BBC
26 June 2001
Autism
'may have quadrupled'
The
cases of autism are thought to be increasing
The
number of cases of autism could be four times higher than previously
reckoned, warn scientists.
A study by researchers from the Central Clinic, Stafford, and King's
College, London, looked at 15,000 children aged between two and
six.
Earlier
studies estimated the prevalence of autism at between four to six
cases per 10,000, but the latest study on children in Staffordshire
showed the rate to be nearer 17 cases per 10,000.
Even
autism experts who suspected that existing studies had produced
overly conservative results said that the latest findings were unexpectedly
high.
Most
people will agree that there has been an increase.
Autism
is a developmental disability that affects the way a person communicates
and interacts with other people.
Many
people with autism cannot relate to others in a meaningful way and
may also have trouble making sense of the world at large.
The
study also found that "pervasive developmental disorders"
which fall short of the strict diagnostic criteria for autism were
running at a rate of nearly 46 per 10,000.
Among
these were Asperger syndrome, a condition in which children display
autistic behaviour, but have well-developed language skills, Rett
syndrome, a disorder in which skills that have been acquired, such
as walking and talking, gradually disappear; and childhood disintegrative
disorder, a rare condition involving severe deterioration of mental
and social functioning.
The
report, published in the Journal of the American Medical Association
(JAMA), conceded that methodological limitations in the study prevented
a conclusion that the disorders looked at are actually on the increase
but it said that possibility required "further rigorous testing."
No
central data base
David
Potter, a spokesman for the National Autistic Society, said it was
difficult to record autism figures as there was no central data
base.
But
he said it was a widely held view that cases were on the increase
and that this could be due to better diagnosis.
"Most
people will agree that there has been an increase. We thought there
were about 10 cases per 10,000.
"If
the figures in this study show the new levels then there will be
significant ramifications for local authorities when it comes to
planning for people with autism."
Those
figures will assist in planning for services that affected children
and their families will need
Susan
Hyman
University of Rochester
In
an editorial in JAMA commenting on the study, Susan Hyman, a physician
with the University of Rochester School of Medicine and Dentistry
in Rochester, New York, said the findings highlighted the need for
improving the early detection of affected children.
"There
is increasing evidence that behavioural and educational intervention
with young children may significantly improve developmental and
behavioural outcomes and that basic deficits in play and communication
may be therapeutically modified.
"Those
figures will assist in planning for services that affected children
and their families will need."
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