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Clinical Question
What is the risk of autism following measles, mumps, and rubella vaccination?
Bottom line
This is the third—and largest—study conducted after the publication of a now-retracted case study of 12 children that led to the current conspiracy-laden pushback against the measles, mumps, and rubella (MMR) vaccine. This study, as did the other 2 studies, found no increased development of autism, even in children with risk factors or with a sibling with autism. As in most human endeavors, facts generally do not carry the day when it comes to changing opinion, but here's more evidence to use when parents are interested. 2b
Reference
Study design: Cohort (prospective)
Funding: Industry + govt
Setting: Population-based
Synopsis
The Danish patient registry allows for tracking of all people who remain in the country. These investigators enrolled all children (N = 657,461), at one year of age, born between the years 1999 and 2010 to Danish-born mothers. The children received the usual childhood vaccinations, including thimerosol-free MMR at 15 months (95.2% of children) and again at 12 years of age. (Note: In 2008, they changed the timing of the second vaccine to 4 years of age.) Over the course of the study, 6517 children were given a diagnosis of autism via comprehensive diagnostic evaluation—not by screening—by age 7 (incidence rate 129.7 per 100 000 person-years). At any time during the follow-up (from age 7 to age 14 years), there was no difference in the incidence of autism between vaccinated and unvaccinated children. Similarly, there was no increase in the likelihood of autism in children with a sibling with autism or in children with risk factors for developing autism.
Reviewer
Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine
Tufts University
Boston, MA
Comments
Isn’t autisim hereditary?
The fact that a study of over 650,000 failed to demonstrate an increased prevelance amongst siblings and those with risk factors suggests a failure in methodology and begs into questions the null findings
Flogging a dead horse!!
Enough!! This horse is dead and it is still be flogged. Anti-vaxxers just get over it, the science proves no association between vaccination and autism. I am not sure what causes autism but the evidence shows its not vaccination!! Just get over it and blame something/someone else as the cause.