Israel and the Palestinians Gaza conflict nothing more than a False flag iron triangle operations designed to deceive the world

I believe that the Israel and Palestinian Gaza conflict is a false flag operation being carried out by Illuminati family’s and Satanic secret society’s to set up World War 3.   The Illuminati family’s control and have infiltrated just about every facet of society they do control key Government offices as well as private corporations through a type of iron triangle. In United States politics, the iron triangle comprises the policy-making relationship among the congressional committees, the bureaucracy, and interest groups.[1]  Illuminati Satanic secret societies, have been behind a wide range of events and disasters going as far back in history as the French Revolution and possibly even farther.

It is a historical fact the Hamas was founded by the Israel government Israel may want to destroy Hamas now. But it played a key role in the group’s creation. According to JerusalemOnline.com  “Israel actively supported Hamas” Documents show that Israel was interested in empowering Hamas in attempt to end the first Intifada. During Operation “Protective Edge”, news leaks website WikiLeaks exposes secret documents which were passed between American diplomats in the 1980’s. These documents allegedly show that Israel was interested in enabling Hamas activity in its beginning, intending to weaken the Palestine Liberation Organization and ending the first Intifada.  Hamas was established in 1987, and has its origins in Egypt’s Muslim Brotherhood that the United States General Patraeous, the CIA  Creatures of Jesuit Papacy and the Knights of Malta helped to …Israel and Egypt then imposed an economic blockade on Gaza.  Even US Congressman Ron Paul spoke about how  Israel created Hamas to destabilize Arafat who was very powerful at the time.

Army General David Patraeus, 2010

Army General David Patraeus, 2010

Army General David Patraeous is a Jesuit Temporal Coadjutor.  He is beloved by the Jesuits at Georgetown University at the nation’s capital in Washington, District of Columbia Catholics.  General “Betray-us” has spoken at Georgetown several times!  Additionally, the CIA was a creation of the Jesuits in 1947 via the National Security Act signed into law by 33rd Degree “Dirty Harry” Truman!  Since then, the American, British, Soviet/Russian, German, French, Canadian, Israeli, Interpol and all the other intelligence agencies around the world have been working together to form the pope’s modern day Holy Office of the Inquisition!

Thanks to the Mossad, Israel’s “Institute for Intelligence and Special Tasks”, the Hamas was allowed to reinforce its presence in the occupied territories. Meanwhile, Arafat’s Fatah Movement for National Liberation as well as the Palestinian Left were subjected to the most brutal form of repression and intimidation.  Let us not forget that it was Israel, which in fact created Hamas. According to Zeev Sternell, historian at the Hebrew University of Jerusalem, “Israel thought that it was a smart ploy to push the Islamists against the Palestinian Liberation Organisation (PLO)”. The Hamas had built its strength through its various acts of sabotage of the peace process, in a way which was compatible with the interests of the Israeli government. In turn, the latter sought in a number of ways, to prevent the application of the Oslo accords. In other words, Hamas was fulfilling the functions for which it was originally created: to prevent the creation of a Palestinian State. And in this regard, Hamas and Ariel Sharon, see eye to eye; they are exactly on the same wave length. 

A majority of the worlds problems, from poverty to world wars, are the cause of International “satanic secret society,” Banking cartel.  Many or the Worlds religions and their representatives are secretly being controlled by Secret Satanic Society’s such as the most famous Freemasons who have been influencing and trying to control secular society with a Satanic agenda that Albert Pike (December 29, 1809 – April 2, 1891) wrote about in a book he published called Morals and Dogma of the Ancient and Accepted Scottish Rite of Freemasonry in 1871. Albert Pike was an American attorney, Confederate officer, writer, and FreemasonAlbert Pike wrote a letter to Giuseppe Mazzini, dated August 15, 1871.  This letter graphically outlined plans for three world wars that were seen as necessary to bring about the One World Order, and we can marvel at how accurately it has predicted events that have already taken place. 

This section Copied from: Rense.com

Pike’s Letter to Mazzini: It is a commonly believed fallacy that for a short time, the Pike letter to Mazzini was on display in the British Museum Library in London, and it was copied by William Guy Carr, former Intelligence Officer in the Royal Canadian Navy. The British Library has confirmed in writing to me that such a document has never been in their possession. Furthermore, in Carr’s book, Satan, Prince of this World, Carr includes the following footnote:

“The Keeper of Manuscripts recently informed the author that this letter is NOT catalogued in the British Museum Library. It seems strange that a man of Cardinal Rodriguez’s knowledge should have said that it WAS in 1925”.

It appears that Carr learned about this letter from Cardinal Caro y Rodriguez of Santiago, Chile, who wrote The Mystery of Freemasonry Unveiled.

To date, no conclusive proof exists to show that this letter was ever written. Nevertheless, the letter is widely quoted and the topic of much discussion.

Following are apparently extracts of the letter, showing how Three World Wars have been planned for many generations.

“The First World War must be brought about in order to permit the Illuminati to overthrow the power of the Czars in Russia and of making that country a fortress of atheistic Communism. The divergences caused by the “agentur” (agents) of the Illuminati between the British and Germanic Empires will be used to foment this war. At the end of the war, Communism will be built and used in order to destroy the other governments and in order to weaken the religions.” 2

Students of history will recognize that the political alliances of England on one side and Germany on the other, forged between 1871 and 1898 by Otto von Bismarck, co-conspirator of Albert Pike, were instrumental in bringing about the First World War.

“The Second World War must be fomented by taking advantage of the differences between the Fascists and the political Zionists. This war must be brought about so that Nazism is destroyed and that the political Zionism be strong enough to institute a sovereign state of Israel in Palestine. During the Second World War, International Communism must become strong enough in order to balance Christendom, which would be then restrained and held in check until the time when we would need it for the final social cataclysm.” 3

After this Second World War, Communism was made strong enough to begin taking over weaker governments. In 1945, at the Potsdam Conference between Truman, Churchill, and Stalin, a large portion of Europe was simply handed over to Russia, and on the other side of the world, the aftermath of the war with Japan helped to sweep the tide of Communism into China.

(Readers who argue that the terms Nazism and Zionism were not known in 1871 should remember that the Illuminati invented both these movements. In addition, Communism as an ideology, and as a coined phrase, originates in France during the Revolution. In 1785, Restif coined the phrase four years before revolution broke out. Restif and Babeuf, in turn, were influenced by Rousseau – as was the most famous conspirator of them all, Adam Weishaupt.)

 

“The Third World War must be fomented by taking advantage of the differences caused by the “agentur” of the “Illuminati” between the political Zionists and the leaders of Islamic World. The war must be conducted in such a way that Islam (the Moslem Arabic World) and political Zionism (the State of Israel) mutually destroy each other. Meanwhile the other nations, once more divided on this issue will be constrained to fight to the point of complete physical, moral, spiritual and economical exhaustion We shall unleash the Nihilists and the atheists, and we shall provoke a formidable social cataclysm which in all its horror will show clearly to the nations the effect of absolute atheism, origin of savagery and of the most bloody turmoil. Then everywhere, the citizens, obliged to defend themselves against the world minority of revolutionaries, will exterminate those destroyers of civilization, and the multitude, disillusioned with Christianity, whose deistic spirits will from that moment be without compass or direction, anxious for an ideal, but without knowing where to render its adoration, will receive the true light through the universal manifestation of the pure doctrine of Lucifer, brought finally out in the public view. This manifestation will result from the general reactionary movement which will follow the destruction of Christianity and atheism, both conquered and exterminated at the same time.” 4

 

Since the terrorist attacks of Sept 11, 2001, world events, and in particular in the Middle East, show a growing unrest and instability between Modern Zionism and the Arabic World. This is completely in line with the call for a Third World War to be fought between the two, and their allies on both sides. This Third World War is still to come, and recent events show us that it is not far off.

We have been given warnings over the years by credible sources such as JFK’s Speech about Secret Societies that probably cost him his life….but, that’s what heroes do like Dwight D. Eisenhower  farewell address  speech on Jan.17,1961 also gives a warning of the military industrial complex that is controlled by the Satanic Zionists secret societies. Military Industrial Complex (MIC): is concept commonly used to refer to policy relationships between governments, national armed forces, and industrial support they obtain from the commercial sector in political approval for research, development, production, use, and support for military training, weapons, equipment, and facilities within the national defense and security policy.

It is our mission to give solutions and a platform to those Patriots who oppose to the Illuminati Satanic agenda of a One World Order.  Anti-Illuminati Party, should God deign to avail us, is to defend and promote real “Liberty and Justice for all,” formed by the wisdom contained in the United States Constitution, particularly its Bill of Rights, and inspired by the U. S. way of “Life, Liberty and the pursuit of Happiness.”

– Our strategy for promoting these consists in grassroots educational and political campaigns.
– Crucially, we of the Anti-Illuminati Party reject any unthinkingly trendy denial or politically expedient downplaying of the well-established fact that the N.W.O. Globalists, or “Illuminati,” do in fact occupy key offices and abuse their clout to promote the goals of their élitist cabal.
– Because of their powerful members they can, and in fact do, silence and manipulate the American People.
– To indict, counter, undermine, block and expose these tactics of theirs constitutes our mission, and our lifeblood.

– If sound government is to be restored, all the New World Order Globalists must have all their cheaply-bought authority pulled: “We must remove the weeds from public office: they are choking Freedom and the Tree of Liberty” (Daniel J Leach, Jr.).
– The Anti-Illuminati Party identifies the N.W.O. as “an élitist association that exploits the commoner and violates the United States Republic’s first principles.”
– We deem it imperative that every United Statesman must organize to indict, counter, undermine, block and expose these High Traitors.
– We the members of the Anti-Illuminati Party resolve to support no N.W.O. globalist or Illuminist/Illuminatus in any way or sense.
– Under the “Anti-Illuminati Party” banner we aim to unite those who are too often disenfranchised by the current political climate.

– We of the Anti-Illuminati Party are dedicated to revitalizing our communities by speaking Truth, Hope, Goodwill, Unity and Peace.
– We shall work tirelessly to cultivate “Life, Liberty and the pursuit of Happiness” wherever and whenever we can.
– To best find and implement solutions to this end, we place a high value on Party-wide collaboration.
– We shall operate lawfully and respectfully in all matters at all times.
– We shall not profit from our endeavors.
– We believe in “Liberty and Justice for all.”
– With the help of God—that is of supreme Love, Light, Spirit and Truth—we shall not waver in this mission to collaborate with all citizens toward the construction of a better community.

 John Fitzgerald “Jack” Kennedy speech also  (May 29, 1917 — November 22, 1963)


This section copied from: Wikipedia 

False flag (or black flag) describes covert military or paramilitary operations designed to deceive in such a way that the operations appear as though they are being carried out by entities, groups or nations other than those who actually planned and executed them. Operations carried out during peace-time by civilian organizations, as well as covert government agencies, may by extension be called false flag operations if they seek to hide the real organization behind an operation. Geraint Hughes uses the term to refer to those acts carried out by “military or security force personnel, which are then blamed on terrorists.”[1]

In its most modern usage, the term may also refer to those events which governments are cognizant of and able to stop but choose to allow to happen (or “stand down”), as a strategy to entangle or prepare the nation for war. Furthermore, the term “false flag terrorism” may even be used in those instances when violence is carried out by groups or organizations which, whether they know it or not, are being supported or controlled by the “victim” nation. deHaven-Smith argues that the terminology has become looser in recent years due to the increasingly complex levels of “duplicity” and “international intrigue” between states.[2] Some argue that false flags are methods used by deep states as a form of deep politics.[3]

The name “false flag” has its origins in naval warfare where the use of a flag other than the belligerent’s true battle flag as a ruse de guerre, before engaging the enemy, has long been acceptable.[4] Such operations are also acceptable in certain circumstances in land warfare, to deceive enemies in similar ways providing that the deception is not perfidious and all such deceptions are discarded before opening fire upon the enemy.


National Liberty Alliance : BAR members (attorneys, judges and law professors) claim we the People have no authority to restore Common Law, but they cannot show by what authority they make such a claim, We the People answer them. Letters from NY Court tru counsel

The National Liberty Alliance is an organization trying to organize the Grand Jury system.  Their goal is to educate and organize an election in 3141 counties in the United States of America county to reinstate and initiate the Common Law Grand Jury. It only takes one person to organize the election at which all that attend are invited to join the pool. Each county should eventually find four people (administrators) who will work full time (paid positions) to administrate and orient the jurist. These four people should partnership with the four in each county throughout your state.
BAR members (attorneys, judges and law professors) claim we the People have no authority to restore Common Law, but they cannot show by what authority they make such a claim, We the People answer them. Letters from NY Court tru counsel –Prudinti tru counsel 9-26-13.pdf  Prudinti tru counsel 10-10-13.pdf

Power of the Grand Jury – In a stunning 6 to 3 decision Justice Antonin Scalia, writing for the majority, confirmed that the American grand jury is neither part of the judicial, executive nor legislative branches of government, but instead belongs to the people. It is in effect a fourth branch of government “governed” and administered to directly by and on behalf of the American people, and its authority emanates from the Bill of Rights, see United States -v- Williams.

DUTY OF THE “COMMON LAW” GRAND JURY – If anyone’s unalienable rights have been violated, or removed, without a legal sentence of their peers, from their lands, home, liberties or lawful right, we [the twenty-five] shall straightway restore them. And if a dispute shall arise concerning this matter it shall be settled according to the judgment of the twenty-five Grand Jurors, the sureties of the peace. MAGNA CARTA, JUNE 15, A.D. 1215, 52.
Contact information for the “PRESS ONLY”  (845) 229-0044(845) 229-0044 

By what authority, rebuttal No legal authority.pdf. BAR members (attorneys, judges and law professors) claim we the People have no authority to restore Common Law, but they cannot show by what authority they make such a claim, We the People answer them. Letters from NY Court tru counsel –Prudinti tru counsel 9-26-13.pdf  Prudinti tru counsel 10-10-13.pdf

NY SUPREME COURT, GREEN COUNTY COURTHOUSE; 320 Main Street; Catskill, NY  12414
PHONE – (518) 444-8760(518) 444-8760;    FAX – (518) 943-0247
Court Hearing Thursday April 24, 2014 at 9:3o AM. If you cannot make it please fax, mail and call to let them know we are watching. 

We The People coming together to educate the people to embrace your Republic. Life Liberty and Justice !
Description

Our mission is to restore the people to sovereignty through knowledge, and only then will they be armed with the virtue to take political and judicial power. The people have it in their power to disarm and defeat the enemy of Liberty both foreign and domestic if they only understood the principles of freedom and stand upon them.To take political power is to control our elected representatives, by bringing them into obedience through fear of the people, this is accomplished by understanding the office of & becoming an elected committeemen, and then execute the powers, it’s that simple!To take judicial power is to control our courts by understanding jurisdiction and bringing into subjection all government officers and officials using common law courts by opening courts of record and executing “people” authority, it’s that simple!

But, to successfully apply political and judicial power you must have a sense of justice and mercy which is synonymous with virtue. And to get virtue you need to have a relationship with your creator. If everyone exercised these principles America could shake off the chains of tyranny, reinstate our republic, and bring down the NWO “literally overnight”. This is the only way to save the nation, without power you are powerless!

Join our endeavor and save our Republic, one people at a time!

We are Non Partisan – A partisan person is “one who is blindly or unreasonably devoted to party positions.” Therefore a partisan cannot possibly serve the constitution. George Washington warned us against political parties he said “they only succeed in pitting one group against another”.

The cause of the grassroots movement is the awakening to our constitutional crisis, for it to be engaged in partisan politics would further serve the demise of our constitutional republic. The genius of the progressive movement is their exploitation of partisan politics, which they created, to subvert our constitution. Grassroots groups are natural and spontaneous whose primary objective is to reinstate the constitution, to be partisan would be counter productive.

Traditional power structures are orchestrated and designed to harness grassroots movements “they must always be suspect” and will be proven corrupt if they are partisan – divisive – take control of choosing candidates.
Grassroots are founded local, control is local and most events are local. To collaborate with distant groups are necessary for unity but if events become dictated by them you are no longer grassroots.

“All that is necessary for the triumph of evil is that good men do nothing.” — Edmund Burke

The question before the People is one of an awful moment to this country. For my own part, I consider it as nothing less than a question of freedom or slavery; … Should I keep back my opinions at such a time, through fear… It is natural to man to indulge in the illusions of hope, we are apt to shut our eyes against a painful truth, and listen to the song of that siren till she transforms us into beasts. Is this the part of wise men, engaged in a great and arduous struggle for liberty? … I have but one lamp by which my feet are guided; and that is the lamp of experience. I know of no way of judging of the future, but by the past.

…They are sent over to bind and rivet upon us those chains which the ministry have been so long forging. And what have we to oppose to them? Shall we try argument? Sir, we have been trying that for the last ten years. Have we anything new to offer upon the subject? Nothing.

…Sir, we have done everything that could be done, to avert the storm which is now coming on. We have petitioned; we have remonstrated; we have supplicated; we have prostrated ourselves, and have implored its interposition to arrest the tyrannical hands of the ministry. Our petitions have been slighted; our remonstrance’s have produced additional violence and insult; our supplications have been disregarded; and we have been spurned, with contempt, from the foot of the throne. In vain, after these things, may we indulge the fond hope of peace and reconciliation. There is no longer any room for hope.

If we wish to be free if we mean to preserve privileges, if we mean not to abandon the noble struggle in which we have been so long engaged, and which we have pledged ourselves never to abandon until the glorious object of our contest shall be obtained, we must fight! I repeat it, sir, we must fight! An appeal to arms and to the God of Hosts is all that is left us!

They tell us, sir, that we are weak; unable to cope with so formidable an adversary. But when shall we be stronger? Will it be the next week, or the next year? Will it be when we are totally disarmed, and when a guard shall be stationed in every house? Shall we gather strength by irresolution and inaction? Shall we acquire the means of effectual resistance, by lying supinely on our backs, and hugging the delusive phantom of hope, until our enemies shall have bound us hand and foot?

…Sir, we are not weak if we make a proper use of those means which the God of nature hath placed in our power. Three [hundred] millions of people, armed in the holy cause of liberty, and in such a country as that which we possess, are invincible by any force which our enemy can send against us. Besides, sir, we shall not fight our battles alone. There is a just God who presides over the destinies of nations; and who will raise up friends to fight our battles for us, it is now too late to retire from the contest. There is no retreat but in submission and slavery! Our chains are forged! Their clanking may be heard! The war is inevitable²and let it come! I repeat it, sir, let it come.

Gentlemen may cry, Peace, Peace but there is no peace. The war is actually begun! The next gale that sweeps from the north will bring to our ears the clash of resounding arms! Our brethren are already in the field! Why stand we here idle? What is it that gentlemen wish? What would they have? Is life so dear, or peace so sweet, as to be purchased at the price of chains and slavery? Forbid it, Almighty God! I know not what course others may take; but as for me, give me liberty or give me death! — Patrick Henry [short version for the short attention span]

UNITED STATES OF AMERICA, Inc., located in Washington, DC, or Denver, CO?

Recently John McGuire and I went to the monthly liberty-oriented Movie Nite that the Hope For Rochester Ministry organizes, and as is tradition I streamed the presentation Which You Are You? (a.k.a. Who Are You?, a.k.a. What the Frequently Unanswered Questions?) onto our YouTube Channel, which you can find together with Bernie Wheater‘s presentation that followed in which he showed a short PowerPointed lesson on how the “UNITED STATES OF AMERICA, Inc.” corporate fake shadow-government hides inside our original and legitimate Government and has been used incrementally to strip you of all your rights (I exaggerate not) by making you legally someone other than who you think you are (if common law were in force), namely making you a corporate slave. So John, healthy skeptic that he is, started doing his own research (as Bernie had encouraged us all to do) and found out some really interesting data that we thought you should all probably know about. I have know for years about the Sovereign Citizen Movement (that John is just starting to find out about) and the Shadow Corporate De Facto Government. De facto is Latin for in fact, and in political terms it indicates a government that may have seized power unlawfully. They may not be constitutionally appointed, but are in fact. De jure is the opposite. A de facto government is supported by the people of the state and not by a constitution. A de jure governing body, on the other hand, is supported by a constitution currently in force. Or a de jure government is officially recognized by the constitution and other (neighboring) states, and sometimes even supranational and inter-governmental institutions. De facto governments are not recognized. De facto governments are caused, for example, by a revolution within (i.e. incited by the people of the state). This is what John wrote:

“I can’t believe no one is talking about this. UNITED STATES OF AMERICA, Inc., is in Evergreen, CO, a mere half-hour drive from the Denver Mint, the single largest producer of coins in the world! Does it get any shadier than this?”

Published on Jun 27, 2012

EXECUTIVE ORDER, NATIONAL DEFENSE RESOURCES PREPAREDNESS in Words http://www.whitehouse.gov/the-press-o… Obama Executive Order Seizes U.S. Infrastructure & Citizens for Military Preparedness & Slavery Details Explained Video! http://www.youtube.com/watch?v=myPEND… The Defense Production Act of 1950. The Federal Restricted Buildings and Grounds Improvement Act that effortlessly passed the House and the Senate is a law that most Americans don’t know about but could put them behind bars for up to 10 years. The law states it is a prosecutable offense to without lawful authority enter a building or grounds of a special event of national significance or enter a building or grounds where the President or other person protected by the Secret Service is or will be temporarily visiting. Your Employers “Gov’t Servants “can kill you legally for no reason “or if you know the TRUTH”. If you don’t fire them your DEAD ! Legalizing Holocaust. Under National Defense Authorization Act S 1867 U.S. military can (1) arrest U.S. Citizens without any charges (or evidence) (2) Can do it secretly (Just disappear you) (3) Can hold you indefinitely (4) With No Right to a Trial. (5) Can torture. (6) Can assassinate U.S. Citizens. Stop them NOW or DIE ! Your All Terrorists(TRUTHERS), going to take Gov’t Word No DUE Process ! National Defense Authorization Act S 1867 http://en.wikipedia.org/wiki/National… S 1867 NDAA End of Human Rights Petition http://www.change.org/petitions/stop-…… FAIR USE NOTICE: This video may contain copyrighted material. Such material is made available for educational purposes only. Martial Law Bill Passes Congress Allows Military to Arrest, Permanently Detain, Torture, Kill American Citizens without Trial. The National Defense Authorization Act. America is a War Zone. Romney Ron Paul http://www.campaignforliberty.org/ .Know who runs the World the Federal Reserve system was fraudulently created & it’s Counterfeiting Notes “the Dollar” is illegal & Unconstitutional. Become a Freeman on the Land & know the Deceptions of the Law. Statues & Acts are not law & need your consent (like stating your name or showing ID) Don’t enter the Law Society. lawyer society unalienable rights commerce maritime admiralty common ucc uniform commercial code contract consent civil corruption central bank karma reincarnation enlightenment united states passport legal fiction register court judge property imf wto foreclosure social security Medicaid Medicare debt consent blacks law society sovereignty Osama bin laden death Al Qaeda terrorist haarp chemtrails fema coast to coast am gas oil price middle east 2012 conspiracy terror food crisis gold silver revolution inflation Ron Paul Obama zeitgeist disaster riots protests jobs alex jones prison planet info wars nature corporation wikileaks climate change police state meditation constitutional Jesus Christ ufo’s aliens tea party rand paul Jesse Ventura David Icke max Kaiser Mayan spirituality free Tibet china tyranny terrorism consciousness world war 3 Buddhism Tao Zen god truth justice knowledge wise slavery history freedom fluoride peace love history terrorism occupation information deception paradigm matrix law America recession inflation economy stock market bush depression nwo space mac mind control Hinduism meditation Egypt Libya Jews Israel Mayan new York 911 lies conspiracy theory sovereign state imf wto world bank apply federal reserve slavery Islamic Yemen Pakistan Afghanistan Syria Saudi Arabia Persians Sunni Shiite Islam Iran Iraq Israel 9/11 maritime admiralty law Monsanto seeds farms fda fbi cia homeland security sovereignty graham Hancock Peter Shiff sovereignty earthquake tsunami nuclear japan radiation precession of the equinox prophecy revelation apocalypse rapture bible Christian Pakistan Fukushima default debt stock market crash Peter Schiff max Kaiser rt Oath Keepers tsar ion Occupy Wall Street End the Fed Alan Watts truth movement we are the 99% we are change anonymous marine soldier occupy marines a new alliance Tear Gas OWS Zuccotti park TSA

Ever Wonder why having that Birth Certificate was so important? Why a Certified Certificate of Live Birth from the Hospital wasn’t sufficient enough? I didn’t have a Birth Certificate until I was 12 years old, when suddenly it was required to play Bobbysocks, even after already joining the previous year. Some time in the 1980’s, it was required that you have a Social Security Number for your children in order to claim them on your taxes. Of course, a Birth Certificate is required to obtain an SSN. This video is posted for educational purposes only. No copyright infringement intended.

USC “law” is fictional law. It is 100% color of law no matter how the “government” put it. ALL, and I mean ALL of our judges and representative are not qualified by the constitution to even be in office remember that these people CHOOSE to take an OATH to those “laws” by their own recognition (see 18 USC 1918, 18 USC 241, 18 USC 242, 5 USC 7311, 18 USC 1621 and 5 USC 3333.)
<a>Gnarly Carly</a>
On March 28th, 1861 Congress adjourned sine die and never has reconvened de jure…

What you think is the Government of the United States of America is, in fact, THE UNITED STATES OF AMERICA INC., and the Congress and Senate are STOCKHOLDERS or CORPORATE OFFICERS. The real United States of America Government died (sine die) and never returned.

The original 13th Amendment prohibits “Esquires” (Attorneys) from holding positions of public office. Read the only one I could find,inside Texas, and look at the date!!!!! ..1819 not recognized by the CORPORATE (defacto) UNITED STATES.

U.S. Citizens were declared enemies of the U.S. CORPORATION by F.D.R. by Executive Order No. 2040 and ratified by Congress on March 9th, 1933, 48 Stat. 1, resulting in use of the Rules of Land Warfare being part and party to their Constitution. ‘FOR THEIR PROTECTION’

F.D.R. changed the meaning of The Trading with the Enemy Act of December 6th, 1917 by changing the word “without” to CITIZENS “within” the United States. The multi-nation Bankruptcy and Great Depression changed our world. The Bankers and Attornies of England took over completely. Thank you F.D.R. …you are hereby assigned 2nd in line to the burn pile…ain’t enough duck tape for that guy!!

Today, almost all mothers unknowingly inform on their own babies. Take a look at the so-called “Birth Certificate” CERTIFICATE OF LIVE BIRTH where the mother signs and you’ll see the title of the box stating in small print: “MOTHER OR OTHER INFORMANT.”

The word “OTHER” makes the mother an “informant.” By signing the “Birth Certificate” as an informer, she contracts with the government putting her child and her child’s future labor AND SERVICE IN THE ARMED FORCES as collateral for the national debt (servitude-slavery.)

US Government and Stanley Inc behind Muslim Video that lead to the murder of a US Ambassador and caused widespread rioting throughout the world.

Once again the Public intelligence analysts have broken wide open the False Flag operation that took place around the world on 09/11/2012 Blamed on a Youtube “Film” Christopher Stevens was ((Not)) killed because of the Innocence of Muslim Movie.  It turns out that  CGI and Stanley Incorporated AKA “NPN” NewsPoliticsNow3 who the US Government uses as a contractors for Advanced engineeringBusiness process managementCommunicationsEnterprise integrationFederal cybersecurityOperational logisticsSystems engineering, and Training put out a altered Version of the original Youtube Movie that the Government says lead to the murder of a US Ambassador and caused widespread rioting throughout the world.  The “Original Video” called The Real Life Of Mohammad posted on July 1st 2012 on Sam Bacile’s YT Channel.

Stanley, now a wholly-owned subsidiary of CGI Federal Inc., provides services to the U.S. federal civilian, defense and intelligence agencies. The combined portfolio of services and solutions enable us to serve as a full-service provider for U.S. federal clients’ mission-essential needs at every stage of program, product and business lifecycle.

CGI’s acquisition of Stanley is part of a plan to profitably double the company’s in three to five years through a combination of acquisitions and organic growth. As a result of this acquisition, CGI joins the ranks of U.S. federal IT contractors with more than                    $1 billion in revenue.

 

 

“The Third World War must be fomented by taking advantage of the differences caused by the “agentur” of the “Illuminati” between the political Zionists and the leaders of Islamic World. The war must be conducted in such a way that Islam (the Moslem Arabic World) and political Zionism (the State of Israel) mutually destroy each other. Meanwhile the other nations, once more divided on this issue will be constrained to fight to the point of complete physical, moral, spiritual and economical exhaustionWe shall unleash the Nihilists and the atheists, and we shall provoke a formidable social cataclysm which in all its horror will show clearly to the nations the effect of absolute atheism, origin of savagery and of the most bloody turmoil. Then everywhere, the citizens, obliged to defend themselves against the world minority of revolutionaries, will exterminate those destroyers of civilization, and the multitude, disillusioned with Christianity, whose deistic spirits will from that moment be without compass or direction, anxious for an ideal, but without knowing where to render its adoration, will receive the true light through the universal manifestation of the pure doctrine of Lucifer, brought finally out in the public view. This manifestation will result from the general reactionary movement which will follow the destruction of Christianity and atheism, both conquered and exterminated at the same time.” Albert Pike 

theintelhub.com
September 20, 2012

A popular Youtuber offers his opinion on the Muslim false flag video that supposedly lead to the murder of a US Ambassador and caused widespread rioting throughout the world.

All evidence points to the fact that the release of this movie was absolutely a false flag designed to cause chaos and further divide the populace.

From Youtube Video Description:

UPDATE: Glen Beck reported that the Embassy staff were communicating via a gaming forum!

Go to “DarthF3TT” channel on YT and will notice that out of 11 videos, NINE of them are [Gaming Videos] ONE is the Innocence of Muslims and TWO are about the Embassy Killings.

Here is the link!!!http://www.youtube.com/user/DarthF3TT/videos?flow=grid&view=0

UPDATE: Look who created this now deleted page. This url was captured via a Google Cache trying to sell the Christopher Stevens was killed because of the Innocence of Muslim “Film”, look who posted it!

“NPN” NewsPoliticsNow3 http://webcache.googleusercontent.com/search?q=cache:xRVFOiiD1MoJ:www.indiego…

Please follow the links in the order in which listed and come to your own conclusions!

The “Original Video” called The Real Life Of Mohammad posted on July 1st 2012 on Sam Bacile’s YT Channel
http://www.youtube.com/watch?v=LoBwR9KEGUc&feature=plcp

Movie name changed to “Innocence of Muslims” posted on September 11 2012 by Youtube user NewsPoliticsNow3
http://www.youtube.com/watch?v=ntgzoE7rU9A&feature=plcp

Youtube page NewsPoliticsNow sporting a [TM] Trademark to the right of their name
http://www.youtube.com/user/NewsPoliticsNow2

Youtube page NewsPoliticsLeaks appears to be associated with NewsPoliticsNow notice the trademark listed to the right
http://www.youtube.com/user/NewsPoliticsLeaks

Trademark search results for NewsPoliticsNow
http://trademarksearch.marcaria.com/search/us/?q=Zj10b2Mmc3RhdGU9NDAwMSUzQTh0…

Trademark results for NewsPoliticsLeaks
http://trademarksearch.marcaria.com/search/us/?q=Zj10b2Mmc3RhdGU9NDAwNSUzQTI3…

Image search for NPN
https://www.google.com/search?tbs=sbi:AMhZZisqiBzAyV9qJxXdQmIgLieZuupgOU3vkTr…

Image search for NPL
https://www.google.com/search?tbs=sbi:AMhZZiuGoNTSUVxVRzLb98qbKc004scSflnn3fT…

Results for Stanley Inc
http://en.wikipedia.org/wiki/Stanley,_Inc.

It has been brought to my attention that Youtube has shielded everyone’s age within the past 24 hours.

Again, I wanted to thank “TheAntiPC” http://www.youtube.com/user/TheAntiPC for your original video pointing out the facts on how the Muslim Movie was posted months ago, for it is your video, that made me really look into this situation!

Do Not Give Up, Do Not Give In; Give back!

By Daniel J Leach

Anti New World Order Party
Freedom and Liberty

We are beginning to see the great Silent Majority begin to awaken to the Global Agenda of the New World Order! From the Tea Party to the Occupy Movement the seeds of Liberty are beginning to take root and grow a great Liberty Tree. “In the beginning of a change the patriot is a scarce man, and brave, and hated and scorned. When his cause succeeds, the timid join him, for then it costs nothing to be a patriot” (Mark Twain).

As a Truth Seeker, Patriot and Political activist in this modern-day internet social networking arena, I find myself relating to the greatest of Patriots and Freedom fighters the world has ever known! Our world’s history is full of people who stood up for the Truth: “If you are a minority of one, the truth is the truth” (Gandhi), and were rejected for going against society’s norms or so-called “truths” of that time in which they lived!  Even the Lord Jesus Christ, God of the Universe, was rejected by his own! “And they were offended in Him. But Jesus said unto them, “A prophet is not without honor, save in his own country, and in his own house” (Jesus Christ, http://bible.cc/matthew/13-57.htm).

The Battle that we fight for as Truth-Tellers or Patriots is for the Minds and Hearts of Men, for the masses, for those who are blinded by the lies, “The function of a civil resistance is to provoke response, and we will continue to provoke until they respond or change the law. They are not in control; we are” (Gandhi). “And the great dragon was cast out, that old serpent, called the Devil, and Satan, which deceiveth the whole world: he was cast out into the earth, and his angels were cast out with him” (Bible). Truth cannot be won with a sword or by a bomb,  But with the Education and Knowledge comes Freedom and Liberty! There are those who will curse you and call you all kinds of names because you want to speak the Truth! “In a time of universal deceit telling the truth becomes a revolutionary act” (George Orwell, Nineteen Eighty-Four, italics added).

They the uninformed masses of people ignorant and starving for the truth will call you Crazy or a Conspiracy Theorist, not really understanding that they themselves are truly under Mind Control or NLP (Nero Linguistic Programming). They will defend the lies even unto death, slaves to the lie suffering from a form of Mass-Stockholm syndrome The Syndrome has also been explained in evolutionary terms by a phenomenon sometimes referred to as Capture-bonding.

“For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places” (King James Bible).

Even Einstein was called Crazy “Condemnation without investigation is the height of ignorance. (Albert Einstein). “First they ignore you, then they ridicule you, then they fight you, then you win” (Mahatma Gandhi). “Whenever I despair, I remember that the way of truth and love has always won. There may be tyrants and murderers, and for a time, they may seem invincible, but in the end, they always fail. Think of it: always.” (Gandhi).

I find it encouraging that others have come before me to lay the seeds of Truth that enable Justice, Liberty and Freedom for all! “We hold these truths to be self-evident: that all men are created equal; that they are endowed by their Creator with certain unalienable rights; that among these are life, liberty, and the pursuit of happiness” (Thomas Jefferson).

I am reminded of a quote from  the speech “Citizenship in a Republic” Theodore Roosevelt delivered at the Sorbonne, in Paris, France on 23 April, 1910 called,

THE MAN IN THE ARENA

It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.

Download PDF of complete speech

As I learn more about the great men in our world’s history who stood against injustice and for the Truth and Justice for all men great and small, rich and poor! I find a inner strength to face those who would carry out such atrocities and to be bold even unto death!

Its a done deal! United States dollar No Longer world reserve currency!

By:Daniel J Leach

“Nothing Happens That Hasn’t Been Planned ” Franklin Roosevelt

Decentralized money, does not mean its out of government control. What we need free market money, where the market sets the values and picks what the currency. The reason why gold and silver are the best is they follow the Principle of Sound Money (google it). Banks should be ran like any other business. They are free to enter without the control of the government. This means less regulations and more freedom.

All the fiat and T-bills are going to come back to the U.S and European Union. Economy going to implode hardcore, the ‘West’ is going to fight this as hard as possible, they will not accept it until they are forced to realize their defeat.

RON PAUL was RIGHT! This CAN be good for the US because MAYBE this will wake the American people up and stop them from watching the BOOB TUBE!  So the question is who makes up the new fiat paper money and then collects the interest on it. Same crap different mob.  Its called the IMF.

I see a future where the US plus the Europeans on one side and the BRICS on the other side engaging in a non ending economic cold war that may turn into indirect military confrontations using proxy countries like Syria, Iran, Israel and others. The rest of the world will create a non aligned economic and political movement. You are dreaming if you think the US will ultimately go down. They will always create a situation where they will come on top.

What I have detected, in the Video are mis-leading in this report. In saying World Bank & IMF has outlived its “USEFUL”ness and a New World BRICs Bank, is deceptive, because what they don’t explicitly say, is that the Federal Reserve Bank, will have to bail out any of those BRIC bank “loans” [that never get paid back] with USA denominated dollars. So the USA taxpayer will still be on the hook. WE MUST get back to silver and gold, and close the Federal Reserve Bank.

The fact that these countries are now talking about and getting ready to leave the US Dollar and it’s crooked IMF behind is now showing that these people have both guts and brains. The American people could learn valuable lessons from them regarding how to get an allegedly crooked president and monetary banking system out of their country and out or their lives.

This is the best news and the first true sign of hope I’ve seen in ions.

stbartels12 in reply to DoppelplusDeldenk (Show the comment) 5 hours ago

It’s a done deal! Wonder when the gov’t is going to let everyone know they just lost their power!!

BYE BYE DOLLAR IT WAS FUN ! USA dollar NO LONGER world reserve currency! 

Could the LeRoy 12 Mystery Epidemic Be Sensationalized by the N.Y. Media?

 Post Streptococcal Autoimmune Neurobehavioral Disorder

AKA

(( Neuro ‘Psychiatric’ Disorder))

 conversion/ fake disorder

“This is not a mystery, it’s Post Streptococcal Autoimmune Neurobehavior Disorder. It can occurs -anytime even a year or two later- post having an infection, from the TOXINS of various strains of strep, depending upon an individuals immune system. Symptoms can come and go in the future, depending upon if an person with it becomes run down and their immune system compromised. Furthermore, the medical staff and school staff are well aware of this but have chosen to ignore it, preferring instead to sensationalize it in the media, that’s how I feel, as my son was diagnosed with this over 12 years ago and the NY State was sent his medical records. It’s downright foolish and dangerous to ignore this as health complications from strep can actually be fatal.”Deanna Bruce

Tourette syndrome and other tic disorders. Schemat
Deanna Bruce 

Thanks Daniel & Elbee, One if the biggest problems that I can see- is that what was once called a Neurobehavior Disorder-years earlier has somehow now been coined a neuro ‘psychiatric’ disorder. An example of a reason-why it is so important to know when a person has a Post Strep movement disorder – is that; for example what happened to a boy on my son’s hockey team -if a doc ever wrongly prescribes a stimulant i.e. ritalin for ADHD- that person can have life long devastating effects…seizures, limbs twisted in contortions. Left untreated- Strep can cause more than rheumatic fever. My son a couple of years ago -got a bit run down, and missed sleep playing soccer- yet, with a negative for strep throat swab, he went into kidney failure- later a blood titre 300 times too high -showed it actually was Strep related. Watch someone suffer in horrific pain, on a palliative unit- and the very thought of this being called a conversion/ fake disorder– is disgusting.
Deanna Bruce

As mentioned previously, the New York State Department of Health was given a medical record copy to prove what I am saying of the Strep titre / Neurologist who saw my son re: PANDAS 12 years ago/ and the kidney failure…..one would assumethe ‘right’ people have already seen it. The kids ought to be given an antibiotic at any rate….in case it helps their symptoms subside some. Personally, I’ve about given up trying to make it easy for Specialists there who are supposed to already know all this.

The Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection (PANDAS) Etiology for Tics and Obsessive-Compulsive Symptoms: Hypothesis or Entity? Practical Considerations for the Clinician

  1. Roger Kurlan, MD*,
  2. Edward L. Kaplan, MD

+Author Affiliations


  1. *Cognitive and Behavioral Neurology Unit, Department of Neurology, University of Rochester School of Medicine, Rochester, New York

  2. Department of Pediatrics, World Health Organization Collaborating Center for Reference and Research on Streptococci, University of Minnesota School of Medicine, Minneapolis, Minnesota

ABSTRACT

Clinicians have been faced with much publicity and contradictory scientific evidence regarding a recently described condition termed pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS). It has been proposed that children with PANDAS experience tics, obsessive-compulsive behavior, and perhaps other neuropsychiatric symptoms as an autoimmune response to streptococcal infection. We review current scientific information and conclude that PANDAS remains a yet-unproven hypothesis. Until more definitive scientific proof is forthcoming, there seems to be insufficient evidence to support 1) routine microbiologic or serologic testing for group A streptococcus in children who present with neuropsychiatric symptoms or 2) the clinical use of antibiotic or immune-modifying therapies in such patients. The optimum diagnostic and therapeutic approach awaits the results of additional research studies.

Key Words:

With a description of 50 patients, Swedo et al1 proposed a hypothesis that childhood obsessive-compulsive disorder (OCD) and/or tics may arise as a result of a poststreptococcal autoimmune process; the authors suggested the acronym PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections). It additionally was suggested that, by a process of molecular mimicry, somatic epitopes of the group A β-hemolytic streptococcus (Streptococcus pyogenes) (GABHS) evoke antibodies that are capable of cross-reacting with specific areas of the human brain (eg, the basal ganglia) to produce neuropsychiatric and behavioral symptoms. The authors hypothesized that this condition might be a forme fruste of the pathogenetic process thought to underlie Sydenham’s chorea and therefore also may be related to rheumatic fever.2,3 The observation that Sydenham’s chorea includes tics4 and sometimes obsessive-compulsive symptoms5contributed to the proposal that a poststreptococcal autoimmune mechanism(s) might lead to a more diverse neurobehavioral symptom spectrum. Subsequently, the clinical spectrum associated with this constellation of neuropsychiatric signs and symptoms (PANDAS) was proposed to include a number of additional manifestations including attention-deficit/hyperactivity disorder,6 myoclonus,7 dystonia,8 paroxysmal dyskinesias,9 acute disseminated encephalomyelitis,10 and anorexia nervosa.11

This PANDAS hypothesis has stimulated clinical and basic research and has resulted in considerable clinical and scientific controversy1214; the controversy has influenced clinical care. Because of the implications for the primary care physician, the neurologist, the psychiatrist, the infectious disease specialist, the cardiologist (if it is to be considered part of the rheumatic fever complex, as is Sydenham’s chorea), and even the basic scientist, it is appropriate to objectively examine available information regarding the hypothesis and to provide recommendations for a current, optimal clinical approach to patients suspected of having PANDAS.

THE DIAGNOSTIC CRITERIA: IS PANDAS AN ADEQUATELY DEFINED CLINICAL DIAGNOSIS?

Five criteria were proposed to define the PANDAS hypothesis1 (see Table 1).

TABLE 1.

National Institute of Mental Health Clinical Diagnostic Criteria for PANDAS

Criterion 1

As mentioned, several authors have suggested that tics and OCD may not be the only clinical features of PANDAS, and thus the true boundaries of the PANDAS clinical spectrum remain to be scientifically validated or standardized. Even considering only tics and OCD, the level and characteristics of symptom severity required for diagnosis have not been defined yet by controlled studies.

Criterion 2

The proposed age at onset, ranging between 3 years and the beginning of puberty, may be too arbitrary and may simply be the result of referral patterns for the 50 initially described patients. For example, the validity of the proposed age-at-onset criterion is raised by the report of a 25-year-old with sudden-onset OCD after pharyngitis.15 Furthermore, because the vast majority of typical Tourette’s syndrome (TS) manifestations (ie, tics) begin during the prepubertal period (75% having onset before 11 years old16), the age-at-onset criterion is not sufficiently specific in distinguishing PANDAS from the more established diagnostic criteria for TS.17 Recognizing a documented higher likelihood of exposure of schoolchildren to GABHS, no pathogenetic or immunologic basis has been confirmed to explain why the onset might be expected to include only young children.

Criterion 3

A unique specificity of a clinical course consisting of abrupt onset or dramatic exacerbations has not been documented adequately. With careful observation, tics are either present or not; thus, the onset (or parental awareness) of tic disorders is not gradual. Often with a sudden recognition of tics by parents, in retrospect a prior history of milder tics can be elicited, making the precise timing of clinical onset confusing. Experienced neurologists and psychiatrists are aware that tic disorders and OCD characteristically wax and wane spontaneously, with exacerbations followed by remissions. The degree of clinical change required for recognizing exacerbations to distinguish a “PANDAS-like process” from the typical course of more established tic and OCDs has not been differentiated or quantitated adequately. For example, 1 recent study of 80 consecutively examined (unselected) patients in a tic-disorders clinic found that 53% reported sudden, explosive onset or worsening of their tics.18 These patients were not considered to have met criteria for a diagnosis of PANDAS. Preliminary evaluation of our own ongoing, case-control epidemiologic study of PANDAS indicated that 36% of the carefully selected control subjects (who had no recognized link between symptoms and GABHS infection) also reported an abrupt onset or dramatic exacerbations (R. Kurlan, MD, unpublished data, 2003). Thus, clinical course does not seem particularly useful in distinguishing patients suspected of PANDAS from children with more typical cases of TS or OCD.

Criterion 4

Onset or exacerbations of neuropsychiatric symptoms temporally related to GABHS infection has been proposed as the sine qua non of the diagnosis of PANDAS. Yet, despite limited studies to establish this, it has not been documented adequately in prospective studies and remains 1 of the most controversial aspects of the hypothesis. GABHS infections are very common, and the prevalence of this organism in the upper respiratory tract of asymptomatic school children (“carriers”) often is relatively high.19 This epidemiologic phenomenon of high prevalence of GABHS has resulted in a number of other disease entities (among the best examples are Henoch-Schönlein purpura and Kawasaki disease), which also have been proposed to be associated with group A streptococcal infections. However, when adequately controlled studies were conducted, streptococci were eliminated as the causal factor.20 The confusion about the role of GABHS may be promoted further because, clinically, it is appreciated that tic disorders and OCD worsen during times of stress or illness of any kind. The worsening of symptoms might be expected with streptococcal upper respiratory tract infection and could even occur in the relatively large percentage of children who are asymptomatic streptococcal carriers if simultaneous stressful situations occur (from any other cause).

Additionally, review of published studies indicates that the temporal boundaries of a proposed “temporal” relationship with streptococcal infections have never been established. In Sydenham’s chorea, often cited as the model for PANDAS, the choreoathetoid movements typically appear 3 to 5 months after GABHS infection. Swedo et al1 implied that an infection up to 9 months before symptom onset may be acceptable for the diagnosis of PANDAS but also have indicated that the presence of GABHS in the upper respiratory tract (not differentiating infection from the carrier state) may not be detectable until weeks after onset or exacerbation. Such a lack of precision does not assist in establishing a distinct syndrome.

Thus, the absence of regular, continuous, prospective throat cultures along with streptococcal antibody determinations has made it impossible to establish conclusively a temporal relationship between streptococcal infection and onset or exacerbation of neuropsychiatric symptoms. Sufficiently long, longitudinal, prospective studies conclusively demonstrating streptococcal infection and correlating this with clinical findings are required.

Criterion 5

The final diagnostic criterion, that there must be abnormalities on neurologic examination, presents a difficult and practical clinical problem. For example, the 1998 report that “choreiform” movements are often present in patients in whom a diagnosis of PANDAS is considered indicates that the cohort on which the proposed diagnostic criteria were based may well have included subjects with mild chorea that might also be compatible with more conventional Sydenham’s chorea.1

CLINICAL MANAGEMENT OF PATIENTS HAVING SOME OR ALL OF THESE NEUROPSYCHIATRIC MANIFESTATIONS

Laboratory Testing

An initial concern of pediatricians and primary care physicians about clinical management of patients with this symptom complex is which, if any, diagnostic laboratory studies should be done. Given the current status of as-yet incompletely defined support for the existence of a specific entity called PANDAS, the physician may be cautious in deciding whether to obtain throat cultures or determine antistreptococcal antibodies in all children presenting with neurobehavioral symptoms such as tics, obsessions, or compulsions. Because of potential difficulties in interpretation of single tests, even with “positive” culture results, the high prevalence of so many GABHS carriers in normal populations potentially confuses the issue.

Patients with signs and symptoms compatible with streptococcal upper respiratory tract infections should be studied for the presence of GABHS just as with any other patient. In the absence of symptoms of streptococcal infection, the relevance of a positive culture is difficult to interpret. The many uncertainties encountered in interpreting streptococcal antibody titers in otherwise normal children are recognized.21 Therefore, to use streptococcal antibody tests or throat cultures in an asymptomatic child either as a screening test or to confirm a diagnosis of PANDAS is problematic.

Two research laboratory tests, measurement of circulating antineuronal antibodies and an assay for the presence of an alleged rheumatic fever-associated T lymphocyte alloantigen called D8/17,22 have not been able to correlate reliably and consistently with suspected PANDAS cases.14

Although radiologically suspected enlargement of caudate nuclei has been described in some suspected patients, routine magnetic resonance imaging cannot be recommended currently, because the validity has not been substantiated.23

Therapy

What treatment should be considered for patients who present with the manifestations associated with the PANDAS constellation of symptoms?

Neuropsychiatric Drugs

Children with disabling tics or OCD should receive appropriate treatment for their symptoms, including medications (eg, tic suppressants such as α-agonists, classical or atypical antipsychotics, or antiobsessional drugs such as selective serotonin-reuptake inhibitors) or nonpharmacologic approaches (eg, cognitive behavioral therapy for OCD).24

Antibiotics to Prevent Strep Infections

The only published clinical trial of prophylactic penicillin in children with this syndrome revealed no conclusive evidence that the antibiotic reduced clinical exacerbations.25 Admittedly, the duration of that study was too short to allow definite conclusions. A later report suggesting improvement of new-onset or acute exacerbations of symptoms in such children with antibiotics provides inadequate support for such an approach, because treatment was not placebo-controlled and was unblinded.26 It is well known in treatment studies of TS that there is a substantial placebo effect; the natural course of TS and OCD is such that exacerbations are followed by remissions. This latter phenomenon of “reversion to the mean” implies that virtually any intervention at the time of peak symptoms may seem successful. Only a double-blind, placebo-controlled study can identify a true therapeutic effect.

Another reason to feel comfortable with avoiding antibiotic treatment for these patients is that, to date, no cases have been reported to develop any rheumatic carditis as occurs in patients with Sydenham’s chorea. This is a very important point to remember, because some have attempted to relate this syndrome to rheumatic fever. It is recognized that as many as one third of patients with Sydenham’s chorea ultimately will have evidence of rheumatic valvular heart disease.27 This issue requires additional investigation, because the lack of heart disease strongly argues against a relationship between PANDAS and Sydenham’s chorea or other forms of rheumatic fever.

IS THERE A CASE FOR IMMUNOMODULATORS?

Because the postulated mechanism for a PANDAS syndrome implies an immunologic dysfunction, therapeutic trials have attempted to modify the effects of an immune response. A published study involving 29 patients fulfilling suggested criteria for PANDAS reported sustained benefits both after plasma exchange and in patients after intravenous immunoglobulin.28However, Singer,29 in an accompanying commentary, pointed out numerous methodologic concerns about the trial including highly selective recruitment, small sample size, lack of severity matching within treatment groups, limited comparisons with controls, absence of sham apheresis, concomitant use of psychotropic medications, possible treatment-order effects, and adverse effects that occurred in approximately two thirds of subjects receiving active treatment. A subsequent note of caution was issued in 2000 by the National Institute of Mental Health recommending that, at this time, plasma exchange and intravenous immunoglobulin be reserved only for subjects participating in approved research protocols because there are distinct risks involved.30 To date, there are no additional published data to encourage use of these immune-modifying techniques.

CONCLUSIONS

The current state of knowledge dictates that the concept of a constellation of neuropsychiatric signs and symptoms that are associated with GABHS infections (the PANDAS hypothesis) should be considered only as a yet-unproved hypothesis. History reminds us that the same autoimmune hypothesis for childhood autism, including poststreptococcal elements,31 has been pursued for decades32 without conclusive proof. The PANDAS hypothesis is the focus of clinical and laboratory research. There currently is insufficient evidence to support routine laboratory testing or antibiotic/immune-modifying treatment for suspected cases. Although there is great need for a more effective diagnostic and therapeutic approach for these children, the clinician is obliged to await additional data from well-controlled prospective studies to determine whether PANDAS is a documentable entity or will remain an unproven hypothesis.

ACKNOWLEDGMENTS

This work was supported by National Institutes of Health research grant NS42240 from the National Institute of Neurological Disorders and Stroke.

OCD, obsessive-compulsive disorder • PANDAS, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection • GABHS, group A β-hemolytic streptococcus • TS, Tourette’s syndrome

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