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By Richard Watson
BBC Newsnight reporter |
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Autism, the devastating childhood learning disorder now thought to
affect one in 200 children in Britain, could be triggered by something in
the environment.
That is the ground-breaking conclusion being reached by some of the
world's experts working in California.
More than 3000 cases a year are diagnosed in California - a ten fold
increase on the seventies.
The numbers are continuing to rise, with nine children every day found
to have the condition.
It is widely believed that autism has a strong genetic component.
But genetic diseases cannot lead to an epidemic-like rise in cases
unless outside factors are at play.
Better diagnosis
Better diagnosis is thought to account for some of the rise, with more
informed parents increasingly referring their children to specialists.
Dr Huff leads America's fight to control the rise in autism
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But many scientists in California are beginning to think the
unthinkable - that an environmental factor is partly to blame.
Dr Ron Huff, California's most senior psychologist, who is in charge of
the State's $1.8 billion autism budget, told Newsnight that he now
believes that an as yet unidentified environmental factor is partly to
blame.
This would be his "worst fear" because if an environmental factor is
eventually found it is likely that it would take decades to reduce the
effect and bring the numbers of cases under control.
"If it is determined that an environmental link is there, we're going
to see a lot more of this before we can correct that," he said.
To account for the difference between the 200 - 300 cases a year in the
70s and the 3000 today you would have to argue that in 2700 cases
clinicians were making diagnoses which would have been missed before.
Dr Huff believes that the rise in autism cannot be put solely down to
changing diagnostic practise.
He said: "I think we would be foolish to attribute that rise simply to
one single factor, I think it's a combination of factors."
It also seems highly unlikely given that the Californian statistics
only count the more serious so called Level One cases of autistic
disorder.
The symptoms of Level One cases, such as severely impaired speech,
repetitive self-stimulatory behaviour, lack of eye contact and
socialisation skills, are usually hard to miss.
Watch Richard Watson's report on Newsnight tonight at 2230 BST on
BBC Two or via a live stream on this site.