Immunizations and Autism: A Review of the Literature

Division of Neurology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques (Impact Factor: 1.53). 12/2006; 33(4):341-6. DOI: 10.1017/S031716710000528X
Source: PubMed


Because of a temporal correlation between the first notable signs and symptoms of autism and the routine childhood vaccination schedule, many parents have become increasingly concerned regarding the possible etiologic role vaccines may play in the development of autism. In particular, some have suggested an association between the Measles-Mumps-Rubella vaccine and autism. Our literature review found very few studies supporting this theory, with the overwhelming majority showing no causal association between the Measles-Mumps-Rubella vaccine and autism. The vaccine preservative thimerosal has alternatively been hypothesized to have a possible causal role in autism. Again, no convincing evidence was found to support this claim, nor for the use of chelation therapy in autism. With decreasing uptake of immunizations in children and the inevitable occurrence of measles outbreaks, it is important that clinicians be aware of the literature concerning vaccinations and autism so that they may have informed discussions with parents and caregivers.

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    • "However, the evidence for these risk factors, such as gastrointestinal or immune system abnormalities, allergies, and exposure of children to drugs, infection, certain foods, or heavy metals needs further substantiation. Vaccination can no longer be regarded as risk factor for autism (Doja and Roberts, 2006). Evidence from several rigorous scientific studies examining an association between vaccine use and autism have not identified such a link (Miller and Reynolds, 2009) and the data of former studies claiming an association were shown to be scientifically fraudulent (Flaherty, 2011). "
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    ABSTRACT: Autism is a neurodevelopmental disorders characterized by impairments in communication and social behavior, and by repetitive behaviors. Although genetic factors might be largely responsible for the occurrence of autism they cannot fully account for all cases and it is likely that in addition to a certain combination of autism-related genes, specific environmental factors might act as risk factors triggering the development of autism. Thus, the role of environmental factors in autism is an important area of research and recent data will be discussed in this review. Interestingly, the results show that many environmental risk factors are interrelated and their identification and comparison might unveil a common scheme of alterations on a contextual as well as molecular level. For example, both, disruption in the immune system and in zinc homeostasis may affect synaptic transmission in autism. Thus, here, a model is proposed that interconnects the most important and scientifically recognized environmental factors. Moreover, similarities in how these risk factors impact synapse function are discussed and a possible influence on an already well described genetic pathway leading to the development of autism via zinc homeostasis is proposed.
    Frontiers in Psychiatry 11/2012; 3:118. DOI:10.3389/fpsyt.2012.00118
    • "First, these represented the most commonly administered vaccines until Canada's 2005 expansion of the publicly funded immunization program (Infectious Diseases and Immunization Committee, Canadian Pediatric Society, 2005 ). Second , there is a particular controversy surrounding MMR immuniza - tion as a potential risk factor for ASD , although there is also concern surrounding the DPTP vac - cine due to the perception that it contains thimerosal , even though it has not since 1992 in Canada ( Doja & Roberts , 2006 ) . The DPTP is typically administered at 2 , 4 , and 6 months , with two booster doses at 18 months and 4 – 6 years of age , whereas "
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    ABSTRACT: Background: Parental concerns persist that immunization increases the risk of autism spectrum disorder, resulting in the potential for reduced uptake by parents of younger siblings of children with autism spectrum disorder ("younger sibs").Objective: To compare immunization uptake by parents for their younger child relative to their older child with autism spectrum disorder ("proband") and controls.Design: Immunization status was obtained for 98 "younger sibs," 98 "probands," and 65 controls.Results: A significant group difference emerged for overall immunization status (Fisher's exact test = 62.70, p < .001). One or more immunizations in 59/98 younger sibs were delayed (47/98; 48%) or declined (12/98; 12.2%); immunizations were delayed in 16/98 probands (16.3%) and declined in only one. All controls were fully immunized, with only 6 (9.2%) delayed. Within the "younger sibs" group, 25/98 received an autism spectrum disorder diagnosis; 7 of whom (28%) were fully immunized. The rates of autism spectrum disorder diagnosis did not differ between immunized and nonimmunized younger sib groups, although small sample size limits interpretability of this result.Conclusion: Parents who already have one child with autism spectrum disorder may delay or decline immunization for their younger children, potentially placing them at increased risk of preventable infectious diseases.
    Autism 10/2012; 18(2). DOI:10.1177/1362361312459111 · 3.50 Impact Factor
    • "When working with families, MFT practitioners must be careful not to perpetuate these myths or provide unhelpful advice. The following are some of the most common myths about autism: • Autism is caused by vaccines received in infancy: Although this myth has received an abundance of media attention lately, researchers have found no link between vaccines and autism (Doja & Roberts, 2006). In fact, the medical journal that first published a paper linking vaccines and autism has issued a full retraction (Harris, 2010). "
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    ABSTRACT: This article introduces marriage and family therapists (MFT) to some of the common issues faced by families that have a child with autism spectrum disorder (ASD). First, autism is defined and common myths surrounding it are discussed. Next, relational challenges are presented that families report experiencing during early childhood through the elementary school years, adolescence and the transition into adulthood, and the later years of the family life cycle. Real-life stories are included to illustrate the potential contributions that MFTs can make to families that have a child with ASD.
    Journal of Marital and Family Therapy 06/2012; 38 Suppl 1(s1):211-26. DOI:10.1111/j.1752-0606.2011.00265.x · 1.01 Impact Factor
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