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Autism Spectrum Disorders Far More Prevalent Than Thought

Neil Osterweil
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco | February 8, 2007
  • Explain to patients who are parents of young children or are planning a family the importance of recognizing developmental milestones such as smiling, pointing, and waving good-bye. Encourage parents to share concerns about development in their children, and consider screening for autism spectrum disorders if children show signs of significantly delayed social or physical development.

  • Explain to patients who ask that the reasons for the difference in autism spectrum disorders prevalence between current and earlier estimates is unknown, but could be related to better surveillance techniques that produce more accurate estimates, or to changes in diagnostic practice (diagnostic shift).

  • Point out that there is no credible scientific evidence linking vaccination of children to austim.

ATLANTA, Feb. 8 -- Autism spectrum disorders are much more common than previously thought, and could affect as many as one in 150 school-age children, CDC researchers reported today.

"Autism is more common than we believed and is an urgent public health problem," said Catherine Rice, Ph.D., a behavioral scientist at the CDC's National Center on Birth Defects and Developmental Disabilities, in a briefing.

Data from a nationwide surveillance program conducted at sites in 14 states in 2002 suggest that the overall prevalence of ASD is about 6.6 per 1,000 eight-year-old children, ranging from a low of 3.3 per 1,000 in Alabama to a high of 10.6 per 1,000 in New Jersey, CDC investigators reported in the Feb. 9 issue of Morbidity and Mortality Weekly Report.

Even if the lowest prevalence estimates cited are closer to the actual prevalence rates, they are considerably higher than previously thought. Until this report, investigators have typically cited prevalence rates of between four to five per 10,000 and two to three per 1,000, based on the best available data.

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