Why do some people believe vaccines cause autism?
In the late 1990s, some researchers started raising concerns over the amount of thimerosal -- a mercury-containing preservative -- found in many children's vaccines. Although thimerosal had been used as an anti-contamination agent for decades, until 1991 the diphtheria-tetanus-pertussis (DTaP) vaccination was the only thimerosal-containing shot recommended for infants and children. The hypothesis: As more thimerosal-containing vaccines like hepatitis B and Hib were added to the recommended schedule, researchers worried that babies were receiving too much of the chemical in too short a timeframe, which could potentially impact brain development.
In a totally separate (but coincidental) issue around this time, another group of researchers lead by a British doctor named Andrew Wakefield theorized that children who received the measles-mumps-rubella (MMR) vaccine (which never did contain thimerosal) were more likely to develop autism than those who did not receive it. By January 2011, however, Dr. Wakefield's study was discredited by the British Medical Journal.
Today, scientists are more confident than ever that vaccines play no role in the onset of this developmental disorder. Find out why here.
What do the latest studies say about thimerosal and autism?
"If thimerosal in vaccines were causing autism, we'd expect that diagnoses of autism would decrease dramatically after the chemical was removed from vaccines," says Eric Fombonne, MD, director of the psychiatry division at Montreal Children's Hospital and a member of the National Institutes of Health advisory board for autism research programs.
But a large study recently published in Archives of General Psychiatry found that cases of autism continued to increase in California long after 2001, when thimerosal was removed from most childhood vaccines in the U.S. (it's still found in some flu shots). "Not only did cases not decrease -- but they continued to rise," says Fombonne. "That tells us that something else must be responsible for rising rates of autism in this country."
This study is the latest in a series of many others, in other countries and populations, which drew similar conclusions. "Thimerosal was removed from vaccines in Canada in 1996 and in Denmark in 1992," says Dr. Fombonne. "Autism is still on the rise in those countries as well."
And in 2004, both the World Health Organization and Institute of Medicine each concluded no link between autism rates and thimerosal exposure after examining the health records of hundreds of thousands of children.
What do the latest studies say about thimerosal safety?
To understand more about thimerosal safety, a brief chemistry/history lesson is in order. Thimerosal was removed from most vaccines by 2001 because researchers worried that children were being exposed to too-high levels from receiving multiple vaccinations in a short timeframe.
But this decision was based on what levels were considered safe for methyl mercury -- the kind in fish, which is structurally very different from the ethyl mercury found in thimerosal. Although scientists suspected that thimerosal was much safer than methyl mercury, they decided to remove it anyway, just to be super-careful.
Now, new research published in the journal Pediatrics shows that babies excrete thimerosal too quickly for it to build up to dangerous amounts. In the study, researchers tested the blood mercury levels of Argentinean babies after they received routine childhood vaccinations (thimerosal is still used as a vaccine preservative there). They found that infants expel thimerosal about 10 times faster than fish mercury -- so rapidly that it can't accumulate in the body between vaccine doses.
"This study helps to debunk a crucial basis of the autism-vaccines theory, which held that babies were getting so many thimerosal-containing shots that the chemical would build up in the bloodstream and eventually cross over to the brain, where it could theoretically impact development," says study author Michael Pichichero, MD, a professor of microbiology/immunology and pediatrics at the University of Rochester Medical Center. "But thimerosal leaves babies' bodies way too quickly for that to happen, which just adds more proof that this theory is extremely unlikely."
What do the latest studies say about the MMR vaccine and autism?
Many people confuse the controversy over the vaccine for measles, mumps, and rubella with that of thimerosal, but the two have always been totally separate issues. In fact, MMR vaccines have never even contained thimerosal.
The link between MMR and autism gained traction following the publication of a very small British study (it only included 12 kids) published in a British medical journal, The Lancet. The study was lead by Dr. Andrew Wakefield and it concluded that children developed autism soon after they received the MMR vaccine. The theory: The measles portion of the shot causes inflammation and infection of the intestines, which can then spread dangerous proteins to the brain, causing damage that may lead to autism.
When this study was first published, it launched a frenzied debate that resulted in bigger, better-designed studies that have all failed to find any link between MMR and autism. However, by early 2010, The Lancet retracted Dr. Wakefield's research and by January 2011, the British Medical Journal publicly denounced Dr. Wakefield's research as "fraudulent," saying that he had "falsified data" and tampered with his research results to give the MMR vaccine bad publicity. At the time of his study, Dr. Wakefield had been involved in a lawsuit against the manufacturers of the MMR vaccine and would have gained money for winning, making his research an obvious conflict of interest.
Researchers suspect that parents may mistakenly associate the MMR vaccine with autism because signs of autism first appear around 12 to 15 months, which is also when the vaccine is first administered.
Does my kid really even need all of these vaccinations?
Although the American Academy of Pediatrics, the Centers for Disease Control and Prevention, our expert advisors, and many other reputable organizations agree that vaccines do not cause autism, there are still small but vocal groups who believe they do. And amid that conflicting information, some parents might opt not get their children vaccinated "just to be safe," because they worry about other possible reactions, or because of religious or other beliefs.
"But if you choose not to vaccinate your child, you are increasing his risk of contracting serious diseases that can lead to complications, hospitalization, and even death," says Dr. Fombonne. For example, after the MMR vaccine was first linked to autism in England, many parents stopped vaccinating their children -- and several children died during a measles outbreak in Ireland soon afterward.
For all the major childhood vaccinations (hepatitis B, rotavirus, DTaP, Hib, pneumococcal, polio, flu, MMR, chickenpox, hepatitis A, meningococcal), most experts agree that the many, many benefits from getting vaccinated far outweigh any possible side effects or risks.
If you have any questions about vaccines and autism or vaccine safety in general, be sure to address them with your pediatrician. A good doctor will listen to your concerns (not belittle them) and help you distinguish myth from fact so you can make the most informed decision for your child's health.
Copyright © 2008 Parents.com. Reviewed and updated 2012.
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