Laura Bono, Board Member National Autism Association

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Perspectives of the Advocacy Community IOM Workshop on Autism and the Environment: Challenges and Opportunities for Research April 18-19, 2007 Laura Bono, Board Member National Autism Association

Declare autism a national health emergency and treat it with urgency. 1 in 150 children and roughly 1 in 65 families 36,000 otherwise normal toddlers will regress into autism in this year alone Harvard Study: $3.2 million/child over a lifetime Society costs: Approx. 2 TRILLION dollars Insurance seldom pays because treatments aren t research-based Families devastated both economically and emotionally Murder/suicides are on the rise

Studying the environment over 15 years too late because of the: CDC s failure to declare an epidemic beginning with the 1989 birth cohort CDC s failure to study time trends and research what changed in the environment CDC s failure to examine the toxic and viral body burdens of autistic children

Quote from CDC Press Release Julie Gerberding - February 8, 2007 Our estimates are becoming better and more consistent, though we can t yet tell if there is a true increase in ASDsor if the changes are the result of our better studies.

What we could have been doing: Commencing gene-envir. susceptibility research Studying mechanisms involved in response to environmental neurotoxicants Focusing on what changed in the environment and when Investigating any environmental triggers known to cause these symptoms Learning the biological mechanisms that have gone awry in the children and devising successful treatments

Autism is an environmentally triggered problem. If it is environmental, then it is treatable and preventable. It is NOT HOPELESS and lifelong. It is HOPEFUL, with a possible cure.

Autism is a whole-body problem. Immunological dysregulationwith a unique inflammatory bowel disease Oxidative stress, systemic inflammation, and severely disordered urine and serum chemistries including elevated porphyrins Decreased methylation capacity, limited transsulfurationand glutathione deficiency Increased toxic body burdens primarily of heavy metals esp. mercury and lead Chronic viral, fungal and bacterial infections Central nervous system hypofusion/abnormal regulation of blood supply to the brain Microglial activation, lipid peroxidation, mitochondrial dysfunction, inactive enzyme systems and exitotoxicity

Autism is treatable. The research paradigm needs to shift from autistic children are genetically defective to autistic children are sick. Grant money only to genetic vulnerability studies that have a clear environmental hypothesis Research the efficacy of detoxification treatments and biomarkers Study the children s biomedical imbalances and find more effective ways of intervening medically and nutritionally Investigate the role of vaccines, including thimerosal, aluminum and live viruses, on the health/neurodevelopment of autistic children Research the role of the immune, gastrointestinal and endocrine systems of the children Study the recovered children. What do their pre and post recovery body chemistries tell us?

With biomedical treatments, there is hope for recovery. Leave no stone unturned Address the evidence implicating vaccine overload, mercury and aluminum from vaccines When treated biomedically, autistic children get better Research and produce successful antioxidant, methylation and blood brain barrier chelation treatments; as well as immune system, detoxification and inflammation interventions

Hundreds of thousands of sick children are silently waiting. Pursue research and treatments that will impact the most lives as quickly as possible. Follow clues provided by evidence-based treatments. Institute a translational research protocol where clinicians who care for children with autism advise research into the most promising areas of intervention. Act with urgency. Follow the truth where ever it leads.

RECOVERY is possible! Accelerate all environmental research Demand even more money to address the problem Issue RFA s/score proposals according to matrix goals Get answers, then interpret them expediently Continue to work the problem Our hope starts with YOU.