THE parents of a nine-month-old girl who died from septicemia were responsible for their baby's death because they shunned conventional medical treatment for her eczema in favour of homeopathic remedies, a court heard yesterday.
A homeopath, Thomas Sam, 42, and his wife, Manju Sam, 36, are standing trial in the NSW Supreme Court charged with manslaughter by gross criminal negligence after they allegedly resisted the advice of nurses and a doctor to send her to a skin specialist.
Instead Gloria Thomas, who was born in perfect health in July 2001, allegedly died with malnutrition and eczema so severe that her skin broke every time her parents removed her clothes and nappy.
The court heard that Gloria was above average weight, height and head circumference until she was four months old, but lost 20 per cent of her body weight in the last five months of her life after a nurse first identified her eczema and advised her parents to send her to a skin specialist.
The Crown prosecutor, Mark Tedeschi, QC, told the court they sat on this advice for two months and then saw a general practitioner who was so concerned by her condition that he told them to see a skin specialist immediately. But again, they demurred.
"The Crown case is that from this point on, for the next five months of her life until her death … Gloria's eczema played a devastating role in her overall health and it is asserted by the Crown that both her parents knew this and discussed it with each other," Mr Tedeschi said.
"Over time the eczema caused her skin to become thinner and weaker and the constant breaking of the skin allowed infections to enter her body."
The parents, who each had university degrees and postgraduate qualifications, instead sought help from other homeopaths and natural medicine practitioners, Mr Tedeschi said.
On the few occasions that they did follow conventional medical advice, Gloria would improve, but they would soon revert to homeopathic remedies and she would continue to deteriorate. Continued...
Thomas Sam, 42, and his wife Manju Sam, 36, from Sydney, Australia, are undergoing trial for manslaughter by gross negligence for the death of their nine-month-old child, Gloria. She died from infection caused by severe eczema after they shunned effective conventional medical treatments for homeopathy, a form of alternative medicine that has been described as pseudoscience. Articles in peer-reviewed academic journals including ''Social Science & Medicine'' have characterized homeopathy as a form of quackery.

An example of severe eczema. Gloria developed severe eczema at the age of four months and the parents were advised to send the child to a skin specialist. Thomas Sam, a practising homeopath, instead decided to treat his daughter himself. His daughter's condition deteriorated, to the point that the baby spent all her energy battling the infections caused by the constant breaking of the skin, leading to severe malnutrition and, eventually, her death. By the end, Gloria's eczema was so severe that her skin broke every time her parents changed her clothes or nappy, and in the words of the Crown prosecutor, Mark Tedeschi, QC, "Gloria spent a lot of the last five months of her life crying, irritable, scratching and the only thing that gave her solace was to suck on her mother's breast." Gloria also became unable to move her legs.

Mr. Tedeschi also told the court that, over the last five months of her life, "Gloria's eczema played a devastating role in her overall health and it is asserted by the Crown that both her parents knew this and discussed it with each other." However, despite their child's severe illness, and her lack of improvement, the Sams continued to shun conventional medical treatment, instead seeking help from other homeopaths and naturopaths. Gloria temporarily improved during the rare times they used conventional treatments, but they soon dropped them in favour of homeopathy, and she consistently worsened.

Allegedly, Thomas' sister pleaded with him to send Gloria to a conventional medical doctor, but he replied "I am not able to do that". The parents are also accused of putting their social life ahead of their child, taking her on a trip to India and leaving her to servants while embarking on a busy social schedule, and giving her homeopathic drops instead of using the prescription creams they had been given.

Gloria was finally taken to the emergency department shortly before her death. By this time, "her skin was weeping, her body malnourished and her corneas melting", according to the Sydney Morning Herald. 

Speaking in the parents' defense, Tom Molomby, SC, said that, as the parents came from India, where homeopathy is in common use, they should be declared not guilty due to cultural differences.

Homeopathy is a form of alternative medicine which treats patients with massively diluted forms of substances that, if given to a healthy person undiluted, would cause symptoms similar to the disease. Typical treatments take the dilutions, with ritualised shaking between each step of the dilution, past the level where any molecules of the original substance are likely to remain; for homeopathic treatments to work, basic well-understood concepts in chemistry and physics would have to be wrong. There is no evidence that homeopathy is more effective than placebo for any condition.