President Trump accused the over-the-scatter drug Acetaminophene, widely known under the name of the Tylenol brand, as a significant factor in the growth of US autism diagnoses on Monday, at a press conference at which he often offered inaccurate medical councils for children and pregnant nations.
“Tylenol is not very good. I will say that. This is not good, ”said Trump, surrounded by the Minister of Health and Social Services Robert F. Kennedy and Medicare & Medicaid Dr. Mehmet oz.
In a series of incoherent, mistakes filled with mistakes, which touched abnormal, pregnancy, vaccines and amesh, which, as he said inaccurately, do not have the prevalence of autism in their communities, Trump also said that the password, measles and the turn, should be divided into multiple elections, and children will work up to 12 years old, a series of vaccines in hepatitis V. Waccine.
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“I just make these statements from me, I do not make them from these doctors,” he said. “This is too much liquid. Too many different things go to this child. ”
The announcement was met with horror by researchers of autism and defenders, who stated that the studies still in the causal relations between acetaminophen and autism have become minimal evidence.
“Researchers have been studying possible ties between acetaminophen and autism for more than ten years,” said Dr. David Mandell, a professor of psychiatry at the Pennsylvania Pennsylvania Medical School. The Trump administration, according to him, “has cherry conclusions that do not correspond to most studies.”
Doctors and researchers also did not agree with Trump's persistence that there is no “no shortage” for women who avoid drugs that reduce fever during pregnancy. In fact, studies show that unprocessed fever during pregnancy is associated with a higher risk of heart and congenital defects, miscarriages and impaired development of the nervous system, including autism.
Office for Sanitary Supervision of the Quality of Food and Medicines of the United States initiates a security update on tylonol mills and other acetaminophenium products and Send a letter to doctors About potential connections between the use of the drug and autism, Kennedy said.
The actual text of the letter is much softer than Trump's passionate criticism.
“In the spirit of patients and intelligent medicine, clinicians should consider minimizing the use of acetaminophen during pregnancy for ordinary low -quality fever. This consideration should also be balanced with the fact that Acetaminophene is the safest alternative to the over-the-counter during pregnancy among all analgesics and anti-primeities, ”the letter says.
The announcement on Monday followed the weeks of assumptions that Kennedy planned to publicly connect the use of Tylenol with autism, which prompted numerous medical associations to release statements that clarify that any evidence of a cause -effect relationship between them is limited, and that the drug can be safely taken during pregnancy with medical councils.
“We are all in propaganda, and all of us who have children with autism were very high that RFK and the president were serious when they said that they wanted to find the causes of autism,” said Alison Singer, the co-founder and president of the Autism Science Fund. “The problem is that so far we have heard that we were not a science of gold standard.”
The administration also stated that it would accelerate the labeling of Leikovorin, a universal drug currently used to reduce side effects of chemotherapy, as a treatment associated with autism, speech deficiency. Also known as folinic acid, leukkovorin is a form of vitamin -folate V. Researchers, according to researchers, are still in the early stages. According to Mandell, in few studies that were published, had small samples and found only minimal improvements in symptoms that cause concern.
“I want to see a large, strict, independent test. In the absence of this, to advertise it as a medicine reckless, ”he said. “Families deserve the best.”
Autistic spectrum disorder It is a complex neurological state and development state. Symptoms combine difficulties in communication, social interaction and sensory processing, and this condition can be manifested in different ways based on restrainting violations and other factors.
Diagnostics in the United States have grown steadily, since the centers for the control and prevention of diseases began to track data in 2000, largely due to the expanding determination of the disorder and an increase in efforts to identify children with races.
Today, one of 31 American children was identified as a disorder with an autistic spectrum, according to The latest CDC dataFrom one of 150 in 2000.
Kennedy has long argued that this is due to the external environmental cause, often using inaccurate statements to describe both conditions and research around it.
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Most experts believe that genetic connections and a change in diagnostic criteria play an important role in this trend. In April Kennedy rejected such studies and arguments as “epidemic denial.” He said he was sure that the external factor was to blame.
“We know that this is an environmental impact. It should be, ”said Kennedy. “Genes do not cause epidemics.” At that time, he said that the administration would find an environmental reason by September.
Studies of causal relationships between acetaminophen and autism have not found convincing evidence.
Last year, a team of researchers from the USA and Europe considered Records of 2.5 million children Born in Sweden from 1995 to 2019. At first glance, it seemed that children who were exposed to acetaminophen in the womb were 5% up to 7% more often, probably diagnosed with autism than those who were not. But when the researchers compared these children with their brothers and sisters, they found that children from the same parents are equally likely that they had a diagnosis of autism, regardless of whether their mother Acetaminophene accepted during pregnancy or not.
“If you actually make a comparison of apples with apples, you see an absolutely zero effect. Association of flat lines. In other words, there is no real risk that is associated with acetaminophen, ”said Brian K. Lee, a professor of epidemiology and biostatic at the University of Drexel, who studied in the educational group. “A large elephant in the room is ignored, and this is genetics.” Hundreds of research Over the years, investigated Complex genetics of autismwith both hereditary and spontaneous genes contributing to the conditionField
The document also noted that women who took acetaminophene during pregnancy are not surprising that more likely they suffer from types of diseases for which the medicine is indicated, for example, fever or chronic pain.
It was also more likely that the diagnoses of autism or other disorders of the development of neurode -development, which had previously existing diseases of mental health or take other prescribed drugs, discovered the team. Their The results were published In the journal of the American Medical Association.
“People do not accept acetaminophene for entertainment. They take him to their health, ”Lee said.
He compared the correlation between the effects of Tilenol and autism with the correlation between the sales of ice cream and drowning. According to him, both of these things, as a rule, increase at the same time every year, not because the ice cream is deadly, but because both grow in the hot summer months. In other words, the main reasons for the health that women take acetaminophene for treatment can be more likely with autism than painkillers themselves.
“It's just a shame when there are so many things that we could do to help children and adult autists, and negative consequences – forcing parents to feel guilty that he took Tylenol during pregnancy, and recently pregnant women are real,” said Katherine Lord, a clinical psychologist and autism researcher in UCLA. “It's just sad around.”
