WITH
WITH DR.
WITH DR. MEAD. >> SO MANY GREAT TOPICS THANK
YOU FOR JOINING US. DR. MEAD A
PEDIATRICIAN WITH SWEDISH.
WE ALWAYS LOVE COMING TO YOU
BECAUSE YOU GREAT INSIGHT AND A
CONVERSATIONAL WAY WITH THESE
NUMBERS.
NUMBERS.
NUMBERS. THERE ARE NEW DATA ESTIMATES
THAT SAY ONE IN 40 CHILDREN IN
THE U.S. HAS AUTISM FROM A
PAPER PUBLISHED IN THE JOURNAL
PEDIATRICS.
PEDIATRICS. WHEN WE SEE THESE NUMBERS COME
OUT, OUR INSTINCT IS TO SAY
WHY.
WHY.
WHY. WHAT
WHY. WHAT WAS YOUR REACTION?
>> THE MAIN QUESTIONS I ALWAYS
GET A WHAT IS GOING ON WHY IS
THE NUMBER SO MUCH HIGHER, WHAT
IS HAPPENING.
IS HAPPENING. THERE ARE A COUPLE THINGS TO
KEEP IN MIND.
WE NEED TO TAKE THESE NUMBERS
SERIOUSLY, BUT THIS IS A STUDY
THAT DID DATA COLLECTION AND A
DIFFERENT WAY THAN THE PAST.
THEY STUDY THE DIFFERENT
POPULATION AND SOME NUMBERS WE
HEARD BEFORE ARE ONE IN 60 KIDS
SO THIS IS DEFINITELY DIFFERENT
. ALSO PARENT REPORTED DATA.
PARENT SAY MY CHILD IS
PREVIOUSLY HAD A DIAGNOSIS ON
THE AUTISM SPECTRUM.
WE TAKE THE INFORMATION
SERIOUSLY.
SERIOUSLY. THOSE NUMBERS ARE USUALLY REALLY
ACCURATE BUT I DON'T WANT TO
JUMP TO CONCLUSIONS THAT THIS
IS A HUGE INCREASE.
>> WHAT ELSE DID RESEARCH SAY
AS FAR AS WEATHER AND HOW OFTEN
THESE KIDS ARE GETTING HELP
THEY NEED?
THEY NEED? >> REALLY INTERESTING.
THE STUDY LOOKS AT ACCESS TO
HEALTHCARE SERVICES.
HEALTHCARE SERVICES. A LOT OF PARENTS EXPRESSED
FRUSTRATION THAT THEY HAVEN'T
BEEN ABLE TO ACCEPT SERVICES
THEY NEED OR HAVE A COMPLETE
EVALUATION.
EVALUATION. ABOUT TWO THIRDS OF KIDS WHO
HAD A DIAGNOSIS OF AUTISM OR
SOMEWHERE ON THE SPECTRUM HAD A
BEHAVIORAL INTERVENTION IN THE
LAST 12 MONTHS.
IDEALLY THAT NUMBER WOULD BE
CLOSER TO 100%.
IT SHOULD BE MUCH HIGHER.
WE KNOW WE HAVE WORK TO DO IN
ANY FAMILY WITH A CHILD ON THE
SPECTRUM KNOWS WE HAVE WORK TO
DO IN TERMS OF GETTING FAMILIES
TIMELY ACCESS.
TIMELY ACCESS. >> WHAT KIND OF THING SHOULD
PARENTS BE LOOKING FOR AS AN
INDICATOR THAT MAYBE THEY
SHOULD TAKE THEIR CHILD TO SEE
A DOCTOR?
A DOCTOR?
A DOCTOR? >> LOTS OF DIFFERENT THINGS.
THE HARD PART MOST BABIES SEEM
TO BE DEVELOPING NORMALLY UP TO
THE FIRST YEAR OF LIFE
TYPICALLY GIVE OR TAKE A LITTLE
BIT.
BIT.
BIT. THE
BIT. THE SOCIAL STUFF IS OFTEN THE
FIRST THING WE NOTICE.
WE TALK ABOUT SOMETHING CALLED
SHARED ATTENTION.
SHARED ATTENTION. SHE POINTS TO THINGS SHE WANTS
TO LOOK AT HER COMES TO YOU
WANT TO LOOK AT SOMETHING WITH
HER.
HER.
HER. SO
HER. SO THAT CAN BE A LITTLE RED
FLAG.
FLAG.
FLAG. OFTEN IN THE EARLY STAGES
LANGUAGE DEVELOPMENT CAN ALSO
BE AFFECTED.
BE AFFECTED. AND WANT PARENTS TO WORRY IF
KIDS HAVE ANY ONE OF THESE
THINGS THEY SHOULD PANIC.
ABSOLUTELY IF YOU HAVE A CONCERN
ABOUT YOUR CHILD'S DEVELOPMENT
IN ANY WAY, TALK WITH YOUR
PEDIATRICIAN.
PEDIATRICIAN. THE EARLIER WE DIAGNOSE THESE
KIDS AND GET SERVICES, THE
BETTER.
BETTER.
BETTER. >>> THE OTHER THING IS A.F.M..
I WANT TO CONTEXTUALIZE THIS A
LITTLE BIT.
LITTLE BIT. WE TALK ABOUT A.F.M.
IN THE NEWS AND IT IS AWFUL,
OBVIOUSLY.
OBVIOUSLY. IF YOU COULD JUST REDEFINE IT
FOR US? I ALSO WANT TO
EMPHASIZE IS STILL RARE.
>> CORRECT.
>> CORRECT. >> TALKING ABOUT IT A LOT
BECAUSE WE ARE SEEING MORE
NUMBERS THIS YEAR, CONTINUING
TO SEE NEW CASES.
THE CDC PUT NEW INFORMATION
TODAY.
TODAY.
TODAY. EIGHT CASES NOW IN WASHINGTON
STATE BUT LOTS OF OTHER STATES
HAVE THEM AS WELL.
STILL EXTREMELY RARE, I WANT
PEOPLE TO UNDERSTAND THAT THIS
IS STILL INCREDIBLY RARE.
VERY UNLIKELY YOUR CHILD WILL
GET IT.
GET IT.
GET IT. HOWEVER IT IS REALLY SERIOUS
AND WE HAVE LIMITED ABILITY TO
TREAT IT, MOSTLY SUPPORTIVE
CARE.
CARE.
CARE. I
CARE. I UNDERSTAND IT IS REALLY SCARY
FOR PARENTS TO HEAR ABOUT.
>> THIS IS THE POLIO LIKE
ILLNESS.
ILLNESS.
ILLNESS. >> CORRECT.
>> CORRECT. >> LET ME ASK YOU ANY TIME I
SEE SOMETHING THAT COMES OUT
AND I READ TO THE ARTICLE AND
AT THE END IT SAYS WE DON'T
KNOW WHAT CAUSES IT, WE DON'T
KNOW HOW TO PREVENT IT, HOW
RARE IS IT FOR THAT TO BE THE
CASE?
CASE?
CASE? >>
CASE? >> THIS HAPPENS WITH INFECTIOUS
THINGS IN PARTICULAR.
VIRUSES AND BACTERIA CAN CHANGE
OVER TIME, THIS IS WHERE THE
FLU IS DIFFERENT EVERY YEAR
THAT THINGS CAN CHANGE.
WE'VE SEEN IN THE LAST YEAR
SINCE 2014 THAT THIS A.F.M.
, PARTICULARLY THE POLIO LIKE
ILLNESS SEEMS TO BE ON AN EVERY
OTHER YEAR CYCLE, EVERY COUPLE
YEARS WE SEE INCREASED NUMBERS.
IT'S BEEN ASSOCIATED WITH
CERTAIN VIRAL INFECTIONS, ENTER
A VIRUS IN PARTICULAR WHICH
GENERALLY CAUSES A COLD OR.
>>> UPSET.
>>> UPSET. MOST KIDS AND MOST ADULTS WILL
RECOVER JUST FINE.
WE ARE STARTING TO SEE DATA