Robert F. Kennedy Jr.’s false claims linking autism to childhood immunizations have led to President-elect Donald Trump’s selection of him to lead the Department of Health and Human Services. As a result, it is undergoing new scrutiny. Budget is $1.7 trillion. He oversees research into both autism and vaccines.
The myth that autism is caused by childhood vaccines — proposed by a British doctor in 1998 He was later banned from practicing medicine In the UK — thoroughly exposed. hundreds of studies Vaccine found to be safe. The World Health Organization estimates that over the past 50 years, vaccinations have 154 million lives saved all over the world.
President Kennedy, who has espoused many health-related conspiracy theories, said the number of people diagnosed with autism has increased significantly in recent decades, from an estimated 1 in 150 in 2000 to 1 in 36 today. Vaccines are cited as an explanation for the rapid increase in cases among humans. Research shows that many of them increase This is due to increased awareness. and screening About the condition. redefining autism The spectrum includes milder symptoms that were not recognized in previous years. The same goes for advances in diagnostic technology.
“For far too long, the anti-vaccination movement has exploited families of autistic people, promoting a market for pseudoscientific treatments that don’t provide the answers they’re looking for and can expose autistic people to real harm.” ,” said Ari Nieman, co-founder of the nonprofit Autism Self-Advocacy Network and assistant professor of health policy and management at Harvard University’s T.H. Chan School of Public Health. “An even less credible conspiracy theory linking autism and vaccines is not the answer.”
Timothy Caulfield, director of research at Canada’s University of Alberta Health Law Institute, who studies health misinformation, said people are more susceptible to diseases than to disabling diseases, whose causes are complex and not fully understood. He said people are often inclined to believe conspiracy theories about illnesses such as autism. obvious cause.
For example, people seem less likely to speculate about long-known alternative explanations for Down syndrome, which causes intellectual disability. Caused by extra copies of chromosome 21.
“It’s really unfortunate because there are families out there who are vulnerable.” [of people with autism] These are the people who need our help,” said Judith Miller, clinical psychologist, senior scientist and training director at the Autism Research Center at Children’s Hospital of Philadelphia. “Every dollar and hour spent debunking a conspiracy theory is a dollar and hour spent understanding how to help families.”
complex conditions
Manish Arora, a professor of environmental medicine and climate science at the Icahn School of Medicine at Mount Sinai in New York, said it’s difficult to pinpoint the cause of autism because it’s not a single disorder.
“Autism is a spectrum, not one narrow disease,” Arora says. “So many things come under one umbrella.”
People diagnosed with autism often similar strengths and assignment, “There are many pathways to autism, and there are many symptoms of autism,” Miller said.
Scientists have discovered a variety of risk factors for autism – most of which are exists before birth — But there is no single cause for neurological and developmental conditions. influence the way people interact Communicate, learn, and act with others.
Many traits that are sometimes seen in people with autism (for example, sensitivity to loud noises or difficulty interpreting social cues) are also found in people who have not been diagnosed with autism. Arora, founder and CEO of a start-up company researching biomarkers for autism and other neurological disorders, said doctors can diagnose autism based on a person’s behavior and that they can detect the coronavirus. Point out that there is no simple test for autism like there is for autism or diabetes.
Finding the cause of infections such as the flu, which is caused by the influenza virus, is much easier.
Researchers continue to study factors that influence the development of autistic traits, but “one thing we know that does not cause autism is vaccines,” says the University of California, Los Angeles said Katherine Lord, a psychologist and researcher at the Center for Autism Research and Treatment. Geffen School of Medicine.
genetic vulnerability
Doctors have long known that genes play a large role in autism, just because it can run in families. For example, in identical twins who share all their DNA, if one twin is autistic, the other will usually be autistic as well. For fraternal twins who share about half of their DNA, if one fraternal twin has autism, the chance that the other will also have autism ranges from 53% to 67%. According to the analysis of research studies.
Miller said scientists have identified more than 100 genes associated with autism, and 60 to 80 percent of autism cases are thought to be genetically involved.
“The genetics of autism are better understood than ever before,” said Dr. Gregory Sejas, medical director of the Autism Clinical Center and Fragile X Clinic at the University of Washington School of Medicine. “We are making breakthrough research into the known genetic causes of autism.”
However, it is clear that genes cannot explain all cases of autism.
Autism is very different from conditions such as sickle cell anemia or cystic fibrosis, which are caused by a single gene. Scientists believe that a combination of genetic vulnerability and environmental exposure causes people to develop autistic traits, Lord said.
“People are discovering so many different genetic patterns associated with autism, but none of them are exclusively associated with autism, and none of them are always associated with autism. It is not related to,” Lord said.
For example, Fragile X syndrome (caused by a mutated gene on the X chromosome) is the most common known cause Autistic. But only a small percentage of children with the gene mutation actually develop autism, Miller said. This mutation predisposes some people to developing autistic traits, while others with the same mutation are protected by as-yet-unidentified protective factors, making them less likely to develop autism. You may not develop the characteristics.
Some people blame the measles, mumps, and rubella vaccine for causing autism. This is because this condition often develops around 12 to 15 months of age, the same time infants receive vaccinations. But Miller says, “Most genetic conditions that affect our lives and health are not obvious at birth. Symptoms and characteristics may not appear until much later, but the genetic code remains with us. It is with you.”
Prenatal vulnerability
Many of the known risk factors for autistic traits occur before or during birth, Arora said. babies experience complications at birth Things like having the umbilical cord wrapped around your neck increase the risk of autism.
So is the baby born early It’s probably because something happened in the womb.
Children are more likely to be diagnosed with autism If you have an older father And if you have an older mother, that’s a possibility, Miller said. It’s unclear whether there is something biological about older parents that increases the risk of autism in their children, or whether socioeconomic issues play a role. Older parents may be more likely to have their child diagnosed with autism because they have better access to medical care.
Studies show that maternal health affects a child’s risk of autism in different ways. were exposed to high levels of air pollution or developed a serious infection influenza and pneumonia during pregnancy.
Neiman, of the Autism Self-Advocacy Network, said she is not opposed to basic biological research into autism and its causes, but that such research is a challenge that autistic people face in their daily lives. said it does little to overcome barriers.
He points out that only 8.4% of the $419 million spent on autism research in the United States has been spent. Dedicated to support and service For people with autism.
“We need an autism research agenda that reflects the real priorities of autistic people and our families: lifelong support and community inclusion.” he said.
Source: www.nbcnews.com
