Tag: autism epidemic

Does Congress Really Agree About Vaccines?

Believe it or not, Congress has a lot to do with whether or not folks get vaccinated.

“As Members of Congress, we have a critical role to play in supporting the availability and use of vaccines to protect Americans from deadly disease.”

Sens. Lamar Alexander et al Dear Colleague Letter

We saw what happened in the mid-1980s when Federal funding for vaccine programs went down – we got measles outbreaks.

Congress and Vaccines

But it isn’t just that members of Congress have their fingers on the purse strings.

Over the years, while the great majority of lawmakers do agree that vaccines work and that they are safe and necessary, a few have created unnecessary fear about vaccines and have likely scared parents away from vaccinating and protecting their kids.

Remember when Michele Bachmann went on the Today Show with Matt Lauer and told her HPV vaccine story?
Remember when Michele Bachmann went on the Today Show with Matt Lauer and told her HPV vaccine story?

And then there are the Congressional hearings…

Remember Dan Burton?

The former Republican member of the U.S. House of Representatives from Indiana (1983-2013) has been described as being “antivaccine through and through” and “organized quackery’s best friend in Congress.”

Dan Burton held over 20 Congressional hearings trying to prove that there was a link between vaccines and autism.

Because he thinks that his grandson developed autism from vaccines, Dan Burton continues to believe that vaccines are associated with autism.
Because he thinks that his grandson developed autism from vaccines, Dan Burton continues to believe that vaccines are associated with autism.

Hearings that gave a high profile platform to Andrew Wakefield and are best described as:

“carefully choreographed to generate as much negative feeling toward the vaccination system as possible.”

Arthur Allen on Vaccine The Controversial Story of Medicine’s Greatest Lifesaver

Who replaced Dan Burton?

It seems to be U.S. Congressman Bill Posey (R-FL), who has been described as “vying to take over the title of the most antivaccine legislator in the U.S. Congress since Dan Burton retired.”

He got a little help from Rep. Darrell Issa, who conducted a meeting of the Subcommittee of Government Operations in 2014, Examining the Federal Response to Autism Spectrum Disorders.

“Okay. Let’s stop it right there. Because every time we have ever talked about doing one of those studies, some idiot in the media says I am suggesting that children intentionally don’t get vaccinated. And I don’t know that anybody ever has ever proposed that. But there are plenty of children whose parents will not allow them to be vaccinated. There are plenty of cultures where children are not vaccinated. And there are other reasons children are not vaccinated. And there are children who take large doses of vaccination, and children whose parents decide to have them take one vaccination at a time to avoid thimerosal. And I have not been able to ascertain that there has actually been a legitimate study done that wasn’t tainted by the touch of the international colossal scumbag Poul Thorsen.”

Rep. Bill Posey questioning NIH Director Thomas R. Insel, M.D. in the Congressional hearing on Examining the Federal Response to Autism Spectrum Disorders

Who else might be joining him?

Since the verbal evidence she hears says kids are getting too many vaccines, Rep Maloney asks the CDC Director why we can't just space out the vaccines kids get...
Since the verbal evidence she hears says kids are getting too many vaccines, Rep Maloney asks the CDC Director why we can’t just space out the vaccines kids get…

There is Rep. Carolyn Maloney (D-NY).

Maloney also spoke at a 2012 hearing planned by Rep. Darrell Issa (R-CA) on the federal response to rising autism rates.

“Are you looking at vaccination? Is that part of your studies? I have a question. Are you looking at vaccination? Are you having a study on vaccination and the fact that they’re cramming them down and having kids have nine at one time. Is that a cause? Do you have any studies on vaccination?”

Rep. Carolyn Maloney (D-NY) in a hearing on Rising Autism Rates

Rep. Carolyn Maloney was also a co-sponsor of Rep. Bill Posey’s 2015 Vaccine Safety Study Act bill, which called for “a comprehensive study comparing total health outcomes, including risk of autism, in vaccinated populations in the United States with such outcomes in unvaccinated populations in the United States, and for other purposes,” even though many experts have long pointed out the problems with using intentionally unvaccinated folks as a comparison group.

But Rep Maloney got her start long before Bill Posey ever came to Congress…

In 2006, in response to a series of articles by Dan Olmstead, who later created the website, Age of Autism, Rep Maloney held a briefing at the National Press Club where she proposed the Comprehensive Study of Autism Epidemic Act of 2006, a bill that sounds awfully similar to Posey’s Vaccine Safety Study Act.

Rep. John Duncan (R-TN) was another co-sponsor.

But we shouldn’t forget Rep. Dave Weldon MD (R-Fl), who introduced the Mercury-Free Vaccines Act of 2004 and the Vaccine Safety and Public Confidence Assurance Act of 2007. Weldon also sent a number of letters to Julie Gerberding questioning a study about thimerosal by Thomas Verstraeten, a study that was investigated and cleared by Senator Mike Enzi (R-WY) and the Senate Health, Education, Labor and Pensions (HELP) Committee in 2005. Because he was a doctor, Rep. Burton also had Weldon do a lot of the questioning during his hearings.

And there is also Rep. Christopher Smith (R-NJ), who was a cosponsor when  Maloney reintroduced the Vaccine Safety and Public Confidence Assurance Act in 2009.

Not surprisingly, many of these members of Congress have been getting donations from anti-vaccine organizations.

Henry Waxman was a featured speaker at the 2015 AAP Legislative Conference.
Henry Waxman was a featured speaker at the 2015 AAP Legislative Conference.

In contrast to all of the folks above, there was Rep. Henry A Waxman (D-CA), who retired after 40 years in Congress, but not before:

  • fighting back against Dan Burton’s misinformation in his hearings about vaccines
  • introducing the Vaccine Access and Supply Act of 2005
  • authoring the stand-alone Vaccines for Children legislation that was included in the Omnibus Budget Reconciliation Act of 1993 that created the Vaccines for Children (VFC) Program
  • introducing the National Childhood Vaccine Injury Act of 1986

But his work on vaccines has probably been the most low-profile thing that Waxman did, which is why he is often described as “one of the most important Congressman ever.”

You’ll never hear that said about Dan Burton, Bill Posey, Dave Weldon, or Carolyn Maloney…

More on Congress and Vaccines

Myths About Thimerosal in Vaccines

Over the years, especially since thimerosal was removed from most vaccines, the myths about thimerosal have surprising been increasing.

“Currently, the actions taken by the vaccine manufacturers, the FDA and the CDC have increased the possible maximum childhood exposure to mercury from vaccines to twice the level that triggered the 1999 call to remove mercury from all vaccines as soon as possible!”

Rev. Lisa K. Sykes on “Ten Lies” Told About Mercury in Vaccines

Of course, none of them are true.

Myths About Thimerosal in Vaccines

To begin with, there was no “call to remove mercury from all vaccines as soon as possible.”

Instead, as a “precautionary measure,” the AAP asked vaccine manufacturers “for a clear commitment and a plan to eliminate or reduce as expeditiously as possible the mercury content of their vaccines.”

“In addition, today most tetanus shots and the multi-dose Sanofi Menomune vaccine that are approved by the US Food and Drug Administration (FDA) still contain 25-micrograms-a-dose mercury.”

Rev. Lisa K. Sykes on “Ten Lies” Told About Mercury in Vaccines

Other myths about thimerosal include that:

  • After “realizing” the amount of mercury in the childhood vaccination schedule recommended by the CDC exceeded all national and global maximum safety limits, the American Academy of Pediatrics and the United States Public Health Service called for the immediate removal of Thimerosal from all vaccines on July 7, 1999. – the amount of thimerosal in the childhood immunization schedule actually only exceeded EPA guidelines and was well below the guidelines of the Agency for Toxic Substances Disease Registry (ATSDR) or the FDA. Also, since thimerosal-free versions of DTaP and Hib have always been available, only “a minority of infants could receive as much as 187.5 mg of ethylmercury during the first 6 months of life.”
  • children are getting even more mercury from vaccines today than when mercury was removed from vaccines, because pregnant women and kids get flu shots now – this theory doesn’t take into account that thimerosal-free flu vaccines have been available since 2003 and until recently, many kids didn’t get flu shots. For example, during the 2008-09 flu season, only 25% infants and toddlers were fully vaccinated against flu and even fewer pregnant women got flu shots (about 15%). The only way this myth could possibly be true would be if these folks all got a flu vaccine with thimerosal each and every year.
  • even as thimerosal was removed from the DTaP, Hib, and hepatitis B vaccines, kids still got exposed to thimerosal from other vaccines, like Menomume, the meningococcal vaccine –  Although Menomume contained thimerosal, it had only been recommended for high risk kids since it was approved in 1981. It was later replaced by Menactra and Menveo, both of which are thimerosal-free, and which were recommended to all kids as they provided better coverage. Menomume was discontinued in 2017 and it is unlikely that many kids got it once Menactra and Menveo became available.
  • kids still get a tetanus shot with thimerosal – yes, they did, at least until the Tdap vaccines were approved in 2006. Tdap is thimerosal-free.
  • Thimerosal has never undergone even one modern safety test. – although mercury can be toxic, the thimerosal in vaccines has been shown to be safe. That’s not surprising – remember, “the dose makes the poison.”
  • Published studies have shown that Thimerosal and its mercury breakdown product contribute to: Alzheimer’s, Cancer, Autism Spectrum Disorders, Attention Deficit Disorders, Bipolar Disorder, Asthma, Sudden Infant Death Syndrome, Arthritis, Food Allergies, Premature Puberty, and Infertility. – thimerosal in vaccines doesn’t cause any of these things, but you can probably find a published study somewhere saying that thimerosal causes Alzheimer’s, cancer, or food allergies, etc., but that just points to how important it is to look to trusted sources of information, as almost anyone can publish a bad study
  • Contrary to sound bites you hear on the nightly news, to be “anti-mercury” is not to be “anti-vaccine.” – if this is true, then why did Robert F. Kennedy, Jr write an editorial against University of Colorado students who passed a resolution for meningococcal B vaccines, which are thimerosal-free? And why push so much propaganda about thimerosal?
  • Corresponding to the sharply increasing level of mercury in the immunization schedule globally, which started in the late 1980’s, there has been an increasing rate of autism among children. This also explains why autism among 40-, 50-, 60-, 70- and 80-year-olds is not epidemic, but rather rare. – this is one of the main problems of the anti-vaccine movement… if you believe that autism is an epidemic, then there must be a cause and it becomes easy to blame vaccines. You also have to ignore the fact that there are plenty of autistic adults.
  • Among the Amish who do not vaccinate, the rate of autism is strikingly low. – there are autistic Amish
  • Unused vaccines with a preservative level of Thimerosal, however, are considered hazardous waste because of their high mercury content. If not injected into patients, discarded vials of these mercury-preserved vaccines, therefore, must be disposed of in steel drums, by law. – this is not true – at all… you also don’t have to call a Hazmat team if you break an unused vaccine vial with thimerosal…
  • …instead of requiring immediate removal, the CDC allowed the pharmaceutical companies to save money by using up their inventories of mercury-containing vaccines. By 2003, the industry had finally used up stocks of thimerosal-containing vaccines and Thimerosal is no longer used in these three vaccines. – the only basis for this statement is that the last thimerosal containing DTaP, Hib, and hepatitis B vaccines expired in 2003, but it is important to keep in mind that most vaccines are used well before their expiration date. In fact, many doctors order vaccines every month, so as to not keep large supplies of vaccines in their office, and since thimerosal-free versions were already available, those likely would have been ordered.
  • The term “trace amounts” means less than 1 microgram (mcg). Thimerosal-containing flu shots contain what in biochemical terms is actually a massive dose of mercury: 25 mcg. – vaccines labeled as having a trace amount of thimerosal have less than or equal to 1mcg, while others are clearly labeled as having up to 25mcg.
  • Why do I call that massive? Because the Environmental Protection Agency’s maximum exposure limits for methyl mercury is .1 microgram per 1 kilogram of bodyweight, which means a baby would have to weigh 550 pounds to safely absorb 25 micrograms of mercury. At these levels, a growing fetus in a mother receiving the flu shot could get up to a million times the EPA’s safe levels. – wait, what? First, that is the maximum recommended daily exposure limit based on the assumption that the exposure to mercury will continue for long periods of time. That’s not the case when a pregnant woman gets a one time flu shot. And it is the pregnant mother who is getting the flu shot, not the baby. Although some thimerosal will cross the placenta, it is still not in levels that will cause harm, so calling the dose massive ends up just being an obvious propaganda tool to scare folks.
The review, Thimerosal and Autism?, explains why autism and mercury poison really don't share symptoms.
The review, Thimerosal and Autism?, explains why autism and mercury poison really don’t share the same symptoms.
  • Autism and mercury poisoning have the same symptoms. – they don’t… In fact, there are many reports of epidemics of mercury poisoning throughout history that weren’t associated with autism, including in Minamata and Niigata, Japan, exposures from mercury in teething powders and worm medicines (pink disease), and food contamination in many countries.

“Yet mercury had long been the every-day treatment of infants at the time of teething in the form of teething powders.”

Ann Dally on The Rise and Fall of Pink Disease

Although it is hard to believe now, mercury wasn’t taken out of teething powders until 1957, after which time pink disease quickly disappeared. Why was mercury in teething powders in the first place? Unlike thimerosal in vaccines, I don’t think it was acting as a preservative, as it sounds like it was present in very high doses. So there was a lot of risk with no benefit.

Sounds like the opposite of what we had with thimerosal in vaccines – lots of benefit (vaccines didn’t get contaminated) with no risk.

But taking thimerosal out of vaccines was risk-free too, wasn’t it?

Nope. That’s another myth.

“Unfortunately, the precautions taken by the AAP and CDC calling for thimerosal removal from vaccines appears to have led to unintended risks. In particular, inappropriate recommendations by autism advocacy groups regarding treatment of autism (e.g., use of chelation) and avoidance of vaccines (e.g., influenza vaccine) may mislead parents to place children at unnecessary risks.”

Hurley et al on Thimerosal-Containing Vaccines and Autism: A Review of Recent Epidemiologic Studies

In addition to anti-vaccine folks continuing to push myths about thimerosal to scare parents away from vaccinating and protecting their kids, some missed out on getting vaccinated and caught life-threatening vaccine-preventable diseases.

What to Know About Thimerosal in Vaccines Myths

Don’t believe any of the myths about thimerosal in vaccines. Vaccines are safe and necessary.

More on Thimerosal in Vaccines Myths

Are You Too Scared to Vaccinate Your Kids?

These days, if a parent suggests to their pediatrician that they might want to skip or delay their child’s vaccines, it is typically not because they are afraid of any association with autism, or because they have been influenced by Jenny McCarthy or Andrew Wakefield, or even because they have done a lot of research.

It is mostly because they are scared.

Are You Too Scared to Vaccinate Your Kids?

What are they scared of specifically?

“In today’s world, smallpox has been eradicated due to a successful vaccination program and vaccines have effectively controlled many other significant causes of morbidity and mortality. Consequently, fear has shifted from many vaccine-preventable diseases to fear of the vaccines.”

Marian Siddiqui et al on the Epidemiology of vaccine hesitancy in the United States

Surprisingly, there often isn’t anything specific that they are scared of. That’s unfortunate, as it makes it harder to offer reassurance when they don’t have specific questions or concerns.

Still, something is scaring these parents, sometimes to the point that they have panic attacks if they even think about vaccinating their kids.

“…many parents are inundated with horror stories of vaccine dangers, all designed to eat away at them emotionally while the medical and scientific communities have mounted their characteristic response by sharing the facts, the data, and all of the reliable peer-reviewed and well-cited research to show that vaccines are safe and effective.”

Federman on Understanding Vaccines: A Public Imperative

What has them so scared?

Could it be:

Whatever it is, it builds up to the point to where these parents fear the risks of vaccines more than they fear the risks and complications of vaccine-preventable diseases.

As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks.
As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks. Photo by WHO

That’s not surprising.

After all, why fear polio, measles, diphtheria, or tetanus, etc., if you have never had or known anyone that has had one of these now vaccine-preventable diseases? Why fear them, if you have never known anyone who has died with one of these now vaccine-preventable diseases?

And why trust that you should vaccinate your kids when you are likely inundated with messages about vaccines being poison, a Big Pharma conspiracy, or that you can just heal your child with some garlic and essential oils if they get sick?

Reducing Anxiety from Vaccinations

Have any ideas on how to get over your anxiety about vaccinations?

To start, learn that vaccines are safe, necessary, and they work to protect your kids and that all of the messages you are hearing about vaccines that have been scaring you aren’t true. You have probably already realized that on some level, but there are cognitive biases, heuristics, and logical fallacies that work together to change our perception of risk, keep us believing things aren’t true, and in this case, can keep you from vaccinating and protecting your kids.

It can also help to learn to think critically and be more skeptical about the things you see and read about vaccines, especially if you aren’t sure about the source of the information.

“The Internet has been identified as an important source for parents to seek and share vaccine information. There are concerns that parental fears or hesitancy on childhood immunizations are increasing due to the popularity of social media and exposure to online antivaccination sentiment.”

Tustin et al on Internet Exposure Associated With Canadian Parents’ Perception of Risk on Childhood Immunization: Cross-Sectional Study

Don’t let a small, yet vocal anti-vaccine minority scare you into a poor decision about your child’s vaccines.

What to Know About Being Too Scared to Vaccinate Your Kids

Parents who are inundated with anti-vaccine messages and misinformation sometimes get too scared to vaccinate their kids, fearing vaccines more than they fear the diseases they prevent.

More on Being Too Scared to Vaccinate Your Kids

Can I Give My Kids Tylenol When They Have Their Vaccines?

Many parents ask about acetaminophen (Tylenol) when kids get their vaccines.

Is it okay to give kids Tylenol when they get their shots?

The Tylenol and Vaccines Controversy

As you can probably guess, there is no real controversy about Tylenol and vaccines.

Instead, what we are talking about are the myths surrounding Tylenol and vaccines that anti-vaccine folks have created, including that:

  • giving Tylenol right before a child gets their shots somehow increases the risk that they will have side effects
  • giving Tylenol right after a child gets their shots somehow masks the symptoms of serious vaccine damage
  • giving Tylenol after the MMR vaccine is associated with developing autism

Fortunately, most parents understand that like other anti-vaccine misinformation, none of these statements are true.

Why do some folks believe it?

Well, there have been studies warning people about giving Tylenol before vaccines. It had nothing to do with side effects though. They suggested that a vaccine might be less effective if the child got Tylenol before his vaccines. It is important to note that they never really found that the vaccines didn’t work as well, as all of the kids in the study still had protective levels of antibodies, they were just a little lower than kids who didn’t get Tylenol.

Other studies have found the same effect if Tylenol was given after a child got his vaccines. Although interestingly, other studies have found that giving Tylenol after vaccines does not affect antibody titers.

“Antibody titres to diphtheria and tetanus toxoids and pertussis bacteria of the placebo (n = 25) and acetaminophen (n = 34) groups did not differ significantly from each other. It is concluded that acetaminophen in a single dose schedule is ineffective in decreasing post-vaccination fever and other symptoms.”

Uhari et al on Effect of prophylactic acetaminophen administration on reaction to DTP vaccination

Giving Tylenol after the MMR vaccine is not associated with autism.
Giving Tylenol after the MMR vaccine is not associated with autism.

The only thing that this had to do with side effects though, is that the kids who got Tylenol had a little less fever.

Could giving Tylenol mask something like encephalitis, which some anti-vaccine folks think can be vaccine induced?

Nope. It typically can’t even keep someone from getting a febrile seizure.

What about the association of MMR, Tylenol and autism? Although one study did suggest that to be true, the study, a parental survey, was found to be “fatally flawed.”

Can I Give My Kids Tylenol When They Have Their Vaccines?

So, can you give your kids Tylenol when they get their vaccines?

The better question is, should you give your kids Tylenol either before or after they get their vaccines?

Have some Tylenol or Motrin on hand after your kids get their vaccinations, just in case they need a dose.
Have some Tylenol or Motrin on hand after your kids get their vaccinations, just in case they need a dose. Photo by Vincent Iannelli, MD

Notwithstanding the very small chance that giving Tylenol might cause decreased immunogenicity (lower antibody production) if you give it before your kids get their vaccines, since there is a good chance that they won’t have any pain or fever and won’t even need any Tylenol, then why give it?

Skip the “just in case” dose and wait and see if they even need it.

What about afterwards?

If your kids have pain or fever and are uncomfortable, then you should likely give them something for pain or fever control, such as an age appropriate dose of either acetaminophen or ibuprofen. Will that cause lower antibody production? Maybe. Will that mean that their vaccines won’t work. That’s doubtful. It certainly won’t lead to increased side effects though, unless they a reaction to the dose of Tylenol itself.

Should you give a pain or fever reducer after a vaccine “just in case?” Again, there is a good chance that your kids might not need it, so it is likely better to wait and see if they do, instead of giving a dose automatically after their shots.

There is even some evidence that giving acetaminophen or ibuprofen before vaccines, or as a routine dose right after, especially with booster shots, doesn’t really prevent side effects that well anyway. They work better if given on an as needed basis instead, and these kinds of doses are less likely to be associated with decreased antibody production.

What to Know About Tylenol and Vaccines

Giving a pain or fever reducer either before or after your child’s vaccinations likely won’t affect how it works, but since it often isn’t necessary, it is likely best to only given one, like Tylenol or Motrin, if it is really needed.

More on Tylenol and Vaccines

How to End the Epidemic of Bad Books About Autism

Looking for a book about autism?

There are a lot of good ones, including NeuroTribes and the Thinking Person’s Guide to Autism.

Unfortunately, there are an awful lot of bad ones too.

How to End the Epidemic of Bad Books About Autism

Why are there so many bad books about autism?

That’s easy.

JB Handley is the latest to write a book about vaccines and autism, moving the focus to aluminum, now that it has become obvious that removing thimerosal from vaccines didn't affect autism rates.
JB Handley is the latest to write a book about vaccines and autism, moving the focus to aluminum, now that it has become obvious that removing thimerosal from vaccines didn’t affect autism rates.

Just about every anti-vaccine expert out there also thinks that they are an expert on autism. In fact, they think that they have all of the answers and can even help you cure and prevent autism.

That’s why there are books like:

  • The Autism Book: What Every Parent Needs to Know About Early Detection, Treatment, Recovery, and Prevention by Dr. Bob Sears
  • Preventing Autism: What You Can Do to Protect Your Children Before and After Birth by Dr. Jay Gordon
  • Louder Than Words: A Mother’s Journey in Healing Autism by Jenny McCarthy
  • Callous Disregard: Autism and Vaccines – The Truth Behind a Tragedy by Andrew Wakefield
  • Vaccines, Autism & Chronic Inflammation: The New Epidemic by Barbara Loe Fisher
  • The Age of Autism: Mercury, Medicine, and a Man-Made Epidemic by Dan Olmsted and Mark Blaxill

What do all of these books miss?

“Autism, as I see it, steals the soul from a child…”

Dr. Jerry Kartzinel writing in the introduction to Jenny McCarthy’s first autism book Louder Than Words

Besides the fact that there is no autism epidemic and that vaccines are not associated with autism, they miss that they are actually hurting autistic families.

“Doctors who first worked with children with regressive autism back in the early 1990s found that one of the biggest “wows” came from treating intestinal yeast overgrowth, and this benefit holds true today. Children whose diarrhea doesn’t go away with the GFCF diet usually show resolution with yeast medication.”

Bob Sears, MD on The Autism Book

From restrictive diets and antifungal drugs for yeast infections to bleach enemas and detox therapies, these books often push expensive, often unproven, sometimes disproven, and dangerous  non-evidence based biomedical treatments and cures on hopeful parents of autistic kids.

Don’t help them by buying or promoting their books.

Instead, look for better books by folks who are really helping autistic kids and don’t think they are damaged, or books by someone who is actually autistic.

What to Know About the Epidemic of Bad Autism Books

There are a lot of good books out there with helpful information if you think that your child is autistic, has been  recently diagnosed, or if you simply want to learn more about autism. It’s time to stop the epidemic of bad autism books.

More on the Epidemic of Bad Autism Books

Vaccines and the Latest Autism Prevalence Report

The Autism and Developmental Disabilities Monitoring (ADDM) Network recently released a report that showed a 15% increase in autism prevalence rates.

What does that have to do with vaccines?

Well, nothing, unless you are an anti-vaccine group that is continually trying to associate vaccines with autism.

Trends in Autism Prevalence

Just about everyone understands that autism prevalence rates have been increasing over the years. It is what makes some folks think that there is a real autism epidemic.

Using ADDM Network numbers, it is easy to see the trend:

  • 1 in 150 children in 2000
  • 1 in 150 children in 2002
  • 1 in 125 children in 2004
  • 1 in 110 children in 2006
  • 1 in 88 children in 2008
  • 1 in 68 children in 2010
  • 1 in 68 children in 2012
  • 1 in 59 children in 2014 (the latest, 2018 report of children born in 2006)

As in previous years, this new report generated headlines from anti-vaccine groups, who continue to think that any increase in autism rates is a new reason to blame vaccines.

Of course, as it is has been shown over and over again, vaccines are not associated with autism.

These CDC reports should even take away any last idea that they are.

Why?

If there was any association with vaccines, then why are autism rates so widely different in the 11 states that are tracked by ADDM?

Are immunization rates different in those states?

Autism and Developmental Disabilities Monitoring (ADDM) Network

Anyone who has read the latest report on autism rates understands that it “is not a representation of autism in the United States as a whole, but is instead an in-depth look at the 11 communities in the ADDM Network.”

Those communities have changed for each report, but this time they were in Arizona, Arkansas, Colorado, Georgia, Maryland, Minnesota, Missouri, New Jersey, North Carolina, Tennessee, and Wisconsin.

key-finding-asd-prevalence
Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014 (2018 report)

Even then, the ADDM Network doesn’t look at all of the children in those states. They are mostly looking at children near large institutions that are hosts for the ADDM Network, such as the University of Arkansas for Medical Sciences, Johns Hopkins University, and Rutgers University, etc.

The 325,483 8-year-olds in the latest ADDM Network report were born in 2006 and live in:

  • part of Maricopa County in metropolitan Phoenix, Arizona
  • 75 counties in Arkansas
  • Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, and Jefferson counties in Colorado
  • Clayton, Cobb, DeKalb, Fulton, and Gwinnett counties in Georgia
  • Baltimore County, Maryland
  • parts of two counties (Hennepin and Ramsey) including the large metropolitan cities of Minneapolis and St. Paul, Minnesota
  • Franklin, Jefferson, St. Charles, St. Louis, and St. Louis City counties in Missouri
  • Essex, Hudson, Union, and Ocean counties in New Jersey
  • Alamance, Chatham, Forsyth, Guilford, Orange, and Wake counties in North Carolina
  • Bedford, Cheatham, Davidson, Dickson, Marshall, Maury, Montgomery, Rutherford, Robertson, Williamson, and Wilson counties in Tennessee
  • Dane, Green, Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Rock, Walworth, and Waukesha counties in Wisconsin

Why is this important?

“Autism prevalence among black and Hispanic children is approaching that of white children,” said Dr. Stuart Shapira, associate director for science at the CDC’s National Center on Birth Defects and Developmental Disabilities. “The higher number of black and Hispanic children now being identified with autism could be due to more effective outreach in minority communities and increased efforts to have all children screened for autism so they can get the services they need.”

It shows that “there continue to be many children living with ASD who need services and support, now and as they grow into adolescence and adulthood.”

Immunization Rates and the Autism and Developmental Disabilities Monitoring Network

It also helps to dispell any last ideas that vaccines are associated with autism…

Just look at the immunization rates in the ADDM Network counties (4 doses of DTaP, 3 doses of IPV, one dose of MMR, 3 doses of Hib, 3 doses of HepB, 1 dose of Varicella, 4 doses of Prevnar, flu shot, and 1 dose of HepA by age 36 months) and compare them to the autism rates in those same counties.

 

County Autism Rate Immunization Rates
Maricopa (AZ) 1 in 71 DTaP 82%, IPV 91%, MMR 90%, Hib 91%, HepB 93%, Var 88%, Prev 75%, flu 32%, HepA 78%
Boulder (CO) 1 in 72 DTaP 87%, IPV 95%, MMR 93%, Hib 89%, HepB 90%, Var 93%, Prev 80%, flu -%, HepA 65%
Jefferson (CO) 1 in 72 DTaP 86%, IPV 93%, MMR 91%, Hib 90%, HepB 94%, Var 90%, Prev 83%, flu 48%, HepA 69%
Cobb (GA) 1 in 59 DTaP 83%, IPV 94%, MMR 91%, Hib 88%, HepB 93%, Var 91%, Prev 80%, flu 40%, HepA 21%
Baltimore (MD) 1 in 50 DTaP 91%, IPV 95%, MMR 95%, Hib 94%, HepB 95%, Var 93%, Prev 86%, flu 46%, HepA 61%
Hennepin (MN) 1 in 42 DTaP 88%, IPV 93%, MMR 92%, Hib 88%, HepB 93%, Var 90%, Prev 82%, flu 42%, HepA 47%
Ramsey (MN) 1 in 42 DTaP 87%, IPV 96%, MMR 93%, Hib 91%, HepB 94%, Var 93%, Prev 79%, flu 42%, HepA 63%
Jefferson (MO) 1 in 71 DTaP 83%, IPV 95%, MMR 90%, Hib 92%, HepB 95%, Var 87%, Prev 82%, flu -%, HepA 51%
Essex (NJ) 1 in 34 DTaP 81%, IPV 91%, MMR 91%, Hib 93%, HepB 91%, Var 91%, Prev 69%, flu -%, HepA -%
Hudson (NJ) 1 in 34 DTaP 78%, IPV 91%, MMR 91%, Hib 92%, HepB 91%, Var 91%, Prev 70%, flu -%, HepA -%
Ocean (NJ) 1 in 34 DTaP 84%, IPV 91%, MMR 91%, Hib 92%, HepB 91%, Var 83%, Prev 74%, flu -%, HepA -%
Union (NJ) 1 in 34 DTaP 89%, IPV 92%, MMR 92%, Hib 91%, HepB 94%, Var 91%, Prev 79%, flu -%, HepA -%
Davidson (TN) 1 in 64 DTaP 89%, IPV 95%, MMR 95%, Hib 93%, HepB 94%, Var 94%, Prev 84%, flu 50%, HepA 35%
Dane (WI)
1 in 71 DTaP 87%, IPV 93%, MMR 93%, Hib 88%, HepB 93%, Var 90%, Prev 82%, flu -%, HepA 45%

If vaccines were associated with autism, what should you see? Higher rates of autism in the areas with the highest immunization rates. You don’t see that in any of this data though, do you?

The counties in New Jersey, with the highest rates of autism, have good immunization rates, but they aren’t much different from the immunization rates in Colorado counties or Arizona counties with much lower autism rates.

Some other things we know about vaccines and the latest autism report?

  • in 2006, when those kids were born, New Jersey had one of the lowest rates for getting newborns a hepatitis B shot on their first day, as recommended, at just 23%. Arizona, with a much lower rate of autism, did much better, getting 65% of newborns their birth dose of hepatitis B vaccine on time. In fact, Maricopa County had one of the highest rates, at 71%.
  • fewer than half of their mothers likely received a flu shot during their pregnancy, even though they had been recommended since the 1990s
  • extremely few of their mothers received a Tdap vaccine during their pregnancy, as this didn’t become a routine recommendation until 2011

Does any of this surprise you?

How can vaccines be associated with autism, when counties that have higher immunization rates have lower rates of autism?

What to Know About Vaccines and the Latest Autism Prevalence Report

The latest Autism and Developmental Disabilities Monitoring (ADDM) Network report on autism prevalence from the CDC shows a rate that has increased to 1 in 59 children. And as county level trends in vaccination coverage show no correlation to those autism prevalence rates, folks will hopefully stop trying to associate vaccines with autism.

More on Vaccines and the Latest Autism Prevalence Report

America’s New Normal: Propaganda About the Unhealthiest Generation

My son started to have migraines when he was about 11 years old.

Must be stress, BPA, poor eating habits, all of the screen time, or vaccines, right?

“Americans spend the least on food, the most on health care, have the most highly vaccinated kids, and have the sickest kids of any industrialized country. More kids than not are now chronically ill, developmentally delayed, and eating or injecting prescription medications from cradle to grave – which is going to be a quicker trip for them than it was for their parents, according to data on life expectancy in the US. We are inured to childhood autism, epilepsy, allergy, asthma, diabetes, obesity, Crohn’s disease and cancer. We are dying younger. We are going backwards.”

Judy Converse on America’s New Normal: Chronically Ill Kids

That likely seems like a young age to get migraines and would fit well with the narrative that kids today are part of the unhealthiest generation ever.

Except that I started to get migraines at about the same age, and so did my mother. Like many of the other conditions that seem to be ballooning today, migraines have a genetic component.

The Unhealthiest Generation?

The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.
The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.

Who says that today’s kids are part of the unhealthiest generation ever?

Mostly anti-vaccine folks who blame vaccines for making kids unhealthy and alternative medical providers who think their holistic remedies will fix all of the problems they see in our unhealthy kids who they claim are full of “toxins.”

Toxins? If you are going to believe that our kids are all sick, then you have to buy into the narrative that toxins are everywhere, especially in vaccines, and they are making kids sick.

Of course, none of that is true.

Vaccines are safe and work to prevent us from getting sick and there are 2 to 3 million fewer deaths in the world each year because people are vaccinated and protected.

“From developing groundbreaking treatments for deadly chronic diseases to saving babies who are born premature, pediatric researchers have increased the ability of children to live full and fulfilling lives that only a few decades before would have been tragically cut short.”

Sandra G. Hassink, MD on the 7 Great Achievements in Pediatric Research

And today’s kids, all 73.6 million of them in the United States, aren’t the unhealthiest. They are actually a very healthy generation, being born with the lowest child and infant mortality rates ever, low rates of hospitalizations, and one of the highest life expectancies in history.

Our Healthy Kids

How do we know today’s kids are healthy?

One easy way is to compare them to kids in the past…

If you have only been listening to the alarmists who talk about the unhealthiest generation all of the time, you likely wouldn’t know that:

  • while 2.6% of kids were thought to be in fair or poor health in 1991, that is down to just 1.8% today (2015)
  • fewer kids today (4.5%) report having had an asthma attack in the previous year than they did in 1997 (5.4%), and that fewer kids have asthma today (8.5%) than in 2003 (8.7%)
  • since 1997, fewer children, whether or not they have insurance, are visiting the emergency room
  • fewer children are requiring overnight hospital stays, down from 5.5% to just 2.1% today (2015)
  • rates of hay fever or respiratory allergy are down since 1997, from 17.5% of kids to 15.6% of kids today (2015)
  • rates of epilepsy have been stable in children for at least 40 years
  • fewer kids have multiple ear infections since 1997, when 7.1% of kids had 3 or more ear infections, to just 5% of kids today (2015)
  • fewer kids are being prescribed antibiotics
  • childhood cancer rates have been rising, but only slightly, and mortality rates have been declining
  • suicide rates are rising, but only from historic lows – they used to be about the same or higher in the early 1990s

Of course, some conditions are on the rise, including ADHD, type 1 diabetes, food allergies, eczema,  obesity, and most autoimmune diseases.

“A few conditions have decreased because of prevention (eg, lead encephalopathy), a few represent relatively new conditions (eg, human immunodeficiency virus type 1 infection), and some have increased after dramatic improvements in survival for individually low-prevalence childhood conditions that previously had high fatality rates (eg, leukemia, cystic fibrosis, congenital heart diseases). Most growth, however, reflects dramatic increases in incidence of a few high-prevalence conditions.”

James M. Perrin, MD on The Increase of Childhood Chronic Conditions in the United States

And autism rates have been up, but we mostly know why.

“…the numbers of people born with autism aren’t necessarily increasing dramatically. It’s just that we’re getting better and better at counting them.”

Emily Willingham

Although we don’t know why most other conditions are trending up (it isn’t vaccines), we will hopefully continue to develop new theories and reverse those trends.

It should be reassuring that many of the trends do show that our kids are indeed healthy.

What to Know About Our Healthy Kids

From gun violence and climate change to the threat of emerging infections, out children do face many threats and are certainly under a lot of stress. There is no evidence that this is the unhealthiest generation though. If anything, they are on track to be one of the healthiest.

More on Our Healthy Kids