Archive | Genetics RSS feed for this section

New clues to autism's cause

10 Jul

Time report on a new study that found yet more genetic clues to what causes autism.

A paper published in the current issue of Science by researchers at Children’s Hospital Boston and members of the Boston-based Autism Consortium identifies five new autism-related gene defects. Already, more than a dozen genetic defects have been found to be associated with autism spectrum disorders, which affect about 1 in 150 children, according to the Centers for Disease Control and Prevention. But the good news, say the Boston researchers, is that many of the genes are beginning to fit into a pattern. “While it might seem discouraging that it’s a growing list of genes, we can be encouraged that a common pathway is emerging,” says Dr. Christopher Walsh, chief of genetics at Children’s Hospital Boston and an author of the paper.

I haven’t read the paper yet but it sounds pretty interesting. They eschewed US and European people and elected to study Turkish and Middle East autistic people because these families have a high incidence of cousins marrying cousins. The end product of this paper is that the authors believe autism may:

…fundamentally amount to molecular defects in learning.

I have issues with the word defect. Some research indicates clearly that autistic people learn differently and not in a way that should be classed as a defect. However, I understand that scientists use terminology pertinent to their training. Hopefully, lessons can be learnt in this arena.

One fascinating thing – and one long suspected by many of us:

There may be hundreds of varieties of autism. From what researchers have seen so far, says Morrow, “It looks like almost every child with autism is different from the next — a different gene is mutated in almost every child.”

A different gene in every child. That – to me – is one more confirmation of what I once thought of as a spectrum and now imagine as an ever-shifting Aurora of autism. And not just autism but _all_ neurological differences.

Mitochondria, autism and thimerosal

18 Apr

The whole mitochondria/autism thing is pretty fascinating. A Dr Shoffner presented the results of a study he conducted (‘Mitochondrial Dysfunction May Play a Role in Autism Spectrum Disorders Etiology‘ – its free registration at Medscape to read the whole thing) in which he noted:

a retrospective analysis of 41 children with ASD who were being evaluated for suspected mitochondrial disease showed that 32 (78%) had defects in skeletal muscle oxidative phosphorylation (OXPHOS) enzyme function and 29 of 39 (74%) harbored abnormalities in the OXPHOS proteins.

The numbers kind of leap out at you don’t they?

Except, we need to remember that this is a heavily skewed population. As SL has pointed out:

I can’t state it enough: this is NOT a random sample of autistic individuals. These are children who were already suspected of having a mitochondrial disorder.

Which is a bit like looking for wet kids at a swimming pool. It doesn’t really tell us anything about autism aetiology. It tells us that some kids who are autistic also have mitochondrial dysfunction. Reading anything concrete into that is just like reading anything concrete into the fact that autism symptoms become clear around the time vaccines are administered – correlation does not equal causation after all.

Dr Shoffner is unavailable right now but I have dropped an email off with him asking if he would be kind enough to make his presentation available. We’ll see.

In the meantime it should be noted that there are other highly respected mitochondrial researchers who are not pleased with the way that Dr’s Poling and Shoffner have conducted themselves. A researcher I am talking with commented:

….more harm than good has been done this time by Shoffner’s and Poling’s whipping up controversy but not providing the hard data that everyone needs….. Therefore, again, I ask that you serve the public good by not trying to ferret out partial data and incomplete statements from me or others, trust that nothing is being hidden by anyone, and wait for the full story to appear in a medical journal……offer assurance to your readers that the true story will be told and that misstatements of the legions of the uninformed and conspiracy mongers who are pursuing their own selfish aims will ultimately be revealed.

Strong words from someone who clearly feels that Shoffner and Poling are doing what they’re doing solely to be controversial.

So that seems to be the state of research regarding a mitochondrial aetiology for autism. Patchy and sensationalist with a clear agenda to serve personal interests.

However, as we all know, there are a group of people who want to take the autism/mito thing one step further and blame vaccines for triggering an occluded mitochondrial dysfunction which in turn causes autism. Its like a minor league domino effect with only three domino’s. Again, it reminds me very much of the early days of the thiomersal/MMR hypotheses – look for a direct cause and when one can’t be found, look for an indirect one and twist, twist, twist until you can argue for one.

Our old friend Ginger Taylor has, for example, been hopping from online newspaper to online newspaper saying in their comments section that:

The debate is over. Our highest health authorities have stated that vaccines are a cause of autism.

When in fact no such statement exists. Ginger is arguing that ‘features of autism’ is the same as a diagnosis of autism. Back in the real world of autism diagnostics, that is not the case.

So – what can we do to examine the hypothesis that thimerosal triggers mitochondrial dysfunction which in turn triggers autism? We could search for papers that mention thimerosal and mitochondria. When we do we get:

1: Yel L, Brown LE, Su K, Gollapudi S, Gupta S.
Thimerosal induces neuronal cell apoptosis by causing cytochrome c and apoptosis-inducing factor release from mitochondria.
Int J Mol Med. 2005 Dec;16(6):971-7.
PMID: 16273274 [PubMed – indexed for MEDLINE]

2: Humphrey ML, Cole MP, Pendergrass JC, Kiningham KK.
Mitochondrial mediated thimerosal-induced apoptosis in a human neuroblastoma cell line (SK-N-SH).
Neurotoxicology. 2005 Jun;26(3):407-16.
PMID: 15869795 [PubMed – indexed for MEDLINE]

3: Makani S, Gollapudi S, Yel L, Chiplunkar S, Gupta S.
Biochemical and molecular basis of thimerosal-induced apoptosis in T cells: a major role of mitochondrial pathway.
Genes Immun. 2002 Aug;3(5):270-8.
PMID: 12140745 [PubMed – indexed for MEDLINE]

4: Collin HB, Carroll N.
In vivo effects of thimerosal on the rabbit corneal endothelium: an ultrastructural study.
Am J Optom Physiol Opt. 1987 Feb;64(2):123-30.
PMID: 3826286 [PubMed – indexed for MEDLINE]

5: Collin HB.
Ultrastructural changes to corneal stromal cells due to ophthalmic preservatives.
Acta Ophthalmol (Copenh). 1986 Feb;64(1):72-8.
PMID: 3083641 [PubMed – indexed for MEDLINE]

6: Van Horn DL, Edelhauser HF, Prodanovich G, Eiferman R, Pederson HF.
Effect of the ophthalmic preservative thimerosal on rabbit and human corneal endothelium.
Invest Ophthalmol Vis Sci. 1977 Apr;16(4):273-80.

Of these, studies 4, 5 and 6 are not relevant – they’re talking about eyes. Its studies 1, 2 and 3 on this list that are articulatory relevant to us in our search for papers touching on vaccines>mito>autism. If anyone else finds any, please let me know in the comments section.

Now, these three studies are not supportive of the vaccines>mito connection. Why? They use frankly massive concentrations of thiomersal, way beyond whats contained in a vaccine. A quote from a scientist about these studies:

all of the studies used “non-physiological” concentrations of thimerosal – concentrations that would not be reached even by giving three or four (or even ten or twenty) high-thimerosal-containing vaccines to a low-weight and/or premature infant.

You can kill mitochondria with glutamate (an amino acid found in chicken soup, among other things), salt, oxygen, and a number of other things, if you use ENOUGH of it. The studies are not relevant…..because the concentrations used are so high – by a factor of at least 100.

So we seem to be back to square one. Whilst the evidence for a mitochondrial aetiology for autism is of mixed provenance and yet seems probable at some level, the evidence for thiomersal and autism-related mitochondrial dysfunction is not good.

Urinary opioid peptides and genes

19 Mar

Two new interesting pieces of science out this week.

Firstly was the latest piece of MMR hypothesis destroying science called ‘Absence of urinary opioid peptides in children with autism’.

MMR believers say that part of the hypothetical damage the MMR does to the gut of autistic kids is cause so-called ‘leaky gut’ syndrome, an alternative medicine hypothesis roughly suspected to be on a par with homeopathy and massaging aura’s in terms of scientific credibility.

Proponents of the autism branch of this hypothesis say that the MMR causes leaky gut and that the ‘leak’ fails to parse these urinary opioid peptides which in turn would (in effect) get the patient stoned. or to put it another way:

….these peptides result in effects which are basically opioid in nature (akin to drugs such as morphine) and that they may either, themselves, have direct opioid activity or that they may form ligands for the enzymes which would normally break down such opioid peptides that occur naturally within the Central Nervous System (CNS). In either case, the consequence would be the same. The CNS neuroregulatory role, which is normally performed by the natural opioid peptides such as the enkephalins and endorphins, would be intensified to such an extent that normal processes within the CNS would be severely disrupted…

Yeah, right.

So now some actual science (as oppose to blueskying) has looked at this. And what do they conclude:

It has been claimed for a number of years that the urine of children with autism contains exogenously derived opioid peptides. This finding is said to reflect a disturbance in the integrity of the gut epithelium, act as a diagnostic marker for autism and predict treatment response to a diet excluding gluten and casein. The aim of the present study was to determine whether exogenous or endogenous peptides were present either in the urine of children with autism, or control children.

…..

There were no significant differences between the HPLC urinary profiles of the children affected by autism and the typically developing controls. In those cases where HPLC showed peaks in the locations at which opioid peptides might be expected to be found., MALDI-TOF established that these peaks did not, in fact, represent opioid peptides at all.

……

Given the lack of evidence for any opioid peptiduria in children with autism it can neither serve as a biomedical marker for autism, nor be employed to predict or monitor response to a casein and gluten exclusion diet.

So that’s yet another nail in the undead vampire of the MMR hypothesis (in fact, is there a proper word for something which is less than a hypothesis? Even using the word ‘hypothesis’ now seems aggrandising this silliness)

On the other side of research, where actual progress is being made, an as yet unpublished study (or published but the journal issue hasn’t been released or it has and I can’t find it) has found genetic connections which they think can count towards up to 2.5% of autism:

Disruptions in the gene, called contactin 4, stop the gene from working properly and appear to stop the brain from making proper networks, the researchers reported in the Journal of Medical Genetics.

These disruptions, in which the child has either three copies of the gene or just one copy when two copies is normal, could account for up to 2.5 percent of autism cases, said Dr. Eli Hatchwell of Stony Brook University Medical Center in New York, who led the study.

Now, when we put this together with Rett, Fragile-X, Tuberous Sclerosis, de-novo mutations and a few others I can’t recall I think we’re approaching between 10 – 16% of an established genetic cause for autism(s). Slightly better than the 0% that the vaccine hypotheses are running at.

Evidence of Misinformation

7 Mar

This entry is once again guest blogged by SL. I’d like to thank SL once again for providing clarity on a massively complex issue.

I’m going to try and break down some of Kirby’s most confusing points he makes with regard to autism and mitochondrial disease. He is misleading, irresponsibly selling falsehoods and half-truths as fact. As Jon has pointed out on LB/RB, his math is way off at times. I’ve spent hours reviewing scientific studies, and hopefully can further clear up any confusion Kirby may have created.

Evidence of Misinformation # 1

Mitochondrial disorders are now thought to be the most common disease associated with ASD.

Well, it took some digging, but I found where Mr. Kirby came up with this one-liner. You will find a similar (yet, not really what he says) statement in here:

A minority of cases of autism has been associated with several different organic conditions, including bioenergetic metabolism deficiency. In a population-based study, we screened associated medical conditions in a group of 120 children with autism (current age range 11y 5mo to 14y 4mo, mean age 12y 11mo [SD 9.6mo], male:female ratio 2.9:1). Children were diagnosed using Diagnostic and Statistical Manual of Mental Disorders criteria, the Autism Diagnostic Interview – Revised, and the Childhood Autism Rating Scale; 76% were diagnosed with typical autism and 24% with atypical autism. Cognitive functional level was assessed with the Griffiths scale and the Wechsler Intelligence Scale for Children and was in the normal range in 17%. Epilepsy was present in 19 patients. Plasma lactate levels were measured in 69 patients, and in 14 we found hyperlactacidemia. Five of 11 patients studied were classified with definite mitochondrial respiratory chain disorder, suggesting that this might be one of the most common disorders associated with autism (5 of 69; 7.2%) and warranting further investigation.

That last line sounds vaguely familiar right? Except, Kirby sold it as truth. Whereas in the study, it is presented as a thesis to be proved later on. A suggestion, a possible link, warranting further investigations. That’s much different from Kirby’s statement of fact, that mito *IS* the most common disease associated with ASD. Also, this study presents us with a figure of 7.2%, we’ll need this number later on.

Now, perhaps I’m wrong here. Maybe Kirby is getting his information elsewhere. So, then, what are his sources? Does a study exist which compares children with autism or autistic features who also have mito vs. those who also have other genetic disorders? How do those numbers compare? With the myriad of genetic disorders, I’d be highly interested in this. There’s a reason why so little is known about mito: it is a RARE disease. Has Kirby seen additional studies? Can he offer us large numbers of autistic children, being shown to have mitochondrial disorder too? No, he has one court case that he is referencing. He is using made-up figures and for some reason, fantasizes about autistic children having a mitochondrial disease.

I did find a few actual studies that I can reference. And, none state that mitochondrial disease is the most common disease associated with autism. I wonder about the Autism Genome Project Consortium’s study study with the strong link to Chromosome 11. Or the review by the Autism Research Unit UK, pointing to gastrointestinal problems, viral illnesses, and genetic disorders as factors in autism.

This study shows that “several metabolic defects have been associated with autistic symptoms with a rate higher than that found in the general population.” This essentially argues the opposite of what Kirby states. There are more autistic symptoms seen in some people with metabolic disorders than compared to the rest of the population. If I have Group A (General Population) and Group B (persons with metabolic disorders), according to this study, Group B will have more more people with autistic symptoms. This does not say that within a group of autistic individuals, metabolic disorders are most prevalent. Also, the study says “autistic symptoms” which is not the same as autism. Children with gastrointestinal dysfunction, seizures, etc. associated with a metabolic disorder could very likely appear to have “autistic symptoms.”

Another factor to consider is proper diagnosis (ruling out autistic features being secondary to a disease, vs. being true autism), and that any child presenting with autism or autistic features, should be screened properly. It is reasonable to rule out certain genetic and psychological disorders, such as those mentioned here. Equally important, with regard to mitochondrial disorders, is how samples are taken and tested. If someone unfamiliar with mitochondrial diseases, or a lab is improperly equipped, you may get inaccurate results. Also, because someone has “markers” for a disorder, that does not mean they definitively have that disorder or disease. In the majority of cases, an autistic child does not have a primary disorder, such as mito.

Evidence of Misinformation #2:

Some journal articles and other analyses have estimated that 10% to 20% of all autism cases may involve mitochondrial disorders, which would make them one thousand times more common among people with ASD than the general population.

Again, Kirby uses the same language to try and make his point. The words “some” and “other” should be the first red flags you see. What journal articles? What “other analyses” can be cited? It would be so very helpful if he would document where he gets the 10-20% figure from. This would be of great help, and would further this discussion. If he has real sources, scientific studies, any type of evidence of this, share it. I am not entirely against the idea that 10-20% of autistic individuals who have had a true regression, also have mitochondrial disease. I said it in a previous post – if a child has a well-documented, real regression, other things should be looked into (like mito, genetic disorders, etc.).

Remember that 7.2%? That is the only figure I was able to find in regards to the prevalence of mitochondrial disease in children diagnosed with autism. It is from the study I have posted above. 7.2% seems rather high, and certainly many more studies would need to be done to come to a more accurate figure. Another concern is the methods in which these children were diagnosed (i.e. tissue biopsy). Regardless, 20% is quite a jump from a documented 7.2%.

Here are some real numbers regarding mitochondrial disease, as well as autism. From the Cleveland Clinic:

About one in 4,000 children in the United States will develop mitochondrial disease by the age of 10 years. One thousand to 4,000 children per year in the United Sates are born with a type of mitochondrial disease.

According to The Mitochondrial and Metabolic Disease Center (at UCSD):

Four million children are born in the US each year. This means that 1000 to 4000 children will be born each year with mitochondrial disease. By comparison, about 8000 new cases of childhood cancer are reported each year. Both mitochondrial disease and childhood cancer range in mortality from 1O to 50 percent per year, depending on the specific disease.

Going with the CDC’s 1 in 150 figure and Cleveland Clinic’s 4 million births per year, we can pull some more numbers from Kirby’s 10-20% theory. Currently, there are 1000 – 4000 children born with mito each year, or 0.03-0.10% of all births. Compare that to 26,670 (or 0.67%) estimated number of autistic individuals born in a year. If 10% of autistic children have mito, that means 2,667 additional children would be born with mito. At 15%, you have an extra 4000, at 20% an total of 5,333 more children would be born with mito. The likelihood of mito then increases up to 0.23%. That’s a substantial increase in cases of mitochondrial disease. And they portray autism as an epidemic?

And, speaking of the so-called “Autism crisis,” Kirby’s idea that 10-20% of autistics really have mitochondrial disease changes the rate of autism quite a bit. Autism figures would start to look more like 1 in 187. If indeed, 10-20% of autistics (2,667 – 5,333) truly do end up having mito, what would be the advice to those families with regard to vaccines? Who will be held accountable when families who have mitochondrial disease are devastated to find out how vital those vaccines are to their children?

Is Kirby also aware that in some families with mitochondrial disease, children can be affected to varying degrees? The argument may be that this “autism-mito” group is “less-affected” by the disease. Well, their siblings, including those born in the future, could be born with more severe forms of the disease. People have led countless numbers of families to forgo their vaccinations. What would be suggested when a family who only vaccinated their eldest (autistic) child, has 2 more children, both of which have more severe forms of mitochondrial disease? What would be said if one of those children died after being infected by a disease that could of been prevented had the family been properly vaccinated?

Evidence of Misinformation #3:

Another article, published in the Journal of Child Neurology and co-authored by Dr. Zimmerman, showed that 38% of Kennedy Krieger Institute autism patients studied had one marker for impaired oxidative phosphorylation, and 47% had a second marker.

Below is the actual report from the study. This is the study that Dr. Poling also co-authored, interestingly enough. I assume he prompted this study, following his findings with his own child. I assume the girl in the case is in fact, his own daughter [It is – KL](test results are the same).

To determine the frequency of routine laboratory abnormalities in similar patients, we performed a retrospective study including 159 patients with autism (Diagnostic and Statistical Manual of Mental Disorders-IV and Childhood Autism Rating Scale) not previously diagnosed with metabolic disorders and 94 age-matched controls with other neurologic disorders. Aspartate aminotransferase was elevated in 38% of patients with autism compared with 15% of controls (P < .0001). The serum creatine kinase level also was abnormally elevated in 22 (47%) of 47 patients with autism. These data suggest that further metabolic evaluation is indicated in autistic patients and that defects of oxidative phosphorylation might be prevalent. (J Child Neuro 2006;21:170—172; DOI 10.2310/7010.2006.00032).

Kirby leads you to believe that both figures (38 & 47%) come from the same total of participants. It does not. The 38% is from the total of the group of 159. The 47% comes from a smaller group (subset, perhaps?), consisting of 47 patients. Kirby presents this information in such a way, that someone not willing to look at the numbers, would assume that nearly half of the autistic children in this study have mitochondrial disease. This is not the case.

Interesting to note:
Creatine Kinase (CPK) can also be a marker for for heart attack, hypothyroidism, and several other diseases.
Aspartate aminotransferase (AST, previously known as SGOT) is more commonly a marker for liver disease.

Also, these are two of several “markers” found to be abnormal for my daughter. My daughter does *NOT* have mito. It’s quite a leap for anyone to make that abnormal results for these two “markers” qualifies as mitochondrial disease. As in the study at the beginning, this one at the end makes its conclusion using careful words like “suggest,” and “might.”

Sorry, Mr. Kirby, but the dots you try to connect and the holes in many of your statements are potentially misleading. It’s unwise to make false claims, presenting them in a “scientific” or at the very least professional sounding manner. Parents who don’t know any better, have limited time or resources, they read what you have written. They take it as fact, and base very important decisions on what they read from you. I would never want to be responsible for causing pain and suffering via unwarranted, invasive medical testing to numbers of children. I couldn’t look myself in the mirror if my recommendations (to avoid vaccines) proved to be harmful to the very families who were so very “loyal” to me.

Acceptance not denial

22 Aug

Acceptance. It is a word that some use to describe their relationship with the reality of their children, or their own, autism. We accept the fact our daughter is autistic.

For people who claim to ‘fight autism’ this acceptance is a weak passivity. An act of giving in.

This, of course, is rubbish. Those who have accepted the reality of their own or their children’s autism know that the work starts right there. We do not attempt to carry on deluding ourselves and using quack treatments such as chelation etc as shields against the reality of who our kids really are.

Parents like Brad Handley of Generation Rescue claim at one point in time that:

“autism is a misdiagnosis for mercury poisoning…..The whole notion of autism is mythical. It didn’t exist before thimerosal in vaccines”

Source

and then later say:

The argument is being spun by focusing exclusively on a single ingredient used in vaccines, Thimerosal (which is made from mercury), while forgetting to mention a number of key points about the differences between the vaccine schedule of 20 years ago and today….Thimerosal is only one of the possible ways that the vaccine schedule could be the primary trigger behind the autism epidemic…

Source

are simply in denial. When their first belief is established to be untrue, they simply move on to another belief.

From the videos I posted a link to above, Brad is asked:

Q: This therapy (chelation) is it something he (Jamie) will be on the rest of his life?

Brad’s answer is:

A: Absolutely not. Its at maximum a two year process. Probably less.

As of next month, Jamie Handley will have been undergoing various treatments for three years. His story is not, as far as I can tell, listed anywhere as a ‘recovery’ story. He is still autistic.

Brad has made no effort to go back onto TV and explain this inconsistency. This is because he cannot. It is not explainable. I will be honest. Brad and I regularly exchange verbal barbs but I often feel sorry for the Handley’s. Because of their inability to accept the reality of their sons autism they have been unable to move on. They have instead – as I think is the case with a lot of the autism/vaccine parents – sublimated their failure to ‘cure/recover’ their kids in a proxy-fight with the ND’s, the CDC, the FDA – whatever.

I read a lot of blogs from the likes of Wade, Ginger, Kim Stagliano etc and whilst I often read about their anger and I often read about their love for their kids, I never ever read about them being happy. Do they love their kids? Of course they do. Do they enjoy their time with their autistic kids? I don’t know. I don’t think so.

There is a curious emphasis in a lot of these blog posts. Take Kim Stagliano’s most infamous blog entry – The Crappy Life of the Autism Mom – in which she says:

Recovering your kids doesn’t mean denying their value as people. To the contrary, it means we are willing to devote our lives, our savings, our sanity to their improved health, development and well being.

The jarring difference between stating that she is not denying their value and describing her life as their mum as crappy never occurs to her. It is also sad beyond belief that Stagliano feels that the measure of a persons value is the suffering of their parents.

Of course, the truth is that any decent parent will devote their lives, savings and sanity to their kids well being. That is not a situation that is the sole province of autism or even disability. Just parenting. However, I think that as well as lives, money and sanity, a parent should also invest respect and reality. Sublimating a continued tilting at the windmill of your child’s condition into an increasingly dirty and violent fight against a giant conspiracy is sad. Not sad in a sneering way but genuinely sad. It must be so miserable to be simply unable to accept the reality of the nature of your child.

This inability manifests itself in some strange ways. There have been a spate of articles fairly recently which examine the possibility that older parents are more likely to have autistic kids, or that autism might be due to a ‘corrupted’ (in the medical sense) gene. The outbursts these research papers have generated on EoH are amazing:

You forgot to mention that we’re damn old TESTOSTERONE-laden refrigerator mutant moms……………Here’s more from Autism Speaks funded research. So now the theory is it’s you damn old moms with your refrigerator mutant genes that causes autism. You are such horrible people. Tsk-tsk. Clearly, you aren’t feeling guilty enough, no matter how misplaced.

Any hypothesis which mentions or refers to parents is given equally short shrift. It doesn’t take much to work out why. Even when there is no hint of ‘blame’ (as in dear old Bettlehiem) to parents, any intimation that the genetic/physical make up of parents might have something to do with causes is pounced on and denounced in increasingly hysterical overtones.

Personally I don’t see the issue. Does it matter? No, not to me. But it seems to these parents that the idea that they might carry some responsibility for the fact their kids are autistic fills them with an utter horror. Even to the point that they have to delude themselves.

Take the cases of Erik Nanstiel’s daughter and John Best’s son. Here are two fathers who regularly sing the praises of their children’s doctors (the Geier’s and Andy Cutler respectively) and yet…

When we look back at everything we pay out of pocket… and for everything we pay as a co-pay… it’s several THOUSAND a year.

Why are we still doing biomed after six long years? Because we’ve seen our daughter go from failing-to-thrive to a pretty healthy kid. From a kid who couldn’t balance her copper and zinc… who had lead and mercury through the roof, with very little glutathione… who had constant diarrhea and wouldn’t sleep at night… and terrible eyesight…

to a kid with darn-near normal mineral levels, whose heavy metals have been more than half depleted, is thriving on a good nutritional program… and whose glutathione levels are now higher than daddy’s… is sleeping wonderfully through the night and has seen a 60% improvement in her eyeglass prescription.

She’s also nearly lost her tactile-defensiveness, loves attention (much more than before), stims a LOT less… is beginning to potty train and needs less “prompting” from us for life skills that she’s learning (like using silverware at meal time and dressing/undressing, etc.)

She is still considered low-functioning…

Like Brad and I, Erik and I have also had our fair share of verbal jousts but when I read this I want to weep. How can a man who so obviously adores his daughter fail to see that which is right in front of his face? They’ve been doing biomed for six years and his daughter is still low functioning (Erik’s words). The improvements he describes have little to no bearing on autism.

I waste no pity on John Best but once again, his denial is as plain as the autistic son in front of him:

I’ve done 55 rounds of chelation safely following the advice of Andy Cutler. My son keeps improving. I advise everyone that contacts me through GR to read what Cutler has to say and consider his protocol over what some DAN doc’s say. He has answered all of my questions at no cost and this chelation for a severely autistic child is working.

Whereas today, John made a post on EoH that stated:

In the time it took me to type my last reply, my son smeared feces all over himself and his room again. I’ve long since lost track of how many hundreds of times this has happened.

By the standards of Kim Stagliano – smearing (A Crappy Life remember) equals not cured. How exactly is the chelation working for John’s son? Or is it merely a panacea for the denial that ails his dad?

Generation Rescue: Time To Come Clean

10 Sep

Generation Rescue Redefine Autism

JB Handley’s Generation Rescue created quite a stir when they first launched. They went with a simple, clear, easy to understand message. The first part of that message was:

So, autism is a misdiagnosis for mercury poisoning as per Brad Handley in February 2005. You heard the guy – if you line up one hundred symptoms of mercury poisoning and one hundred symptoms of autism they are exactly the same.

Which is why its odd to find a post on the Evidence of Harm Yahoo Group from one Bradford Handley dated August 30th 2006 which reads1:

Guys, it ain’t ONLY the mercury.

So in Feb 2005, autism is mercury poisoning. By Aug 2006 its not. Now, its apparently more. Lets not forget that Brad is also quoted as ‘refusing to admit the possibility he might be wrong2.

What else can Brad inform the viewing public about autism?

So at least now we know where John Best Jr gets his ridiculous ideas from. But even that poster boy for truly spectacular idiocy can have his idiocy exposed3 as I did when I got John to admit that:

Your 19th century autistics had genetic autism not MP.

True, he couldn’t see how this invalidated his belief that autism didn’t exist in the 19th Century (apparently ‘genetic autism’ isn’t autism – I know, I know, try not to laugh) but wow, Brad took it even further than John. Going on national TV and now internationally on the Web to reveal that he’s _more dogmatic and less rational than John Best Junior_ ! Something I have to admit, I thought was an impossibility.

Is there anything else Brad can tell us about the nature of autism?

All are poisoned. So the kids who have Rett seem to have flown past the end of Brad’s nose when he wasn’t looking. Same goes for the kids who’s mothers caught wild strain Rubella4 – just….never made Brad’s list.

Isn’t it reassuring that Brad and Generation Rescue are so informed and factual about autism? Can you imagine how it would be if we couldn’t trust him on an even _more _ important point such as treatment for example?

Generation Rescue and JB Handley’s Issues With Time

Notably, how they seem to be running out if it.

This interview was broadcast in Feb 2005.

We can tell two things from that. First we can tell that Brad says chelation will work in one to two years. Secondly, we can tell that Jamie Handley started chelation in September 2004. Or to put it another way, exactly two years ago.

And how sure is Brad of this ‘one to two’ years thing?

Wow – so maybe not even two years – ‘probably less’. And what should the ‘end result’ be? What should we expect?

100% recovered. Neurotypical. No different than their peer group.

Does anybody else think that, seeing as Jamie has been chelated for two years now, we should’ve seen a neurotypical Jamie Handley emblazoned across every media outlet Brad’s chequebook could open for? That we haven’t tells us something about Generation Rescue and their reliability as good sources of information.

But something else doesn’t ring true here either. Jamie Handley’s list of meds5. This is *daily* by the way.

Before Breakfast
B12 shot
Probiotic
B12 x 2, Xylitol nasal spray 2 sprays
TD-GSH 1/2 ML

With Breakfast:
Super Digestive Enzyme 1 capsule
Ora Pancreas, Grapeseed 1 capsule each
FolaPro In Juice 1/4 capsule
Intrinsic B12 in juice 1/4 capsule
Nucleotides in juice 1/4 capsule
EDTA 1 capsule
Horsetail Grass 1 capsule
Transfer Factor 2 capsules
Vitamin C 1/4 tsp (375 mg)
GABA 1 capsule
Liver Support 1 capsule
Ora-Placenta 1/2 capsule
RNA in water, alone 0.5 ML

After Breakfast
BH4 1 tablet, Swiss
CCK, Strep Cocktail, GSE, Caprilyic
DMG 1 tablet

With Lunch:
Super Digestive Enzyme 1 capsule
Ora-Adrenal 1/4 capsule
HHC Multivitamin 1 scoop
B Complex Sprinkle
Citrulline Sprinkle
Niacinimide 1 capsule
Quercitin 1/4 scoop
Sam-e 1 scoop
Cell Food Sam-e, Oxygen 4 drops, 4 drops
Magnesium Citrate 1 capsule
Grapeseed Extract 1 capsule
Vitamin C 1/4 tsp (375 mg)
Sphingolin 1 capsule
Pycnogenol 1 capsule
Fenugreek 1 capsule
RNA in water, alone 5 drops

After Lunch
Vitamin K, Vitamin E, SP, CoQ10, Flax
Mag (1), Zn (1), Molyb (2), SE/1 drop, K
CCK, NADH, ATP, DMG 1 capsule each
Strep Cocktail 1/2 tsp

With Dinner
Super Digestive Enzyme 1 capsule
Ora Pancreas, Grapeseed 1 capsule
GABA 2 capsules
Transfer Factor 2 capsules
Vitamin C 1/4 tsp (375 mg)
Carnetine 1 capsule
Gymnema Sylvestre 1 capsule
Curcummin 1 capsule
Vitamin D 2 capsules
EDTA 1 capsule
Riboflavin Sprinkle
Malic Acid 1 capsule
Horsetail Grass 1/2 capsule
Zen 2 capsules
Idebenone 1 capsule
Ambrotose 1 scoop
RNA in water, alone 5 drops

Before Bed
IMF5 1 capsule
Strep Cocktail, Candex, GSE 1/2 tsp & 1 capsule
CCK, Lactoferrin, Caprylic 1 each
Charcoal, Magnesium Citrate
EDTA Suppository

This is what Jamie Handley is given every day. Quite apart from the jaw dropping size of the (daily!) list (a list Brad says: ‘we created it through all of our reading and correspondence with other parents’) is the fact that surely a neurotypical child (as Jamie should now be after undergoing the requisite two years – probably less – of treatment) wouldn’t need such a list. Especially a list that still seems to contain chelators – although interestingly not TD-DMPS I note.

Sources

1: EoH.
2: WWeek.
3: Me.
4: CDC.
5: CK2.

Its The Mercury, Stupid! No Wait!

9 Aug

I predicted not long ago that we’d shortly begin to witness a move away from thiomersal/mercury language from the geniuses in the mercury militia due the ongoing science refuting the hypothesis and the total rejection of the accumulated body of science so far built to support the hypothesis.

Every quarter, as long term members of this debacle will know, California DDS release a set of figures that are used to indicate how many autistic people are receiving services in that State. These numbers have been hailed at various times and by various people from the mercury militia as ‘the gold standard’ or ‘incontravertible proof’ that thiomersal causes autism as the numbers seemed to rise in the latter part of the nineties when thiomersal was around and then drop when it was removed. In actual fact, this belief came about due to a total misunderstanding of the numbers. The numbers have never dropped. All that happened at some points was that the _rate of increase_ either dipped or rose. Especially in the core cohort of 3 – 5 year olds.

For more on this see Joseph’s excellent summation.

In short, CDDS numbers continue to rise in the age group that would show a dramatic drop if thiomersal was the culprit.

The last two quarters have seen ‘rises’ in the rate of increase and where once there was excited bandying about of this ‘proof’ we now have the embarrased silence of no dogs barking.

And yet….deep in the recesses of Anti-Vaccine Central aka The Evidence of Harm Yahoo Group….someone had the bad taste to mention this recently. The response was swift, predictable and as stupid as a celebrity reality TV contestant.

Yes, and I do believe that we need to look at ALL environmental factors, and not just mercury, including other vaccine components, the antigens themselves, the cross-reactivity of various vaccines, the timing of vaccine administration, environmental sources of mercury, the overuse of antibiotics, pesticides, pitocin, ultrasound (I have noticed some listmates stating that their NT kids had just as much ultrasound exposure as their ASD child and they’re fine — careful, that’s what the parents of NT kids say about vaccines!) and electromagnetic radiation.

You factor in all of the new vaccine recommendations over the last four years and there are plenty of things that could muddy the waters here. Not to mention live attenuated virus vaccines,

But…but…didn’t these people get the message from Rick Rollens that:

Decline [in CDDS data] coincides with the phasing out of mercury from childhood vaccines.

Yes I know there wasn’t really a decline but they believed it. They touted it as fact.

How about David Kirby’s ‘Gold Standard‘>

Stay tuned. If the numbers in California and elsewhere continue to drop – and that still is a big if — the implication of thimerosal in the autism epidemic will be practically undeniable.

So, now that we know that _they never dropped_ is the opposite ‘practically undeniable’?

Let’s not forget what David Kirby told Citizen Cain:

if the total number of 3-5 year olds in the California DDS system has not declined by 2007, that would deal a severe blow to the autism-thimerosal hypothesis

What shape will that ‘severe blow’ take do you think? Will it be a full and frank admission from Mr Kirby that he maybe should’ve asked around outside of the circle of geniuses headed by Rollens regarding prevalence in CDDS data? That maybe he’s jumped the gun quite substantially? Will we see retractions from Brad Handley and Generation Rescue who might have to redefine their incredibly simplistic, premature and wilfully misleading categorisation of autism? Will we get some injection related sense out of more than a few people? Will Moms Against Mercury rename themselves? How about SafeMinds?

What does Lenny Schafer think? In recent years, the SAR has become little more than an anti-thiomersal polemic. What does he say about all this as the Moderator of the EoH group?

The fact is that if the problem is mercury and mercury has been greatly reduced in vaccines, we should see numbers either dropping, or the rate of increase dropping. Maybe the later is true, I can’t tell from this one chart alone. These reports have always come with caveats about how they are not properly controlled for a variety of factors that could affect the actuals, like the CDC recommendations for mercury flu shots or their aggressive push for early (and more) diagnosis. We (not just Christine) can’t one day point to these numbers and say: “see, they support the mercury hypothesis” when it suit us, and then later say “you really can’t trust these numbers” when they don’t.

At least a nod towards honesty. But he needs to understand why Kirby is correct to say that it is numbers dropping that’s important not changes in the rate of increase.

Slowly but surely these people are moving towards a position of wholesale anti-vaccination. Of course, its been there all along, but as the veneer of credibility the thiomersal hypothesis had when we lacked data is stripped away so is the thin veneer that reveals the depths of their ignorance.

When they finally abandon thiomersal, never forget their adamancy that it was thiomersal. Never forget that their ‘common sense’ trumped their ability to see what was under their noses. Thiomersal is a neuropoison QED, thiomersal causes autism. That’s the sort of logic that resulted in their recent spectacular own goal of the US Senate refusing point blank to put vaccine specific language in the recent Combating Autism Act. Wake up geniuses: They don’t trust you because you’re zealots. Your future is plain to see for them and me. Thiomersal to aluminium, aluminium to live virus, live virus to some other vaccine related ingredient. That’s why the ASA, CAN, Autism Speaks etc were happy to ditch the vaccine language. They want to distance themselves from you. Is it any wonder?

Welcome to EoH visitors! I see you have an amusing long thread where you all talk about how unbothered you are about me – with *lots* of contributions from various familiar faces. I would like to correct one small point you seem to have picked up: There is only one side of this that believe that the Illuminati is involved or even actually exist: That is your side. As represented by John Scudamore (owner of whale.to) and Dr David Ayoub of FAIR Autism Media. Hope thats clear enough for you to grasp :o)

Stupid Eugenics

5 Aug

I’ll try not to Godwin this post too soon but I suspect its going to be hard as its one of those rare occasions when the subject does feel vaguely fascist. Actually, more than vaguely.

In June this year the Times ran a story about a team of British doctors who were:

….preparing an application to the fertility watchdog that would allow them to screen out male embryos to reduce significantly the chance of a couple having an autistic child.

As boys are four times more likely to be born with autism than girls, couples with a family history of the condition want to ensure they have only girls.

This is objectionable on two levels. Firstly, it gives legitimacy to the idea that autistic people are of less worth than non-autistic people. Writing about similar plans in Business Week, Elizabeth R. Schiltz said:

Imagine the public outrage that would greet the publication of a study calculating the cost of not terminating pregnancies if it were broken down into a category such as family income. Although most of our civil rights laws now include “disability” in the litany of prohibited bases for discrimination – along with race, gender, and ethnic origin—our enlightened liberal commitment to diversity appears to go only so far. While we are willing to mandate accommodation to make jobs or public transportation accessible to a person with spina bifida, *the social cost of accommodating her birth is increasingly being seen as exceeding her worth*

This same idea was expressed another way in the not to distant past:

[A] philosopher told me about a Nazi propaganda film he’d seen, called “Freedom through Death”. It featured golden haired youths clad in white, wheeling drooling [non]persons around in wheelchairs while the audience was asked to consider how much labour was being wasted on keeping the droolers alive.

Dinah Murray

The British Council of Disabled People also are concerned.

Simone Aspis, parliamentary and campaigns worker for the British Council of Disabled People, said: “Screening out autism would breed a fear that anyone who is different in any way will not be accepted. Screening for autism would create a society where only perfection is valued.””

Cost and perfection. Is that what we’ve been reduced to as a species? How much money we’re worth and how close to Brad and Angelina we all look like? Consider the following from Ballastexistenz

I was accompanying a friend to the doctor a couple weeks ago, and we were sitting in the waiting room, both of us using wheelchairs. We had the following conversation, or something very like it (I won’t get the details right, but this is the gist):

Her (to my staff): We need to find you a place to sit down. I forgot, you’re chair-impaired.

Staff: Actually I’m okay standing.

Her (gesturing around the waiting room): Just look at all this furniture devoted to your special needs. Hospitals must spend thousands of dollars buying chairs for the… uh… chair-challenged. They require assistive technology wherever they go.

Me: Yes, as a matter of fact, you and I can take our chairs with us, but those poor walking people all have to find places to sit. Must be such a drain on society…

Funny how you can find truth in humour don’t you think? We all have a cost. Not just financial. To decide to attempt to eradicate people based on financial or labour costs is ridiculous.

One of my favourite (series of) book/s is Dune which, aside from being (alongside Lord of the Rings) the greatest fantasy/Sci-Fi books ever written, are also a study in how political power and the ‘power’ of absolute inflexibility and non-diversity inevitably leads to the stagnation of the species. We need change – as a species we _require_ it. Our success as a species was _born_ from our ability to adapt. To adapt we need new skills and new ways of being. Without them we have no flexibility and an ever dwindling series of options.

Now, aside from the incredibly stupid idea that ‘weeding out’ people we have no understanding of is a good thing, there is also the rather more practical point that this patent is based on the flimsiest and most ramshackle logic ever. The science team basically want to screen for male embryos in families that have a history of autism and if they find one, to abort it.

In essence then, this isn’t even an anti-autism piece of ‘science’ – its an anti-male piece of ‘science’. Just to put this idea into some kind of numerical perspective, here’s a quote from Wikipedia:

For families that already have one autistic child, the odds of a second autistic child may be as high as one in twenty

So a woman may have to go through twenty abortions to get her desired NT offspring. And even then there’s no assurances that the girl child won’t be autistic. Mine is. My great Aunt was. Lots are. Lorna Wing is on record somewhere as stating she believes female autistics are historically very under diagnosed.

Mike Stanton pointed out that even the process itself is fraught with peril. And for what? Absolutely no guarantees whatsoever. In fact there is good evidence to suggest that IVF increases the ‘risk’ of autism.

To make another comparison: How about aborting black children to reduce Sickle Cell Anaemia? Who in their right mind would stand for that? How about aborting the children of people who are hypertensive just in case they develop heart disease?

I’m not anti-abortion per se but this is utterly ridiculous. I know that Mike has corresponded with the lead author, Professor Joy Delhanty, in his official NAS role. I would like to add something pretty unofficial:

Professor, this is without doubt the dumbest and least humanistic application of medical science I’ve seen in quite awhile. Please stop and think about what you are doing.

The Shape Of An Elephant

17 May

Remember this old Bhuddist parable?

Five blind men of Savatthi are all describing an elephant. The problem is that one grabs the tail, the other a leg, the other the side, the other an ear and the fifth, the tusk. Each, remaining blindfolded, seeks to articulate the attributes of an elephant. The one who grabbed the tail insisted that the elephant was like a rope. The one who grabbed the leg was as certain that an elephant was not like a rope, but a tree. The one who was feeling the side of the elephant was convinced that an elephant was like a mud baked wall. The fourth blind man, feeling the ear, was shocked that the others could not understand that the elephant was like a banana leaf. The fifth denounced them all as he held to the tusk, insisting that an elephant was most like a brandished sword.

Every time I hear talk about the ‘autism epidemic’ I remember this parable.

The only way we can _definitively_ establish if thiomersal (or any other vaccine ingredient) causes autism is to take a hundred kids and do a double blind study involving injecting them with either an applicable amount of thiomersal containing vaccines or a control over an established time period.

Obviously, thats never going to happen. Firstly there are the obvious ethics of such a thing – with the prevailing beliefs about what autism is, no parent is going to risk ‘causing’ autism. Secondly there is the more practical reason that there aren’t really any thiomersal containing vaccines left in the West anymore – hence Burbacher’s need to get vaccines and then _add_ thiomersal to them. I suppose our ficticious study could do that but nobody really knows what confounders there may be in such an action. Burbacher certainly didn’t control for them.

So, what else can we do to try and establish if thiomersal (or whatever) can cause autism?

We can examine the symptoms of mercury poisoning (in the case of thiomersal) and see if there seems to be a relationship with autism. This is in essence what the Bernard et al paper tried to do. They concluded there _was_ a link but a closer examination of the paper shows that there is _not one_ common symptom between the diagnstic symptoms of mercury poisoning and the DSM(IV) diagnostic criteria for autism. This fact usually results in two counter-claims. Firstly that the DSM(IV) is not ‘up to the job’ of reflecting the current state of knowledge about autism. Secondly, that autism is such a novel form of mercury poisoning that autism is totally different from all other forms of mercury poisoning.

The first objection is essentially a call to retro-fit the DSM(IV) to fit one persons own beliefs about autism and thiomersal. This is pointless. The DSM criteria (which _are_ periodically adjusted) reflect the symptoms it requires to fulfil a diagnosis of ASD. This means the symptoms are common to _all_ autistic people. People have quoted gut issues, constipation and various other issues to me as ‘evidence’ of the damage resulting in autism, that thiomersal can do. Trouble is, none of the things that get quoted at me are common to all autistic people. These things may be comorbidities. If people have found ways to treat debilitating comorbidities then more power to them I say. I do exactly the same every time I administer a puff of a ventolin inhaler to my daughter. People then go on to say, well, maybe we should start sub-dividing autism into different ‘types’. However, we have no idea what prevalence these ‘sub-types’ might have. As far as we know they might only exist in statistically insignificant numbers that wouldn’t justify a sub-type categorisation. One of the biggest comorbidities is epilepsy. Should we create a sub-category of ‘epileptic autism’. Why? The underlying autism would be just the same. No – this is the very reason why secondary conditions are called comorbidities and not subtypes.

The second theory – that autism is so unique it doesn’t resemble any other form of mercury poisoning – is very hard to take seriously. Anorexia appears to be common across all types of mercury poisoning (its mentioned in Mad Hatters Disease, Pinks Disease and typical mercury poisoning) – why would it skip autism? Occams Razor applies here. The simplest explanation is one which requires no mangling/disappearing/ignoring of known facts – autism doesn’t really resemble mercury poisoning.

So whats next? Epidemiology. We’re left with looking at the numbers.

The ‘autism epidemic’ is central to the thiomersal hypothesis. The argument goes that as thiomersal useage increased both temporaly (vaccines were administered in shorter time frames) and in amount (maximum body burden in the US was 187.5 ug of Hg) that the number of autism diagnosis increased.

The main problem with the epidemic idea is that this chain of events is _far_ from established. The reason is mainly the quality of the underlying data.

There are three main US sources for prevalence data – the Dept of Education, VAERS and CDDS.

Many autism advocacy groups use the data collected by the US Department of Education (USDE) to show a rapidly increasing prevalence of autism. Closer examination of these data to follow each birth-year cohort reveals anomalies within the USDE data on autism. The USDE data show not only a rise in overall autism prevalence with time but also a significant and nearly linear rise in autism prevalence within a birth-year cohort as it ages, with significant numbers of new cases as late as 17 years of age. In addition, an unexpected reduction in the rise of autism prevalence occurs in most cohorts at 12 years of age, the age when most children would be entering middle school. These anomalies point to internal problems in the USDE data that make them *unsuitable for tracking autism prevalence*.

Source.

This is a shame but Jim Laidler is absolutely correct that we must use good, accurate data – USDE data clearly isn’t.

VAERS has massive problems. It allows anyone to enter any data at any time. I recently demonstrated this when I, a UK citizen, managed to submit a VAERS entry stating that a vaccine had turned my daughter into Wonder Woman. Clearly, this is not an acceptable source.

CDDS is the most contraversial. Rick Rollens has toally misintrpretted the data time after time. CDDS themselves state that their data should not be used for tracking autism prevalence. However, if it is insisted that we _do_ use CDDS data then we need to be clear about its use. Rick Rollens lumped all stats from all age groups together – quite obviously this results in meaningless data. As David Kirby conceeded:

…total cases among 3-5 year olds, not changes in the rate of increase is the right measure.

When one does isolate this cohort things are very different. In this cohort, nnot only are autism cases still rising, in the last quarter, the increase in the rate of increase is climbing.In other words, when one uses the correct group of cases to examine, data that David Kirby has referred to as ‘the Gold Standard’ for testing prevalence, shows that autism cases are still rising despite his statement in the New York Times in *2005* that:

Because autism is usually diagnosed sometime between a child’s third and fourth birthdays and thimerosal was largely removed from childhood vaccines in 2001, the incidence of autism should fall this year.

However, despite all this, we need to rememember that CDDS disclaimers appply to our interpretation of the data as well as Rollen’s or Kirby’s. However, ours are more accurate and at least are preformed on the right section of the data.

Make sure to read Joseph’s first comment in this thread which addresses another failing of this data I forgot to address.

So there are very large problems with the epidemiology as well. This is vexing and means, as Paul Shattuck recently concluded, that the true growth of autism cannot be realistically determined. So we’re left with the opinions and research of experts – people who study autism. What do they say?

Almost to a man they say that the idea of an epidemic is questionable. They state there may well have been a rise in _numbers_ but not necessarily a rise in _prevalence_. The distinction is important.

What they say is that improved tests and more recognition adds up to more diagnosis. This is simple common sense. If you know what you’re looking for, you’ll find more of it than you would if you _didn’t_ know what you were looking for.

What do we know that might support this opinion? Here are a few ideas from my neck of the woods.

In 2004, an ‘autism audit‘ was performed in Scotland. One of the questions the audit asked was how accurate they thought the prevalence rate estimates were for their area. 45% of authorities who responded made a point of noting that they felt diagnosis for adults was very underrepresented. For example, Perth and Kinross council stated

Figures for adults reflect the national findings that the numbers known to services/diagnosed represent a significant underestimate of those individuals likely to be affected. For example day centre managers locally consider a number of people to be on the spectrum who have had no formal diagnosis.

Also, in a New Scientist piece last year, the findings of the University of Nottingham were reported. The team reexamined data from the 1970’s which resulted in five diagnosis. Using modern diagnostic criteria, the team found 56 cases, a ten-fold increase.

Lastly, earlier this year, Health Minister Liam Byrne reported figures that demonstrated autism diagnoses for children have nearly doubled in 8 years from 3100 to 6170. Meanwhile adult diagnoses have nearly tripled in the same period from 1120 to 3000.

That seems to pretty firmly establish the idea of widescale underdiagnosis. What about misdiagnosis? From its very start as a categorised diagnosis, autism has been misdiagnosed. Kanner mentioned several of his patients were diagnosed with schizophrenia. However, as Shattuck _also_ concluded, its not possible to ascertain to what degree diagnostic substitution in the past has resulted in more cases now we know better.

A fascinating news article caught my eye this morning and led to this post. It seems that even _after_ we factor in more availability of diagnosis and better tests for it, most doctors still don’t screen for autism because a lot don’t know how.

The study of 255 Maryland and Delaware pediatricians found that 209 (82 percent) said they regularly screen their patients for general developmental delays, but only 20 (8 percent) of them said they regularly screen for ASD. Of the pediatricians who said they do not routinely screen for ASD, 62 percent said they didn’t do it because they weren’t familiar with the screening tools.

Source.

Remember that this is in a time when awareness and screening tools are better than they’ve ever been – if they’re like this now, just imagine how bad they must’ve been 10, 15 or 20 years ago.

Do you see a rope? A tree? A wall? A leaf? Maybe a sword? Or do you put these things together and percieve an elephant?

Autism Gene Found

18 Jul

UCLA geneticist Rita Cantor has found an autism gene according to Discover (via American Journal of Human Genetics). Thats pretty big news on various levels.

Firstly, it going to be something of a blow to JB Handley and Generation Rescue who says that autism is *nothing* but mercury poisoning. I look forward to seeing his retraction. It’ll also be a bit of a blow to all those who follow in Handley’s wake like Lujene Clarke, Wendy Fournier et al who’ve staked their entire reputation on autism being environmental in its entirety. Lujene Clarke is on record on this very blog as stating this. In fact, anyone who’s claimed that autism cannot be genetic will today be cutting themselves a large slice of humble pie.

Except they won’t. Someone somewhere will probably ferret out that Rita Cantor’s Mums Milkmans cat once knew a bloke who knew someone who walked past the office of a ‘Big Pharma’ corporation once and that therefore the results are tainted. Everyone knows that everyone who doesn’t believe in the autism/thimerosal hogwash is in the pay of ‘Big Pharma’.

Even if they can’t ferret out a connection they’ll simply not listen. Or care. For these people, particularly those on the Evidence of Harm list, this isn’t about their kids anymore, this is about politics and winning.

Secondly, we have to be very very careful how we use this knowledge and how its applied. These does set the store out on genetic testing for autism. Obviously this would be quite a long way off just yet but its almost a certainty now. These begins to raise certain ethical questions regarding the morality of testing for things like autism or Down’s Syndrome and what happens to those in whom these differences are detected as well as at what stage of life (before or after birth) they are detected.

Further reading.

Newer Entries →