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Interverbal On California, Bart On Deth

16 Jan

I’m privileged to be visited on this blog by a number of people far, far cleverer than me who can take very careful examinations of provided materials and highlight the problems with them.

Bartholomew Cubbins has taken the time to provide video reviews of (so far) two of the key papers underpinning the autism/thiomersal hypothesis – Burbacher et al and Waly et al. They are very accessible, even to non-scientists, and because they’re video, you can pause to look up new words as you need to.

Interverbal is a blog run by Jonathan Semetko. Jonathan conducts reviews of statements and theories that apply to autism. His latest post touches on the use of California DDS numbers as used by several people to justify the existence of an autism epidemic.

As I’ve discussed previously, whats important in these numbers is intakes of 3 – 5 yo. This is because these are/will be cases post-thiomersal e,g after the vast majority of thiomersal has been removed from vaccines. This point was conceded by David Kirby in an email to blogger Citizen Cain when he admitted:

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

NB: The date of 2007 is contentious, there seems to be some validity to the claim that Kirby stated that 2005 was the year to watch, not 2007. I hope to clarify this once and for all fairly soon. Rick Rollens has definitely claimed 2005 was the year to watch.

Last week, California DDS published their quarterly figures and as usual people strove to extract meaning from them. Ginger at Adventures In Autism produced a graph showing that the rate of increase was decreasing.

Unfortunately, the data Ginger used to plot her graphs included _all_ age groups, not just 3 – 5 year olds. As we’ve seen, this cohort is the only one that can indicate whether the post-thiomersal generation numbers are decreasing or not. Thiomersal has been very substantially reduced for this age group so a change should be clear.

However, just as Citizen Cain blogged last year in July, Jonathan shows that the rate for this cohort is still increasing.

So now advocates of the thiomersal/autism hypothesis are in a quandary. Their source data is plainly inaccurate, a point admitted by Kirby. If we are therefore to conclude that (as many in the autism/thiomersal camp claim) that the reduction in thiomersal is causing a drop in numbers then they have to abandon the ‘safety net’ position of the remaining thiomersal in flu vaccines being responsible for a maintenance or even increase in autism cases. The reverse, of course, is also true – those who claim that flu in thiomersal means more autistics will be ‘created’ cannot claim that these figures indicate a drop.

Of course, the probability that neither of these cases are true is the ‘best fit’ – autism cases are still rising and these figures only show a reflection on cases that are known to California DSS and cannot reflect one way or the other the state of prevalence in that state.

Chelation Death: The Coroner Speaks (subtitled: Look Before You Leap)

6 Jan

A few months ago, Abubakar Tariq Nadama, a 5 year old autistic boy died at the office of Dr Roy Kerry after undergoing IV EDTA chelation therapy. I wrote about it extensively at the time, as did Autism Diva and Orac.

Today, the coroners report has come in:

In layman’s terms, the administration of ethylene diamine tetra-acetate, commonly known as chelation, resulted in a lack of oxygen to the brain as well as irreversible heart damage, said Allegheny County Deputy Coroner Ed Strimlan.

We determined there’s a direct correlation between the EDTA and the lack of oxygen to the brain and the heart muscle damage. It’s a total package, based on the autopsy, the histology [tissue sampling] and the toxicology [blood sampling],” Mr. Strimlan said.

Source.

At the time, anti-vaxxers, anti-thiomersalers and pro-chelators said we should wait for the results of the report before issuing judgment. However, they failed to extend that same criteria to Dr Rashid Buttar who decided to include EDTA in his new treatment protocol. Dr Buttar is frequently described as a hero amongst the anti-vac’s, anti-thiomersal and pro-chelators and yet they seem strangely reluctant to comment on the efficacy and/or safety of his new protocol. I have repeatedly asked commenter’s to this site the following question:

Given that we don’t know the exact role that IV EDTA played in young Tariq’s death, on what level is it a good idea for Rashid Buttar to start using it in a new protocol?

I have never received an answer to this question. The question has been shirked by at least four separate comments on approximately 6 separate occasions.

Now, of course, we _do_ know that EDTA has ‘a direct correlation’ to the lack of oxygen and heart muscle damage that poor Tariq sustained and which killed him. And still no one is prepared to stand up from the pro-chelationist side and state they think Buttar is being (once again) dangerously irresponsible. He (Buttar) has a reputation as a forceful man – a bit like a bull in a china shop. As we know from recent experience from another man with a similar reputation – such people seldom stop to look before they leap. So convinced they are in their own ‘rightness’ they they plough ahead without pause or consideration.

Now we know for sure that Chelation did play a role in a young boys death – a boy who’s dead _solely because he was autistic_ – I invite commenter’s from an anti-vax, anti-thiomersal, pro-chelation perspective to call for investigations into Dr Roy Kerry under who’s treatment Tariq died and to call for Rashid Buttar to exercise more care.

Speaking of ‘more care’ and ‘looking before one leaps’, yet another anti-thiomersal activist, Dan Olmsted, recently wrote a column lauding Gold salts as a potential chelator of mercury. It seemed he was inundated with emails from scientists expressing grave concern. So much so that he wrote an obviously unplanned and somewhat panicky reaction piece which included the line:

Clearly, given the serious risks, figuring this out is a job best left to the experts.

What a stunning piece of ‘shutting the barn door after horse has bolted’ syndrome. You’re absolutely right Mr Olmsted, this _is_ a case best left to experts. And yet you didn’t let that stop you in any of your previous pieces. Lets hope that no one read your first piece without reading your second one. Lets hope they didn’t go out and pump their kids full of Gold salts and lets hope that no one gets hurt.

Roy Kerry, Rashid Buttar, Dan Olmsted – next time , look before you leap.

A Fertile Breeding Ground

11 Dec

I’ve said a few times on here and a few times on other blogs that it is dangerous and irresponsible to maintain an absolutist position on just about anything to do with autism. I can’t remember who said it but whenever I see someone claiming to know for sure what causes autism or what the best course of treatment for autism is I recall a quote that goes something like this:

Follow the man seeking answers, flee from the man who says he knows them all.

However, on occasions I have been known to break this self-imposed belief. This is such an occasion.

Skeptico is a blogger that has commented a few times on various aspects of the thiomersal/mmr/autism ‘connection – notably a thorough debunking of the RFK Salon.com piece earlier this year.

Skeptico mailed me today to draw my attention to a comment made on his site to the effect that the wearing of a tinfoil hat designed to prevent alien abduction can successfully treat autism.

As of Dec. 2005 a hat with velostat worn by autistic children has improved their performance markedly. Michael Menkin is seeking more autistic children in the Seattle, Washington area to try the hat. Some of the autistic children who improved after wearing the hat with velostat for over three months are not related to UFOs or any alien phenomenon.

The researhc of Michael Menkin into alien abductions, with interview of several people with encounter experiences, was featured on KINGTV Evening News Program on November 16, 2005.

This is the sort of shit that one has to wade through to find decent research about autism. Is it on a par with the whole thiomersal/mercury thing? Well yes and no.

No because I can at least see a theoretical connection even if I don’t believe that theory and yes because its another example of a theory driven by anecdotal, unverified, untested belief.

Up until Skeptico mailed me this story, my favourite other crackpot theory was the idea that plastic cups cause autism. Again, this is the sort of mindless crap that detracts from valid science, strips autistic people of the dignity they deserve and only extends ignorance.

Notable in the plastic cup story is the role of one Dr. Stephanie Cave, one of the darlings of the thiomersal/autism connection and listed on page one of the Generation Rescue Hall of Fame. She lent support to a theory that claimed:

…that a toddler became seriously ill and, eventually, “began to exhibit autistic behavior,” after drinking from a plastic spill-proof cup made by Playtex. [Dallas-lawyer Brian R. Arnold ] claims the spill-proof cup was designed in a defective manner that allowed bacteria and mold to build in the cup. Alleging the bacteria caused the child’s condition, Arnold accused Playtex of negligence in distributing a defective cup and demanded $11 million in damages.

Cave claimed that the bacteria and mold caused Dysbiosis, a medical term used pretty much exclusively by the alternative health movement.

She was abetted by William Shaw who owns a laboratory famed amongst thiomersal = autism believers as providing accurate tests for elevated mercury. Shaw said that:

…the child had elevated levels of yeast by-products, indicating a “yeast/fungal overgrowth of the gastrointestinal tract.” Dr. Shaw says such yeast infections cause autism.

Unfortunately for Shaw, it seems that the bacteria found on the plastic cup was not the same sort found on the child in question. Good to know that these labs that so many people claim are accurate obviously double check their work.

Autism is a fertile breeding ground for such hocus-pocus and rubbish because it defies current understanding. That we let this sort of thing grow unchecked is dangerous for the health of children (one wonders if this child went on to be chelated based on such a pack of ineptitude and assumption), dangerous for those of us who wish to find a bit of respect for the state of being autistic and ultimately dangerous to us as a society that we are so willing to let such people treat our children.

This is why we need proper, peer reviewed science performed by those who are proponents of theories and treatments that currently have no efficacy or safety studies. If we continue down this road then treatments like the wearing of a tin foil hat used to prevent autism and alien abduction and causes like a plastic cup will become the norm and our children will truly become lost – not in autism but in the real hell of a frenzied knee-jerk search to treat the increasingly bizarre and to forget about what our _children_ who happen to be autistic need more than anything else. I hope you already know the answer to that. If you don’t then I suggest you step away from the quasi-science.

Autism, Respect and the Mercury Militia

25 Oct

What was a disagreement about the causes of autism is widening into a war. This isn’t a war between parents and scientists. Its a war between one set of parents and a group comprised of other parents, scientists and autistics themselves. Its a war between flexibility and acceptance on one side and a rigid determination to ‘cure’ on the other.

To cure what? Good question. Some believe that autism and its attendant comorbidities are interchangeable. That constipation and a different way of looking at things are the same thing. That dyspraxia and a lack of imaginative ability are the same thing. Others believe that the two things are quite separate. That the comorbidities that are attendant with autism in _some_ people cannot be used to define autism. That the condition of being autistic bequeaths gifts as well as troubles (and it does bequeath troubles, lets not pretend it doesn’t) and that keeping the troubles is a small price to pay for keeping the gifts.

There are lots of questions that arise from these ideas of course but lets further examine the stance of the opposition to these two camps. For those that see autism as a medical as well as developmental issue there seems to be a residual pool of dislike, verging into outright hatred for those that don’t. They think that their opposition are abandoning kids to their horrible autistic fate. For them there are no shades of grey – its either black or white. These people also seek to play down and even attempt to rewrite official diagnostic criteria to downplay the ‘higher’ end of the spectrum.

Mr Lietch (sic) thinks it is in the child’s best interest to do absolutely nothing to ameliorate this condition [the writers son] . And, he and his associates knock parents for trying to help our children

John Best Jr

This condition. Autism, one assumes. The question to which I repeatedly put to John Best was what constituted autism? Best constantly (and still does) fails to appreciate the distinction:

…You claim head banging and feces smearing are not autism. Is this supposed to obscure the issue? These are not normal and are very much a part of autism….

John Best Jr

Up until now all we have is debate – its a debate that takes no prisoners to be sure, but its a debate nonetheless. However, things invariably take a turn for the worse:

Your neurodiverse pals who sneeringly refer to people who try to help children as “curebies”

Sounds diabolical doesn’t it? Us sneeringly cruel ‘neurodiverse’ (sic) want to stop people helping children. Something of bizarre belief seeing as quite a lot of people who consider themselves aligned with the notion of respecting autism are parents themselves. But wait! We forget that…

Anyone who is not chelating to get rid of the mercury is guilty of child abuse. Every doctor who is not telling their patients to chelate is guilty of malpractice….. Any parent who listens to the doctors tell them that there is no known cause or cure for autism is too damn stupid to have kids.

John Best Jr

Except of course the truth is somewhat different. The truth is (as I have repeatedly said) that respecting autism is not the same thing as respecting someone gastric issues. If your child smears faeces then find out why and intervene. If your child bangs their head on the wall, buy them a scrum cap, figure out why and intervene. If your child has gastric issues, find out what they are and intervene. *If your child is mercury poisoned then get a proper doctor to chelate them*. But don’t fool yourself that by removing someones need to bang their head against a wall you are removing their autism as you are not and cannot. that doesn’t mean you shouldn’t do it. It does mean you need to have realistic expectations. It does mean you need to be prepared to look at your child at the beginning, during and end of the process of treatment you have for them and say ‘I would love you no matter what’. You need to understand that because someone can’t speak doesn’t mean they can’t hear and to hear who they are described as ‘rotting in an abyss’ or ‘worse than hell’ or ‘diseased’ is going to do that child no good at all.

Frequently those if us who believe in acceptance are told by those that don’t that we are ignoring childrens needs:

And, Kev, have you done research on the trailer-dwelling coo-coos you now are affiliated with? You keep harping on the symptom profile of autism. Look, mate, our kids ALL share the same physical symptoms. I had twin autistic boys over to my house this weekend. They are six. They’ve never been treated. They can’t talk, much less function, they require 24 hour care. They have all the same physical issues my son HAD, which have since resolved. In your coo-coo world these parents would do nothing. Shameful and idiotic.

JB Handley

I have to admit to not being too sure what ‘coo-coo’ means but I’m assuming its not good. As ever though, the point is missed – no-one, repeat *no-one* is saying parents shouldn’t intervene where kids can’t talk or can’t function and I challenge JB Handley (or anyone else) to find any statement where I have advocated that belief. Its increasingly hysterical fear-mongering because its rapidly dawning on these people that they are looking increasingly fundamentalist and fringe.

You might note I’ve quoted extensively from JB Handley and John Best Jr here. I do so because they are both strongly affiliated with Generation Rescue, the group that apparently gives parents the knowledge to make an informed choice. Yeah. Knowledge like:

There is no evidence to suggest that autism is genetic. No autism gene has ever been found and the search will be endless – how can you have a gene for a mythical condition? Autism is mercury poisoning

Generation Rescue.

So, John Best Jr and JB Handley are all about promoting choice and informed decisions. So much so that they launch into full on attack mode and misrepresent people’s beliefs. Sometimes the attacks get very, very personal indeed:

Muslim terrorists who fly planes into tall buildings have a different set of beliefs than others. Your neurodiverse pals who sneeringly refer to people who try to help children as “curebies” and go to extreme measures in attempts to discredit those people are in the same class.

John Best Jr

John Best associating the World Trade Center attack with my belief that acceptance and flexibility is best. I couldn’t quite believe he’d actually said that so I asked for clarification:

You spout your nonsense in much the same way that terrorists shout for Allah before they blow things up with bombs strapped to themselves. That agenda is more than a little bit wacky to most people who are thinking straight.

John Best Jr

Yup, he meant it all right. Don’t forget, John Best Jr is a ‘Rescue Angel’ – one who is charged by Generation Rescue with informing parents about mercury and chelation. He is a spokesman for Generation Rescue.

The populace of Generation Rescue have a particular dislike of Kathleen Seidel. They see her as the ‘spokesperson’ of ‘the neurodiverse’ probably because of the domain. In a very disturbing attack, Best again mistakes autism with comorbidity, goes after Kathleen and at the same time confirms that for him, ‘better dead than autistic’ is certainly true:

..So they miss out on curing their children and the kids wind up spending their lives in institutions. In effect, they never enjoy one second of the lives they could have had if only the mercury had been removed from their brains. Ms Seidel might as well have put a bullet in those kids so they would not have suffered. Does that sound about right, Kevin?

John Best Jr

One wonders – is ‘better dead than autistic’ a policy decision of Generation Rescue?

John Best, that (typical?) fine, upstanding member of Generation Rescue also has views on the failings of the diagnostic criteria for autism:

Your adult Asperger’s friends would have been called by a different name when I was young and nobody was aware of the effects of the mercury they’ve been shooting into us since the 1930’s. They would have been called nerds.

John Best Jr.

Nice.

Best is, of course, attempting to paint all within the ‘neurodiverse’ (sic) movement as AS. Of course, his theory founders on the fact that it is not. But still, I wonder – is insulting autistics another policy of Generation Rescue?

I don’t believe for a moment that everyone in the Biomed community thinks like Best, or Handley come to that, which makes it a pity that so very many in the Biomed community see that our thoughts as a threat to them – so much of a threat that even an appalling loss of life such as the World Trade Center attacks is not above being denigrated in an attempt to demonise people such as I.

I’ve said it before and I say it again now. The Biomed community needs to take a long hard look at itself and who its most vocal proponents are. Do you honestly believe that your cause is well served by referring to others as akin to bombers? Or child abusers? or nerds?

Is this something you really think will attract people to your way of thinking?

Is this a position from which you think is substantial enough to build from?

Are these words which you feel serve you well, personally?

Autism: A Novel Form Of Mercury Poisoning

14 Oct

Many in the Neurodiversity and Biomed communities are aware of this paper. It forms one of the lynchpins of the Biomed communities belief system – that autism and mercury poisoning are the same.

I’ve long been confused by this belief. Its plainly wrong and I’m amazed so many seemingly intelligent people believe it. I’ve posted about it numerous times both on here and in the comments of others blogs and the answers from its proponents when I question it veer from outright hostility to laughter at my supposed naivety in not being able to see ‘it’.

Its quite obvious to me that the symptoms of mercury poisoning tally very loosely with some comorbidities of autism but that as these things _are_ comorbidities, they cannot be used to diagnose autism and that therefore the two things cannot possibly by the same thing.

Just for your own information, here are the clinical symptoms of mercury poisoning and here is the diagnostic criteria for autism. But don’t just read the links I provide, go find some of your own.

After you’ve read around a bit you’ll probably conclude as I did: The idea that the two tally is ridiculous. However, Kathleen made me aware of a commentary piece in Pediatrics that backs up my position. I didn’t even know it existed until now so ‘thanks’ to Kathleen for posting its details.

Here’s a few quotes from the commentary – the full piece is available from the link I provided.

In mercury poisoning, the characteristic motor findings are ataxia and dysarthria. These signs, along with tremor, muscle pains, and weakness, are noted on relatively high-dose exposure, acute or chronic. In 3 Romanian children accidentally exposed to ethyl mercury in a fungicide, these same symptoms were prominent. The outcome of fetal methyl mercury poisoning in severe form also included spasticity. In contrast, in autism, the only common motor manifestations are repetitive behaviors (stereotypies) such as flapping, circling, or rocking. Persons with Asperger syndrome may be clumsy, and hypotonia has been noted in some infants with autism; the frequency of clumsiness and hypotonia in autism spectrum disorders is not established. *No other motor findings are common in autism*, and indeed *the presence of ataxia or dysarthria in a child whose behavior has autistic features should lead to careful medical evaluation for an alternative or additional diagnosis*.

Other signs that may appear in children with chronic mercury toxicity, such as hypertension skin eruption and thrombocytopenia are seldom seen in autism.

When severe mercury poisoning occurs in prenatal life or early infancy, head size tends to be small and microcephaly is common. Prenatal exposure to other neurotoxins—lead, alcohol, and polychlorinated biphenyls, for example—also predispose to decreased head size. In contrast, in autism increasing evidence indicates that head size and, as measured by volumetric magnetic resonance imaging, brain size tends to be larger than population norms.

At sufficient dose mercury is indeed a neurotoxin, but *the typical clinical signs of mercurism are not similar to the typical clinical signs of autism*.

Mercury poisoning and autism both affect the central nervous system but the specific sites of involvement in brain and the brain cell types affected are different in the two disorders as evidenced clinically and by neuropathology.

Nonspecific symptoms such as anxiety, depression, and irrational fears may occur both in mercury poisoning and in children with autism, but overall the clinical picture of mercurism—from any known form, dose, duration, or age of exposure—does not mimic that of autism.

What Am I Missing?

13 Oct

JB Handley, golden boy of Generation Rescue recently spoke to another newspaper. I thought the reporter did a very good job of showing both sides of the issue (Kirby, Olmsted take note).

I did however, have to read the article a few times until it sunk in. These were the passages that confused me.

Jamie’s moods progress fluidly from joy to concentration to panic. He has full run of his parents’ sprawling home, a hypoallergenic realm with wool carpets, insulation made from blue jeans and HEPA filters to clean the air.

One afternoon this summer, Jamie dragged his father by the finger to a mattress in the middle of the basement floor and, holding onto both of his hands, began jumping up and down, lofting higher and higher with each leap. The game was an autistic obsession. The blond boy sprang up again and again, never tiring, his face frozen in an expression of total joy.

Jamie eventually moved from the mattress to his train set, another obsession, and later to the table, where he covered reams of paper with spiraling circles, using his teeth to uncap each pen in the box until all the lids and pens lay on the floor where he cast them aside. All the while, he didn’t speak a word.

Three months later, Jamie had learned to point at things he wanted and to wave goodbye. He still screamed shrilly, ran back and forth, and didn’t speak in front of a reporter. His parents have augmented the biomedical regimen with other treatments—speech and occupational therapy and applied behavioral analysis, an intensive program that teaches autistic children to mimic “normal” behaviors, like waving goodbye.

So what am I confused about? Well, Jamie sounds exactly like my child. She does all the things Jamie is listed as doing above. In fact, in terms of her progress, she sounds ‘further along’ than Jamie. She has a few words now and the beginnings of a sentence or two although of course, like Jamie she has setbacks and meltdowns.

In fact the only appreciable difference between them as far as I can tell is that JB and Lisa chelate Jamie and we don’t chelate our daughter.

As I say, I’m totally confused. I thought chelation was supposed to ‘cure’ or ‘reverse’ autism? I was expecting to read about a Son-Rise style reversal where Jamie is verbal, engages constantly with the reporter etc. What I’m reading here is the normal progression of an autistic child. Now, granted I don’t know the exact program that Jamie is on but I know he must’ve been on it for a few months now. I’m also aware that he’s on TD DMPS. Read into that what you will.

I don’t mind admitting I’m a bit shocked by this. I was curious as to what a ‘recovered’ autistic child would be like and now it seems I have my answer – they’re just like an autistic child but without the sometimes painful comorbidities. If the Handley’s have removed those painful comorbidities then they’re to be congratulated. I am, however, at a loss to explain their statement that:

evidence that their cure is working can be seen in Jamie’s behavior

Cure for what? Mercury poisoning? Possibly. Autism? I really don’t think so. I didn’t before but I’m even less convinced after reading this.

Where Are All The Adult Autistics?

5 Oct

Anyone remember David Kirby?

Citizen Cain who had a dialogue going with Kirby for awhile probably does. Unfortunately, since CC showed Kirby how wrong he was Kirby’s gone very very quiet on that front.

One of the big – if not the biggest – dependencies that the whole autism = thiomersal poisoning rests on is the existence of the so-called ‘autism epidemic’. Without the ‘epidemic’ there is no rise in prevalence and without a rise in prevalence there is no mystery surrounding the causes of autism. In fact, if there’s no epidemic then this refutes the idea that thiomersal causes autism as the amount of thiomersal (before its removal) in vaccines rose sharply. Without a corresponding ‘epidemic’ the whole shebang is dead in the water.

One of the key points then become the existence of adults on the spectrum. If they exist in large numbers then there can be no real rise in prevalence and hence no epidemic. As David Kirby himself said:

When it comes to autism, here is one of the key questions we should be asking: if autism…..has always been prevalent at the same constant rate, then where are the 1-in-166 autistic 25-year-olds (those born in 1980)? Where are the 1-in-166 autistic 55-year-olds? Why can’t we find them?

David Kirby

Firstly, lets note that the 1 in 166 figure is in hot dispute and based on the California DDS numbers which California themselves say are not reliable for tracking autism prevalence (see Citizen Cain link above).

The big problem with answering Kirby’s question is that these people are not tracked and recorded accurately – or at all in some places. However, thats not the point. Kirby is saying they don’t exist in high enough numbers. Whilst its impossible to prove or disprove that exact point its easy to demonstrate that there are a _lot_ of adult autistics.

A 2004 audit on ASD in Scotland tried to present on overall report on the ‘state of ASD knowledge’ in Scotland. Most striking to me as I read the report was the comments that each local authority/NHS partnership had regarding an answer to the following question:

Research tells us that prevalence rates of autistic spectrum disorder represent an underestimate. To what extent do you consider the numbers above to be an accurate reflection of all those who live in your area?

Argyll & Bute Council
It is believed that the figures represent a significant under-representation of those with ASD in Argyll and Bute. This was thought to be due to a historical under-diagnosis and the absence of clearly defined referral pathways and multi-agency assessment processes for adults.

East Renfrewshire Council, NHS A&C and Greater Glasgow NHS
…as a result of changing patterns of diagnosis over recent years there are likely to be substantial numbers of adults with ASD who are not known to services and are not diagnosed as having ASDs.

AYRSHIRE AND ARRAN
It is apparent that information collection and collation for adults is almost non existent.

DUMFRIES AND GALLOWAY
There is little doubt that this number is far short of the actual number of adults in Dumfries & Galloway with ASD.

GRAMPIAN
There is low diagnosis for longstanding clients, whom workers are aware have autism as well as a learning disability.

HIGHLAND
It is believed that these figures comprise a significant underestimate due to the lack of a diagnostic process particularly for adults. It is believed that the figures for younger children are accurate due to the development of diagnostic tools for children are accurate due to the development of diagnostic tools for children and the establishment of multi-disciplinary partnerships which include education.

LANARKSHIRE
The estimated numbers provided for the pre-school and primary school ages are thought to be a reasonably accurate reflection of the true picture. However the estimated number of secondary school children is less accurate and the estimated number of adults with ASD is likely to be a considerable underestimate of the true prevalence.

ORKNEY
Figures for children are an accurate representation of needs. One or two children may yet be diagnosed. Figures for adults are under estimated as diagnosis has not been made and access to specialists is variable.

Perth & Kinross Council
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.

Pretty interesting stuff I think you’ll agree. This means that about 45% of the areas questioned said that the prevalence for adults was grossly underestimated, badly reported and that a lot of these adults exist without diagnosis.

A secondary question also of note asked:

What changes are there in demand in the last 5 years? Are there increased numbers? If so, what do you attribute this to?

Just about every area reported an increase and all areas attributed to either, reclassification of some people (especially adults) from Learning Difficulties to ASD, increased awareness of ASD generally and in medical circles and improved diagnosis. Perhaps the most amusing answer came from whomever compiled the reports for Shetland who said:

Demand for diagnosis, therapy, respite and alternative treatments. Any increase in numbers is attributed to jungle/grape vine, internet, parent support group and media.

Maybe David Kirby should pack the second revised draft of Evidence of Harm into his Sporran and come and find some decent research. That would make a nice change for him.

Pinks Disease And Autism

27 Sep

NoMercury, the website of Dr Alan and Lujene Clark RN is a website dedicated to proving the idea that mercury causes autism. Alan Clark writes a loooooonngg open letter about it – an amassing of the evidence one assumes – in a page amusingly entitled ‘the science’.

Lots of people (including me) have debunked a lot of whats on that page and what the Clark’s believe and more will do so in the future no doubt. What I’ve been meaning to tackle for some time is their attempt to provide historical medical data to back up their claims that mercury causes autism.

In order to do this, they make use of a form of mercury poisoning called ‘Pinks disease’ which is a phenomenon rarely seen these days but which went through a few periods of high prominence, particularly in the early 20th century and again in the mid 50’s in the UK.

The Clarke’s make use of Pinks disease in order to try and explain why thiomersal only causes autism in such a very low set of kids:

Why does mercury toxicity at levels found in vaccines seem to only affect a subgroup of children, predominantly males? History provides the answer. The same target subgroup was noted in the early 20th Century during the epidemic of Pink’s Disease (Acrodynia) that was determined to be caused by mercury in teething powders given to children. About 1 in 500 children were afflicted, and some died as a result of this toxic insult.

Firstly, lets note that despite Clark’s claims above neither he nor Pinks disease reveal why autism affects mainly boys. There are no valid scientific theories that account for that fact. And lets be clear – in order for thiomersal to be taken seriously as a causative of autism, there damn well needs be. The absence of such data is (just like the evidence against the so called autism epidemic) another major unraveling of the conspiracy-theorists shroud of mystery.

Clarke then goes on to quote Dr. Thomas Clarkson, who, in his ‘The three modern faces of Mercury’ said:

It is interesting that not a single case of Acrodynia has been reported from exposure to vaccines despite the propensity of thimerosal to produce this syndrome when given in sufficient amounts.

Which is a great point. Clarke, of course, takes issue with it:

That remark is quite interesting in the face of many parental reports of just such a rash occurring in their child after a bolus of Thimerosal-laden vaccines in the 1990’s.

He then goes onto ‘prove’ his point by linking to a PDF on his own site that not only details a case study of Pinks disease but includes pictures so we can judge how Pinks disease makes kids hands and feet pink.

Intriguingly, I came across a differing version of these exact same images. There were two main differences between this report and the Clark’s – firstly, the report I found is hosted on a medical science database which tends to lend it a bit more credence. And the second difference? Well go see for yourself. Is it just me or has the level of ‘pinkness’ seemingly and magically drained away from the report on the Clarks website? Far be it from me to accuse anyone in the Clarke household of being a dab hand with Photoshop but if I was told I was going to look at something called Pinks disease I’d expect something more along the lines of whats on the Science site than whats on the Clarks site. You, Dear Reader, can make up your own mind.

Clarke then goes on to say:

Acrodynia is probably the most widely recognized form of mercury poisoning. Its symptoms have been documented as early as 1931 by Bancroft, Grant, Tanner, et al (Journal Lancet 71:56, 1931) and studied more extensively in the 1950’s by Warkany and Hubbard. In fact, a statement in some of their earlier work *is almost eerily predictive of the symptoms we are seeing today* since the iatrogenic exposure to mercury was increased significantly by the rapidly expanded immunization schedule beginning around the early 1990’s. Have their words from 1953 come back to haunt the medical community because mercury was left in vaccines?

Fascinating stuff. Except Clarke glosses over the pathology of Pinks disease. I mean, from what Clarke says about Pinks disease above you’d expect the pathology of Pinks and autism to be very similar.

The child becomes listless, no longer interested in play, restless and irritable. Generalised inconsistent rashes, which are protean, recur from time to time. Early, the tips of the fingers, toes, and nose acquire a pinkish colour and later the hands and feet become a dusky pink, with patchy areas of ischemia and cyanotic congestion. The colouring shades off at the wrists and ankles. These changes in the extremities are the most distinctive features of the syndrome and are responsible for the term pink disease. Frequently the cheeks and the tip of the nose acquire a scarlet colour.

As the disease becomes established, the sweat glands are enormously dilated and enlarged and perspiration is profuse. Secondary infection may lead to a severe pyoderma (a pus-like skin disease). There is desquamation of the soles and palms, which, though usually superficial, may be severe and recur during the course of the disease. The fingers and toes appear oedematous; the swelling is due to hyperplasia and hyperkeratosis of the skin. An outstanding symptom is constant pruritus with excruciating pain in the hands and feet. Children will rub their hands together for hours, and older children will complain of a severe burning sensation.

The nails become dark and frequently drop off. Occasionally, gangrene of the toes and fingers develop and trophic ulcers may result from the constant rubbing of the hands and feet. The hair tends to fall out and is often pulled out by the child.

There is photophobia without evidence of local inflammation of the eyes. The children shield their eyes or bury their faces in their pillows. The lax ligaments and hypotonia permit the children to assume unusual positions. In extreme cases the teeth may be lost; necrosis of the jaw bones frequently follows. Initially, the gums appear normal except for a slightly deeper red colour, later they become inflamed and swollen. Salivation then becomes pronounced, and the saliva often flows from the mouth in a constant stream. Anorexia is prominent, but because of the excessive perspiration large quantities of water are consumed. There may be diarrhoea and prolapse of the rectum is a frequent complication. The blood pressure and pulse rate may be increased significantly. Fever is usually not present unless there is some complication such as urinary tract infection or bronchopneumonia. Neurological symptoms are an important part of the syndrome and include neuritis, mental apathy, and irritability.

Early in the disease the tendon reflexes may be normal or increased, but later they disappear. There is not a true motor paralysis, but because of the soft, flabby musculature the child has no desire to walk and is hypotonic, listless and hypomotile. The severe pain prevents normal sleep. There is no time when a child with acrodynia appears happy or comfortable; the child does not play or smile, but appears dejected and melancholic, a picture of abject misery.

Neonatology.

Does that sound anything – anything at all – like autism or autistic people you know? No, me neither. Clarke follows up with what one assumes is his knock out blow – ‘Autism – a Novel Form of mercury Poisoning’. A study that wasn’t good enough to make it into a proper science journal. One of the conclusions in that study and which Clarke points proudly to is:

Due to the extensive parallels between autism and HgP [mercury poisoning], the likelihood of a causal relationship is great.

Er, yeah. Extensive parallels. Right. It seems that the medical science of the time (and now) says that Pinks disease has a causal relationship with mercury. It also seems very obvious to me that Pinks disease shares no commonality with autism whatsoever. It also seems clear to me that Clark uses Pinks disease in a vague manner with nothing substantive to back up his assertion at all. We’re back to square one: Yes, mercury is bad – no there’s no evidence it causes autism.

Chelation Therapists Are Spammers

7 Sep

Its no secret in the SEO (search engine optimisation)community that blogs are structured to do very well in search engines. The centrality of the subject together with the bonding of ever-growing communities means most search engine algorithms spider blogs perfectly.

Consequently, anyone wishing to do well in Search Engine rankings could do worse than get themselves a blog. And so, we finally come to blog spam – the setting up of a blog that is maintained solely to push people towards commercial products.

Its no surprise that a murky subject like Chelation has its practitioners indulging in blog spam. The underhand always find an underhand way of bucking the system.

Let me welcome you to ChelationTherapyTKV. Quite obviously a spam blog due to the fact that is totally dead apart from ‘Sarah’ its alleged owner. This spam blog is relatively new and thus won’t do very well in search engines yet. In another 9 months or so it should be doing very well for its keyphrases. And boy aren’t _they_ obvious? Nearly _one tenth_ of all words on the front page alone were ‘chelation’. And they made sure the ,

and elements were well populated too. Oh and of course, there’s the obligatory AdSense campaign as well.

And tucked away in the in page links – what do we find? Links to very er, reputable companies such as….Energy Patch. Not _too_ sure how this applies to Chelation but hey – they probably were prepared to pay more for the link on the home page of the blog.

They also link to ArticleInsider which appears to be another SEO spam trap. “Click here for a leading Chelation Therapy for Autism resource” screams the page and helpfully links to CardioRenew – a bunch of quacks pushing EDTA for heart patients. Great autism resource. But wait – ArticleInsider has *loads* of helpful links on the left: if you visit every page you get a different Chelationist link everytime – I wonder how much the chelationists paid these spammers to set up the campaign?

Anyway, back to the blog. Yet another ‘article’ stuffed full of keywords and engine-friendly spam links us through to another spammed up landing page (a landing page is exactly what it sounds like – a page specifically set up for spammers to point to which in turn points to lots of different commercial spammers) – welcome to the authoritative Find Articles where no tin of spam is left unturned to aid you in your search for quackery. Google throw pages like this off their index each and every day. But first they have to know about them so I helpfully reported this virtual stew of spammery.

I also came across the caring folk at the Sanoviv clinic. How cool is that? Even big shot clinics pay for spammers to peddle their shit.

And so it seems that Chelation has joined forces with porn peddlers, Viagra hucksters, penis enlargement specialists, Telesales, phishers and other assorted lowlife. Quelle surprise.

Chelation: Discarded By Most Parents

4 Sep

In a recent study entitled:

Internet survey of treatments used by parents of children with autism.

Vanessa A. Green, Keenan A. Pituch, Jonathan Itchon,Aram Choi, Mark O’Reilly, Jeff Sigafoos of the Department of Educational Psychology at the University of Texas looked at what treatments those parents (worldwide) who used interventions with their autistic kids actually used. They had 552 usable returns. One of the most fascinating bits of the study was the fact that they asked parents to indicate next to each of the 111 treatments listed what they used _now_ and what they’d used in the _past_.

The most popular treatment, coming in at number 1 for 70% of parents currently using it and 23.2% who used it in the past was Speech Therapy. Next was Visual Schedules, Sensory Integration, ABA and Social Stories. In each of these treatments the percentage using it now was higher than the percentage who used to use it and stopped for some reason.

Most interesting to me was the position of Chelation. Chelation was the 33rd most popular treatment garnering 7.4% of the vote for parents currently using it (its less popular than Homeopathy). Fascinatingly though, the percentage of parents who used to use it and who went on to abandon it came in _higher_ than that at 7.8%.

Detoxification came in bottom as the least popular treatment for the main groupings of treatment (as oppose to individual treatments) and also came bottom for all 3 main ‘severity’ groupings for autism (AS, Mild and Severe)

The authors say:

Comparison of past and current use (Table 2) suggests that many treatments were implemented for a period of time, but then abandoned. We do not know how long such treatments were used nor why they were discontinued.

I can hazard a guess. Recently Erik Nanstiel of AutismMedia (a pro-Chelation propaganda site) told me that Chelation typically lasts for 18 months to 2 years. I surmise that given that more people used to use chelation than use it now, it was tried for this period and found to be ineffective and abandoned in favour of more useful treatments.

It cannot, however, be due to recovery. This survey was taken by parents who’s kids were still considered autistic and who were all still trying differing treatments. If the Chelation had worked, these parents would have no need of any more treatments.

Also of interest was the authors finding that:

The mean number of current treatments being used by parents was seven, which was similar to the mean number of treatments used in the past (n = 8).

So it seems that Chelation is rarely used in isolation. Given that, it seems highly unlikely to account for unmitigated success reported by some parents.

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