The Therapist Issue 6 November 2002

The New Year -
a time for change

After twenty years answering your queries, validating new therapies, checking qualifications, negotiating insurance cover it is time for me to take more of a back seat.

During those years and particularly in recent years one of the most pleasing aspects of the work has been the comment that we often receive- “so nice to speak to a real person” We know exactly what they mean and we intend to avoid inflicting the frustrations of automated answering on our members.

EFFICIENT LEVEL OF SERVICE

In 2003 Martyn – (who has already increased his task portfolio) and my daughter Nicole will continue to provide a high and efficient level of service to all members. Perhaps the photo-call below will help to personalise your contacts with I.P.T.I.

Although I shall be withdrawing from the administrative work I’ll not be severing links entirely and it is perhaps likely that my voice will be heard answering the telephone to your questions queries and information. My colleagues, have now had a lot of experience and I hope and expect that you will find an improvement in the standards of service to you.

And what of the Past – 20 years ago we started simply offering insurance to beauty Therapists and Electrolygists.

In the 80’s Sports centres were established by most local authorities which spawned the sports therapist, fitness therapists the personal trainer, exercise specialists and those working to alleviate or help prevent sports injuries.

EFFECTIVE COVER

This was followed by the still ongoing surge of interest and involvement in Alternative and Complementary Therapy. At each stage a new range of insurance cover was needed to protect individual therapists. This has always been our aim - to try and provide for the insurance needs of our therapist members, has resulted in a policy which encompasses 110 individual therapies and treatments together with a further 25 more advanced or specialised therapies which can also be included within the cover.

We believe this to be the widest scope of effective cover that is available within the scope of any single policy.
And what of the future – Registration of therapists, regulation of complementary therapies, European Union directives, qualification requirements, all indicate a changing and more complex future in which the interests of the patient, the client and the practitioner will need to be heard and protected.

May I thank everyone for their support and loyalty over the years and wish you all an enjoyable and happy festive season followed by good trading conditions and many new clients during 2003.

With sincere regards to all


John Cragg


Martyn Farrington
Available to speak to on 01777 703177 or contact by fax on 01777 869429
Or by e-mail at m@iptiuk.com
Martyn will continue to help with enquiries on all matters relating to insurance, course and training acceptability validation of practitioner training, premium, fees and accounts, course acceptability health and other supplementary insurance cover.

Nicole Condry
Available to speak to on 01777 700383
Or via e-mail at nicole@iptiuk.com
Nicole will continue to advise on all matters relating to membership, records, addresses, current insurance cover etc.
Nicole & assistant Elise
Nicole’s duties unfortunately have not been particularly helped by her assistance. Elise may often be heard working (?) noisily in the background.

Ken Gill
Available to speak to on 01777 703177 or contact by fax on 01777 869429 Rr by e-mail at ken@iptiuk.com
The downsizing of the Coal industry (some would say the obliteration of the coal industry!) has enabled Ken Gill to join the team with the task of rationalising and sorting out years of manual records and establishing an archive record section. This he is achieving effectively and our ability to trace old records is now reduced from say an hour! Down to one or two minutes!


A cautionary tale

Many members may recall having read in press reports in late September of a lady who suffered damage to her eyes which threatened her sight following an eyelash tint treatment given by her local beauty salon.

Lash tinting is a common and popular treatment and this incident provides a timely warning for all salon managers and therapists offering their clients these or any other treatments for which skin tests are stipulated.

1. Common and popular treatments are not immune to risk.
Familiarity breeds contempt and in the case of beauty treatments the popularity of treatments can breed carelessness resulting in such accidents.

2. Training
Quality training is paramount for all treatments and we suspect that although much more training is now available, the standards of training may have fallen.
Training is now largely offered on a modular basis which is probably responsible for the frequent complaints by salon proprietors of the lack of therapists well trained in the full range of facial and body treatments.

TEACH THE TECHNIQUES

We have noted there has been an increase in demand for training in micropigmentation, (cosmetic tattooing), from therapists who wish to learn the skill and to immediately teach the techniques without themselves having gaining any professional experience or insights by providing the public (ie. salon clients’) with treatments.
We believe that any potential instructor should have at least three years experience of regularly providing micropigmentation treatments to real clients before contemplating a teaching role.

3. Skin or Allergy Tests
Insurance companies often stipulate that a patch test should be carried out at least 24hrs. prior to performing a number of different specific treatments. Certainly our own insurers make this stipulation in respect of both Micropigmentation and eyelash tinting treatments.
We are aware that some product companies have lobbied insurers to try and persuade them to abandon skin tests on the grounds that there are seldom any positive reaction.
Having been involved in the practice and teaching of beauty therapy for over twenty years and having insisted that all clients should be given a test I can recall only two positive tests. But the test may, on those two occasions have saved the client experiencing very nasty treatment reactions and may possibly have prevented an Anaphalactic Shock Reaction not to mention our having to deal with the situation as an uninsured practitioner and receiving masses of adverse publicity.
The product company’s action was not successful – Patch testing remains a requirement.

4. The Insurers’ View
The insurer’s view is usually clear and unambiguous. Our own members’ policy states the insurers position explicitly. (cf. Your policy booklet Page 6 Condition 5.) It reads,:-

“The insured (that’s You, member therapist!) shall take a skin test at least 24 hours before applying the eyelash or eyebrow tint to a client for the first time. Should there be an allergic reaction to the skin test the (insurance) company will not be liable for any claim which might arise from eyelash or eyebrow tinting treatment given subsequent to such a test”. It could hardly be stated clearer.
Insurance companies do not take unreasonable risks, much less should you.

GIVEN A TEST

Common sense would demand that all clients, regardless of previous treatment history, should be given a test if the treatment product the salon uses is changed or if there is a significant lapse in time between a client’s first and subsequent treatments.


Didn’t we just know?

Studies carried out at the University of Goettingen show that over one million Germans suffer from chronic angst causing insomnia, Stomach pains and headaches. (Stress in the therapist’s dictionary)
The research leader claims that Germans tend to take life too seriously and need to “lighten up” “We are a nation of worriers and lack a genuine sense
of humour”. he says – Didn’t we just know!


Herbal supplements and the M.C.A.

Much concern has been expressed in the National Press and within the industry about the possible restrictive legislation that might be imposed from on the British market by Brussels.

The following information emanates from the corridors of power within the Medicines Control Agency and has been passed to us by the BCMA.
In response to a request from M.P’s. and herbal interest groups for background information to aid discussion on the proposed European Directive on Traditional Herbal Medicinal Products.

SIGNIFICANT THREAT

The MCA has produced a report on safety issues associated with Herbal Medicinal Products (HMPs). It admits that most HMPs. are unlikely to pose a significant threat to human health, it does, however, propose action “to improve regulation”. Perhaps the main threat or danger in this situation is “over regulation”!
The action that the MCA will take to improve regulation is:-
To press Europe for the proposed Traditional Medicines Directive which would recognise and regulate traditional remedies. It is understood that the commission intend to bring forward formal proposals.
Reviewing the UK Medicines law which applies where practitioners consult and make up herbal remedies.
Consult with the ethnic medicine sector on an update on the list of restricted herbal ingredients
And has announced support for the Statutory self-regulation of the herbalists profession

On Information & Guidance
It has produced guidance – “Traditional ethnic medicines, public health and compliance with medicines law” This has been translated into Chinese to improve accessibility by the CTM sector.

Enforcement
An active (unspecified) programme of enforcement in this area
There is a list included for those who require to know more about the herbal products that are best avoided or used with caution during pregnancy.
This is a comprehensive list and includes Chamomile, Coltsfoot, apricot, Raspberry and several more. Pages covering potential drug/herb interactions provide a wide view of symptoms that every practitioner should know about.
Most herbalists will know this but does the average practitioner? What about the patient who buys it off the shelf and takes it without the Therapists knowledge? MCA have a point but we also need to keep up with what is happening.


Pass the coffee and After Eight‘s please!

A recent research report from University College London suggests that Cola as well as coffee and chocolate may well be good for us.

The research sought information about the effect of caffeine and theophylline, chemicals which are present in all three products. These chemicals appear to effect a particular enzyme whose action helps control the growth, movement and survival of cells.
The enzyme, called p110delta, also functions to help the body respond to infection. In the research genetic engineering was used to make insect cells produce the enzyme p110delta. In subsequent testing it was found that both caffeine and theophylline blocked key processes in the biochemical functioning of this particular enzyme.
Theophylline is already known to possess anti-inflammatory properties and has long been used in the treatment of asthma. This new research indicates that alongside advances in cancer treatment caffeine and theophylline based drugs might have a role in the treatment of heart disease and other inflammatory illnesses.
As usual the watchword is caution, all thing in moderation.- we already know that overdosing on caffeine may be unhealthy – Pass the after eight mints please.
Whilst considering edibles it may be worth mentioning another recent report which has perhaps greater implications for the future ill health of the general population.

BILLY BUNTERS' RULE - OK!

Not on their life
Doctor David Ludwig of Boston (USA) and colleagues are so concerned at the increasing appearance of symptoms of arterial and coronary disease in children as young as 4 & 5 that they are calling for a tax on fast foods and fizzy drinks to try and stem the rapidly rising levels of childhood obesity.
They suggest that the authorities might also consider a ban on fast food advertising and also a ban on the sale of sweets, drinks and snacks from vending machines in schools.
In Britain 2.6%of girls and 1.7% of boys are now classed as dangerously overweight whilst in America 3.3% of all children under the age of 11 are classified obese – the result, the doctors claim, caused more by lifestyle than by genetic factors.
But what to do? Would the good Doctor’s suggestions work? The idea of a tax or advertising bans both seem to reflect our Government’s present ineffective attempts to control tobacco consumption. It will, I suspect, need more than a flash of inspiration for someone to come up with a formula to persuade the modern child to opt for a visit to a café for meat and two veg. rather than an opportunity to visit a ‘Big M’ or even a lesser bu
rger bar for an offering of minced beef (?) in a bun laced with saturated fats and copious quantities of ketchup.


. . . . . . . . . . . . . . . . . . . . . . . Special Feature

Insurance premium increases –
justified or not?

By John Cragg

The most frequent insurance question that we receive now
is “Why are all my insurance Premiums going up so much. It can’t all be because of September 11th.- can it?”.

Considering the premium increases that have already been experienced by some members and also reports that some companies have been cutting back on insurance cover even to the extent of functioning without the statutory employee’s liability protection. This surely must be false economy - accidents are going to happen, claims will occur, but who can tell when or where and, particularly relevant, for how much?

In this two part article I will try and outline the many recent changes which have all contributed to the insurers costs and which can only be recouped by higher premium charges.

GLOBAL INDUSTRY

Considered from a personal individual basis these increases may be difficult to accept and certainly some uninformed press comment has been rather unsympathetic towards the insurance business.
Your personal insurance and your therapy (business) insurance in particular is
however part of a global industry and not part of some small independent sector within the insurance world.
In recent months several articles have appeared in the press giving notice of more expected premium increases. Few have sought to explain the fact that there have been very many different factors all working at the same time and all adding to the costs of providing insured protection for which the principle source of funding is the Premium.
No article I have read has explained ALL the difficulties with which the industry has been faced in recent years
Certainly September 11th. caused unprecedented losses but it is not possible to argue that the attack on the World Trade Centre was the sole cause of the industry’s difficulty. Insurance companies were already being challenged with increased costs arising from the effects of new legislation, big increases in the numbers of claims being made, additional compulsory levies and a dozen or more other economic and commercial factors. These include:–

Reforms introduced by the Law Commission (2000)
Civil Justice reforms (the Woolf Report 1999)
Recovery of N.H.S. treatment charges (1999)
Huge losses caused by natural catastrophes of earthquake, flood etc. (1998/1999/2000)
Personal Injury Claims Inflation
New types of claim including Stress
and other ‘new’ claims which rose by 40% in 2001
Introduction of Conditional fee arrangements (No win –no fee) legalised in 1995

These and several other issues have added significantly to the insurers costs of providing insurance protection.

SIGNIFICANT IMPACT

I will try and explain in simple terms each of these factors to show that the premium increases that currently affect all areas of insurance are not solely the result of insurance companies using the events of September 11th. as an opportunity to increase profits. In this issue I will deal mainly with changes in legislation mainly within the last three years which have which have a significant impact on insurance premiums. The ongoing impact of changes in industrial levies, claims frequency, the patterns of claims and the attitude towards claiming and current economic factors will be covered in a follow-up article in the next issue.

1. Discount Rates for Settlement of Personal Injury Claims
Since 1999 it has been compulsory for the courts to use actuarial tables of Life Expectancy when considering personal injury claims. These tables are called the Ogden Tables.
Because personal injury claims are settled in a lump payment the claimants are able to invest the award and obtain additional benefit by way of interest payments. Insurers are therefore able to pay a lower settlement figure to take into consideration the interest that can be obtained

DIRECT EFFECT

The House of Lords fix the discounted rate which is based on indexed linked Government stocks (which produce a return much lower than equity investments).
The lower the rate of interest the lower is the benefit received from the invested settlement by the claimant and therefore the insurance company will need to make a higher initial settlement.
The House of Lords originally set the discount rate at 3.5% which was 1.5% less than the 4.5% that had been used earlier. The discount rate was further lowered in June 2001 to 2.5% and with interest rates continuing to remain low or to fall even further a further reduction cannot be ruled out. Each time the interest rate is lowered the amount paid out in settlement of claims will increase and this has a direct effect on the premiums charged.
The impact of the 4.5% to 2.5% discount rate reduction has resulted in about £900 million extra being paid out in settling claims. This is equivalent to an 8% increase in all premiums

2. Conditional Fee Arrangements - (No Win – No Fee)
These arrangements have been legal in the UK only since 1995 and have had a continuing and significant influence on the number of claims that are made. The fact that 95% of personal injury claims are successful only adds to the pressure on the insurance companies.

INCREASING CLAIMS COST

In addition, since April 2000, lawyers have been allowed to charge a ‘success fee’ if they win to compensate for other cases that they may not win. This fee can be up to 100% of the award and is recovered from the insurers thus increasing claims costs.
New high profile companies have emerged to exploit this new claims situation and need claims to fund their own expenses which may include substantial advertising costs.
The publicity for these claims have added significantly to what is often referred to as the rising Compensation Culture and has added substantially to the numbers of claims received by the insurance companies, the settlement payments they have had to make and the financial provision they have to set aside in anticipation of future claims.

3. After The Event (ATE) Insurance
Claimants may take out (or be required to take out) After The Event insurance to meet the claimants legal costs if he loses. If he wins the premium can be recovered from the insurer. The premiums are high sometimes £1,500 which again add to the insurers costs.
The average effect on insurers costs in affected cases has been an increase of 50%.

4. Law Commission Reforms
The Law Commission has been reviewing the extent and level of damages in personal injury claims (in which category most claims by therapists fall). The Commission recommended that for pain & suffering damages should be increased by up to 100 %. However in February 2000 the Court of Appeal decided that no increases were appropriate for awards up to £10,000 and that the maximum increase should be one third. Nevertheless the overall impact on premium rates has been calculated at 2-3%.
The Commission also made recommendations in respect of psychiatric illness and claims for wrongful death. These are area in which a therapist’s insurance is less likely to be involved with direct claims but it will impact directly on their insurers costs and therefore indirectly on therapist’s premium.

5. Civil Justice Reforms – (The Woolf Report)
In 1999 the Civil claims procedures were radically altered as a result of the report made by Lord Woolf. Strict time limits for investigating and collecting the information necessary for assessing claims were imposed with severe financial penalties applied against the insurers if they failed to comply with the new regulations.

HEAVY ADDITIONAL PENALTIES

These changes have led to higher settlements as insurers were forced to settle rather than contest claims thus risking high costs and heavy additional penalties. In affected cases this has resulted in a 5% increase in claims costs. (These changes are one of the reasons why you are asked to report immediately any incident that might result in a claim being made)

6. Abolition of Claims Agreements between Insurers
For many years Insurance companies had agreements with Trade Unions’ solicitors resulting in consistent settlements and a streamlined claims procedures. The abolition of these agreements led to higher claims and increased administration charges which in affected cases led to an average claims increase of 25%
Noise and Vibration White Finger are the principle causes of these claims and, in the case of VWF, as many as 1.4million people may be affected. This large number of potential claims has caused the insurers to add significant sums to their reserves in order to be able to meet claims in the future.

7. Recovery of National Health Charges.
The N.H.S. has the right to recover the cost of treatment given to those injured in motor vehicle accidents from the insurers of those causing the accident. In 1999 the procedures were streamlined resulting in a sharp increase in the money paid out by insurers.

SUBSTANTIAL INCREASES

It is possible that this ‘treatment cost recovery principal’ may be extended to other fault based injuries in the workplace which if it happens will undoubtedly cause further substantial increases in the costs having to be met by the insurance companies.
Each of these seven items have caused substantial increases in the costs borne by insurance companies during the last three years, costs which have to be covered by increased premium charges. In the next issue I will deal with a further eight changes which have occurred during the same three year time scale which have put even further pressure on insurance companies and have contributed to the increasing premium rates.
Since writing item 7 above, proposals have been announced for the N.H.S. to recover treatment costs from ‘Accident at work’ injuries where employers are judge to have been at fault.

Acknowledgments. I wish to acknowledge the Zurich insurance Co. as the principle source of information given in this article and also HSBC Insurance Brokers Ltd. for their help in verifying the detail given in this article.


. . . . . . . . . . . . . . . . . . . . . . . Special Feature

Ginkgo Biloba
- The Maidenhair Tree

Ginkgo biloba is held to possess many healing and medicinal properties but has much greater fascination as the sole surviving example of the Ginkgoaceae family of trees whose 18 members are known by their fossil record and date back 270 million years.


The distinctive bilobed leaf of Ginkgo the Maidenhair Tree

At that time dinosaurs roamed the world and the principal greenery were fern like trees. The modern Ginkgo retains a leaf structure very similar to the earliest fossil record and was designated by Darwin as a living fossil. Ginkgo fossils are to be found in all the five continents.
With such impressive lineage and survival powers it is perhaps not surprising that the plant has been credited with important healing powers.

DIGESTIVE PROCESSES

Products from the maidenhead tree are widely used in Traditional Chinese medicine TCM. Its seeds are supposed to benefit suffers of asthma, coughs, Bladder irritation and uterine conditions. The seeds are also claimed to be effective against some forms of cancer and to have anti-helminthic qualities.
In 1436 a Chinese scribe mentions use of Ginkgo leaves for the treatment of skin disorders, head sores, freckles, and chilblains and in 1505 there is further reference to the treatment of diarrhoea. Claims of benefit to the digestive processes, improved blood circulation and respiration are also to be found.
Two ginkgo trees survived the atomic blast on Hiroshima in August 1945, one of them growing by a temple which was only 1km from the centre of the blast. The temple itself was totally destroyed but in the September investigators found the tree alive and in bud.

Herbal Twiglets – 1
Red pepper pain relief

Some readers may remember the St. George’s day ritual of running around grasping a handful of stinging nettles trying to strike them across the legs of friends and pals- this, of course, in the short trousers era -
The antidote to successful strikes was to secure a handful of dock leaves and rub vigorously the somewhat painful areas.
A not dissimilar effect is reported using red peppers in the same way to ease inflamed joints and improve mobility when rubbed on the skin.
Yale University researches have discovered that the red pepper contains crystalline Capsaicin which limits the pain signals being passed to the brain thus limiting the intensity of the pain experienced.
Although the treatment had not until recently been clinically tested athletes and dancers have long used Capsaicin creams to relieve their sore joints.

When the temple was rebuilt, rather than move the tree the temple was rebuilt with entrance steps built on both sides of the then flourishing tree-thus the Ginkgo has become a symbol of Hope and of Survival.Medicinal & Healing Role
The tree’s long recorded role in medicine has led to herbal advertisements claiming that extracts of the plant are efficacious in promoting learning and memory, attention and concentration. It was these claims that recently attracted the attention of researchers.

CONTROL GROUP

A group of volunteers were given Ginkgo extract over a period of six weeks and tested to establish if their learning and memory had benefited.
No discernible difference was detected between the experimental group and a similar control group who had been given placebo tablets, proving only that it is probably wise to maintain a healthy scepticism of advertised claims!


The Housenbou Temple rebuilt around the original Ginkgo tree.
The second tree survives in the Syukkeien Gardens in Hiroshima city.

Kenyan seeds for life project

The population of Kenya and also many other 3rd. World countries rely on native plants as a source of food, fuel, medicine, building materials, furniture and for carving – a major factor in the economy of many of these countries.
The African Ebony Dalbergia melanoxylon is used for carving ornaments and guitar necks. The carving industry involves millions of people and the loss of this plant would be a major threat to an already fragile economy.
The red stinkwood, Prunus africanus ( a relative of our own Flowering Cherry), is a sought after treatment for prostate cancer. Trade in this plant is banned but, with a developing black market, it is becoming scarce in many areas. There have been reports of Japanese medical companies offering $1 for a single stinkwood berry. $1 is of course a significant sum in the income of most tribal Kenyan natives.

NATIVE POPULATIONS

It was against the growing background of the possible extinction on many plants which provide a support for the lives of native populations the Seed for Life Project was conceived.
The Royal Botanical Gardens at Kew established the Millenium Seed Bank Project which it runs and funds in partnership with Kenyan Institutions. Its main object is to save and preserve priority species by saving and preserving the seeds of plants that are important to the local native populations.
The Partners – the Kenyan Wildlife Service, The Forest Department and the National Museums of Kenya undertake much of the practical collecting work and also educate local tribes people on the importance of conservation.

Herbal Twiglets – 2
Keen For Coffee

A lengthy Norwegian study (Eleven years lengthy) involving 40,000 elderly persons indicated that heavy female coffee drinkers (nine cups or more a day) were twice as likely to suffer a hip fracture. Male ‘addicts’ appear to have no additional risk.
A possible explanation of the higher female figure could be connected with the propensity of post menopausal women to suffer from osteoporosis.


Kenya has an enormously diverse flora of which many valuable plants are under the threat of extinction as a combined result of unreliable rain cycles, forest and scrub clearance, grazing and the collection of wood for fires and for carving. Among the threatened species are Dalbergia melanoxylon, Prunus africanu, mentioned above and also the ubiquitous Aloe sp used in medicinal and countless cosmetic preparations.

IMPORTANT ASPECT

Another contributing factor to the loss of important plants is the fact that several species are ones that grow slowly and are thus not easily or quickly replaced.
Education and encouragement to use alternative faster growing plants such as the Jacaranda, the Neem and Mango all of which grow to maturity much faster than the plants that have traditionally been used is therefore an important aspect of the work of the project’s partners.


The East African Greenheart, Warburgia ugandensis, is used for making furniture and for carving and its bark and wood form ingredients of traditional native medicines for several conditions including colds, chest complaints, malaria and toothache.

SIGNIFICANT AMOUNT

Malarial protection is necessary in many tropical countries notwithstanding any natural immunity and is achieved by using various indigenous plant species.
Western medicine tablets may cost $45 for a week’s supply. In an economy where $1 is a significant amount in the income of most of the population the importance of conserving natural resources becomes immediately apparent.

Herbal Twiglets – 3
Henna Danger

Henna “tattoos” the ancient art of body decoration from India has recently been reported to have caused instances of severe chemical dermatitis and has also triggered serious allergy reactions.
The cause is considered to be a chemical added to the henna to improve its application which, as a natural herbal product, was not known to provoke any reactions despite having been used for ceremonies for centuries.


Cosmetic dangers - Liposuction

Liposuction treatment is one of the most popular and heavily promoted surgical cosmetic treatments and yet an authoritative report from the USA state that there more people die from liposuction procedures than do so in car accidents.

Bluntly put – Liposuction kills more people in the U.S.A. each year than are killed there in car accidents
Figures for the UK seem not to be available but hopefully would not appear quite so stark.


Pillow talk:
Asthma feathers versus synthetics

For years asthma sufferers have shunned the comfort of the feather pillow in the belief that feathers harboured more allergens, this belief has recently been challenged by the ‘synthetic substitutes’ brigade. Synthetic substitutes have been shown to harbour up to eight times as many pet allergens than feather pillows.

Researchers seeking to explain this unexpected finding surmise that the more tightly woven cloth commonly used to cover feather products are more effective and resistant to active allergens. They also believe that synthetic products encourage sweating and an environment that is conducive to the breeding of dust mites.
Certainly the daily airing of rooms and bedding before the open window regardless of season, remembered by those born in the 30’s and earlier, has disappeared. Centrally heated houses virtually sealed to exclude the constant noise of traffic now provide a warm moist breeding environment in which the dust mite can thrive.

It should not be forgotten that in those days duck-down ‘eiderdowns’ and feather mattresses were common havens of nightly warmth and comfort in unheated bedrooms that frequently in winter led to windows being iced up on the inside not to mention having to break the ice in the jug of water on the wash stand in the morning.

Asthma was a barely recognised condition in those days and rather than blame traditional things that have served their purpose for centuries we might do worse than turn our attention to the myriad deodorants, and synthetic (chemical) smells with which we increasingly pollute our domestic atmosphere as a result of heeding fallacious advertising script!