Detoxification and Environmental Health World Trade Center Case Notes

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					Detoxification and Environmental Health:
    World Trade Center Case Notes




   International Academy of Detoxification Specialists
                www.detoxacademy.org

 Foundation for Advancements in Science and Education
                   www.fasenet.org

               Downtown Medical P.C.
               139 Fulton St., Suite 515
                 New York, NY 10038
                    212.587.3961
Detoxification in New York: Clinical Background
As an Occupational Medicine specialist, I often treat individuals who have been exposed to
toxic chemicals in the workplace, either in the routine performance of their duties or as the
result of accidents. Many of these substances can accumulate in human tissue, prolonging
their potential effects on health. For more than 20 years, I have utilized a detoxification
program developed by researcher and writer L. Ron Hubbard in my practice. This program,
which involves a precise regimen of aerobic exercise, sauna sweatout, nutritional supplements
and other elements, is designed to mobilize toxic residues from tissue and facilitate their
elimination through body channels. I have supervised more than 3,500 persons who have
completed this program, and have routinely seen remarkable results. Equally remarkable is
the total absence of adverse effects caused by the program itself.

Within weeks of the September 11 events, I began to receive calls from rescue workers and
union officials who felt this program might have value from those exposed to the wide range
of toxins released as a result of the attacks. I made the first of several trips to New York,
along with Keith Miller of the Foundation for Advancements in Science and Education
(FASE) and Jim Woodworth of HealthMed. We met with representatives of the police,
firefighter and EMT unions, medical officers and others from these organizations. Interest
was sufficient to warrant opening a clinic in New York where the program could be offered

At this stage, there have not been enough rescue workers completed to draw broad
conclusions. Initial results have been very positive, and the clinic physician, Dr. Apryl
McNeil, has prepared a review of some of the cases that have been treated. The improvements
she reports are consistent with those I have observed over the last two decades, and point to
several phenomena that deserve further attention. Among these are the improvements in
pulmonary symptoms that were achieved in some cases.

At present, the protocol and funding for a large-scale study are being developed. In the
meantime, these case notes offer an indication of the potential benefits of the program for
rescue workers.

David E. Root, M.D., M.P.H.
Sacramento Occupational Medical Clinic




                         Detoxification and Environmental Health: World Trade Center Case Notes - 1
Detoxification in New York: Case Notes
In my years as a family physician, I have encountered many after-effects of chemical
intoxication, from accidental poisonings to symptoms that were harder to characterize (or
treat). Until a few months ago, I had little familiarity with the Hubbard detoxification
program.

As a New Yorker, I was deeply affected by the attacks on the World Trade Center. I saw the
toxic cloud that swept over our city, and the dust and smoke that lingered for months afterward. I
followed the development of the public health response to these exposures, and the difficulties
reported by the rescue workers. The opportunity to direct a facility that provided detoxification
interested me. Aside from the possibility that this program could reduce immediate symptoms, it
offers unique preventative benefits.

As I reviewed the studies that have been done over the last two decades, it was clear that we
could reduce body levels of persistent chemicals such as PCBs and dioxin, toxins known to be
present in the debris created by the attacks. (Summaries of some of these studies are included in
this booklet.)

Whatever we eventually discover about the levels of environmentally released chemicals that
remain in our city (and our bodies), we can be certain of several things: they are not nutrients;
they do not belong in the body at any level; their continued presence does not contribute to
health; and any non-invasive treatment that can flush them out of the body could only be helpful.

Proceeding from this common sense perspective, and aware of the outcomes that Dr. Root has
achieved, I must admit that the early results have been very encouraging. Obviously, I cannot
offer a long-term perspective at this point, but I have seen enough to have personal certainty that
this program is an important part of the public health response to the attacks.

I look forward to the opportunity to discuss the program with colleagues, and hope to make the
program available to as many rescue workers as possible. I invite any of those interested to call
the clinic and make arrangements to visit, to see the program elements in application, to talk to
me, or to speak with individuals who are doing the program. I look forward to hearing from you.

Apryl McNeil, M.D.
Downtown Medical P.C.




                         Detoxification and Environmental Health: World Trade Center Case Notes - 2
                                                         Case Study 1
                Client     Firefighter, Male, 31 years old
             Exposure      Arrived at WTC shortly after collapse of Tower 2, exposed to fires, smoke, dust, and
                           numerous crushed bodies. Remained for 12 hours without respirator. Worked at
                           WTC site 10 hrs on and 10 hours off for about 60 days often without respirator.
 Primary Complaints        Lethargy, decreased lung capacity, increased phlegm production, joint soreness,
                           worsened allergies, decreased libido since 9/11/01.
           Additional      Rash that cleared on its own, secondary to decreased energy he has only been able to
          Complaints       exercise 2X per week down from 4X, experiences shortness of breath at the start of
                           exercise and slight sensitivity to perfumes.
     Post-WTC Exam         1 year ago, normal except for unidentified lung abnormality and decreased lung
                           capacity.
Past Medical History       Unremarkable
      Social History       1-2 glasses of wine per night with dinner, denies use of drugs or cigarettes, no
                           military service.
   Review of System        Stuffy nose, back pain, survivor guilt, anxiety.
      Physical Exam        Unremarkable except for nasal congestion.
         Diagnoses         1. Fatigue; 2. Dyspnea; 3. Joint Soreness; 4. Decreased Energy; 5. Anxiety

Detoxification Program:
Start Date: 10/17/02; Completion Date: 11/6/02; Days on Detoxification Program: 21

Post Detoxification Program:
Feelings of fatigue, depression, weakness, anger, and sullenness are completely gone. Able to sleep throughout
the night. Mentally sharper with improvements in both long-term and short-term memory. Renewed physical,
spiritual and emotional state. Exercise is back to pre-9-11 status.
“I feel more comfortable in my own skin” – SR


                                                         Symptom Severity
                                                     Overall Improvement = 100%


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                                     Detoxification and Environmental Health: World Trade Center Case Notes - 3
                                                              Case Study 2
                Client           Firefighter, Male, 31 years old
             Exposure            Arrived at WTC just after the second tower fell and was engulfed in a cloud of dust
                                 and debris. Worked at the site approximately 10 hours daily for two weeks and then
                                 occasionally thereafter recovering bodies. He had no respirator protection for the first
                                 week and then only a dust mask thereafter.
 Primary Complaints              Frontal headache, fatigue, short term memory disturbance, difficulty concentrating,
                                 difficulty sleeping and worsened allergies since 9/11/01. His headaches are triggered
                                 by fires.
            Additional           From day one he experienced upper respiratory irritation, headaches and fatigue, had
           Complaints            a cough for several weeks that resolved on its own.
     Post-WTC Exam               Normal electrocardiogram and pulmonary function testing done in 1/02. Rx for
                                 inhaled steroids for allergies, also takes aspirin to treat his headaches. They provide
                                 partial relief only.
Past Medical History             Bunionectomy 1999, Adenotonsillectomy
       Social History            Alcohol use once or twice per week, past marijuana and cocaine use as a teenager.
  Review of System               Sinus problems since 9/11, hypercholesterol.
      Physical Exam              Unremarkable
          Diagnoses              1. Exposure to toxic fumes and dust at work; 2. Headaches; 3. Chronic fatigue;
                                 4. Generalized anxiety

Detoxification Program:
Start Date: 10/2/02; Completion Date: 11/17/02; Days on Detoxification Program: 47

Post Detoxification Program:
No headaches (which he used to get once a week) sinusitis has improved. Feels better, more energy, can last
longer during the day without getting tired. Pt skin looks clearer and brighter.


                                                              Symptom Severity
                                                      Overall Improvement = 92.5%


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                                         Detoxification and Environmental Health: World Trade Center Case Notes - 4
                                                             Case Study 3
                Client             Firefighter/EMT, Male, 44 years old
             Exposure              Arrived at the site after the first tower fell and before the fall of the second. States he
                                   was exposed to thick dust which contained asbestos, silicone, PCB’s and many other
                                   unknowns. Worked at the site for approximately twenty hours per day for three
                                   weeks. During this time he wore goggles that were open on the sides and two types
                                   of respiratory protection. During the first few days he wore a M95 dust mask and
                                   then switched to a P100 respirator (better for particulate matter).
 Primary Complaints                Fatigue, decreased exercise tolerance, poor sleep worsened allergies and general
                                   malaise.
            Additional             Developed a productive cough, sore throat and fatigue after several days at WTC site.
           Complaints              States that the cough and sore throat cleared, but a sluggishness in his chest persisted
                                   as well as the fatigue. The patient’s pulmonary symptoms were never treated with
                                   antibiotics.
     Post-WTC Exam                 Electrocardiogram, pulmonary function test and ppd test were done in 6/02 and were
                                   all reported to be negative. He did not receive a methacholine challenge test.
Past Medical History               Seasonal allergies and facial flushing.
       Social History              5-6 cigar/ day, occasional alcohol, denies drug history.
  Review of System                 Allergies not controlled with meds, worsening dyspnea.
      Physical Exam                vss, NAD, physical exam noncontributory.
          Diagnoses                1. Chronic fatigue; 2. Allergies; 3. Increasing dyspnea

Detoxification Program:
Start Date: 10/13/02; Completion Date: 11/6/02; Days on Detoxification Program: 25

Post Detoxification Program:
Decreased puffiness in eyes, brighter skin. Feels lighter, more energy, increased activities during the day, and
mentally sharper. “I used to feel like I had weights in my pockets, no more.” – IM


                                                             Symptom Severity
                                                         Overall Improvement = 98.1%


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                                         Detoxification and Environmental Health: World Trade Center Case Notes - 5
                                                                  Case Study 4
                 Client            Firefighter, Male, 36 years old
              Exposure             Arrived at the WTC site 20 minutes after the second tower fell. He describes the area
                                   as a blizzard of granulated building. He worked at the site 12-16 hrs/day for one
                                   month and then 16 hrs two times per week for another five months there after.
                                   During this time he wore both a paper mask and a respirator mask but removed them
                                   frequently to eat, and communicate, etc
  Primary Complaints               Cough productive of yellow green phlegm, increased anxiety and increased alcohol
                                   consumption, increased marijuana usage, and increased cocaine intranasally post
                                   9/11/01. Has not noticed any changes in his energy
             Additional            His long-term allergy to cats has worsened. He has no skin problems but develops
            Complaints             hives when he goes running.
      Post-WTC Exam                Normal WTC physical exam, EKG and PFT in the summer of 2002. A methacholine
                                   challenge test was not performed.
 Past Medical History              Herniated disc L4/l5, healed burn on back.
        Social History             Positive for cocaine & marijuana, 6-12 pack of beer daily, tobacco one/ppd.
   Review of System                Generally healthy, but has increased irritability, and shortened attention span
       Physical Exam               Vital signs stable, negative. Worsening vision, wears reading glasses,
                                   musculoskeletal: bulging disc L4/L5 with back pain, all else negative.
             Diagnoses             1. Chronic cough; 2. Substance abuse

Detoxification Program:
Was withdrawn from all alcohol and drugs before starting the program.
Start Date: 9/30/02; Completion Date: 10/26/02; Days on Detoxification Program: 27

Post Detoxification Program:
Attitude has change from a negative outlook on life to being very optimistic. After about one month on the
program all of his symptoms have disappeared. His skin is much pinker, and he looks years younger. His eyes
and face looks brighter, his energy level has increased.


                                                                  Symptom Severity
                                                          Overall Improvement = 84.6%


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                                            Detoxification and Environmental Health: World Trade Center Case Notes - 6
                                                               Case Study 5
                Client
                     Paramedic, Male, 39 years old
             ExposureArrived at WTC shortly after collapse of Tower 1, exposed to smoke, dust covering
                     most of his skin. Worked at WTC site 12 hrs per day for 19 days, sometimes without
                     using his dust mask.
 Primary Complaints Shortness of Breath, chest tightness, fatigue and severe irritability. Significant
                     quantities of white phlegm in AM, recently requiring use of a nebulizer.
          Additional Decreased exercise tolerance, difficulty singing.
          Complaints
     Post-WTC Exam             Positive methacholine test, EKG and CXR’s negative. Diagnosed as RAD, Rx for
                               Combivent, Pulmacort, and oral Prednisone.
Past Medical History           Diabetes well controlled, inguinal hernia-1980.
       Social History          Beer 3X per week, denies use of drugs or tobacco.
  Review of System             Crampy muscles and swollen ankles.
      Physical Exam            Unremarkable
          Diagnoses            1. RAD; 2. Diabetes; 3. Fatigue; 4. Irritability

Detoxification Program:
Start Date: 10/12/02; Completion Date: 11/3/02; Days on Detoxification Program: 23

Post Detoxification Program:
No longer needed inhaler or steroids after day three. First time in ten months that inhaler was not needed.
Exercise is back to pre-9-11 status. Pronounced change in mental abilities with improved short-term and long-
term memory, mood and attitude. Family and friends also noted attitude changes.
“I feel like I did back in my college days, full of energy and mentally sharp” -- AM


                                                               Symptom Severity
                                                         Overall Improvement = 82.6%


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                                        Detoxification and Environmental Health: World Trade Center Case Notes - 7
                                                              Case Study 6
                Client        Janitor, Male, 45 years old
             Exposure         Employed at High School that became the triage center for WTC attack. Dust tracked
                              in by (clean-up) relief workers, and smoke from all the burning fires. Describes the
                              smell as a “terrible, sickening, sweet smell, like chemicals that smell sweet.”
 Primary Complaints           Headaches, nausea, rash, and muscle cramps.
          Additional          Symptoms were very severe during clean-up process, unable to eat secondary to
         Complaints           vomiting, and consequently he survived off coffee and Pepto-Bismol. A rash from
                              the middle of his back to his shoulder burned as if acid had been thrown on him.
     Post-WTC Exam            No exam data, used over-the-counter medications to treat the rash and Advil to
                              reduce the headaches.
Past Medical History          Right knee surgery 1985
      Social History          6-pack of Beer on weekends, cigarettes 1ppd, marijuana in the 1970’s.
  Review of System            Fatigue since 9/11/02, conjunctivitis since 9/11/01 and uses drops (not steroids), dry
                              cough but no abtx, elevated cholesterol.
       Physical Exam          Normal except dry gray-whitish skin.
          Diagnoses           1. Fatigue; 2. Muscle aches; 3. Burning eyes; 4. SOB; 5. Hypercholesterolemia

Detoxification Program:
Start Date: 9/29/02; Completion Date: 11/4/02; Days on Detoxification Program: 37

Post Detoxification Program:
Dramatic results: For 11 days he had purple sweat come out of his glands, and kerosene came out for 3 days.
He also had symptoms of anesthesia from past dental procedures. Has pink skin as compared to beginning of
the program, he looks years younger. Has increased energy and states he feels 1000% better since doing the
program.


                                                              Symptom Severity
                                                      Overall Improvement = 82.3%


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                                         Detoxification and Environmental Health: World Trade Center Case Notes - 8
                                                              Case Study 7
               Client            Janitor, Male, 44 years old
            Exposure             Employed at High School that became the triage center for WTC attack
                                 Dust tracked in by NYPD, NYFD and EMS, and smoke from all the burning fires.
 Primary Complaints              Sore throat, enlarged and tender neck glands, sore eyes, bloody nose, and headaches
                                 starting approximately 1-2 days after 09/11/01. Also experienced difficulty
                                 swallowing. GERD symptoms were severe and not helped with Nexium after
                                 09/11/01.
           Additional            New onset of headaches with photophobia, and pounding in the temple area along
          Complaints             with twitching of his eyes. Tylenol Extra Strength worked well with headaches.
     Post-WTC Exam               No exam data, seen by his primary care physician and received antibiotics once every
                                 month for five months and on two accounts he received steroids
Past Medical History             Prior history of GERD which were stable prior to WTC attack, vasectomy 2001,
                                 otherwise noncontributory
       Social History            Alcohol once a month maybe, tobacco quit many years ago, marijuana use as a
                                 teenager, hobbies- fishing, denies military service or police arrest
   Review of System              GI- stomach pain especially after eating with increased belching and bloating
                                 Resp. - increased SOB with exertion, but he contributes this to being over weight,
                                 rest of systems noncontributory
       Physical Exam             Abdominal distention, mild tenderness in RUQ and LUQ
          Diagnoses              1. Headaches; 2. SOB; 3. severe GERD; 4. History of asthma-stable

Detoxification Program:
Start Date: 10/1/02; Completion Date: 11/3/02; Days on Detoxification Program: 34

Post Detoxification Program:
Reflux symptoms have been reduced by 90%, but continues to use Nexium. Exercise tolerance has increased
and can run on the treadmill for 20 min. without becoming short of breath, sleeping has improved, bronchitis
has resolved 100%, and his throat feels normal. WM is most impressed with his increased energy, and improved
mental outlook.


                                                              Symptom Severity
                                                      Overall Improvement = 37.5%


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                                         Detoxification and Environmental Health: World Trade Center Case Notes - 9
Appendix:
Summaries of published papers regarding detoxification (partial list)

Evaluation of a Detoxification Regimen for Fat Stored Xenobiotics. Medical Hypotheses,
Vol. 9, 1982.
Summary: One hundred and three individuals undergoing detoxification with the Hubbard procedure volunteered to
undergo additional physical and psychological tests concomitant with the program. Participants had been exposed to
recreational (abused) and medical drugs, patent medicines, occupational and environmental chemicals. Patients with
high blood pressure had a mean reduction of 30.8 mm systolic, 23.3 mm diastolic; cholesterol level mean reduction
was 19.5 mg/100 ml, while triglycerides did not change. Completion of the detoxification program also resulted in
improvements in psychological test scores, with a mean increase in Wechsler Adult Intelligence Scale IQ of 6.7
points. Scores on Minnesota Multiphasic Personality Inventory profiles decreased on Scales (4-7) where high scores
are associated with amoral and asocial personalities, psychopathic behavior and paranoia. Medical complications
resulting from detoxification were rare, occurring in less than three percent of the subjects.

Body Burden Reductions of PCBs, PBBs and Chlorinated Pesticide Residues in Human Subjects, Ambio, Vol.
13, No. 5-6, 1984.
Summary: Prior to detoxification, adipose tissue concentrations were determined for seven individuals accidentally
exposed to PBB. The chemicals targeted for analysis included the major congeners of PBB, PCBs and the residues
of common chlorinated insecticides. Of the 16 organohalides examined, 13 were present in lower concentrations
following detoxification. Seven of the 13 reductions were statistically significant; reductions ranged from 3.5 to 47.2
percent, with a mean reduction among the 16 chemicals of 21.3 percent (s.d. 17.1 percent). To determine whether
reductions reflected movement to other body compartments or actual burden reduction, a post-treatment follow-up
sample was taken four months later. Follow-up analysis showed a reduction in all 16 chemicals averaging 42.4
percent (s.d. 17.1 percent) and ranging from 10.1 to 65.9 percent. Ten of the 16 reductions were statistically
significant.

Diagnosis and Treatment of Patients Presenting Subclinical Signs and Symptoms of Exposure to Chemicals
Which Accumulate in Human Tissue. Proceedings of the National Conference on Hazardous Wastes and
Environmental Emergencies, Cincinnati, Ohio, 1985.
Summary: A discussion of some of the problems in attempting to diagnose and treat low-level body burdens of toxic
chemicals. A review of 120 patients who were prescribed detoxification treatment as developed by Hubbard to
eliminate fat-stored compounds showed improvement in 14 of 15 symptoms associated with several types of
chemical exposures.

Reduction of Hexachlorobenzene and Polychlorinated Biphenyl Human Body Burdens, World Health
Organization, International Agency for Research on Cancer, Scientific Publications Series, Vol. 77, 1986.
Summary: Electrical workers paired by age, sex and potential for polychlorinated biphenyl exposure were divided
into treatment and control groups. Adipose-tissue concentrations of hexachlorobenzene (HCB), four other pesticides
and 10 polychlorinated biphenyl congeners were determined pre- and post- treatment, and three months post-
treatment. At post treatment, all 16 chemicals were found at lower concentrations in the adipose tissues of the
treatment group, while 11 were found in higher concentrations in the control group. Adjusted for re-exposure as
represented in the control group, HCB concentrations were reduced by 30% at post-treatment and 28% three months
post-treatment. Mean reduction of polychlorinated biphenyl congeners was 61% at post-treatment and 14% three
months post-treatment. These reductions were statistically significant (f < 0.001). Enhanced excretion appeared to
keep pace with mobilization, as blood-serum levels in the treatment group did not increase during treatment.

Excretion of a Lipophilic Toxicant Through the Sebaceous Glands: A Case Report, Journal of Toxicology-
Cutaneous and Ocular Toxicology, Vol. 6, No. 1, 1987.
Summary: A 23-year-old woman worked at a manufacturing facility, hosing the soot and ash accumulated in the
exhaust stack and on the filter pads of an oil-fired generator. She performed this task without protective gear. After
six months, she reported feeling ill to the plant nurse. One month later, she was removed from the job, and she
remained unable to work for 11 1/2 months because of symptoms relating to toxic chemical exposure. The toxicants
were amenable to removal through the sebaceous glands and possibly the gastrointestinal tract by the Hubbard
detoxification technique. This was accompanied by remission of her subjective complaints and she was authorized
to return to work.



                            Detoxification and Environmental Health: World Trade Center Case Notes - 10
Improvement in Perception of Transcutaneous Nerve Stimulation Following Detoxification in Firefi ghters
Exposed to PCBs, PCDDs and PCDFs, Clinical Ecology, Vol. VI, No. 2, 1989.
Summary: Seventeen firefighters with a history of acute exposure to polychlorinated biphenyls, dibenzofurans, and
dibenzodioxins were evaluated for peripheral neuropathy. Neuropathic evaluation was done using the
Neurometer(r), a transcutaneous nerve stimulation device utilizing a constant sine wave at fixed amperage. Prior to
detoxification, five of the 17 had abnormal current perception threshold measurements. Following treatment, all
showed improvement. Most strikingly, the current perception thresholds of two patients returned to normal range
after detoxification. This finding raises the possibility that damage heretofore thought to be permanent may in many
instances be partially reversible.

Occupational, Environmental and Public Health in Semic: A Case Study of Polychlorinated Biphenyl (PCB)
Pollution, Proceedings of the Annual Meeting of the American Society of Civil Engineers, New Orleans,
Louisiana, October, 1989.
Summary: Eleven workers with readily observable symptoms of exposure to PCBs and other chemicals were chosen
for detoxification from a group of 24 male volunteers from a factory using PCBs in the manufacture of capacitors.
The remaining 13 served as a control group. Detoxification treatment reduced both the body burdens and the
symptoms of treated workers while no such improvements occurred in the control group. This study, undertaken in
cooperation with the University Medical Center of Ljubljana and the Institut für Toxikologie, University and
Technical Faculty of Zurich, supports the use of health screening and detoxification for individuals affected by toxic
exposures.

Human Contamination and Detoxification: Medical Response to an Expanding Global Problem, Proceedings
of the MAB UNESCO Task Force on Human Response to Environmental Stress, Moscow, 1989.
Summary: Individuals with a variety of workplace exposures were unable to work or had reduced work capacity.
Following detoxification, each was able to return to work. Though the results presented are anecdotal, they confirm
previous findings in the peer-reviewed literature (Schnare et al., 1982; Roehm, 1983; Schnare et al., 1984; Schnare
and Robinson, 1985; Tretjak et al., 1989) and demonstrate that this approach can be effective in reducing body
burdens of toxic compounds and returning individuals to the workplace.

Neurobehavioral Dysfunction in Firemen Exposed to Polychlorinated Biphenyls (PCBs): Possible
Improvement after Detoxification, Archives of Environmental Health, Vol. 44, No. 6, 1989.
Summary: Fourteen firemen were exposed to polychlorinated biphenyls (PCBs) and their by-products at the site of a
transformer fire and explosion. Six months after the fire, they underwent neurophysiological and neuropsycho logical
tests. They were re-studied six weeks after detoxification. A control group of firefighters was selected from firemen
who resided in the same city but were not engaged in the fire in question. Initial testing showed that firemen exposed
to PCBs had poorer neurobehavioral function than the control group. Significant reversibility of impairment was
noted after detoxification.

PCB Reduction and Clinical Improvement by Detoxification: An Unexploited Approach? Human and
Experimental Toxicology, Vol. 9, 1991.
Summary: A female worker from a capacitor factory, with a history of exposure to polychlorinated biphenyls
(PCBs) and other lipophilic industrial chemicals, was admitted for treatment at the University Medical Centre of
Ljubljana, Slovenia (then Yugoslavia). She presented with severe abdominal complaints, chloracne, liver
abnormalities and a bluish-green nipple discharge of approximately 50 ml d-1 in quantity. High PCB levels were
noted in adipose tissue (102 mg kg-1), serum (512 ug 1-1), skin lipids (66.3 mg kg-1), and in the nipple discharge
(712 ug 1-1). After detoxification, PCB levels in adipose tissue were reduced to 37.4 mg kg-1 and in serum to 261
ug-1, respective reductions of 63% and 49%. Excretion of intact PCBs in sebum, appreciable before treatment, was
enhanced by up to five -fold during detoxification. The nipple discharge ceased early in the detoxification regimen.

Xenobiotic Reduction and Clinical Improvements in Capacitor Workers: A Feasible Method, Journal of
Environmental Science and Health, Vol. A 25, No. 7, 1990.
Summary: Eleven capacitor workers, occupationally exposed to PCBs and other industrial chemicals, underwent
detoxification. Thirteen co-workers served as controls. Mean PCB levels prior to detoxification were 28.0 mg/kg in
adipose and 188.0 (g/L in serum. Following detoxification, PCBs were reduced in serum by 42% (p<0.05) and in
adipose by 30% for patients without concurrent disease. Patients with concurrent disease had a 10% reduction in
adipose levels, while serum levels remained unchanged. Both adipose and serum PCB levels increased in members
of the control group. At a four-month follow up examination, these differences were maintained, though the mean
adipose PCB values in all groups were higher than at post-treatment. All patients reported marked improvement in
clinical symptoms post-treatment, with most of these improvements retained at follow-up. No such improvements
were noted in controls.
                            Detoxification and Environmental Health: World Trade Center Case Notes - 11
Treatment of Pesticide -Exposed Patients with the Hubbard Method of Detoxification. Presentation at the
120th Annual Meeting of the American Public Health Association, 1992.
Summary: A review of the efficacy of detoxification in addressing the complaints of 155 patients who had
experienced significant exposures to pesticides. Treatment effected reductions in chemical levels in adipose tissue,
and a concomitant decrease in symptomatic complaints.

Neurotoxicity and Toxic Body Burdens: Relationship and Treatment Potentials. Proceedings of the
International Conference on Peripheral Nerve Toxicity, 1993.
Summary: Many chemicals have neurotoxic health effects of long duration, leading to the conclusion that these
effects are essentially irreversible. This paper proposes that the accumulation and persistence of neurotoxic
chemicals in adipose tissue may play a role in the prolongation of neurotoxic effects. If this were the case, an
approach designed to reduce body burdens of fat-soluble compounds should lead to a similar reduction in neurotoxic
effects. Transcutaneous current perception thresholds were measured using the Neurometer device in 48 patients
exhibiting neurotoxic effects both before and after detoxification. Following detoxification, marked improvements
were noted in both peripheral neuropathy and self-reported patient profiles.

Reduction of Drug Residues: Applications in Drug Rehabilitation. Presentation at the 123rd Annual Meeting
of the American Public Health Association, 1995.
Summary: Drug residues and their lipophilic metabolites are associated with persistent symptoms; their mobilization
into blood correlates with drug cravings. The concentration of drug metabolites in both sweat and urine was
measured in eight individuals who had been actively using drugs prior to detoxification. Cocaine, opiate, and
benzodiazepan metabolites were detected by fluorescent immunoassay in both sweat and urine. Low levels (not
indicative of use) continued to be eliminated for several weeks. In two cases, drug levels were below detection prior
to treatment but became detectable during detoxification. A separate series of 249 clients with a history of drug
abuse rated the severity of their symptoms before and after detoxification. Chief symptomatic complaints prior to
detoxification included fatigue, irritability, depression, intolerance of stress, reduced attention span and decreased
mental acuity. (These same symptoms were dominant in those who had ceased active drug abuse over a year prior to
treatment.) Following detoxification, both past and current users reported marked improvements in symptoms, with
most returning to normal range. The Hubbard detoxification program represents a vital innovation in drug
rehabilitation: an approach aimed at a long term reduction of the predisposition for drug abuse.

Treatment of Children with the Detoxification Method Developed by Hubbard. Presentation at the 123rd
Annual Meeting of the American Public Health Association, 1995.
Summary: Eighteen children from ten families were referred for detoxification. Their chief complaints included
environmental sensitivity, headaches, chronic fatigue, allergies, respiratory problems and recurrent infections. In
each case, the entire family had become ill following a known change (e.g., application of pesticides, installation of
improperly cured carpet) in their environment. The ages of the children ranged from neonatal to 15 at the time of
exposure, with treatment ages ranging from 4 to 21. Treatment resulted in improvements in symptom profiles, with
at least 89% of the children reporting long-term improvements in their symptoms. Where children have become ill
following chemical contamination, treatment with the detoxification method developed by Hubbard is a viable
approach.

Precipitation of Cocaine Metabolites in Sweat and Urine of Addicts Undergoing Sauna Bath Treatment.
College on Problems of Drug Dependence, Fifty-Seventh Annual Scientific Meeting, National Institute on Drug
Abuse, College on Problems of Drug Dependency, 1995.
Summary: Four subjects (three males and one female) admitted to a residential treatment program were selected for
study. All met DSM-III-R criteria for cocaine dependence and ingested cocaine by smoking. The duration of their
use of the drug ranged from eight months to 18 years, and they reported cocaine use on over 75% of days in the
month just prior to treatment. Three reported last use of cocaine within 48 hours of admission; one reported last use
25 days prior to program entry. Urine and sweat samples were collected from subjects every two to three days
during detoxification and analyzed by fluorescent immunoassay. Cocaine metabolites were detectable in both sweat
and urine of all subjects. Three of the four subjects showed a measurable increase in sweat or urine cocaine
metabolite concentrations at the beginning of detoxification. Two subjects demonstrated negative urine samples
prior to detoxification, but demonstrated the presence of metabolites when detoxification commenced.




                            Detoxification and Environmental Health: World Trade Center Case Notes - 12