In this case the last time people seem autisme increasing rapidly. Autisme looks like the epidemic to the various parts of the world. There are reported incidents increase in the number of people Autisme quite sharply in some countries.
The situation is worrisome enough in the time given to this cause autisme multifaktorial, still mysterious and often becomes the subject of debate among klinisi.
Autisme is pervasif interference in the development of children is marked by disturbances and delays in the field of cognitive, language, behavior, communication and social interaction. The debate that occurred recently on the possibility of relationships with autisme immunization MMR (mumps, Measles, Rubella). Many parents refuse immunization because they get information that can lead to the MMR immunization autisme. As a result, children do not get the protection of immunization to avoid the disease had a more dangerous, such as hepatitis B, diphtheria, tetanus, pertussis, tuberculosis and so forth. Many of the studies appeared to be widely prove that autism is not related to MMR immunization. But there is research that indicates that Autism and MMR immunization related.
MMR immunization is a combination of immunization to prevent measles, German measles disease and goiter. MMR vaccine is usually given to children age 16 months. This vaccine is a combination of live attenuated vaccines. Originally the vaccine was found separately, but in a few years later merged into the combination vaccine. These consist of a combination of live measles virus or flute Edmonton Schwarz, which has been weakened, Componen Rubella antigens from the virus life Wistar RA 27 / 3 vaccine antigens and gondongen from live viruses or flute Jerry Lynn Urabe AM-9.
Opinion that supports autism associated with immunization:
There is some research and some of the testimony that revealed Autisme may be related to MMR immunization. Reaction MMR immunization in general light, had reported cases meningoensfalitis in 3-4 weeks after immunization in the UK and some other places. Reaction clinical been reported include neck stiffness, iritabilitas great, convulsions, disturbance of awareness, fear that the attacks are not baseless and can not be explained, the deficit motor / sensory, disturbance of vision, speech or visual deficit similar symptoms in children with autism.
Andrew Wakefielddari English conduct research on 12 children, there was interference Inflamantory Bowel disesase in children autism. This is given after the MMR immunization. Bernard Rimland from the United States also organized research on the relationship between the MMR vaccination, especially (measles, mumps rubella) and autisme. Wakefield and Montgomery reported morbili virus (measles) with autism in 70 children from 90 children with autism than 5 children of 70 children who are not autism. This only shows the relationship, not to prove causal.
Jeane Smith a United States citizen testify before Congress United States: aberration autis the country has become epidemic, he and many parents penderta autisme children believe that their children are exposed autisme caused by the reaction from the vaccination. While some parents object autisme in Indonesiapun berkesaksian that children affected autisme after immunization
Opinion against the cause that immunization autisme
Meanwhile, the research revealed that MMR does not cause Autisme more and more systematic. Brent Taylor, conduct research epidemiologik rate with 498 children with Autisme. Conclusions obtained the sharp increase of people with autism in 1979, but there is no increase in cases of autism in 1988 when the MMR began to be used. Conclusion that the group found that children do not get the MMR, there are also cases aurtism increase, the same group with the MMR immunization.
Dales et al, as quoted from kare (Journal of the American Medical Association) 2001, observed that children born since 1980 until 1994 in California, since 1979 given MMR immunization. Concluded that the increased number Autism cases in California, not associated with the launch of MMR.
Intitute of medicine, a body which examine the safety of vaccines have been conducting the study in depth the relationship between MMR and Autisme. Agency reported that it is epidemiologically there is no relationship between MMR and the USD. The British Journal of General Practice mepublikasikan research De Wilde, in the month of March 2001. Examining children in the 6 months after MMR immunization compared with children without Autisme. Concluded there is no change in the behavior of children in a meaningful between the control group and cases. In the scientific journal Archives of Disease in Childhood, September 2001, The Royal College of Paediatrics and Child Health, emphasized that no scientific evidence that supports the hipoteda regard MMR immunization and Autisme. The professionals in the field of health do not hesitate in recommending MMR immunization in the patient ..
Makela A, Nuorti JP, Peltola H team of researchers from Helsinki Central Hospital and the university Helsinky Finland in July 2002 has been conducting research on the 535,544 children who get the MMR immunization since 1982 until 1986, made the observation at 3 months after immunization. They concluded that not indicate that bermakana relationship between MMR immunization with neurologic disease (persrafan) such as encephalitis, aseptic meningitis or autisme. Kreesten Meldgaard Madsen et al November 2002, conducting research since the year 1991 - 1998 of the 440,655 children who get the MMR immunization. The results showed no proven relationship hypothetical MMR and Autisme.
Recommendations Intitusi or the World Health Organization
Some institutions or agencies in the field of health that is independent and has been recognized credibility also conduct scientific study and research about the lack of immunization and autisme relationship. From these results, issued recommendations for professionals to continue to use thimerosal and MMR immunization because no proven cause Autisme.
The All Party Parliamentary Group on Primary Care and Public Health in August 2000, stressed that the MMR safe. By considering the relationship between not proven that some conditions such as inflammatory bowel disease (digestive disturbances) and is not based autisme.
WHO (World Health Organization), in January 2001 that fully supports the use of MMR immunization with the study is based on security and efikasinya.
Some institutions and prestigious health organizations in the UK including the British Medical Association, the Royal College of General Practitioners, the Royal College of Nursing, Faculty of Public Health Medicine, United Kingdom Public Health Association, the Royal College of Midwives, Community Practitioners and Health Visitors Association, Unison , Quite interesting, the Royal Pharmaceutical Society, the Public Health Laboratory Service and the Medicines Control Agency in the month of January 2001, after a meeting with the British government issued a statement with the MMR vaccine is highly effective with the report that security is very good. The scientific sanagat very safe and effective to protect children from disease. Highly recommended for children to give MMR and without risk.
The Committee on Safety of Medicine (medicine Security Committee) in March 2001, stated that the conclusion of Wakefield about the MMR vaccine is too premature. There is not something that mengkawatirkan. The Scottish Parliament's Health and Community Care Committee, also expressed opinions about the controversy that occurred, namely Based on the experiences of clinical-based evidence, there is no relationship between the MMR ilimiah and Autisme or Crohn disease. The Committee did not recommend changes were immunization program that has been previously determined that the MMR should be given.
The Irish Parliament's Joint Committee on Health and Children in September 2001, conduct a review of several studies, including the presentation revealed that Dr Wakefield AUTISM berhungan with MMR. Concluded there was no relationship between MMR and Autisme. There is no clinical experience of other mebuktikan other material in the MMR is more secure than the combination of immunization. MMR.
The American Academy of Pediatrics (AAP), professional organizations doctor children in the United States on 12 June 13 2000 organized a conference on the topic "New Challenges in Childhood Immunizations" in Oak Brook, Illinois United States attended the parents autisme people, experts immunization and child health researchers. These meetings do not recommend that there huibungan between MMR and Autisme. Stated that the provision of immunization separately not better than the MMR, said the delay occurred MMR immunization. Furthermore, research will be done l; ebih much about the causes of Autisme.
How do we should?
When you hear and know the controversy, the community and even some klinisipun so confused. Called for careful and we must be circumspect and more clear-minded. If you observe some research that supports the autisme associated with immunization, may be correct as the trigger. In general, people autisme already have the genetic aberration (default) and biological since the beginning. This is proven that the gene is almost certain identifiable and there is a difference brain research is done before the immunization. This aberration autism can be triggered by various things such as immunization, food allergy, heavy metals and so forth. So not only immunization that can trigger the onset autisme. At a clinic and encourage children found 40 children with autism, but not all been given immunization. This proves that not only triggered autisme immunization.
Research shows that the relationship between immunization and autism seen only in a small group of (population) autism. The statistics show only this relationship, not causal. We also can not be directly affected in the report of one or several cases, for example, when parents think that children's autism symptoms of autism children arise after the immunization. Conclusions can not be digeneralisasikan of healthy children in general (population more widely). If that happens we can also be affected by some foods that should be avoided by people with autism also will also be avoided by other healthy children. So, logically it should be seen and understood.
When affected by the opinions between autism and support immunization without seeing the other research the facts more clearly, then we will ignore all the result of immunization with a far more dangerous in children. Research in the number of large and wide in epidemiologically more can be trusted to show the causal few case reports compared the relative amount is not meaningful in general. Some institutions or agencies that prestigious world health had issued a recommendation to continue to keep the MMR immunization. This is also our belief that MMR immunization is safe.
Controversy that continues to hold, but we can take the wisdom and the best way child immunization, or should we not? To ensure this we may be taking on a lot of research that is more reliable statistical validity in a population with more extensive and Autisme is not related to MMRl. Similarly, we must trust the recommendations of various world health body that is independent and trusted after the study of various scientific research conducted by some health experts in the various world's children workers.
From some of these, it seems it can be concluded that the MMR immunization does not cause Autisme, when our children are not healthy and talented autisme. But the suspected trigger immunization can aggravate the emergence of behavioral disturbances in children who already have the talent in the genetic autisme since birth.
But apparently the theory, research, opinion or several cases that support the relevance autisme with immunization, can not be ignored bergitu only. Although the research report that supports the relationship Autisme immunization and only in small populations or even report perkasus children autisme. It is wise to be more vigilant when children began to appear we have found irregularities development or behavior since the early, it should to get the MMR immunization must be more clearly consult with a doctor first child. When the children we have found suspected aberration Autism talent since the early or risk autisme occur, may only delay before the first MMR immunization Autisme diagnosis can be removed. Although the actual trigger factors that aggravate or Autisme not only immunization. In such cases we must better understand the risks, signs and symptoms of early autisme.
But when our children healthy, or not at risk of not showing signs of early symptoms Autisme then we do not need to kawatir to get the immunization. Kekawatiran without immunization against based on the understanding that good and clear thinking that will cause health problems in the new children's. Avoid immunization with the new problems will arise which can be more dangerous and life-threatening, particularly when children are exposed to infection can be prevented by immunization
