Creating A Metric For The Autism Epidemic
    By Hank Campbell | January 18th 2013 05:26 PM | 4 comments | Print | E-mail | Track Comments
    Diagnosed rates of autism around the world have increased a lot over the last decade and a half but there is ongoing debate about whether there are actually more cases or if it is instead a cultural phenomenon, namely that we're getting better at detecting the disorder and more willing to label kids as having it. Some also contend that the increase in autism is due to whatever they happen not to like; vaccines, GMOs, etc.

    How can you know? To prove that diagnoses have gotten better, rather than there being a true increase in autism, you'd have to know what would have happened to today's kids 20 years ago. Would they have been diagnosed with autism?  Or ADD? Nothing? 

    Well, there is a way to tell where more diagnoses of lots of things will happen, and here in California we knew it anecdotally for years.  If you want to find a hotbed of anti-vaccine sentiment and anti-GMO sentiment and pro-astrology belief, take a protractor and draw a 10 mile radius around a Whole Foods.  Prior to the autism epidemic we saw some teachers in California classrooms who had 30% ADD students. Why? The teachers believed the children had ADD and parents took them to a doctor for it.

    But Neuroskeptic writes about a study that did something a little more rigorous than the 'our weather is nice so we have to put up with anti-science crackpots' head-shaking normal people here do. A group examined a zone of high autism prevalence in California, areas where kids aged 0-4 years old are more likely to be diagnosed with the condition. The epicenter was Los Angeles, with overlapping hot spots around it. In those clusters, and the autism rates are between 2 and 6 times higher than the rest of the state. 

    Something in the water? 

    Well, maybe, but unlikely in North Hollywood. Just like around a Whole Foods, the area is rich in money.  But these hotspots also had a high share of autism advocacy organizations and pediatricians. More pediatricians and autism awareness campaigns would certainly mean better diagnosis and not necessarily more autism.

    What the study found is that children born outside the clusters, who later moved into them, had a higher chance of getting a diagnosis, consistent with the idea that the clusters are clusters of diagnosis, not autism.

    Of course, a researcher can never win with a topic like this. The first commenter said what I thought while reading it - it could be explained away as being that people who were worried about autism moved to an area well-known for helping kids with autism.

    Probably best to leave a comment over there if you want it answered, that is why I put it in the links section rather than my blog.

    Finally, Hard Evidence Against The "Autism Epidemic"? - Neuroskeptic

    Comments

    Diagnosed rates of flu around the country has increased a lot over the last month and a half but there is ongoing debate about whether there are actually more cases of flu or if it is instead a cultural phenomenon, namely that we're getting better at detecting the flu and more willing to label people as having it. Some also contend that the increase in flu is due to whatever they happen not to like; flu vaccines, children, birds, pigs etc..

    Diagnosed rates of breast cancer around the world have increased a lot over the last decade and a half but there is ongoing debate about whether there are actually more cases or if it is instead a cultural phenomenon, namely that we're getting better at detecting the disorder and more willing to label people as having it. Some also contend that the increase in breast cancer is due to whatever they happen not to like; vaccines, GMOs, BPA, Roundup, Triclosan etc.

    Geez Hank, this works for every disease of which the medical industrial complex has no answers. Do I need to go through every chronic disease that is now at epidermic proportions in this country?

    Hank
    Sure, it does, except I can go to a doctor and they can detect breast cancer and doctors all over the country can replicate it. The fact that you can take a protractor and draw a radius around hotspots in LA and normal kids who moved there are suddenly 'infected' with autism by moving there should look a little suspicious to people who care about autistic kids - when something gets considered a fad diagnosis, it has two impacts: (a) - limited resources are now diverted to families that do not need it and (b) - most people assume everyone who has it is part of a fad.

    So since you have the answer to the autism epidemic and pesky science data shouldn't get in the way, what has caused it? Please don't go with multi-factorial mumbo-jumbo...
    Want more no-nonsense, independent science? Buy Science Left Behind
    Tumors are observable with instrumentation. Influenza correlates strongly with populations of viruses and of antibodies, both of which, again, can be observed, and quantified, instrumentally. There's no subjectivity to it.

    On the other hand, the diagnosis of autism is essentially psychiatric in nature. There's nothing for a doctor to quantify in a manner which is systematically divorced from personal chauvinisms about what constitutes healthy modes of interpersonal interactivity.