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“Healing Autism: No Finer a Cause on the Planet”

December 9, 2001        News Morgue Search  www.feat.org/search/news.asp

RESEARCH

·        Studies Fail To Disprove Autism Link To MMR Jab

·        Evidence-Based Medicine

 

AWARENESS

·        Autistic Comedian Is A Turn For The Better

·        Mother Finds Mission As Autism Advocate

·        Better To Give Than To Receive

 

 

Studies Fail To Disprove Autism Link To MMR Jab

[By Lorraine Fraser in today’s Sunday London Times.] http://www.portal.telegraph.co.uk/news/main.jhtml?xml=%2Fnews%2F2001%2F12%2F09%2Fnjab09.xml   

A report commissioned by the [British] Government has concluded that the possibility of MMR vaccination causing autism in susceptible children cannot be ruled out on the current evidence.

The review, from the Medical Research Council, will say the theory that the triple measles, mumps and rubella jab is to blame in some autistic children has not been proved scientifically.

However, it will add that epidemiological studies so far of MMR have been too imprecise to rule out the prospect of the vaccination being involved in a small number of cases.

The findings, to be made public next week, will create difficulties for Alan Milburn, the Health Secretary, who asked the MRC last March to look at all available evidence on the causes of autism and identify any gaps in present knowledge.

His officials at the Department of Health have heavily publicised studies that failed to link MMR and autism in their attempts to convince parents there is no risk.

The MRC’s report comes after The Telegraph revealed how the doctor who first voiced fears about the safety of MMR, Dr Andrew Wakefield, has been forced out of his job at the Royal Free and University College Medical School in London.

Dr Wakefield claims to have identified nearly 200 children with a new combination of bowel disease and autism and has pledged to continue his efforts to find out whether their double illness has been triggered by the childhood injection. He disclosed last weekend that his university employers had asked him to leave because his research was unwelcome.

The Department of Health insists parents have no need for concern over the safety of MMR (recommended for babies and four-year-olds) and officials have accused Dr Wakefield of needlessly damaging parents’ confidence in the vaccination, leaving children at risk of the illnesses.

However, the report of the MRC Review Group, headed by Eve Johnstone, professor of psychiatry at the University of Edinburgh, will raise new questions as to why the doctor has been ostracised by the medical establishment.

While it offers no support for Dr Wakefield’s theory that measles virus from the MMR vaccine may colonise the gut of susceptible children and cause bowel effects which result in a chemical imbalance, leading to autism, The Telegraph understands the report will nevertheless make clear that more research is needed before the hypothesis can be either confirmed or refuted.

The document, which has been sent to the Department of Health prior to publication, is expected to argue that the cause of autism may differ between individuals, and future research must try to take account of factors such as genetics, environmental exposures before and after birth, infections, and the development of the child’s immune system.

In particular, it will take issue with a Finnish study of three million children which has been widely reported as proof that MMR does not cause bowel disease or autism.

The MRC conclusions agree with a report from the Institute of Medicine in the US, which backed the use of MMR but also said research so far could not exclude the possibility that MMR may be damaging some youngsters.

Dr Timothy Buie, a specialist at Harvard General Hospital, has also announced that he found inflammation of the bowel identical to that described by Dr Wakefield in 15 of 89 autistic children seen at his Massachusetts clinic.

He said: “These children are ill, in distress and pain, and not just mentally, neurologically, dysfunctional.”

Dr Wakefield’s departure from the Royal Free Hospital has devastated parents of children involved in his studies, who are demanding assurances that their youngsters will continue to be looked after by the north London hospital.

Dr Wakefield agreed to stand down after a two-year struggle to stay in his post, hoping that this would relieve the “political pressure” on clinical colleagues responsible for day-to-day care of the sick children.

Paediatric gastroenterologists at the Hampstead hospital have developed considerable expertise in relieving the children’s bowel pain and related symptoms, but some sick children are having to wait up to 18 months to be seen.

Last week angry families established a lobby group, Autism Research Campaign for Health (ARCH), to push for greater recognition of their children’s problems.

* * *

 

Evidence-Based Medicine

“Some experts estimate that only 20 percent of medical practices are based on rigorous research evidence.”

[ By Jack Hitt.]

http://www.nytimes.com/2001/12/09/magazine/09MEDICINE.html

When visiting our family doctor, most of us feel secure in the belief that modern science has purged medicine of such practices as cupping and bloodletting. But according to a recent article in the journal Patient Care, “Some experts estimate that only 20 percent of medical practices are based on rigorous research evidence.” The rest are based on what has been published in books repeatedly without independent testing – or what doctors have always said should work. In other words, it’s a kind of folklore.

A revolution is erupting in the wards of practical medicine these days, one defined recently by The British Medical Journal as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.” The revolution is called evidence-based medicine, or E.B.M., and many traditional treatments are being run through the machinery of the scientific method – and being found wanting.

One common E.B.M. approach is meta-analysis: collating data from far-flung studies to come up with a definitive answer to a medical question.  Such studies are overthrowing some conventional wisdom. Mammogram screenings? They don’t save lives. Remember the placebo effect? It doesn’t exist. E.B.M. is also credited with validating some simple cures. Most people know that if you have a heart attack, you should immediately take an aspirin. Thank an E.B.M. study for proving that this works.

After colds, the second-most-common reason for a visit to the doctor is lower-back pain. The “treatment” has always been bed rest. Why? Because, as a recent article explained, “The notion that rest is therapeutic and will relieve pain dates back to Hippocrates.” But now that E.B.M. studies have used science instead of oral tradition to test this notion, they have found that bed rest “may delay return to functional status.” What works better?  Light exercise and getting back on your feet. This past June, the Agency for Healthcare Research and Quality integrated the no-bed-rest approach into its guidelines. This new standard of care, which will probably save billions of dollars in unnecessary sick leave, marks the end of 2,400 years of misguided treatment.

E.B.M. is yet another idea that can be credited to the computer revolution. Doctors have long known that they learn very little after med school when their exhausting schedules and the baffling profusion of 4,000 monthly professional journals make it nearly impossible to keep up with innovations in treatment. The E.B.M. movement began when six doctors in Canada came up with the idea of skimming the most dependable studies and crunching the results into an accessible, reliable database.

Indeed, in the wake of E.B.M., journals are filling with terms that sound almost anthropological to describe longstanding treatments: “local custom,” “witch-doctoring,” “myth.” Or as one article this fall put it, “This process of examining beliefs that have been based primarily on teaching and empirical experience rather than evidence has been compared to stripping the curtain away from the Wizard of Oz to reveal an ordinary man.

 

 

 

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* * *

 

Autistic Comedian Is A Turn For The Better

[By Helen Rumbelow.]

Sport http://www.thetimes.co.uk/article/0,,2-2001563416,00.html

A young woman from Essex who suffers from a form of autism has broken new ground by having a comic play performed professionally.

Most comedians draw on a fund of unhappy childhood experiences, but Nita Jackson’s condition, Asperger’s syndrome, meant that she grew up with such continual and violent bullying that she was on the verge of suicide.

Help from the National Autistic Society (NAS) was the first step to saving her life, Nita, 18, said. The Times Christmas Appeal is aiming to raise money which the NAS needs to help more than a tiny fraction of children with autism. Diagnosis and support allowed Nita’s talent to flourish: her autobiographical novel is to be published in the new year after her sell-out run at the Brentwood Theatre in Essex two weeks ago.  Instead of considering herself “a freak and a weirdo”, she can now poke fun at the curious ways of the “mainstreamers” or “neurotypicals” without her condition.

Nita was fortunate because the NAS has the funds to help only 120 youngsters with autism to find work. For many of the hundreds of thousands of people like Nita with Asperger’s, there is no hope of a productive life and their usually high intelligence is wasted.

“I knew something was wrong from the first moment because I remember

an all-encompassing fear of the world, I was scared of everything and

everyone,”

she said at her home in Ilford, East London. “While the other kids found solace in friendship, I was coming home to my mum, saying, ‘How do I make friends?’ ” Nita had characteristics that are typical of Asperger’s, such as having to climb the school steps in ten seconds, or colour-coding all her possessions, which earnt her ridicule. By the time she was 14, she had changed school three times and the stress of isolation had reached breaking point.

She said: “I thought I was insane. I seriously thought I should be locked up, and the bullying had become so bad that I couldn’t go into school any more.

They would hold a knife to my throat, singe my hair, attack me with Bunsen burners.”

Her mother, Carolann, said that at the end of one call to the NAS helpline, she knew what was wrong. “The NAS have been brilliant because there is no statutory provision for Asperger’s — it’s like it doesn’t exist,” she said.

With support from the NAS, Nita performed well in her GCSEs and A levels and went on to do work experience with the scriptwriters’ workshop at the BBC.

The charity also arranged work experience at the Brentwood Theatre where a producer heard about her writing and agreed to stage her first play, Detained. In the new year her book Standing Down, Falling Up will be published.

Copyright 2001 Times Newspapers Ltd.

* * *

 

Mother Finds Mission As Autism Advocate

. . . to carry the Olympic torch

 

[By Glenn Miller, gmiller@news-press.com.]

http://www.news-press.com/news/today/011207torchharris.html

Heather Harris received the news about her son’s autism when James Patrick was 2 ½.

“They said he’d probably be mentally retarded and there was not a good chance of him speaking and not to expect a lot,” Harris said.

“I completely refused to acknowledge that as true. I went around the area and found a lot of people in the area who had done a lot with autism already. And so I found people who had been there and pooled all the information.”

James Patrick is now 7 and a first-grader at Hancock Creek Elementary School.

Harris’ friend Pam Few nominated her to carry the Olympic torch.

Harris, 32, will tote the torch at 11:24 a.m. Saturday in Fort

Lauderdale. Her husband, James, 31, will be there.

For Few, Harris’ refusal to allow autism to define James Patrick is inspirational.

“It was really difficult to accept it and for her to deal with it but they did,” Few said. “She’s worked quite extensively with the autism society. She’s gone to Tallahassee for legislation to get autism educators into schools. It’s been really hard for her to have a child that is hard to communicate with. With her constant diligence and working for autism and the plight of autistics, James Patrick has just blossomed. He’s in regular classrooms. He’s communicative. You can talk to him and he responds.

“A lot of autistic children don’t. They don’t have any depth or dimension to their thought process or communicative abilities. James Patrick has blossomed because of Heather’s diligence and working with him. She’s an amazing person.”

Harris is a voracious reader of novels, biographies and histories.

“This girl is constantly cheerful,” Few said. “She’s amazing. She is

the most thoughtful person I’ve ever met and the most giving person I’ve ever met. She never dwells on the negative. I think she’s a pillar of what the torchbearer should stand for.”

Harris and her husband are both Navy veterans. They met when they were stationed in the Philippines. They also have a 1 ½-year-old son, Hank.

Harris is stunned she’ll carry the torch. “I’m not worthy,” she said.

She believes the honor is more about others.

“That I have a wonderful family and friends,” Harris. “I’ve been lucky to pick really good people to be around. I’m honored and surprised.”

* * *

 

Better To Give Than To Receive

[By Sarah Payton, Indiana Daily Student, Indiana U.]

http://news.excite.com/news/uw/011207/university-128

Bloomington, Ind. U-Wire - Mary is 19 years old. Battling autism, her mental capabilities are that of a 6-year-old. She is stuck in the second grade, where she has been for the past two years. I try to show her how to put together the same pattern of blocks over and over again, and as she does her very best we start to talk about Christmas.

I ask her what she wants from Santa and after only moments of deliberation she announces with an innocent grin that all she wants for Christmas is for me to get all the presents I want for Christmas.

She already has her robotic dog and she would rather that I get a new car, the one that I showed her in the magazine at lunchtime.

With the mentality of someone a third my age, Mary smiles at me with an innocence I haven’t had in years. She reminds me of the real message behind the holiday season.

This was four years ago, and not much has changed in the way I view the holidays since my meeting with Mary. Although I try to have the Christmas spirit, so much of my true spirit is consumed with arguing with my mom about the price of a David Yurman bracelet that I just have to have.

On the heels of Sept. 11 you’d think as a nation we would all turn to giving rather than receiving... if only it were so simple.

A society of consumers who need and want and just have-to-have, even a national tragedy can’t shake most of us from the mindset that we must have the best presents under the tree or beside the menorah.

Less than two hours ago I sent my mom an updated list of what I wanted with no intention of donating a portion of the money that she will spend to a family in New York or the local Red Cross or United Way.

This mentality carries over into other aspects of life as well.  Listening to a guest speaker from the Opportunity House (a local Goodwill organization) in a journalism class, I realized how sick it is when I take clothes to Plato’s Closet for $10 for five pairs of Gap jeans when I could donate it all to an organization that has people who depend upon it. Is the $10 really that important to me? The answer to that is: it can’t be.

There is more to life than having a new leather jacket or an X Box.  There are families without fathers, mothers, sisters and brothers on this holiday and now is the time to donate in remembrance of those lost.

It doesn’t matter if you are a poor college student like I am, with thousands of credit card bills, give what you can, how you can. If you can’t donate money, donate time or a service; this is just as valuable. Spend a few hours at a local shelter; realize how stupid it is for you to complain about only getting two little blue boxes from Tiffany’s this year.

If there is no other time you ever give, give now. It is only, afterall, when you truly give that you can receive.

And receive you will, a thousand times over.

© 2001 Indiana Daily Student via U-WIRE

 

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