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EDITOR
Recently, concerns about an apparent increase in the prevalence
of autism in the general population, and the pathophysiology behind
this, have been prominent in the press. Before these concerns can be
addressed we need to be sure that the prevalence has truly increased. A
cohort study was thought suitable to provide an insight into whether
the prevalence of autistic disorders has increased.
In the British cohort 1970 study (BCS70) only five children were
identified as having autism (and one as having suspected autism) at the
age of 5 in disability data files. This gives a prevalence of 6/13 135
(0.45/1000)
comparable with that found in previous
studies.
1 2
A focus group consisting of practising consultants (from adult
and paediatric disciplines) experienced in the diagnosis of autistic disorders was convened. This group identified several diagnostic features from the available data that they thought were
important in making a diagnosis of autistic spectrum disorder.
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