Autism Spectrum Disorder (ASD) & Attention-Deficit / Hyperactivity Disorder (ADHD)
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The American Academy of Pediatrics (AAP) Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) Guidelines Have Changed
The American Academy of Pediatrics (AAP) has new guidelines for the diagnosis and treatment of autism for the first time in 12 years. The changes are based on the latest research for early identification. AAP: Autism Treatment Should Be Early, Intense, and Family-Driven.
AAP also recommends ongoing surveillance, performed by pediatricians and primary care providers, through school age.
Dr. Susan Hyman, MD, of the University of Rochester in New York stated “One of the reasons we’re so strongly recommending screening is, it’s a structured way to listen to parents and their concerns.” She went on to say “In the absence of a Reproducible Biomarker that will let us know who is at risk for autism in infancy, the clinical diagnosis requires that human interaction that pediatricians have 13 times in the first three years of life in the context of well-child care.”
However, continuous local Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) increases show that a Reproducible, Repeatable, Demonstrable Biomarker is present: Leaded 100LL Aviation Fuel Tetraethyl Lead in Canton Township and Plymouth Township Neighborhoods, Schools and PCCS Students. The State of Michigan should focus on eliminating Leaded 100LL Aviation Fuel Tetraethyl Lead Poisoning caused by Canton Plymouth Mettetal 1d2 airstrip!
Here is American Academy of Pediatrics (AAP) 2020 updated recommendations report:
- Full Report: Identification, Evaluation, and Management of Children With Autism Spectrum Disorder (html) (pdf)| American Academy of Pediatrics. Susan L. Hyman, Susan E. Levy, Scott M. Myers and Council on Children With Disabilities, Section on Developmental And Behavioral Pediatrics, Pediatrics January 2020, 145 (1) e20193447; DOI: https://doi.org/10.1542/peds.2019-3447
- Executive Summary: Identification, Evaluation, and Management of Children With Autism Spectrum Disorder (html) (pdf) | American Academy of Pediatrics
Here is the American Academy of Pediatrics (AAP) previous 2015 recommendations report:
- Early Identification and Interventions for Autism Spectrum Disorder: Executive Summary (html) (pdf), PEDIATRICS Volume 136, Supplement 1, October 2015| American Academy of Pediatrics, PediatricsOctober 2015, 136 (Supplement 1) S1-S9; DOI: https://doi.org/10.1542/peds.2014-3667B
- Early Identification and Interventions for Autism Spectrum Disorder: Executive Summary (html) – PubMed – NCBI
Related Key Reports from the US Interagency Autism Coordinating Committee (IACC), US Department of Health & Human Services (USDHHS), USA.gov:
- 2017 IACC Strategic Plan for Autism Spectrum Disorder Research (html) (pdf) | IACC. Answers Essential Eight Questions for Parents.
- International Portfolio Analysis 2016 (html) (pdf) (News Release) | IACC
- Report to Congress – on Activities Related to Autism Spectrum Disorder and Other Developmental Disabilities (html) (pdf) Thursday, April 11, 2019 | IACC
- DRAFT Interagency Autism Coordinating Committee (IACC). IACC Strategic Plan for Autism Spectrum Disorder (ASD) — 2018 Update (pdf). [MONTH] 2019. Retrieved from the U.S. Department of Health and Human Services Interagency Autism Coordinating Committee website
Essential Autism Resources
- American Academy of Pediatrics (AAP) – Autism Initiatives (html)
- University of Michigan U-M (UMich) & Michigan Health System (html)
- Finding approved autism evaluation centers and licensed behavior analysts (pdf), Blue Cross Blue Shield (BCBS) and Blue Care Network of Michigan (html), For Blue Cross PPO (commercial) and BCN HMOSM (commercial) members Revised January 2020
- Autism spectrum (html) – Wikipedia
- US Centers for Disease Control and Prevention (CDC)
- Autism Spectrum Disorder (ASD) (html) | Autism | National Center on Birth Defects and Developmental Disabilities (NCBDDD) | CDC
- Recommendations & Guidelines (html) | Autism Spectrum Disorder (ASD)
- Community Report on Autism 2018 (html) (pdf)| Autism | National Center on Birth Defects and Developmental Disabilities (NCBDDD) | CDC
- Autism Spectrum Disorder: What Every Parent Needs to Know (html): 9781610022699: Medicine & Health Science Books @ Amazon.com
- National Autism Association (NAA) | Providing real help and hope for the autism community since 2003.
- What is Autism? (html) | American Autism Association (MyAutism)
- State of Michigan (SoM)
- Autism Spectrum Disorder (html) – Michigan Alliance for Families (html)
- Autism Alliance of Michigan (html). Navigating Autism Today!
- Autism Society of Michigan (html)
- Michigan Autism Conference (html), 8th Annual Michigan Autism Conference, October 8-9, 2020
Other Important Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) Studies
- More Guidelines than states: variations in U.S. lead screening and management guidance and impacts on shareable CDS development (html) (pdf)| BMC Public Health | Full Text | 29 January 2020 – Pediatric lead exposure in the United States (U.S.) remains a preventable public health crisis. Shareable electronic clinical decision support (CDS) could improve lead screening and management. However, discrepancies between federal, state and local recommendations could present significant challenges for implementation. Current variability across guidance poses challenges for clinicians.
- Early Autism Screening: A Comprehensive Review (html) (pdf), 2019 Sep; 16(18): 3502. Published online 2019 Sep 19. doi: 3390/ijerph16183502 (html) (pdf)
- Promoting early autism detection and intervention in underserved communities: study protocol for a pragmatic trial using a stepped-wedge design (html) (pdf), BMC Psychiatry. 2019; 19: 169. Published online 2019 Jun 7. doi: 1186/s12888-019-2150-3
- Life After Lead: Effects of Early Interventions for Children Exposed to Lead
- Life After Lead: Effects of Early Interventions for Children Exposed to Lead (html) (pdf) | IZA – Institute of Labor Economics. July 2017, Stephen B. Billings Kevin T. Schnepel, IZA DP No. 10872
- Life After Lead: Effects of Early Interventions for Children Exposed to Lead (html) | Leeds School of Business (html) | University of Colorado Boulder (html)
- Life after Lead: Effects of Early Interventions for Children Exposed to Lead (html) (pdf) – American Economic Association (AEA)
- Life After Lead: Effects of Early Interventions for Children Exposed to Lead (html) (pdf) | Semantic Scholar
- Optimizing Outcome in Autism Spectrum Disorders – Deborah Fein, Marianne Barton, Thyde Dumont-Mathieu, 2017, (html) (pdf), Policy Insights from the Behavioral and Brain Sciences 2017, Vol. 4(1) 71–78, © The Author(s) 2017, DOI: 10.1177/2372732216685098 https://journals.sagepub.com/home/bbs
- Identification and Evaluation of Children With Autism Spectrum Disorders (html) (pdf) | American Academy of Pediatrics, Chris Plauché Johnson, Scott M. Myers and ; and the Council on Children With Disabilities, Pediatrics, November 2007, 120 (5) 1183-1215; DOI: https://doi.org/10.1542/peds.2007-2361
Causes for Autism Spectrum Disorder (ASD) Are Complex & Many
Autism Spectrum Disorder (ASD) is a brain disorder that affects social skills, communication and behavior control. In the United States, it affects one in 59 children, according to the U.S. Centers for Disease Control and Prevention. Studies show that about one in four children with autism goes undiagnosed.
What causes autism? (html) | NICHD – Eunice Kennedy Shriver National Institute of Child Health and Human Development
One in four children with autism goes undiagnosed, study finds (html), January 10, 2020 – UPI.com
Autism Spectrum Disorder Fact Sheet (html) | National Institute of Neurological Disorders and Stroke (NINDS)
Of course, the following abbreviated list represents just a tiny sampling and NOT an official or thorough survey of the tidal wave of accumulated medical and scientific evidence linking Tetraethyl Lead (TEL) Poisoning to Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD):
- Children with Autism Spectrum Disorder and Lead Poisoning: Diagnostic Challenges and Management Complexities (html). Hauptman, M., Stierman, B., & Woolf, A. D. (2019). Clinical Pediatrics, 58(6), 605–612. [PubMed html]. https://doi.org/10.1177/0009922819839237.
- Baby Teeth Link Autism and Heavy Metals (html) 2017, NIH study suggests | National Institutes of Health (NIH).
- Long-Lasting Effects of Childhood Lead Poisoning (html) 2017 – Consumer Reports.
- Environmental Chemical Exposures and Neurodevelopmental Impairments In Children – Bellinger – Pediatric Medicine (html) (pdf) doi: 10.21037/pm.2018.11.03, Bellinger DC. Pediatr Med 2018;1:9.
- Blood Lead Concentrations and Children’s Behavioral and Emotional Problems: A Cohort Study | Anxiety Disorders | JAMA Pediatrics | JAMA Network (html) (pdf) JAMA Pediatr. 2014;168(8):737-745. doi:10.1001/jamapediatrics.2014.332, Journal American Medical Association (JAMA) (PubMed html) (PubMed pdf).
- Childhood Lead Exposure and Attention-Deficit / Hyperactivity Disorder Symptoms: A Meta- Analysis, 2018, Walden University ScholarWorks, Walden Dissertations and Doctoral Studies Collection (html) (pdf)
- The Association between Lead and Attention-Deficit/Hyperactivity Disorder: A Systematic Review, 2019, (html) (pdf) (PubMed html) (PubMed html) (PubMed pdf).
- Screening for Elevated Blood Lead Levels in Children: A Systematic Review for the U.S. Preventive Services Task Force – PubMed – NCBI (PubMed html). Evidence Synthesis Number 174. Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality https://www.ahrq.gov. (PubMed html) (PubMed pdf) AHRQ Publication No. 18-05245-EF-1 April 2019.
- Screening for Elevated Blood Lead Levels in Pregnant Women: A Systematic Review for the U.S. Preventive Services Task Force – PubMed – NCBI (PubMed html). Evidence Synthesis Number 175, Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality https://www.ahrq.gov. (PubMed html) (PubMed pdf) AHRQ Publication No. 18-05245-EF-2 April 2019.
- Children and ADHD: What you need to know| MIBluesPerspectives (html). Michigan Blue Cross & Blue Shield, April 1, 2019. Despite extensive research, any exact cause(s) of ADHD is still inconclusive. However, evidence strongly suggests links to genetics and environmental factors such as lead poisoning. The latest Health of America Report (pdf) from Blue Cross Blue Shield has more data (xlsx) on ADHD and its growing impact on children and adolescents. Read the full report here, that presents statistics that everyone in Michigan should be concerned about.
- Early Childhood Lead Exposure and Academic Achievement: Evidence from Detroit Public Schools, 2008–2010 (PubMed html) (PubMed pdf).
- Lead (Pb) Toxicity: What Are the Physiologic Effects of Lead Exposure? (html) (pdf) | Center for Disease Control (CDC), Agency for Toxic Substances and Disease Registry (ATSDR) – Environmental Medicine & Environmental Health Education – Case Studies in Environmental Medicine (CSEM).
- Lead poisoning – Symptoms and causes – Mayo Clinic (html). Lead poisoning occurs when lead builds up in the body, often over months or years. Even small amounts of lead can cause serious health problems. Children younger than 6 years are especially vulnerable to lead poisoning, which can severely affect mental and physical development.
Important Autism Spectrum Disorder (ASD) updates
- Autism Spectrum Disorder (ASD) | Autism (html) | National Center on Birth Defects and Developmental Disabilities (NCBDDD) |Center for Disease Control and Prevention (CDC)
- 2020 Community Report on Autism (html) (pdf) | Autism | NCBDDD | CDC
- Key Findings: CDC Releases First Estimates of the Number of Adults Living with Autism Spectrum Disorder in the United States (html) | Autism | NCBDDD | CDC
- National and State Estimates of Adults with Autism Spectrum Disorder (html) | SpringerLink
- Autism (html) | HHS.gov
- NIMH » Autism Spectrum Disorder (html)
- CDC Releases New Prevalence Rates of People with Autism Spectrum Disorder (html) – Autism Society
- U.S. Autism Rates Up 10 Percent in New CDC Report (html) – 2020 – News Releases – News – Johns Hopkins Bloomberg School Public Health
- CDC estimate on autism prevalence increases by nearly 10 percent, to 1 in 54 children in the U.S. (html) | Autism Speaks
- NIMH » Autism Spectrum Disorder (ASD)