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	<title>Comments on: Wakefield on NBC Dateline</title>
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	<link>http://autism-news-beat.com/archives/514</link>
	<description>An evidence-based resource for journalists</description>
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		<title>By: Autism Blog - Penn Point: Anti Vaccination is Bull Andrew Wakefield and Jenny McCarthy &#171; Left Brain/Right Brain</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-8196</link>
		<dc:creator>Autism Blog - Penn Point: Anti Vaccination is Bull Andrew Wakefield and Jenny McCarthy &#171; Left Brain/Right Brain</dc:creator>
		<pubDate>Mon, 21 Jun 2010 19:31:45 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-8196</guid>
		<description>[...] for the vaccines-caused-an-autism-epidemic groups. Consider the recent episode of Frontline and the recent episode of Dateline which both covered the vaccine-autism discussion and (especially in the case of Dateline) Mr. [...]</description>
		<content:encoded><![CDATA[<p>[...] for the vaccines-caused-an-autism-epidemic groups. Consider the recent episode of Frontline and the recent episode of Dateline which both covered the vaccine-autism discussion and (especially in the case of Dateline) Mr. [...]</p>
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		<title>By: Press not likely to fall for latest anti-vaccine ruse&#160;&#124;&#160;MNH Kids Camp.com &#8211; Ideas &#38; Advice on Child Autism</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-7041</link>
		<dc:creator>Press not likely to fall for latest anti-vaccine ruse&#160;&#124;&#160;MNH Kids Camp.com &#8211; Ideas &#38; Advice on Child Autism</dc:creator>
		<pubDate>Sat, 02 Jan 2010 20:17:28 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-7041</guid>
		<description>[...] fallout from NBC Dateline&#8217;s report about a disgraced UK physician continues. One of the anti-vaccine groups to feel the pain was the National Autism Association, [...]</description>
		<content:encoded><![CDATA[<p>[...] fallout from NBC Dateline&#8217;s report about a disgraced UK physician continues. One of the anti-vaccine groups to feel the pain was the National Autism Association, [...]</p>
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		<title>By: Sullivan</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6313</link>
		<dc:creator>Sullivan</dc:creator>
		<pubDate>Mon, 14 Sep 2009 23:55:35 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6313</guid>
		<description>&lt;i&gt;The rate incidence of other special ed categories has been steady while autism rates have increased.&lt;/i&gt;

Dr. Shattuck has a paper that states the opposite.

Also, if you want to argue from CDDS data, that is a different dataset entirely.  In the CDDS data, it is very clear that the number in the MR category has gone down markedly as autism has gone up.</description>
		<content:encoded><![CDATA[<p><i>The rate incidence of other special ed categories has been steady while autism rates have increased.</i></p>
<p>Dr. Shattuck has a paper that states the opposite.</p>
<p>Also, if you want to argue from CDDS data, that is a different dataset entirely.  In the CDDS data, it is very clear that the number in the MR category has gone down markedly as autism has gone up.</p>
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		<title>By: Sullivan</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6312</link>
		<dc:creator>Sullivan</dc:creator>
		<pubDate>Mon, 14 Sep 2009 23:53:44 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6312</guid>
		<description>&lt;i&gt;Given that Healy is a former director of the NIH, she has some bona fides. Your glib remark about a small subset of children reveals your obvious lack of understanding of statistics.&lt;/i&gt;

You may want to stick to what she says, rather than her &quot;bona fides&quot;.

Dr. Healy was a member of TAASC, an organization paid by Tobacco company interests to deny the dangers of second hand tobacco smoke.  

They also denied global warming, but, as a medical doctor,  that may not be Dr. Healy&#039;s domain at TAASC.

Dr. Healy actually says very little.  Much of what she said in the past was incorrect (such as her assertions against the IOM).</description>
		<content:encoded><![CDATA[<p><i>Given that Healy is a former director of the NIH, she has some bona fides. Your glib remark about a small subset of children reveals your obvious lack of understanding of statistics.</i></p>
<p>You may want to stick to what she says, rather than her &#8220;bona fides&#8221;.</p>
<p>Dr. Healy was a member of TAASC, an organization paid by Tobacco company interests to deny the dangers of second hand tobacco smoke.  </p>
<p>They also denied global warming, but, as a medical doctor,  that may not be Dr. Healy&#8217;s domain at TAASC.</p>
<p>Dr. Healy actually says very little.  Much of what she said in the past was incorrect (such as her assertions against the IOM).</p>
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		<title>By: Sullivan</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6311</link>
		<dc:creator>Sullivan</dc:creator>
		<pubDate>Mon, 14 Sep 2009 23:50:20 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6311</guid>
		<description>&quot;He said he didn’t know if vaccines cause autism&quot;

Odd, he says it quite clearly in his patent.</description>
		<content:encoded><![CDATA[<p>&#8220;He said he didn’t know if vaccines cause autism&#8221;</p>
<p>Odd, he says it quite clearly in his patent.</p>
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		<title>By: Joseph</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6303</link>
		<dc:creator>Joseph</dc:creator>
		<pubDate>Mon, 14 Sep 2009 18:56:49 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6303</guid>
		<description>It needs to be noted that the majority of autistic children in CalDDS have been assessed as having *no* mental retardation. There&#039;s no reason to think these same children would&#039;ve been assessed as having mental retardation in the past. (When the child is untestable, they have a category called &quot;unknown MR.&quot;) So it&#039;s not surprising that diagnostic substitution from MR (without autism) would only account for a faction of the increase in CalDDS. The rest is probably due to awareness and increased service provision for kids who don&#039;t have cognitive impairment per se.</description>
		<content:encoded><![CDATA[<p>It needs to be noted that the majority of autistic children in CalDDS have been assessed as having *no* mental retardation. There&#8217;s no reason to think these same children would&#8217;ve been assessed as having mental retardation in the past. (When the child is untestable, they have a category called &#8220;unknown MR.&#8221;) So it&#8217;s not surprising that diagnostic substitution from MR (without autism) would only account for a faction of the increase in CalDDS. The rest is probably due to awareness and increased service provision for kids who don&#8217;t have cognitive impairment per se.</p>
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		<title>By: Mike Stanton</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6271</link>
		<dc:creator>Mike Stanton</dc:creator>
		<pubDate>Sat, 12 Sep 2009 17:32:02 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6271</guid>
		<description>Over on &lt;a href=&quot;http://leftbrainrightbrain.co.uk/?p=3031&quot; rel=&quot;nofollow&quot;&gt;LBRB Sullivan &lt;/a&gt;has posted about a study by &lt;a href=&quot;http://ije.oxfordjournals.org/cgi/content/abstract/dyp261&quot; rel=&quot;nofollow&quot;&gt;King and Bearman &lt;/a&gt;analysing the California data for diagnostic substitution in which:

&lt;b&gt;&quot;it is estimated that 26.4% (95% CI 16.25–36.48) of the increased autism caseload in California is uniquely associated with diagnostic change through a single pathway—individuals previously diagnosed with MR.&quot;&lt;/b&gt;

Taken together with the results of the UC Davis / MIND study which Joseph mentioned above this would seem to  seriously undermine attempts to use the  Californian data to support the idea of an autism epidemic.</description>
		<content:encoded><![CDATA[<p>Over on <a href="http://leftbrainrightbrain.co.uk/?p=3031" rel="nofollow">LBRB Sullivan </a>has posted about a study by <a href="http://ije.oxfordjournals.org/cgi/content/abstract/dyp261" rel="nofollow">King and Bearman </a>analysing the California data for diagnostic substitution in which:</p>
<p><b>&#8220;it is estimated that 26.4% (95% CI 16.25–36.48) of the increased autism caseload in California is uniquely associated with diagnostic change through a single pathway—individuals previously diagnosed with MR.&#8221;</b></p>
<p>Taken together with the results of the UC Davis / MIND study which Joseph mentioned above this would seem to  seriously undermine attempts to use the  Californian data to support the idea of an autism epidemic.</p>
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		<title>By: Joseph</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6250</link>
		<dc:creator>Joseph</dc:creator>
		<pubDate>Fri, 11 Sep 2009 12:24:59 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6250</guid>
		<description>&lt;blockquote&gt;Joseph, the Cal study did not find that a change in diagnosis was the only related factor in the increase in incidence. &lt;/blockquote&gt;

I assume you&#039;re referring to the UC Davis / MIND study. That study did not really quantify &quot;change of diagnosis&quot; (diagnostic substitution) at all. It only looked at age at diagnosis, changes in criteria, and inclusion of &quot;milder&quot; cases. It finds that these factors might explain a 4.26-fold increase in CalDDS, whereas they expected to explain a 6.85-fold rise. It&#039;s not clear why they think this difference is statistically significant. The paper doesn&#039;t say. 

The paper admits they did not account for certain factors that ought to be significant, such as awareness. Hence the paper&#039;s tempered conclusion.

The paper had many very serious problems. I listed them at the end of this post:

http://autismnaturalvariation.blogspot.com/2009/01/age-of-diagnosis-analysis-is-also-wrong.html

BTW, it&#039;s not as easy to quantify diagnostic substitution in the CalDDS database, as it would be in IDEA. That&#039;s simply because in IDEA there&#039;s a &quot;primary disability&quot; category, whereas in CalDDS a &quot;client&quot; has multiple categories simultaneously. So you shouldn&#039;t expect there to be a decrease in mental retardation classifications, for example, as they are based on assessments of IQ.</description>
		<content:encoded><![CDATA[<blockquote><p>Joseph, the Cal study did not find that a change in diagnosis was the only related factor in the increase in incidence. </p></blockquote>
<p>I assume you&#8217;re referring to the UC Davis / MIND study. That study did not really quantify &#8220;change of diagnosis&#8221; (diagnostic substitution) at all. It only looked at age at diagnosis, changes in criteria, and inclusion of &#8220;milder&#8221; cases. It finds that these factors might explain a 4.26-fold increase in CalDDS, whereas they expected to explain a 6.85-fold rise. It&#8217;s not clear why they think this difference is statistically significant. The paper doesn&#8217;t say. </p>
<p>The paper admits they did not account for certain factors that ought to be significant, such as awareness. Hence the paper&#8217;s tempered conclusion.</p>
<p>The paper had many very serious problems. I listed them at the end of this post:</p>
<p><a href="http://autismnaturalvariation.blogspot.com/2009/01/age-of-diagnosis-analysis-is-also-wrong.html" rel="nofollow">http://autismnaturalvariation.blogspot.com/2009/01/age-of-diagnosis-analysis-is-also-wrong.html</a></p>
<p>BTW, it&#8217;s not as easy to quantify diagnostic substitution in the CalDDS database, as it would be in IDEA. That&#8217;s simply because in IDEA there&#8217;s a &#8220;primary disability&#8221; category, whereas in CalDDS a &#8220;client&#8221; has multiple categories simultaneously. So you shouldn&#8217;t expect there to be a decrease in mental retardation classifications, for example, as they are based on assessments of IQ.</p>
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		<title>By: Randy E</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6242</link>
		<dc:creator>Randy E</dc:creator>
		<pubDate>Fri, 11 Sep 2009 04:59:42 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6242</guid>
		<description>Given that dianosis has not been shown to be the factor in the increase, the actual number of kids has increased.</description>
		<content:encoded><![CDATA[<p>Given that dianosis has not been shown to be the factor in the increase, the actual number of kids has increased.</p>
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		<title>By: Randy E</title>
		<link>http://autism-news-beat.com/archives/514/comment-page-1#comment-6241</link>
		<dc:creator>Randy E</dc:creator>
		<pubDate>Fri, 11 Sep 2009 04:58:06 +0000</pubDate>
		<guid isPermaLink="false">http://autism-news-beat.com/?p=514#comment-6241</guid>
		<description>Joseph, the Cal study did not find that a change in diagnosis was the only related factor in the increase in incidence.  

The number of of young people diagnosed with austism has most certainly risen and I&#039;ve shared data to support this. The rate incidence of other special ed categories has been steady while autism rates have increased.

Feel free to share some supporting evidence for your position.</description>
		<content:encoded><![CDATA[<p>Joseph, the Cal study did not find that a change in diagnosis was the only related factor in the increase in incidence.  </p>
<p>The number of of young people diagnosed with austism has most certainly risen and I&#8217;ve shared data to support this. The rate incidence of other special ed categories has been steady while autism rates have increased.</p>
<p>Feel free to share some supporting evidence for your position.</p>
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