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November 6, 2001
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Silent Epidemic: Autism
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Autistic Brain Not Damaged Where Researchers Expected
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Silent Epidemic: Autism
Louisiana doctor blames immunizations for dramatic
increase in autism cases
[By Ted Griggs, Advocate Online.]
http://www.theadvocate.com/enter/story.asp?StoryID=5494
Shelley Reynolds’ son Liam was perfectly normal from
birth. He rolled over, he crawled, he walked, he talked, all on schedule. At 13
months, Liam learned the “Hokey Pokey.” He knew the words to “The Itsy Bitsy
Spider.”
Every morning on the way to daycare, he and Shelley sang “Old
MacDonald Had A Farm.” Liam’s part was the animal sounds. At daycare, he practically
lived in the sandbox.
And then virtually overnight, Liam’s personality changed.
He stopped making eye contact. His words twisted and turned around on
themselves. When he tried to say “fish” it came out “sheee.”
Liam stopped singing. He stopped talking. He stopped
sleeping. The touch of certain fabrics or textures tormented him. He ripped off
his clothes as soon as his parents dressed him.
When the Reynolds took him to the beach that summer, Liam
screamed bloody murder every time his feet touched the sand.
Eventually, Liam was diagnosed with autism. It’s a
life sentence.
There is no cure.
Now Shelley Reynolds, like thousands of other moms with
autistic children, lives with a nauseating possibility: that the shots Liam
got, the regularly scheduled vaccinations designed to protect his health, may
have caused his disability.
Reynolds is one of many who believe childhood vaccinations
and autism spectrum disorder are linked. Jeana Smith of Walker is another.
Smith has identical twin sons. One is autistic.
“Everybody thinks that if they ignore it, somehow it’s
going to go away, or this is going to stop happening, and that is simply not
the case,” Smith said.
The numbers of autistic children are rising. U.S.
Department of Education records show the number of autistic students increased
nationwide by more than 11,000 from the 1998-99 to the 1999-2000 school year. A
similar increase was reported between 1997-98 to 1998-99. Recent studies in New
Jersey and Sweden showed prevalence rates for autism spectrum disorder as high
as 1 in 150 to 170 children.
“There’s enough people for this to be a national
emergency,” Smith said. And it’s going to be expensive. Education costs for
autistic children can run $40,000 a year or more.
For now, the vaccine-autism link remains a controversial
and scientifically unproved theory. And the Baton Rouge area continues to be
the home of some of the theory’s fiercest defenders. Local doctor Stephanie Cave’s
success in treating autistic children is probably the reason.
Her clinic cares for more than 1,000 autistic children.
Parents swear by her treatment plan, which removes toxic metals from her
patients and balances their body chemistry.
Smith and Reynolds credit Cave’s treatment regimen for
their sons’ recovery.
Cave has written a book that lays out some of the possible
connections between childhood immunizations and increased rates of autism,
asthma, diabetes and learning disabilities. In What Your Doctor May Not Be
Telling You About Children’s Vaccinations, Cave attempts to answer parents’ questions
about vaccine safety and immunization schedules. The book also spells out steps
families can take to ensure their children’s safety.
Cave and others say the rise in autism coincided with an
increase in the number of required childhood vaccines. The recommended
childhood immunizations tripled in the 1980s and ‘90s. Many of the vaccines
contained high levels of mercury.
The premise’s backers believe it’s no coincidence that
behaviors common among autistic children closely resemble the symptoms of
mercury poisoning.
The theory goes something like this:
Until recently, many childhood vaccines contained
thimerosal, a preservative that’s 50 percent mercury. Mercury is highly toxic.
An infant less than 4-6 months old can’t get rid of it. The poison builds up in
his body, unleashing a host of complications.
Mercury lodges in, and damages, the exact areas of the
brain affected by autism: the cerebellum, amygdala and hippocampus. These areas
affect coordination, emotions and memory.
Mercury also alters a child’s immune and digestive
systems. In these children’s damaged bodies, something as simple as an ice
cream cone or a bowl of spaghetti can produce the same effect another person
would get by injecting morphine.
Some researchers also believe that injecting the
measles-mumps-rubella vaccine into a child with a weakened immune system causes
more digestive problems, and may even trigger autism.
Health care’s heaviest hitters—the Centers for Disease
Control and Prevention, the National Institutes of Health, the Institute of
Medicine, the Food and Drug Administration, the American Academy of Pediatrics,
the American Academy of Family Physicians, and pharmaceutical manufacturers— disagree.
All say the same thing: Vaccines are safe.
And public health agencies continue to support this
view.
Last month, the Institute of Medicine’s Immunization
Safety Review
Committee concluded that the current evidence neither proves
nor disproves a link between thimerosal and autism spectrum disorder.
However, the committee also concluded that the hypothesis
that mercury in vaccines may be related to autism is “biologically plausible.”
And the committee recommended the use of thimerosal-free DTaP, hepatitis B and
Hib vaccines, despite the fact that supplies of thimerosal-containing vaccines are
still available.
Backers of the vaccine-autism link see this as a crack in
the bureaucratic dam. They say the vaccine committee report strengthens their position.
But Committee chair Dr. Marie McCormick said the
recommendation follows an established public health policy to reduce cumulative
mercury exposures.
There is no proof that the thimerosal in vaccines is
dangerous, McCormick said. If thimerosal-free vaccines are not available, thimerosal-containing
vaccines should be used.
The idea that thimerosal may be linked to autism is “very,
very hypothetical” at best, and some basic assumptions of the theory appear flawed,
McCormick said.
The vaccine-autism model assumes that an infant doesn’t
metabolize any mercury for six months, McCormick said. “That’s hard to believe.”
One of the standard texts in neonatology states that bile
secretion, which helps metabolize most mercury, begins at 12 weeks of
gestation.
Information presented to the committee also runs counter
to the idea that babies’ bodies can’t shed mercury, she said. Preliminary data
from the National Institute of Allergy and Infectious Diseases indicates that 2-month-olds
promptly eliminate mercury after immunization.
McCormick is chair of the Department of Maternal and Child
Health in Harvard School of Public Health. She and many other health officials
worry about what will happen if parents grow too frightened to vaccinate their children.
The threat posed by diseases remains very real, McCormick
said, as do the consequences of ignoring immunization recommendations. People
will become ill and some will die if they are not vaccinated.
Public health officials also discount the jump in the
numbers of children with autistic spectrum disorder and more vaccines.
The diagnosis for autism has changed drastically during
the last 30 years, McCormick said. Federal laws have made educating children
with special needs more important.
People are much better informed today about disabilities,
and they do a better job of identifying children with autism spectrum disorder.
The idea that autism is increasing because of better
diagnoses strikes Cave as ridiculous and possibly disingenuous.
“If you had a child that was developing normally for 15-18
months who lost eye contact, speech and started mutilating himself, who wouldn’t
sleep, wouldn’t eat and had chronic diarrhea, do you think the child would go undiagnosed?”
The issue is pitting parents against pediatricians. Part
of the problem is the way scientists present their findings. The language is as
precise as possible, spelling out in detail what is known and not known.
Guessing isn’t a widely admired technique in the research
community. Scientists don’t base their
reputations, their very credibility, not to mention their funding, on word of
mouth, on unproved anecdotal evidence (even if the number of these
anecdotes/autistic children has doubled or tripled in the last decade and
anecdotes are piling up at record pace).
Dozens and dozens of factors must be considered, tested, and accounted
for, and other researchers must be able to reproduce these results.
But a mother who divides her day by therapies—speech,
physical, occupational, behavior modification, and all the time she puts into repeating
those lessons on her own—a mother who may have slept only two or three hours a
night for the last two years because that’s all her baby sleeps, a mother whose
child shrieks if his bare feet touch sand because he can’t stand the texture, a
mother who has seen the “Hokey Pokey,” “Old MacDonald,” “The Itsy Bitsy Spider”
and finally even her name, Mama, all the milestones that marked her child’s
growth, every memory she holds dear wiped away, evaporated, just gone, this
woman doesn’t want her experience, her child’s disability (which she more than
likely believes was preventable), casually dismissed by a researcher as an
anecdote. A tale told by idiots. A sound and fury signifying nothing.
“What’s worst is when they sit there and try to pacify you
and say, ‘I’m really, really sorry for what happened to you, but vaccines don’t
cause autism,’” Smith said. “Don’t patronize me. Don’t tell me that I’m crazy.
É I sat there and watched my kid slip away right underneath me.”
Smith and Reynolds say will never get over the damage they
believe vaccines did to their sons.
Reminders of what her son has lost surface from time to
time, Smith said. The ball game Jacob can’t attend because it’s too much
stimulation. Missing the family
get-together at Christmas for the same reason.
Maybe Jacob’s twin Jesse came home excited about the new
sports team he’s going to join, other kids in his class and their birthday
parties.
“You think, ‘Gosh, I wonder if Jacob even really has
someone that’s his best friend,’” Smith said. “I wonder if they’re picking on
him at recess, or do they make fun of him?”
You learn to cope, she said, because there’s no other
choice.
So the women channel their anger and their energy into
Unlocking
Autism, a national nonprofit they started to raise awareness
about autism.
The duo has gathered nearly 6,000 pictures of autistic
children. Ultimately, they hope to
round up 58,000 portraits, the equivalent of one-tenth of the United States’
autistic residents.
Reynolds said they hope more publicity about autism will
translate into more research dollars and more favorable laws.
Still, Smith and Reynolds consider themselves lucky.
Jacob began making eye contact and speaking in
three-word sentences
just days after Cave began treating him. Jacob is now in the
first grade and doing pretty well. He eats lunch in the cafeteria with all the
other kids. He goes to P.E. and music
classes. He wants to be a zookeeper.
Liam is in a class for autistic children. He is a little
behind his classmates in speech skills. But Liam talks and asks questions. It’s
hard to pick him out of a crowd. And the milestones are again piling up.
A few weeks ago, Liam and his mom went to the Mall of
Louisiana to watch the circus. Liam asked for permission to sit up front, with
all the other kids. When a clown asked audience members who wanted to come out
and dance in the center of the ring, Liam volunteered.
And then Liam did something Shelley hadn’t seen in four
years: the Hokey Pokey.
That’s what it’s all about.
[For a related photo of Shelley Reynolds and Jeana Smith
see website below.] http://www.theadvocate.com/enter/photo.asp?ID=5494&path=/enter/images/200111
04/04mag.jpg <-- address ends here.
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* * *
[From Scientific American.]
http://www.sciam.com/news/010801/2.html
Scientists have long suspected that the fascination many
autistic children have with spinning objects and whirling themselves around
relates to damage in the cerebellum, the part of the brain that controls
movement and equilibrium. Indeed, much research into autism http://www.nimh.nih.gov/publicat/autism.cfm,
which affects about one in 500 children in the U.S., has focused on this brain
region.
But the results of a study published recently in the
Journal of Autism and Developmental Disorders indicate that, in fact, the
cerebellum is normal in autistic children. Psychiatrist Melissa Goldberg of the
Johns Hopkins Children’s Center and her colleagues studied 13 high-functioning
autistic children ranging in age from seven to 17. Specifically, they examined
the subjects’ eye movements after spinning them in a chair and then tilting their
heads forward when the chair stopped.
Normally the reflexive eye movements diminish once the
head is tipped
forward—and the autistic children also exhibited this
pattern. “This tells
us that those parts of the cerebellum that govern our
ability to restore
balance operate normally in autistic children,” Goldberg
explains. “Knowing
what parts of the brain do not appear damaged in these
children, we can move
on to investigate other sources of the problem.” —Kate Wong
* * *
My Grandson will be 8 years old soon and he will only say
one word when
prompted. Absolutely no spontaneous speech, he has had ABA
since he was
three and made a lot of gains, but no speech. Does any one have
any
suggestions? Zacharys Grandmom,
Marlene mommom55@webtv.net
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Our 4 yr old PDD son practices “scripting” 80% of his
vocabulary is
repeating phrases memorized from the conversations of others
and from his
videos. How common is this and are there therapies for redirecting
this
behavior? Located in northern Michigan mhoffman@freeway.net
New GFCF cookbook available: The Good Food Cookbook For
Gluten-Free and
Casein-Free Diets, by Laurel A. Hoekman, published by The
Gray Center for
Social Learning and Understanding. Net proceeds benefit
those with autistic
spectrum disorders. For more information, or to order the
cookbook, go to:
Looking for ABA therapist for my daughter. We live in Covina, California. This is in the eastern part of the San
Gabriel Valley, about 20 miles east of Los Angeles. Please send several contact names if possible.
Aides needed desperately for 14 yr HFA to help him
mainstream at middle school in Palo Alto, Calif. Mon-Friday, approx 8-3. Also
aide for community based instruction and socialization needed after
school. Training provided.
Lynn M. Hamilton, parent and
author of Facing Autism: Giving Parents Reasons for Hope and Guidance for Help,
is currently scheduling speaking engagements for the spring and summer of
2002. Seminars available include
Applied Behavior Analysis, Dietary Intervention, Biomedical Interventions, and Making
Wise Biomedical Choices. To learn more, visit www.facingautism.com
or contact Lynn at facingautism@aol.com.
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