Feb 01, 2008 - comments
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I just read Time magazine Jan 12 issue "Is the Autism Epidemic a Myth?"
The word "Epidemic" conjures up fear. The word sparks funding and research and action, no doubt. Just remember the polio epidemic in the USA. Perhaps when termed as an epidemic, maybe a single cause may be found and a vaccine can be developed such as the case with Polio, Measles, Chicken pox and a host of other epidemics in the world. Yes, maybe modern science can work to eradicate autism. As we eradicate autism, we can eradicate people with new perspectives, picturesque speech, accurate communication modalities (persons with autism tend to say what they mean and not rely on awkward non-verbal "addendums").
Okay, let's look at the numbers: before 1990 the incidence of autism was reported to be 4.7 out of every 10,000 American children and now we have about 60 per 10,000. So, the INCIDENCE of autism diagnoses has increased in the last ten years. I will concede that fact.
Let us also consider how the definition of autism has changed in the past ten years. Also what was considered a medical definition has also become a definition in the educational system nomenclature which didn't exist prior to 1990.
Quoting Time:
BROADER DEFINITIONS Each successive edition of the Diagnostic and Statistical Manual of Mental Disorders--the bible of mental health--has revised the criteria for identifying autism in ways that tend to include more people. Two conditions on the milder end of the autistic spectrum--Asperger's syndrome and the awkwardly named PDD-NOS (pervasive developmental disorder, not otherwise specified)--were added to the DSM in 1994 and 1987, respectively.
CLAUDIA WALLIS Is the Autism Epidemic a Myth? Time Friday, Jan. 12, 2007
U.S. schools are required to report data on kids who receive special-education services, but autism wasn't added as a category until the 1991-92 school year. No wonder the numbers exploded--from 22,445 receiving services for autism in 1995 to 140,254 in 2004.
CLAUDIA WALLIS Is the Autism Epidemic a Myth? Time Friday, Jan. 12, 2007
Here we not only have a moving target, but an expanding target. When I aim at my deer, he expands to the size of a moose.
I also believe autism is being identified for what it realy is and professionals are more aware of autism. Decades ago, "autism" was used synonomous with "childhood schitzophrenia." Let us remember that both autism and Aspergers syndrome was first identified in 1943. Prior to that, centuries ago, the Irish culture believed that fairies stole their "normal' child and replaced them with "fairy children". Prior to that, the diagnosis of demon posession or witchcraft was prevelant.
I am not yet convinced that "it's in the water" or "in the vaccines" or whatever.
The article also makes a valid analogy:
"Where are all the adults with fetal alcohol syndrome?"... No one over 40 has the condition, thought to affect up to 1 in 500 kids today, because it was not recognized until the mid-'70s. But no one would say alcoholism among pregnant women just started,"
CLAUDIA WALLIS Is the Autism Epidemic a Myth? Time Friday, Jan. 12, 2007
So the points raised in the article are well-taken: It may be easier for some to refer to the increase in the INCIDENCE of autism as an epidemic (especially for political funding purposes) than to think in terms of expanding definitions and an increased scientific awareness.
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