed to produce any remission in 178 patients with various cancers. On the basis of lack of activity, further comparative studies were not undertaken.
Special Report on Laetrile: The NCI Laetrile Review – Results of the National Cancer Institute’s Retrospective Laetrile Analysis. Ellison NM et al. N Engl J Med 1978; 299:549-552, 1978
This describes a program seeking case histories of patients who had benefitted from laetrile. Despite the large number of patients in the USA who have been so treated, insufficient cases were obtained to justify concluding that this was an effective therapy.
There is a great deal of published material on laetrile reproduced in Annexure A. This describes a conspiracy to suppress its use, its allegedly efficacy, and various controversies surrounding its promotion. This material does not provide scientifically interpretable data in support of the claims of benefit of laetrile.
Another problem with this material is its fails to address the toxicity of the agent. Laetrile is toxic, especially if taken orally, where cyanide is released in the bowel after degradation by intestinal organisms. (It is of interest that such degradation results in the production of glucose).
Because of its toxicity, the Therapeutic Goods Administration of the Commonwealth Department of Health have placed it on a Appendix C (Poisons Standard 2010) as a “Substances of such danger to health as to warrant prohibition of sale, supply and use”. Furthermore, certain states, such as Queensland restrict its use by regulation.
There is a lot of discussion in the Annexure papers about the controversy surrounding the results of experiments by K Sugiura. Whatever the truth, these experiments in transplanted tumours in mice do not support the claims of the benefits of laetrile in treating cancer in humans. Such claims must be made on the basis of objective observations in humans under controlled conditions.
I have not identified any scientifically valid reports that support the claims about the benefits of laetrile in treating humans with cancer.
2.1 (f) The take of laetrile is effective in the prevention of cancer.
The provided papers claim that laetrile is a vitamin (vitamin 17) and its deficiency leads to cancer. There is no scientific evidence to support the claims that it is a vitamin. In fact, studies of rats feed a cyanogeic glycoside diet for several generations failed to show any associated deficiency disease (Greenberg D, Cancer 45;799-807, 1980).
Furthermore, there is no scientific data to support the claim that it can prevent cancer. The information provided about the Hunza people does not support the claim that they have a low rate of cancer, and that if they did, that their consumption of amygdalin was responsible.
2.1 (g) The taking of laetrile is known to bring even the worst cancers under control.
2.1 (h) The taking of laetrile together with an exercise program is more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy.
The comments in 2.1(d)i) also apply to the claims for exercise and laetrile.
When a statute prescribes that there must be "reasonable grounds" for a state of mind — including suspicion and belief — it requires the existence of facts which are sufficient to induce that state of mind in a reasonable person. That was the point of Lord Atkin's famous, and now orthodox, dissent in Liversidge v. Anderson: see Nakkuda Ali v. M.F. De S. Jayaratne; Reg. v. Inland Revenue Commissioner; Ex parte Rossminster Ltd.; Bradley v. The Commonwealth; W.A. Pines Pty. Ltd. v. Bannerman. That requirement opens many administrative decisions to judicial review and precludes the arbitrary exercise of many statutory powers: see, e.g., Attorney-General v. Reynolds.
[Footnote references omitted]
I propose to give the expression the same meaning where it is used in the admitted representations. That means that, where it is used, the representation will not be true where, at the time of making, Mr Jones’ did not have facts sufficient to induce in the mind of a reasonable person a basis for the making of the statement concerned. What might constitute such “facts” might but need not necessarily be or even include opinions expressed in learned articles. Whether or not such “facts” amount to reasonable grounds is a question to be answered objectively, not by reference to Mr Jones’ subjective statement of mind.
Medical science may say in individual cases that there is no possible connexion between the events and the death, in which case, of course, if the facts stand outside an area in which common experience can be the touchstone, then the judge cannot act as if there were a connexion. But if medical science is prepared to say that it is a possible view, then, in my opinion, the judge after examining the lay evidence may decide that it is probable. It is only when medical science denies that there is any such connexion that the judge is not entitled in such a case to act on his own intuitive reasoning. It may be, and probably is, the case that medical science will find a possibility not good enough on which to base a scientific deduction, but courts are always concerned to reach a decision on probability and it is no answer, it seems to me that no medical witness states with certainty the very issue which the judge himself has to try.
The evidence led by Mr Jones does not admit of a conclusion, reached by the application of this kind of intuitive reasoning, that the Commission has not discharged its onus. The areas of the curing of cancer and cancer survivorship are not ones where common experience could be a permissible touchstone for deciding the truth (or, strictly, a failure by the Commission to prove the untruth) of the admitted representations.
I cannot say that I, or my staff actually heal these life-threatening diseases per se – but what I can say is that we have a marvellous body that fights for us autonomously every day. We can only walk with you to assist in developing your bodies [sic] resolve to battle with disease with a ‘full arsenal’ and let our former patient’s successes speak for themselves!
No disclaimer, in itself, affords absolution from committing a contravention of s 52 or, materially for the present, s 53(c) of the Act. Each must be considered in the context of the conduct as a whole, which in this case means considering any disclaimer in the context of the website or, as the case may be, the e-book as a whole. So far as the website is concerned, on the very same page that the statement attributed to Mr Jones appears the following also appears:
The Darryl Jones Health Resolution Centre – committed to your total victory over modern-day life-threatening diseases – with time-proven strategies, empowering you with the tools you need for a prolonged life, greater health and real hope for the future.
Overall, the tone of the website is to extol the virtues of Mr Jones’ approach and deprecate the practice of oncology and the use of pharmaceutical remedies. Reading the website as a whole, the misleading or deceptive quality (or likelihood to mislead or to deceive) of the admitted representations remains.
All thoughts and comments in this book are that of the author, they are not meant as medical advice. Observations are those of the author. Testimonies are those of the patients involved. In respect of the important work of the health care industry, the Darryl Jones Health Resolution Centre strongly advises that that the contents of this booklet are a reflection of the author’s strong beliefs gained through over 18 years of observation. When taking responsibility for your own health, we advise those reading this book/manual to seek advice and accountability from your health professional. [sic]
Insofar as this seeks to convey that all that follows, including such of the admitted representations as appear in the e-book, are just Mr Jones’ beliefs, there is no reasonable ground for those beliefs. This apart, the end to which the book is directed is not the seeking of “advice and accountability”, whatever the latter may mean, from the reader’s “health professional” but rather, as the last page openly reveals a “big plug for [the Centre]”. In conveying that “big plug”, especially when one reads the passages which appear under the headings “Sugar feeds cancer” and “Lack of nutrition” the vice of glucose and the virtue of laetrile (said to be the 17th of the B vitamins) is extolled emphatically and at length. Read in context, the disclaimer does not remove the misleading or deceptive quality of the admitted representations in the e-book.
Declaratory Relief
1.1. the reduction or elimination of glucose from the diet;
1.1.1. was effective in the treatment or prevention of cancer;
1.1.2. had been proven to bring even the worst cancers under control; and
1.1.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.2. taking laetrile, also known as amygdalin, also referred to as "vitamin B17";
1.2.1. was effective in the treatment or prevention of cancer;
1.2.2. had been proven to bring even the worst cancers under control; and
1.2.3. was, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.3. there were reasonable grounds to make the representations referred to in paragraph 1.1 and 1.2 hereof; and
1.4. there was a reliable and current scientific or medical basis to make the representations referred to in paragraph 1.1 and 1.2 hereof;
when:
1.5. the reduction or elimination of glucose from the diet;
1.5.1. was not effective in the treatment of cancer;
1.5.2. had not been proven to bring even the worst cancers under control; and
1.5.3. was not, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.6. the taking of laetrile;
1.6.1. was not effective in the treatment or prevention of cancer;
1.6.2. had not been proven to bring even the worst cancers under control; and
1.6.3. was not, together with an exercise program recommended by him, more effective in treating cancer than pharmaceutical drugs, radium therapy, surgery and chemotherapy;
1.7. there were no reasonable grounds for making any of the representations referred to in paragraph 1.1 and 1.2 hereof; and
1.8. there were no reliable, current scientific or medical bases for any of the representations referred to in paragraph 1.1 and 1.2 hereof;
in the case of each of the said representations at 1.1, 1.2, 1.3 and 1.4 hereof:
1.9. engaged in conduct that was misleading or deceptive or likely to mislead or deceive in contravention of section 52 of the Trade Practices Act 1974 (TPA); and
1.10. represented that his goods or services have uses or benefits they do not have in contravention of section 53(c) of the TPA.
Injunctive Relief
2.1. in the course of trade or commerce between Australia and places outside Australia, among the States, within a Territory, between a State and a Territory or between two Territories; and
2.2. in trade or commerce involving the use of internet, postal, telegraphic or telephonic services or taking place in a radio or television broadcast;
from making any representation to the effect that the occurrence or growth of cancer or any medical condition can be prevented or successfully treated by any means whatsoever unless the respondent:
2.3. first has obtained:
2.3.1. from a person then registered with a medical practitioners board to practice medicine in Australia; or
2.3.2. from a professor, associate professor, reader, senior lecturer, or lecturer then teaching or researching in medicine at an Australian university;
written advice certifying that the proposed treatment is in the opinion of that person supported by reliable scientific evidence or expert medical opinion and is believed to be effective and safe; and
2.4. at the time of making the representation, prominently discloses details of the said advice, including the name, qualifications and position of the person providing the said advice; and
2.5. retains a copy of the said advice and provides a copy of the same to the applicant within 7 days of him receiving the certificate.
3.1. any person or unincorporated entity:
3.1.1. in the course of trade or commerce between Australia and places outside Australia, among the States, within a Territory, between a State and a Territory or between two Territories; or
3.1.2. in trade or commerce involving the use of internet, postal, telegraphic or telephonic services or taking place in a radio or television broadcast; or
3.2. any corporation, in trade or commerce;
any representation to the effect that the occurrence or growth of cancer or any medical condition can be prevented or successfully treated by any means whatsoever unless the respondent:
3.3 first has obtained:
3.3.1 from a person then registered with a medical practitioners board to practice medicine in Australia; or
3.3.2 from a professor, associate professor, reader, senior lecturer, or lecturer then teaching or researching in medicine at an Australian university;
written advice certifying that the proposed treatment is in the opinion of that person supported by reliable scientific evidence or expert medical opinion and is believed to be effective and safe; and
3.4. at the time of making the representation, prominently discloses details of the said advice, including the name, qualifications and position of the person providing the said advice; and
3.5. retains a copy of the said advice and provides a copy of the same to the applicant within 7 days of him receiving the certificate.
Ancillary Relief
4. Should the respondent become aware that any natural person or entity is:
4.1. representing expressly or impliedly to be him, or to be associated with him, or to be acting with his consent or on his behalf; and
4.2. making a representation in circumstances that, if made by the respondent would contravene paragraph 2 of these orders;
the respondent shall forthwith:
4.3. fully inform the applicant of those matters;
4.4. take all steps reasonably available to him to cause the person or entity to cease representing themselves to be him or to be associated with him, or to be acting with his consent, or on his behalf as the case may be, and to cease making representations referred to in paragraph 4.2 above;
4.5. furnish a copy of these orders to the person or entity as soon as he is able to do so and inform the person or entity that the person or entity may be committing contempt of these orders by their actions;
4.6. inform the applicant in writing that he has taken the steps required by paragraph 4.5 of these orders as soon as he has done so; and
4.7. refuse to treat and refuse to accept any payment from any person who, to the respondent's knowledge, sought his services as a result of the making of representations of the type referred to in paragraphs 4.1 and 4.2 of these orders.
5.1. www.darryljoneshealth.com.au; and
5.2. any other website that at the date of this order is, or within 3 months of the date of this order becomes, controlled, owned, operated or maintained by the respondent that offers or promotes goods or services associated with the treatment or prevention of cancer or any other medical condition whatsoever;
and shall take all reasonable steps to ensure that such notice shall:
5.3. be a size that consists of at least 40% of the web page;
5.4. be published on the web page in text format;
5.5. be clearly viewable immediately on screen after the web page is accessed;
5.6. not be blocked by a pop up blocker;
5.7. remain on screen until closed by the person accessing that website; and
5.8. not require a further selection of hyperlinks or scrolling on the screen to be seen.
6. The respondent:
6.1. attend, at his own expense, within 3 months of the date of the order, a trade practices compliance seminar which is designed to ensure an awareness of the responsibilities and obligations contained in Schedule 2, Chapters 1, 2 and 3 of the Competition and Consumer Act 2010 (Cth); and
6.2. within 7 days of attending the seminar referred to in the preceding order, shall notify the applicant in writing of the title of the seminar, the date or dates attended and the name of the person who conducted the seminar.
The contraventions which the Commission has proved show that he did not adhere to the terms of an undertaking given administratively. An order of this Court is not lightly to be disobeyed, given the sanctions which may thereby be attracted.
Dated: 4 February 2011
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URL: http://www.austlii.edu.au/au/cases/cth/FCA/2011/49.html