There was insufficient evidence to say whether Australia was
experiencing an increase in autism despite concern about a worldwide
"epidemic of autism", a Sydney researcher said.
Dr Katrina Williams of the Children's Hospital at Westmead and Sydney
University said, based on NSW figures, at least 3.5 children in every
10,000 were newly diagnosed with autism in the year 2000.
This compared to a 4-in-10,000 incidence rate for all children known
to have autism in the 1960s and 70s, she said.
Dr Williams will be a speaker at the World Autism Congress that opens
in Melbourne on Sunday.
She said at least 222 NSW children up to the age of 15 were newly
reported as having classical autism in 2000.
"We had 150 children aged 0-5, and that gives us an incidence
of 3.5 per 10,000 newly recognised children with autistic disorder in
the year 2000," she said.
"That's very similar to the earliest reported prevalence figures for
autistic disorder."
However, she said there was still insufficient evidence to reach any
conclusions about whether more Australian children were being diagnosed
with autism.
Meanwhile Dutch research published in the New England Journal of
Medicine has further weakened the controversial link between autism and
the measles, mumps and rubella (MMR) vaccination.
The Danish team looked children born from 1991 and 1998 and concluded
it was coincidental that the symptoms of autism appeared around the time
children were vaccinated.
Dr Williams said a large study of the roles played by genetic and
environmental factors in the development of autism was needed.
"The study should look at risk factors for autism so we can try and
put environmental factors like MMR and diet into the context of genetic
predisposition and other factors like adverse perinatal exposure," she
said.
West Australian researcher Emma Glasson said research she conducted
for the University of WA into autistic siblings added weight to evidence
that autism was related to genetic factors.
Ms Glasson found children diagnosed with autism were more likely to
have experienced a difficult birth and caesarean section delivery than
those without autism.
She also found siblings of autistic children were more likely to
experience difficult births than brothers and sisters of non-autistic
children.
"It shows that kids who get autism are different before birth so
whatever's causing autism is more likely to be before they're born, and
what you think of as genetics," she said.
"The fact that my siblings had increased complications is good
support for that."
A recent Californian study of 648 children found the incidence of
autism had nearly tripled between 1987 and 1998.
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