Latest / The Front / Do Donald Trump’s autism claims stack up?
Transcript
- 0:03Speaker 1: From The Australian. Here's what's on the front. I'm Christinamiot.
- 0:06Speaker 1: It's Wednesday, September twenty four, twenty twenty five. The light
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- 0:54Speaker 1: au does cause autism. It's the question blowing up the
- 1:03Speaker 1: medical world after US President Donald Trump released official advice
- 1:08Speaker 1: regarding the use of the common painkiller during pregnancy. Today
- 1:12Speaker 1: Health editor Natasha Robinson joins us to unpack this complex issue.
- 1:21Speaker 2: I think we found an answer to autism. How about that.
- 1:27Speaker 1: This is part of a wide ranging address given by
- 1:30Speaker 1: US President Donald Trump at a memorial for conservative activist
- 1:33Speaker 1: Charlie Kirk on Sunday Tomorrow.
- 1:37Speaker 2: We're going to be talking in the Oval Office in
- 1:40Speaker 2: the White House about autism. How it happens. I think
- 1:47Speaker 2: it's going to be one of the most important news
- 1:49Speaker 2: conferences I'll ever have, and I look so forward to it.
- 1:57Speaker 1: It was curious given the circumstances, but on Monday, the
- 2:01Speaker 1: President's message came into sharp relief.
- 2:05Speaker 2: First, effective immediately, the FDA will be notifying physicians that
- 2:09Speaker 2: the use of I said, well, let's see how we
- 2:13Speaker 2: say that. I said a menefin. Acetamnifin said, okay, which
- 2:23Speaker 2: is basically commonly known as thailand all during pregnancy, can
- 2:28Speaker 2: be associated with a very increased risk of autism. So
- 2:36Speaker 2: taking thailand all is not good. I'll say it. It's
- 2:43Speaker 2: not good.
- 2:45Speaker 1: Flanked by Health Secretary Robert Fitzgerald Kennedy Jr. The President
- 2:49Speaker 1: urged pregnant women to limit the use of acetaminifin, which
- 2:52Speaker 1: is known as paracetamol in Australia, unless it's absolutely medically necessary.
- 2:58Speaker 2: But if you can't tough it out. If you can
- 3:00Speaker 2: do it, that's what you're gonna have to do. You'll
- 3:06Speaker 2: take atil and all, but it'll be very sparingly.
- 3:11Speaker 3: There is certainly no causation established here. That's the first
- 3:16Speaker 3: thing to say.
- 3:17Speaker 1: Natasha Robinson is the Australian's Health editor.
- 3:20Speaker 3: But I don't think that you can take the fact
- 3:23Speaker 3: that there is not a definitive link established between the
- 3:28Speaker 3: use of paracetamol in pregnancy and causation in terms of
- 3:33Speaker 3: autism to completely dismiss what the administration in the USA
- 3:39Speaker 3: has put on the agenda here. It's really important, I think,
- 3:43Speaker 3: in this circumstance to sift through the heat and light
- 3:47Speaker 3: that we see with Trump in everything that he says,
- 3:51Speaker 3: and I would really encourage people to go and look
- 3:54Speaker 3: at the policy in relation to this that the US
- 3:57Speaker 3: Department of Health and Human Services has put out. It's
- 4:00Speaker 3: really interesting to go through that and see just how
- 4:03Speaker 3: measured it actually is. Everything that I've heard in terms
- 4:08Speaker 3: of response from experts shooting down these claims is actually
- 4:11Speaker 3: documented in this information that they've put out there, including
- 4:15Speaker 3: the fact that they openly admit that causation is in
- 4:18Speaker 3: fact not established here.
- 4:20Speaker 1: But I think what the whole.
- 4:21Speaker 3: Point of this announcement is. There are association studies, and
- 4:25Speaker 3: there are many of them, and they have consistently shown
- 4:28Speaker 3: a higher rate of autism, sometimes only a small difference,
- 4:33Speaker 3: but nevertheless that is consistent across many studies in terms
- 4:38Speaker 3: of the slightly high rates of autism among women who
- 4:41Speaker 3: have taken parasitamol during pregnancy, and that particularly late pregnancy
- 4:45Speaker 3: seems to be the issue here. There are other studies
- 4:50Speaker 3: that have disproven any association. A large Swedish study that
- 4:55Speaker 3: many of the experts who are responding to this announcement
- 4:58Speaker 3: appointing to, which can trolled for genetics essentially by examining
- 5:03Speaker 3: siblings as well, and once they examined the siblings and
- 5:06Speaker 3: their circumstances, they found that the association disappeared. But then
- 5:09Speaker 3: there's yet again other studies that have looked at that
- 5:12Speaker 3: Swedish study, and there's in particular a Harvard study that
- 5:14Speaker 3: had some concerns with the way that that study was conducted.
- 5:18Speaker 3: So look, it is safe to say here the evidence
- 5:22Speaker 3: is mixed.
- 5:26Speaker 1: Let's do a quick fact check here.
- 5:29Speaker 2: And by the way, I think I could say that
- 5:31Speaker 2: there are certain groups of people that don't take vaccines
- 5:33Speaker 2: and don't take any pills that have no autism.
- 5:37Speaker 1: Donald Trump didn't actually seem too confident on this point.
- 5:41Speaker 2: Is that a correct statement? By the way, there are
- 5:45Speaker 2: some studies that suggests that with the Amish, for example,
- 5:48Speaker 2: the Amish, Yeah, virtually I heard none. She Bobbie wants
- 5:54Speaker 2: to be very careful with what he says, and he should.
- 5:56Speaker 2: But I'm not so careful with what I say. But
- 5:59Speaker 2: you have certain groups, the Amish as an example, they
- 6:02Speaker 2: have essentially no autism.
- 6:07Speaker 3: I've had a little opportunity to have a bit of
- 6:09Speaker 3: a look at these studies. First of all, the idea
- 6:12Speaker 3: that there's no autism in the Amish communities is false.
- 6:16Speaker 3: I think it's true as far as I can see,
- 6:18Speaker 3: that there is a lower rate of autism in Amish communities,
- 6:22Speaker 3: and some of the material studies that I've looked at
- 6:25Speaker 3: have indicated that it may be as much as four
- 6:27Speaker 3: times lower. But it's unclear why that is. There does
- 6:31Speaker 3: seem to have been an issue with the particular study
- 6:34Speaker 3: around about twenty years ago in the US where there
- 6:37Speaker 3: was some suggestions that because Amish families don't generally vaccinate
- 6:41Speaker 3: their children, that was the reason they didn't have any autism,
- 6:44Speaker 3: and I think that's been comprehensively debunked.
- 6:48Speaker 2: And you shouldn't give the child to taileril. Every time
- 6:51Speaker 2: he goes he's born, he goes and has a shot,
- 6:54Speaker 2: you shouldn't give a tailer and oil to that child.
- 6:58Speaker 3: So, in relationship to children, there is no evidence whatsoever
- 7:02Speaker 3: that there's any problem giving parasita mult your children. What
- 7:06Speaker 3: the TGA recommends is that you follow the dosage instructions
- 7:12Speaker 3: and you only give it as needed. So the general
- 7:14Speaker 3: advice is to give it in the smallest possible dosage
- 7:18Speaker 3: for the time that it is really required. Take the
- 7:21Speaker 3: advice of your doctor. I know that doctors do often
- 7:24Speaker 3: recommend it when people vaccinate their children. It's certainly not
- 7:29Speaker 3: a clear cut issue, and it's absolutely one that requires
- 7:33Speaker 3: the advice of a doctor, not President Trump.
- 7:36Speaker 2: It can be something that's very dangerous to the woman's health,
- 7:41Speaker 2: in other words, a fever that's very very dangerous, and
- 7:45Speaker 2: ideally a doctor's decision because I think you shouldn't take it,
- 7:50Speaker 2: and you shouldn't take it during the entire pregnancy. They
- 7:52Speaker 2: may tell you that toward the end of the pregnancy
- 7:54Speaker 2: you shouldn't take it.
- 7:58Speaker 1: So Natasha, what the Therapeutic Goods Administration, which is the
- 8:02Speaker 1: health regulator here in Australia, what does it actually recommend
- 8:06Speaker 1: for pregnant women where paracetamol is concerned.
- 8:09Speaker 3: The TTA in Australia classifies paracetamol as a Category A
- 8:15Speaker 3: drug in pregnancy, which means that it generally considers it safe.
- 8:19Speaker 3: It does say that it should only be taken where necessary,
- 8:23Speaker 3: and it should be taken at the lowest possible dose
- 8:27Speaker 3: for the shortest possible time. And I think the important
- 8:31Speaker 3: thing in relation to paracetamol that is the biggest consideration
- 8:36Speaker 3: here is that people don't always use it just for paying.
- 8:39Speaker 3: People often use it to control fever. And that's actually
- 8:42Speaker 3: very important in pregnancy because fever uncontrolled can be dangerous
- 8:47Speaker 3: for the fetus and can trigger premature births. So it
- 8:50Speaker 3: is an important factor and that's also acknowledged by the
- 8:53Speaker 3: US Health Department. And that's what many experts are saying
- 8:57Speaker 3: to pregnant women in the wake of this is if
- 8:59Speaker 3: you have a don't let it run. It's better to
- 9:01Speaker 3: take paracetamol than to actually have a high fever that
- 9:04Speaker 3: goes on and.
- 9:04Speaker 1: On coming up dangerous ideas make a Trump era comeback.
- 9:27Speaker 1: The idea that autism is caused by certain medications and
- 9:30Speaker 1: vaccinations can be traced back to a paper published in
- 9:34Speaker 1: the respected Lancet Medical Journal in the nineteen nineties by
- 9:38Speaker 1: British gastro intestinal doctor Andrew Wakefield. It said of a
- 9:42Speaker 1: group of twelve eight children who'd received the combined measles
- 9:46Speaker 1: Mump's rubella vaccine went on to develop autism. It was
- 9:51Speaker 1: a global bombshell, but it was also wrong. It's since
- 9:56Speaker 1: been determined Wakefield's methodology was flawed and his paper was
- 10:00Speaker 1: retracted by the Lancet, but the ideas had taken hold,
- 10:05Speaker 1: and they've undermined faith in vaccines ever since. Vaccines have
- 10:09Speaker 1: saved millions of lives from diseases that used to kill
- 10:12Speaker 1: people of all ages, from babies to adults. Now, anti
- 10:18Speaker 1: vaccine rhetoric has had a resurgence under the Trump administration,
- 10:22Speaker 1: thanks to skepticism of high ranking officials like RFK Junior
- 10:26Speaker 1: and even the President himself, who famously took the anti
- 10:29Speaker 1: malaria drug hydroxychloroquin during the COVID nineteen pandemic against medical advice.
- 10:36Speaker 2: And they've pumped so much stuff into those beautiful little babies.
- 10:40Speaker 2: It's a disgrace.
- 10:43Speaker 3: So I'd just say something about these comments by Trump
- 10:46Speaker 3: in the first instance, do not take your medical advice
- 10:50Speaker 3: from the US president. Okay, a responsible president should be
- 10:54Speaker 3: telling people to discuss these issues with their doctor. That
- 10:57Speaker 3: is the first thing that I'd say in relation to
- 11:01Speaker 3: his general message. I think what is clear and agreed
- 11:06Speaker 3: by everybody is that this is an incredibly complex condition
- 11:10Speaker 3: that probably has a lot of complex drivers. We've studied
- 11:14Speaker 3: the genetics. We know that there's a lot of genes
- 11:18Speaker 3: involved with traits that are apparent in conditions of neurodiversity,
- 11:23Speaker 3: including autism. The incredibly important other aspect here is the
- 11:29Speaker 3: environmental factors, of which pharmaceuticals are one. It's incredibly complex
- 11:35Speaker 3: to pin down those exact mechanisms, but what people believe
- 11:40Speaker 3: is going on, and the foremost researchers in the world
- 11:43Speaker 3: all agree in terms of autism, it is driven by
- 11:46Speaker 3: genetics and in combination with environmental factors which have an
- 11:50Speaker 3: impact upon a person's genetics. I think the comment that
- 12:00Speaker 3: made about we think we've essentially figured autism out, we're
- 12:04Speaker 3: going to fix it, is really unhelpful because implicit in
- 12:09Speaker 3: that comment is that this is a pathology that requires
- 12:13Speaker 3: a medical fix, and with a condition like autism, of
- 12:18Speaker 3: course it's not helpful to speak about a condition which
- 12:22Speaker 3: involves diversity in the way that people affected by neurodevelopmental
- 12:29Speaker 3: conditions actually communicate, experience the world, et cetera, et cetera,
- 12:33Speaker 3: and so essentially casting it as a problem that needs
- 12:37Speaker 3: to be fixed, and we've found the answer is very
- 12:40Speaker 3: unhelpful and stigmatizing for people with autism.
- 12:55Speaker 1: Natasha Robinson is The Australian's Health editor. You can read
- 12:59Speaker 1: all her reporting and analysis right now at the Australian
- 13:02Speaker 1: dot com dot au