Autism and thimerosal-containing vaccines: lack of consistent
evidence for an association.
Stehr-Green P, Tull P, Stellfeld M, Mortenson PB, Simpson D.
Department of Epidemiology, School of Public Health and Community Medicine,
University of Washington, Seattle, WA, USA. pstehrgreen@worldnet.att.net
BACKGROUND: In 1999, concerns were raised that vaccines containing the
preservative Thimerosal might increase the risk of autism and/or other
neurodevelopmental disorders. METHODS: Between the mid-1980s through the
late-1990s, we compared the prevalence/incidence of autism in California,
Sweden, and Denmark with average exposures to Thimerosal-containing vaccines.
Graphic ecologic analyses were used to examine population-based data from the
United States (national immunization coverage surveys and counts of children
diagnosed with autism-like disorders seeking special education services in
California); Sweden (national inpatient data on autism cases, national
vaccination coverage levels, and information on use of all vaccines and
vaccine-specific amounts of Thimerosal); and Denmark (national registry of
inpatient/outpatient-diagnosed autism cases, national vaccination coverage
levels, and information on use of all vaccines and vaccine-specific amounts of
Thimerosal). RESULTS: In all three countries, the incidence and prevalence of
autism-like disorders began to rise in the 1985-1989 period, and the rate of
increase accelerated in the early 1990s. However, in contrast to the situation
in the United States, where the average Thimerosal dose from vaccines increased
throughout the 1990s, Thimerosal exposures from vaccines in both Sweden and
Denmark-already low throughout the 1970s and 1980s-began to decrease in the late
1980s and were eliminated in the early 1990s. CONCLUSIONS: The body of existing
data, including the ecologic data presented herein, is not consistent with the
hypothesis that increased exposure to Thimerosal-containing vaccines is
responsible for the apparent increase in the rates of autism in young children
being observed worldwide.
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-- Albert Einstein, letter to a friend, 1901
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-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
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-- Sandy Gottstein
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