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No Evidence Supports Safety of Silicone Breast Implants

by Pamela G. Dowd

Jackie Strange, former Deputy Postmaster General. Anne M. Adams, Lt. Colonel (Ret.). Pat Wingate, a South Carolina housewife. Merry Grant and Nikki Kauffman, Victims of Induced Chemical Exposure. Beth West, former journalist.

What do these women have in common? Like myself and many others, each of them presented their stories of the changes silicone breast implants have brought into their lives to the Institute of Medicine in Washington, D.C. on July 24, 1998.

Contrary to published accounts of the safety of silicone breast implants, the FDA has never approved them for human use. The FDA has on file over 6000 pages of physician reports on the health endangerment to women since the latter part of the 60's. Manufacturers were never required to document the safety of breast implants to the FDA. Silicone breast implants were "grand-fathered" in without PreMarket Approval with the passage of the Medical Safety Devices Act in 1976.

The Mayo Clinic study did not examine patients and included, "as healthy", patients they had not seen since implantation. Harvard's study was a questionnaire and included women who had received their implants only a month prior to the "study". The NY study was also funded by breast implant manufacturers--to the tune of $1.8 million and the answers could only have been correlated to whether or not the responder listened to gossip. Dr. Linda Cook of the Fred Hutchinson Cancer Research Center published her Life Style study last year based on 21 responses to certain questions on random phone calls.

Presented to the Institute of Medicine were the following findings in a survey of breast implant women. Of the 72 respondents to the survey, 49% of the women were reconstruction patients while 51% were augmentation patients. 90% of the respondents had silicone breast implants. 19% received salines. 68% reported between 2-4 ruptures. 48% of all ruptured implants were from the same manufacturer. 34% of the respondents have no medical insurance to cover cost of health care related to breast implants. 35% are drawing some form of disability. 96% have chronic fatigue syndromes. 33% have difficulty performing simple daily tasks such as dressing while 50% have difficulty with more difficult tasks like vacuuming. While compiling the responses to the survey, it was clear that it made no difference WHY any woman received breast implants. Both augmentation and reconstructed patients were growing sicker with unexplained illnesses.

The published statements of Dow being bankrupt because of breast implant litigation is a misperception of the facts. Dow has enjoyed prosperous years since 1995 and has expanded their company across the globe. The announced settlement will come from funds gained from a settlement between Dow and their insurance carriers.

In 1992, HOUSE OF REPRESENTATIVES, FDA'S REGULATION OF SILICONE BREAST IMPLANTS, A STAFF REPORT PREPARED by THE HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE OF THE COMMITTEE ON GOVERNMENT OPERATIONS 061-505 0-93(59), found clear evidence that silicone breast implants do cause harm to the recipients. Their recommendations to the FDA were as follows:

1. THE COMMITTEE SHOULD URGE FDA'S CENTER FOR DEVICES AND RADIOLOGICAL HEALTH TO IMPROVE THEIR REGULATION OF MEDICAL DEVICES
2. THE COMMITTEE SHOULD CONSIDER LEGISLATION TO CLOSE THE REVOLVING DOOR BETWEEN FDA AND INDUSTRY
3. THE COMMITTEE SHOULD ASSURE THAT FDA REQUEST AND EXAMINE ALL RELEVANT DOCUMENTS THAT ARE NOT UNDER COURT PROTECTIVE ORDERS
4. THE COMMITTEE SHOULD RECOMMEND THAT THE PRESIDENT, BY EXECUTIVE ORDER, CLARIFY FDA'S AUTHORITY TO REVIEW PROTECTED COURT DOCUMENTS RELATED TO PRODUCTS THAT IT REGULATES
5. FDA ADVISORY COMMITTEES SHOULD REVIEW ALL RELEVANT SAFETY AND EFFICACY INFORMATION
6. THE COMMITTEE SHOULD ENSURE THAT FDA REQUIRE IMPLANT MANUFACTURERS TO PROVIDE INFORMATION ABOUT SAFETY AND EFFECTIVENESS TO PATIENTS AS WELL PHYSICIANS

These recommendations have largely been ignored by the FDA. Also ignored has been an April 1994 letter to Senator Herbert Kohl of Wisconsin from Dr. Norman Anderson of John Hopkins University, which warned of the practice of sealing in the courts damaging evidence against breast implant manufacturers, evidence which proves the dangers of silicone in the body.

Women went to Washington DC with a mission: To tell the impact of silicone in their lives to the Institute of Medicine and to their Congressmen/women. Christa Farley, Silicone Support International, Sarasota, FL, and Pam Dowd, Magic Valley Breast Implant Survivors, delivered requests for a Congressional Investigation with supporting evidence to members of the Judiciary Committee in both houses. When approached on Thursday, Senator Larry Craig of Idaho has promised to be in touch with Sen. Orrin Hatch with his support for this measure. In all, 48 congressional offices signed for packets of information.

Kathy Keithley-Johnson, President of Toxic Discovery Network, announced a class action lawsuit had been filed in Federal court in the District of Columbia against the Food and Drug Administration and the American Society of Plastic and Reconstructive Surgeons. The lawsuit says surgeons failed to inform patients and the FDA of the dangers of implants.

If the scientists of the past had followed the current recommendations of Dr. Elizabeth Connell in her recommendations "of no further research" to the Institute of Medicine panel, we wouldn't have x'ray machines for diagnosis because blood letting would have been "good enough". And yes, Dr Ehrlich, we should pay attention to whom we listen. M.D. no longer means Medical Divinity.

Copyright 2000 Pamela G. Dowd

Site maintained by Pamela G. Dowd