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From Huffington Post: http://www.huffingtonpost.com/david-kirby/is-autism-declining_b_55869.html
For quite some time, the American government, health establishment and mainstream media have repeated the mantra that mercury-containing vaccines were eliminated "several years ago," yet the number of autism cases continues to climb -- the inference being that injecting organic mercury into newborn babies has now been proven to be 100 percent safe.
The problem, though, is that there is no proof that mercury was eliminated "years ago" and, more importantly, now there are signs that autism rates among the youngest children might actually be falling.
On Wednesday, the California Department of Developmental Services released data from the second quarter of 2007, showing that the number of three- to five-year-olds with autism in the state system increased by 169 children over the first quarter of 2007. This is about the same quarterly increase seen in the state over the past several years.
But it turns out that a private citizen has paid the state each quarter to analyze the autism numbers according to year of birth, and not just by age group. State law requires that such privately funded analyses be made available to anyone else who asks for it.
So I asked for it. What I got was rather interesting.
After breaking down the current data among three- to five-year-olds by year of birth, you notice that the number of cases among children born in 2002 (who are now roughly five years old) and 2003 (or roughly four years old) continued to go up.
But among those kids born in 2004 (who are now turning three years old) the number of cases has fallen, as compared to kids born in 2003.
For example, at the midpoint of 2006, there were 2,250 children born in 2001 (or roughly, five-year olds) with autism counted in the system. By the same period of 2007, the number of kids with autism born in 2002 had risen to 2,490, an increase of 240 children, or 10.7 percent.
Among "four year olds," the increase was even more dramatic, with 326 more kids diagnosed with autism midway in 2007 than in 2006, a startling jump of 17 percent.
But among the very youngest kids counted, the story was the opposite. At the end of June 2006, there were 688 children born in 2003 with autism diagnoses. This June, the number of kids born in 2004 with autism was 632, a statistically significant drop of 56 children, or 8.1 percent less than last year at this time.
This marks the second drop of its kind among the youngest children in California (which only tracks so-called "full spectrum" autism, and not milder forms of the disorder). It follows the first quarter of this year, when 251 children born in 2004 entered the system, compared with 264 kids born in 2003 who were enrolled in the first quarter of 2006 - a modest decline of 13 students, or 4.9 percent.
Keep in mind that these drops are being reported despite the fact that:
1) Rates among kids born just one or two years earlier continue to spiral upward
2) California has experienced a recent baby boomlet (the number of 0 to four-year-olds rose by 9,369 in 2002, according to census estimates; but jumped by 62,393 in 2004).
3) Legal and illegal immigration continues to rise from countries that still use the full amount of mercury in childhood vaccines.
4) Aggressive early intervention campaigns have consistently brought down the average age of autism diagnoses.
Intriguing though the numbers may be, it is far too early to know if this refreshing downward movement will turn into a bona fide trend. The deficit of 56 children could be made up by the end of the year.
But the decline does not come in a vacuum. Minnesota, for example, tracks autism among children as young as two years of age, (though the counting is done through the school system, and is considered less reliable than California's data).
The rate of two-year-olds diagnosed with autism spectrum disorder (ASD) in Minnesota peaked in 2003, at 4.45-per-10,000 kids. By 2005, the rate fell to 3.88-per-10,000, and last year it was 3.55-per-10,000, a drop of 20.2 percent since 2003.
We will have to wait until these kids get a bit older to see if the decline holds true.
Meanwhile, back in California at the massive Kaiser Permanente healthcare, officials reported that, among five- to nine-year-olds in their system in 2006, the rate of ASD was 93-per-10,000. But among the youngest kids, two- to four-year-olds, it was 66-per-10,000 - a 40% difference.
One would naturally expect to see fewer two- to four-year=olds than five- to nine-year-olds with an ASD diagnosis. But in 2004, Kaiser began recommending routine ASD screening for all children at 24 months of age. Presumably, the majority of the two- four-year-olds in the system have now been screened for ASD, which must, by definition, appear before age three for a diagnosis to be made.
Sadly, more two-year-olds at Kaiser will end up with ASD, and some stragglers among the three- and 4-year-olds will also turn up. But whether they can make up the 40% deficit compared with their older siblings remains to be seen.
Are autism rates dropping? I would never say they are for sure. We simply have to wait and see.
But there are tantalizing hints that autism is indeed starting to decline among the very youngest children, born and vaccinated more recently, when mercury was transitioned out of most shots.
Which brings us to the, mercury was removed "several years ago" mantra, whose best retort is probably: "Says who?"
According to the Boston Herald, the last mercury-containing shots given to U.S. children expired back in 1999. The Washington Post, meanwhile, put the date at 2001, the FDA said it was 2002, the Institute of Medicine and the Immunization Action Coalition said 2003, and the Council of State Governments claimed it was "early 2004."
Who's right? We may never know. But we do know that companies were still manufacturing mercury-containing shots for American kids in 2001, and most vaccines have a shelf life of about two years. And we know that 90 percent of flu shots given to pregnant women and infants still contain the full amount of mercury today.
The number of California kids born in 2004 who have autism is, by any measure, still too high. True, we don't know how many of those 632 children were exposed to mercury in routine vaccines overseas, or flu shots here at home. But with numbers this lofty, it's highly unlikely that thimerosal alone was responsible for the entire autism epidemic.
If mercury is but one cause of autism, there must be other causes as well.
Let's say that autism cases among three-year-olds fall by 10 percent or so by year's end. Could thimerosal be the cause of 10 percent of autism cases? That would still mean tens of thousands of Americans injured by mercury in their vaccines. Moreover, identifying the cause in just 10 percent of cases might help us discover what is causing the other 90 percent.
But I am writing way ahead of myself here.
Regardless of one's position on the mercury-autism contretemps, I hope everyone can agree that an actual drop in the numbers, no matter what the cause, would provide a welcome respite from the endless chorus of grim news we all seem to face these days.
Autism in Room 5
Some witnesses for the U.S. Justice Department are expected to testify in Vaccine Court this week that there's no such thing as an autism epidemic. They will say that autism is genetic in origin, and that its rate is generally static: about 1-in-150 children. A genetic disorder, of course, has no external "cause," and nothing in the environment -- least of all mercury in vaccines -- could be driving autism numbers upward.
Better diagnosis and wider reporting, they say, are really to blame.
But there is a pivotal flaw to this argument: As a genetic disorder that seems to affect all races equally, autism rates should be roughly 1-in-150 in every age group, in every country, in every state, virtually in every town. But they are not.
Just ask the special ed teachers at St. Anthony's school in Northvale, NJ: not about their students, but about their own kids.
New Jersey may very well be the developmental disorder capital of North America. The CDC tells us that children here are three times more likely to have an autism diagnosis than kids in, say, Alabama.
That means that, if autism spectrum disorders are genetic only, then New Jersey officials must be three times better at diagnosing and counting ASD cases than their Alabama counterparts.
Conversely, if some autism cases really do have an environmental component -- heavy metals, for instance -- then geography itself might become a risk factor.
Which brings us to Northvale, a hardworking, middle class community near the New York border, and home to St. Anthony's, a church-owned property that also serves as a public school for special education students, many with autism.
On Tuesday, the Bergen Record reported a "high prevalence of autism and learning disabilities among children of teachers" employed at St. Anthony's.
According to an admittedly "informal poll" of school administrators, 14 out of 39 children born to female instructors since 1997 were diagnosed with a learning disability: three with autism, and 11 with speech and language delays.
Yes, this is an unscientific survey of a limited population. But it is alarming nonetheless -- and the impetus for several media reports generated among the jaded, heard-it-all metro New York press.
Keep in mind that 1-in-6 American children has a learning disability; but among children of teachers at St. Anthony's, the rate is reportedly 1-in-3. As for autism, the NJ rate is 1-in-94; while at St. Anthony's, it's just 1-in-13.
My own initial reporting on this subject has turned up slightly different, but even more disturbing evidence of a possible developmental disability "cluster" in Northvale.
Dr. Lawrence Rosen, a pediatrician from nearby Old Tappan, NJ, treats over 300 kids with ASD, including at least 20 who attend St. Anthony's, or are children of teachers there. "The direct information I have from one parent and one teacher," he told me, "is that, out of 12 children born to women who taught in Room 5 at the school, nine have autism or severe learning disabilities, and all of them are boys. The three non-affected children are girls."
In other words, nine out of nine boys born to women who taught in Room 5 now have severe developmental disabilities.
What is going on? Many worried parents and parent/teachers at the school want to know, and they packed an emergency meeting on Tuesday night to find out.
Was there something evil lurking in Room 5, they worried? Personally, I doubt it. But I do wonder about known neurotoxins lurking just outside the school, and especially mercury. (This is, after all, Northern New Jersey, the brunt of every poisonous pollution joke you can think of).
Perhaps not so remarkably then, the first thing to jump into most people's mind -- parents, teachers, town officials and reporters - was not "better diagnosis," but environmental toxins. The genetic theory largely flew out the open window like stale air on a warm spring day.
Even so, it was reported that recent tests for mold and asbestos turned up nothing, and now officials will search for signs of lead, volatile organic chemicals, and other neurotoxins inside the school. Local health authorities, meanwhile, noted that two EPA Superfund sites were located in town, but doubted that they could be implicated.
They might have looked a little closer. For example, within a half-mile radius or so, there are several companies who manufacture generic and name-brand pharmaceutical drugs.
New Jersey has one of the highest concentrations of drug factories in the world, and some of these facilities use mercury-derived products, such as thimerosal, to maintain sterility during production, or as an ingredient in over-the-counter products..
Companies like Merck have paid multi-million dollar fines for illegally discharging mercury, the state's largest non-carcinogenic pollutant, into New Jersey waterways. (In 1997, the pharmaceutical industry in this region released nearly five million pounds of pollutants, according to government records.
Meanwhile, back in Northvale, one of the pharmaceutical facilities was cited by state environmental officials for emitting more than 1,000 pounds of hazardous waste per month.
Other businesses not far from St. Anthony's make or finish metal products, a process that emits lead, cadmium and mercury into the air.
And, less than one block, or 200 feet from the school, sits the U.S. Headquarters of a major global manufacturer of mercury switches, batteries, and other electronic equipment made with the heavy metal.
Dr. Rosen, for one, thinks this is more than a coincidence.
"It's horrifying," he told me. "There is enough preliminary evidence to warrant a thorough investigation of all potential environmental neurotoxins that might be causing this."
The superintendent for public schools in Northvale, Jan Furman, agrees. She was unaware of the mercury-switch factory or the other plants nearby, but agreed that it was "very important," to find out more about their industrial activities and environmental controls.
No one knows why so many women who worked in Room 5 apparently gave birth to boys who were all developmentally disabled - but it seems too high a number to be a mere coincidence.
I am not saying these local businesses caused even a single case of disabilities. And perhaps the borough of Northvale is not the least bit toxic. But some people here believe that something, somewhere in the area, might be.
"I am certain there are environmental factors involved in many cases of autism and other developmental disorders," Dr. Rosen told me. "It is unscientific to believe that there are not." Some families do relocate to New Jersey for the many disabled services that are offered, he said. "But that is just part of it. We have unique environmental factors here as well, and we need to look into them."
So what does this have to do with vaccine court? Nothing directly, though it does provide evidence to refute the "all genetics, all the time" argument being offered up this week.
And, of course, if elevated mercury levels are detected in the air, soil or water around Room 5 at St. Anthony's, this could be taken into account by local health officials as a genuine risk factor for autism and other disorders. (I will be following and reporting on this developing story closely),
"If mercury from the environment could potentially harm these kids, then what about mercury from other sources, like vaccines?" Dr. Rosen asked. "There is no reason to think that one form of mercury would cause this neurotoxic effect, but not another."
And, he added, quite sincerely: "How we could do this to our own kids is just mind-boggling."
CDC: Out of Excuses on the Autism Study that "Should be Done"
Posted June 27, 2007 | 11:01 PM (EST)
A simple study of autism rates among vaccinated and unvaccinated children "could be done and should be done" to help settle the raging debate that has now spilled into the U.S. Federal Courts.
The words of some anti-vaccine zealot? An overwrought parent lashing out at something, anything, to blame? Or perhaps a greedy trial lawyer pining for the big bucks of injured-kiddie tort?
No, these were the measured, thoughtful remarks of CDC Director Dr. Julie Gerberding, at a Washington press conference two years ago.
But Gerberding never ordered the study -- one that could silence this tiresome argument once and for all, a study that any rational person would concur "should be done."
Why not? One reason, the powerful director said, is that "very high levels of vaccination...record immunization levels," make it "very, very difficult to get an effective numerator and denominator to get a reliable diagnosis."
But maybe it's not that difficult to find an "effective numerator" (i.e., unvaccinated children) after all.
It certainly wasn't hard for the respected polling company, Survey USA, to find nearly 1,000 unvaccinated children living in nine counties in California and Oregon. All they had to do was pick up the phone.
Survey USA, commissioned by the anti-thimerosal group Generation Rescue, completed telephone interviews in 11,817 households with one or more children age 4 to 17. Of the 17,674 children inventoried, 991 were described as being completely unvaccinated.
Interestingly, the survey found that, among boys (who have neurodevelopmental disorders at a 4-to-1 ratio over girls) vaccinated children were 155 percent more likely to have a neurological disorder, 224 percent more likely to have ADHD, and 61 percent more likely to have autism. Among boys aged 11-18, the increased autism risk was 112 percent.
This survey suggests there might be a trend here worthy of further investigation. But is it hard science? Of course not, and that is precisely my point.
We need the CDC, or some other well-funded agency, to conduct a comprehensive health study of vaccinated and unvaccinated children, now, using the soundest epidemiological tools available.
And for those who think that phone surveys are a patently ridiculous way to study autism, consider this: The Survey USA methodology was based on the model that the CDC itself has employed in national prevalence studies for ADHD and autism. In fact, Dr. Laura Schieve, co-author of the CDC's two national autism phone surveys said that parent reports demonstrate "high reliability, or reproducibility."
Which brings us back to that numerator. There are clearly enough unvaccinated kids (outside Chicago there is an entire HMO-full) to finally do the study that Dr. Gerberding herself says "could and should be done."
Maybe the Survey USA poll is way off base. Maybe an actual scientific investigation, one that controls for bias and other potentially confounding factors, would show the exact opposite. Maybe, as one would hope and intuitively expect, vaccinated children are truly healthier and happier than unvaccinated children.
I hope that the CDC can prove that they are. Wouldn't that be a wonderful thing? And like I have said before, it would certainly shut up the likes of me.
Now that Dr. Gerberding no longer has the excuse that "record immunization levels" preclude such a study, perhaps she might direct some of the recently appropriated Combating Autism Act funds to studying the two groups of children.
For those that disagree -- and I look forward to your rational comments on why this study should never be done -- I suggest you take up your concerns with the CDC director herself, and not with me.
After all, Dr. Gerberding is the one who said that this study "should be done." And I, for one, could not agree with her more.
PS: This week, Rep. Carolyn Maloney (D-NY) introduced the "Comprehensive Comparative Study of Vaccinated and Unvaccinated Populations Act of 2007" (H.R. 2832). For more information on this legislation, please visit here.
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