David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

106
David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007

Transcript of David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Page 1: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

David Kirby

DEBATE WITH ARTHUR ALLEN

U.C.S.D.

JANUARY 13, 2007

Page 2: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

What is “AUTISM?”AUTISM SPECTRUM DISORDERS (ASD)

• DSM-IV: “Classic” or “Full Spectrum”• PDD-NOS: “Milder” or “Higher Functioning”• ASPERGERS: “Savant” or “High Functioning”

MORE THAN ONE CAUSE / NAME?

• Autisms?• Autism Type I, II, III?• Autism (genetic) vs. Acquired Neuroimmune

Disorder (environmental)?

Page 3: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

KNOW YOUR MERCURY (Hg)TYPE SOURCE EXPOSURE

Elemental Hg Thermometers VaporAmalgamsLights/batteries

Inorganic Hg Coal power plants Air pollutants(hydrophylic) Volcanoes

Wildfires, etc.

Organic Methyl Hg Fish Ingestion

Organic Ethyl Hg Thimerosal Injected vaccines/Rho-GAMFish(?) OTC topical meds

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7 MAIN ARGUMENTS AGAINST THE THIMEROSAL HYPOTHESIS

• Autism is genetic, there is no epidemic.

• Mercury level in vaccines was very low, “like a tuna sandwich.”

• Autism is not the same thing as mercury poisoning.

• CDC study of federal data shows no damage from mercury in vaccines.

• IOM REPORT: Thimerosal was not linked to autism in five large population studies from the US, Denmark, Sweden and UK

• Ethyl mercury is “less toxic” than methyl mercury.

• Thimerosal was removed from vaccines in 1999 and there has been no decline in autism cases in California and elsewhere.

Page 5: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Argument #1

“Autism is genetic.

There is no epidemic.”

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Evidence of Harm 6

AUTISM BY THE NUMBERS: US & EUROPE

USA - 1980’s: 1-2 per 10,000 children• Late 1990’s: 1 in 500 (20 per 10,000)• 2000: 1 in 250 (40 per 10,000)• 2004: 1 in 166 (60 per 10,000)• “DSM IV”: (40 per 10,000) “OTHER ASD”: (20 per 10,000)

-------------• UK – 2004: 1 in 166 (60 per 10,000)

“DSM IV”: (20 per 10,000) “OTHER ASD”: (40 per 10,000)

Denmark – 2004: 1 in 1,300 (8 per 10,000)

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Mercury in US childhood vaccines tripled (from 75mcg to 237.5mcg)

between 1988-1992

0

50

100

150

200

250

70s-80s

1988 ~1989 1992

3 DTP = 75mcg

4 HiB=175mcg

1 DTaP=200mcg

3 HepB=237.5

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Autism cases spiked at same time“Effect is greatest for cohorts born between 1987 and 1992.”

“Clear differences: the prevalence increases with younger birth cohorts.”

“No concomitant decreases in categories of mental retardation orspeech/language impairment were seen.”

“Curves for children with ADHD also showed strong cohort differences.”

“Cohort curves suggest that autism prevalence has been increasing with time.”

“The narrowing of cohort curves in recent years may mark a slowing in the autism prevalence increase.”

Page 9: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Autism Soars, disabilities steady1993-2003 – US I.D.E.A.

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BUT – US Dept. Of Education Regs Were Changed in 1992 to Expand Autism Criteria

• Before change: Many states only recognized and counted DSM IV, “classic” autism.

• After change: Many states added PDD-NOS, Aspergers.

• Reported rates of “autism” in Illinois schools went from 5 cases in 1992 to 1,101 in 1996 – a jump of 21,920%!

• In same period, US numbers rose 178.6%

• BUT - California never expanded inclusion criteria

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TOTAL Hg BURDEN AND AUTISM RATES IN CALIFORNIA 1985-98

SOURCE: Mark Blaxill, SAFEMINDS, 2001

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The Hidden Horde?

• 1-in-104 American boys have some form of ASD. If it is genetic, then the same should be true for American men who are 20, 30, 40, etc.

• Where are they? Did they “outgrow” their autism?

• Why are American schools struggling with ASD students in the last 10 years, and not before?

Page 13: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Number of California Children with Full-Spectrum Autism in DDS, Avg. Per Age Group, Oct. 2006

2,1322,063

1,539

983

505

3-5 6-9 10-13 14-17 18-21SOURCE: California DDS

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SF: ASD kids more likely born in polluted areas

• 284 ASD children & 657 controls, born in 1994 in Bay Area.

• Assigned exposure level by birth tract for 19 chemicals.

• Risks for autism were elevated by 50% in tracts with the highest chlorinated solvents and heavy metals.

• Highest risk compounds were mercury, cadmium, nickel, trichloroethylene, and vinyl chloride.

• Risk from heavy metals was almost twice as high as solvents.

• “Our results suggest a potential association between autism and estimated metal concentrations, and possibly solvents, in ambient air around the birth residence.”

ENVIRONMENTAL HEALTH PERSPECTIVES – Vol. 114 No. 9, September, 2006

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• Study looked at Texas county levels of emissions, compared to ASD rates and special ed in 1,200 school districts.

• Autism increased as mercury emissions rose. For every thousand pounds of Hg, there was a 61 percent increase in autism rates.

• One county with low mercury emissions but significant autism rates was found to harbor one of the nation’s largest mercury mines.

• Author: “A potentially important connection between environmental exposure to mercury and the development of autism.”

HEALTH & PLACE: 12 (2006) 203-209

TEXAS: HIGHER RISK OF AUTISM NEAR COAL-FIRED PLANTS

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Argument # 2

Mercury levels in vaccines was very low: “like a tuna sandwich”

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THE "THIMEROSAL GENERATION”Maximum Exposure in 1st year of life - US Schedule - 1992-200?

AGE SHOTS HG CONTENT

BIRTH Hep B 12.5mcg

8lb infant (3.6kg)– EPA Hg limit: 0.36mcg = 35 times over4lb infant (1.8kg) – EPA Hg limit: 0.18mcg = 70 times over

2 MONTHS Hep B 12.5mcgHIb 25.0mcgDTaP 25.0mcg

(subtotal for visit):62.5mcg

Avg. weight: 10lbs/4.5kg EPA limit: 0.45mcg = 138 times over

EPA LIMIT: 0.1mcg per kg per day

ADULT MALE: 138 times over EPA limit = 1,300mcg or 1.3 milligrams

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Continued exposures in 1st year of life

AGEAGE SHOTSSHOTS HG CONTENTHG CONTENT

4 MONTHS HIb 25.0mcgDTaP 25.0 mcg

(subtotal for visit): 50.0 mcgAvg. weight: 14lbs/6.5kg EPA limit: 0.65mcg = 72 times over

6 MONTHS6 MONTHS HiBHiB 25.0mcg25.0mcgDTaPDTaP 25.0mcg25.0mcg

(subtotal for visit):(subtotal for visit): 50.0mcg50.0mcg

Avg. weight: 16lbs/7.3kg EPA limit: 0.73mcg = 68Avg. weight: 16lbs/7.3kg EPA limit: 0.73mcg = 68 times over times over

12 MONTHS12 MONTHS HiBHiB 25.0mcg25.0mcgDTaPDTaP 25.0mcg25.0mcg

(subtotal for visit):(subtotal for visit): 50.0mcg50.0mcg

Avg. weight: 20lbs/9kg EPA Hg limit: 0.9mcg = Avg. weight: 20lbs/9kg EPA Hg limit: 0.9mcg = 55 times over55 times over

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Typical Tuna Sandwich

20 micrograms, methyl-mercury, ingested, contains selenium

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TYPICAL FLU SHOT

25 micrograms ethyl-mercury, injected, contains aluminum, etc.

110 lb woman = 5 times over EPA daily mercury limit1.1 lb fetus = 50 times over EPA daily limit

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Page 22: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Argument # 3

“Autism is not the same as mercury poisoning.”

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ACRODYNIA (PINK DISEASE)Cause: Inorganic Hg used in teething powders

• Afflicted tens of thousands of children in 1930-1950’s.

• Symptoms: weepy rash & peeling skin -AND- withdrawal, poor eye contact, poor coordination and muscle control, lethargy, repetitive behaviors, rocking, spastic movements, emotional outbursts, self-injury, sensitivity to light, visual impairments, drooling, insomnia, general ill health.

• 1-in-500 exposed children developed the disease.

• Years passed before mercury poisoning was gradually accepted as the cause, despite stiff resistance by industry.

• By 1954, most mercury was eliminated from teething powders. Cases fell sharply and then disappeared entirely.

• Today, Pink disease is virtually unheard of.

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Acrodynia is not Autism

• And neither is Minimata Disease

• Nor Mad Hatters’ Disease (“The Danbury Shakes”)

• Nor Iraqi Grain Disease

• There is no SINGLE type of Hg poisoning

• Symptoms depend on age, weight, sex, type of mercury, amount of mercury, route of exposure, genetic sensitivity, etc.

Page 25: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Argument # 4

“A CDC study of federal data

showed no damage from

mercury in vaccines.”

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VSD - Generation “Zero”Nov-Dec 1999

Very high relative risks for outcomes.

Autism Relative Risk = 7.6

UNPUBLISHED STUDY OBTAINED THROUGH FOIA

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VSD: Generation Zero

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“IT JUST WON’T GO AWAY”

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VSD Generation 1: Autism(Verstraeten – 2/2000)

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VSD Generation 2: Autism(Simpsonwood & ACIP 6/2000)

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VSD Generation 3: Autism(IOM Presentation 7/2001)

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Generation 4: Autism(Pediatrics Article, 11/2003)

Vol. 112 No. 5 November 2003,

pp. 1039-1048

                                 

                                 

                                 

                                 

“In no analyses were significant increased risks found for autismor attention-deficit disorder.”

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Evidence of Harm

Autism Risks Across 5 GenerationsGEN 0 GEN 1 GEN 2 GEN 3 GEN 4 7.62

2.48

1.691.52

0.00

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Argument # 5

IOM REPORT: Thimerosal was not linked to autism in

five large population studies from the US, Denmark,

Sweden and UK

Page 35: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

THIMEROSAL EXPOSURE & AUTISM RATES IN SWEDEN: 1980-1996

SOURCE: Stehr-Green, et al, AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 25, no. 2 (August 2003): 101-6

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THIMEROSAL EXPOSURE & AUTISM RATES IN DENMARK 1981-2000

SOURCE: Stehr-Green, et al, AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 25, no. 2 (August 2003): 101-6

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IOM Report: Deference toepidemiology over biology

• Epidemiology “not acceptable” to disprove causation: Federal Court System.

• Epidemiological studies were questioned by lead investigators themselves

• Danish authors: exponential expansion of patients (inpatient-outpatient) “may have spuriously increased the apparent number of autism cases.”

• Verstraeten: “We found no evidence against an association, as a negative study would. On the contrary, additional study is recommended, which is the conclusion to which a neutral study must come.”

• IOM final report: “Cannot rule out, based on the epidemiology, possibility that vaccines contribute to autism in some small subset.”

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NIH PANEL QUESTIONS CDC METHODS AND DATA - 12/06

• Congress requested NIEHS to convene a panel about whether the VSD could be used to compare autism rates before and after Hg was phased out.

• In December, panel "identified several serious problems" with the database.

• Several "weaknesses" and "limitations" associated with the database would render a comparative analysis "uninformative and potentially misleading.“

• Panel was “concerned” about how autism diagnoses were made and recorded by HMO's -- asked if they had adequate services for autism families, who might seek care elsewhere.

• These and other problems likely led to an "under-ascertainment" of cases. (State rates were 3-4 per 1,000, but VSD reported a rate of 1.1 per 1,000) .

Page 39: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

NIH PANEL QUESTIONS CDC METHODS AND DATA

• Panel cited many other problems with the study design, particularly that "a large proportion, around 25%, of births were excluded from the analysis."

• These same children "may represent a susceptible population whose removal from the analysis might unintentionally reduce the ability to detect an effect of thimerosal."

• Other "serious problems" included no consideration of Rho-GAM or "other vaccinations given during pregnancy,“ and no accounting for "the cumulative exposure to organic mercurials through diet or other environmental sources.“

• These problems "reduce the usefulness" of the VSD to prove or disprove a link between thimerosal and autism, though suggestions were given to address the problem.

Page 40: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Quotes on the NIH report from “UPI - Age of Autism,” Dan Olmsted Dec. 11, 2006

“The results from this study suggest there is not a 'cause and effect' relationshipbetween thimerosal and autism or ADD.“

--CDC Website

“The (VSD study) wasn't the last word… things need to be looked at again,perhaps with different methodology,"

--NIH Panel Chair Irva Hertz- Picciotto, Professor

of Public Health, UC-Davis School of Medicine.

"Some studies are stronger than others. The Verstraeten study was animprovement on other studies, including the two in Denmark, both of which hadserious weaknesses in their designs.

--Dr. Hertz-Picciotto

"We actually just got the (NIH) report and haven't had a chance to assess it." --CDC spokesman Glen Nowak

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Young Cohort Reduces Signal

• “Over one quarter of the children were under the age of ascertainment for autism - 44 months - causing the signal to disappear.” – Mark Blaxill

• “There is certainly an under-ascertainment of cases. Some children are just not old enough to be diagnosed. Crude incidence rates are much lower because the cohort is still

very young.” – Thomas Verstraeten

• “A CDC official accepted the critics’ charge that it contained many

children too young to be diagnosed as autistic. ’This is true,’ said scientist Frank DeStefano,” Neil Munro, National Journal

Page 42: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.
Page 43: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

SOURCE: VSD Analysis, February 2000 – Obtained through FOIA

Page 44: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Biological Studies that Support

the Mercury Hypothesis

Page 45: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

MEET THE “MERCURY CAPTURERS”

• Thiol – A class of SULFUR-BASED proteins that bind with heavy metals and eliminate them from the system.

• Thiols include – Glutathione, cysteine and metallothioneine.

• Synonym for thiol = “mercaptan” from the Latin mercurium captans: or literally, “mercury capturer.”

Page 46: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Dr. Jill James and team:

• Discovered that ASD kids have low or depleted levels of “thiols,” including glutathione – a powerful antioxidant.

• Low thiols levels are thought to be based on genes - and possible mercury exposure (See: R. Deth).

• Methionine “metabolites” (methionine, cysteine, glutathione) in 20 children with autism compared vs. controls revealed severely abnormal profiles.

• Targeted nutritional intervention for three weeks with Folinic acid, and Betaine (1000 mg. BID) resulted in significant improvement in methylation capacity in children with autism.

• Addition of methyl B-12 to “cocktail” brought all autistic children within normal levels of methionine, cysteine and glutathione

Page 47: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Chelation results from autistic child

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Holmes, Haley and Blaxill Baby Haircut Study 2003

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• Urine samples from 100s of French children yielded “evidence for a link between autism and heavy metals.”

• Samples from ASD children had high levels of porphyrins – used to produce of haem, the oxygen-carrying component in haemoglobin.

• Heavy metals block haem, causing porphyrins to accumulate in urine.

• Coproporphyrin was 2.6 times higher in autism cases than controls.

• One author said it was “Highly likely heavy metals are responsible for childhood autism in a majority of cases.”

TOXICOLOGY AND APPLIED PHARMACOLOGY - 15.3 (March, 2006)

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Asperger coprophyrin profiles matched control cases, not autism

TOXICOLOGY AND APPLIED PHARMACOLOGY - 15.3 (March, 2006)

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Researchers restored porphyrin concentrations to normal in 12 children

through chelation.

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THIMEROSAL CAN CAUSE IMMUNE IMBALANCES

Thimerosal and Immune Cells M.I.N.D. Institute – March 26/06

Miniscule amounts (nanomolars) of thimerosal can:

1) Kill immune (dendritic) cells2) Cause cytokine imbalances3) Induce inflammation.

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Autism and Immune DysfunctionPresentation of MIND Institute

2005 International Meeting for Autism Research

AUTISM IS ASSOCIATED WITH IMMUNE IMBALANCES

Compared to typical children, those with ASD werefound to have:

• Increased autoimmunity

• Extremely elevated levels of certain immune cells and cytokines

• Imbalances in the TH1/TH2 immune response

Page 54: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Argument # 6

“Ethyl mercury is ‘less toxic’ than methyl mercury.”

Page 55: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

• “The scientific evidence that PMA& thimerosal causes reproductivetoxicity is clear and voluminous.”

• “Evidence for its reproductive toxicity includes severe mental retardation or malformations in human offspring who were poisoned when their mothers were exposed to ethyl mercury or thimerosal while pregnant.”

• “Studies in animals demonstrate developmental toxicity after exposure to thimerosal.”

• “Data showing interconversion to other forms of mercury that also clearly cause reproductive toxicity.

Page 56: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

• Thomas Bubacher and team at Univ. of Washington Primate Center compared ethylmercury from thimerosal and methylmercury from fish.

• Methyl Hg stayed in blood longer and crossed blood-brain barrier more.

• Gov’t press release and media reported: Ethylmercury is less hazardous.

• BUT - Ethyl in brain converts to inorganic mercury much faster than methyl.

• 2-4 times as much inorganic Hg found in brains of ethyl vs methyl group.

• Over half the methyl-exposed brains had no detectable inorganic Hg.

• Half-life in brain of organic Hg: 30 days; Half-life of inorganic Hg: 20 years

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“Changes in the number of astrocytes and microglia in the thalamus of the monkey Macaca Fascicularis following long-term subclinical methylmercury exposure.”

Burbacher et al gave methyl mercury (MeHg) orally to primates and found that “MeHg concentrations plateaued at around 12 months exposure, whereas inorganic levels, presumably derived from demethylation of MeHg, continued to increase throughout all exposure durations.”

“Both the astrocytes and microglia contain substantially elevated inorganic Hg deposits relative to all other cell types.

“Inorganic mercury in the brains, accumulating after long-term exposure, may be a proximate toxic form of mercury responsible for the changes within the astrocyte and microglial populations.

(Changes in these cells were not noted for six months or more in some cases.)

Neurotoxicology. 1996;17:127-138.

Page 58: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

HARVARD & JOHNS HOPKINS STUDIES ON AUTISTIC BRAINS

HARVARD:

“Neuro-inflammation” found in autistic brain tissue from childhood through adulthood.

Study suggests that “chronic disease or an external environmental source (ie, heavy metals)” may be cause.

JOHNS HOPKINS:

Inflammation found in autistic brains - apparently associated with activation of brain’s immune system.

Compared with controls, autistic tissue showed ongoing inflammation in various sections of brain.

Inflammation was produced by activation of brain cells known as microglia and astroglia.

Page 59: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Argument # 7

“Thimerosal was removed from vaccines in 1999 and

there has been no decline in autism cases in California

and elsewhere.”

Page 60: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Net gain in cases drops between 2002-2005

2000

2200

2400

2600

2800

3000

3200

3400

2001 2002 2003 2004 2005

Net gain ofautism cases

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Rate of increase fell sharply

0

50

100

150

200

250

300

1987-1994

Dec 98-Dec 2002

Jan 03 -Sept 06

DDS report: %increase inautism cases

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3-5 year olds - quarterly numbers

QUARTER Total # children Net gain Change

3-5 years old (avg.143) net gain

• 1Q 2003 4228 189 +81• 2Q 2003 4466 238 +49• 3Q 2003 4558 92 -146• 4Q 2003 4611 53 -39

• 1Q 2004 4793 182 +129• 2Q 2004 4894 101 -81• 3Q 2004 4997 103 +2• 4Q 2004 5156 159 +56

• 1Q 2005 5307 151 -8• 2Q 2005 5446 139 -12• 3Q 2005 5539 93 -46• 4Q 2005 5680 141 +48

• 1Q 2006 5827 147 +6• 2Q 2006 6083 256 +109• 3Q 2006 6188 105 -151• 4Q 2006 6348 160 +55

Page 63: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Yearly trends for 3-5 year olds: Rate of increase

Year Net Gain % Change

ages 3-5

2003 572 n/a

2004 545 -4.72%

2005 524 -3.85%

2006 668 +27.48%

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Total autism cases among 3-5 year olds rises: 2002-2006

2002 2003 2004 2005 2006

6,348 5,680

5,156 4,611

3,732

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All ages: Rate of increase takes off in 2006

2000

2200

2400

2600

2800

3000

3200

3400

2001 2002 2003 2004 2005 2006

Net gain ofautism cases

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THERE’S SOMETHING

ABOUT CALI

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PREVALENCE RATES INDEXED TO U.S. AVERAGE, BASED ON IDEA DATA

BY YEAR OF BIRTH: 1981-2000

0

1

2

3

1981 1983 1985 1987 1989 1991 1993 1995 1997 1999

CA prevalencerate relative to US average

Year of birth

California

United States average

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US (green) CA (blue) and PA (red)Autism Prevalence by birth cohort

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Possible reasons why autism rates have not fallen among California children born 2001-2003 (3-5 year old cohort)

1. Mercury was in some childhood vaccines at least through 2003, at an unknown rate (no controlled experiment). Undetermined number of 3-5 year olds received thimerosal in their routine shots.

2. Mercury was in Rho-GAM at least through 2003, at an unknown rate.

3. Flu shot was gradually increased in use for pregnant women and infants from 1995-2004. Today there is a 50% compliance rate.

4. Population and immigration grew in California after 2002: including thimerosal vaccinated children – how many were immunized twice?

5. There was a documented rise in environmental mercury exposures in California, from sources such as Asian coal, wildfires, cremation, etc.

6. Early intervention – Average age of diagnosis coming down.

7. Aluminum content – On the rise? Adjuvants are trade secrets

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1) Mercury remained in some vaccines until 2003

“The latest vaccines that contained any thimerosal as a preservative, with the exception of some flu vaccines, were completed in 2001 and outdated in 2003.”

Dr. Harvey Fineberg, IOM President “Meet the Press,” August 7, 2005

Page 71: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

HMO Market Penetration 2005(US Average: 23%)

Source: Competitive Edge Reports

Page 72: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

“Merck Misled on Vaccines, Some SayFirm supplied shots containing a mercury compound after saying it had halted its use.”

Mar 7, 2005 | Myron Levin | Los Angeles Times

Drug maker Merck & Co. continued to supply infant vaccine containing a mercury-based preservative for two years after declaring that it had eliminated the chemical.

In September 1999, Merck announced FDA approved a preservative-free version of its hepatitis B vaccine.

"Now, Merck's infant vaccine line," the company's press release said, "is free of all preservatives."

But Merck continued to distribute vaccine containing the chemical known as thimerosal, along with the new product, until October 2001.

Merck continued to supply the preservative-containing version "during the transition period to ensure an adequate supply," said spokeswoman Mary Elizabeth Blake.

Page 73: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

2) Mercury Remained in Some Rho-GAM Shots Until 2003

“On April 16, 2001, OrthoClinical Diagnostics wasapproved by FDA toproduce RhoGAM withoutthimerosal… The producthas a 2-year datingperiod.”

FDA Statement www.fda.gov

Page 74: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

3) The flu shot may matter• A pregnant woman receives 25mcg, fetus is also exposed. Much is

absorbed by fetal brain stem. Approximately 15% of fetal body burden was in the brain vs. 1.7% in moms in rat study, (Feng et al. 2004 Toxicol Lett 152:223)

• Human maternal/cord blood ratio is ~1:2).

• 1lb fetus (0.5kg) exposed to 25mcg is 500 times over EPA limit.

• An 8oz fetus (0.25kg) is 1000 times over EPA limit. (WILD ASSUMPTION: Mercury is 4 times more toxic to a fetus than to an adult, thus toxic equivalency is 4,000 times over EPA)

• At 6 months, a 16lb baby receives 12.5mcg – or 17 times over limit. At 7 months, baby receives 12.5 mcg.

• Other shots contain 5-7mcg in residual Hg.

• Total possible exposure by 7 mos: 57mcg.Max exposure in UK: 75mcg

Page 75: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

TRENDS IN WEIGHT ADJUSTED THIMEROSAL EXPOSURES FROM CHILDHOOD VACCINES AND

INFLUENZA VACCINES DURING PREGNANCY AND EARLY INFANCY

0

5

10

15

20

25

30

35

40

45

1980 1985 1990 1995 2000 2005 2010

Cumulative bolusmercury dosefrom vaccines through 24 months(mcg/kg)

Year of birth

From the childhood immunization schedule

From the influenza vaccine in utero/infancy

Exposure from continued TCV production and related inventory

SOURCE: Mark Blaxill, SAFEMINDS

Page 76: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Can Prenatal Exposures Make a Difference?

“Is it possible that toxic or environmental influences can cause autism? The answer is yes. But if it happens, it has to happen early in pregnancy.”

Page 77: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Can Prenatal Exposures Make a Difference?

“Is it possible that toxic or environmental influences can cause autism? The answer is yes. But if it happens, it has to happen early in pregnancy.”

--Dr. Paul Offit, Children’s Hospital of Philadelphia

Page 78: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

4) ENVIRONMENTAL HG ON THE INCREASE AFTER 2000

COAL & CHINA

Page 79: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Coal use goes way up in China 1996-2010:

1996: 1,500 million short tons

2010:

2,666 million short tons

Source: DOE/EIA, 1998, reference case

Page 80: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

And Coal Carbon Emissions Doublein China: 1996-2010

Source: DOE/EIA, 1998, reference case

682 Metric Tons

1212 Metric Tons

Page 81: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

1990-2000: Annual global Hg emissions doubled from 1.1 to 2.2 metric tonsAsian emissions increased 58%, from 705 to 1204 tons a year

SOURCE: EPA

Page 82: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

SOURCE: EPA

Page 83: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

• Asia, and China in particular, is NOW the “single largest source” of mercury from human activity (Pacyna et al., 2002).

• China contributes 500 Mg (1 Mg = 106 g = 1 metric ton) from small industrial furnaces and village-level coal burning, ALONE.

Urbanization, Energy & Air Pollution in China

Page 84: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

THE PACIFIC “MERCURY PLUMES”

• Measurements by aircraft in 2001 and 2002 tracked mercury from industrialized southeast China, near Shanghai, and later detected the same mix of mercury and co-pollutants penetrating the west coast of the United States.

• These measurements were able to discriminate between urban anthropogenic sources of mercury and background natural sources.

Page 85: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

THE SHANGHAI PLUME(Moves up and down Pacific Coast)

Lower urban mercury plume. 10-day traverse from South China Sea, ending May 5, 2002. Trajectory calculations by N.O.A.A.

Page 86: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

THE “MONGOLIAN” PLUME

Upper Central Asia mercury plume, five-day traverse of eastern Chinaand North Pacific from Mongolian plateau origin region, ending May 5,

2002. Trajectory calculations by N.O.A.A.

Page 87: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.
Page 88: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.
Page 89: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.
Page 90: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

The information on this map represents modeled exposure estimates rather than measured exposures

Page 91: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.
Page 92: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Jacob Buck Pond, Maine

Page 93: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Mercury accumulation rates in northeast US lakes during the 20th Century:

27.1-175.4 mcg per square meter per year

Peak values after 1970.

Actual accumulation rates from fallout alone:

10.4–66.3 mcg/m2/year.

Page 94: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Mercury and Wildfires

A smoking gun?

Mercury emissions from this boreal forest firenear Hearst, Ontario, Canada, last July weremeasured with instruments aboard a Twin Otter aircraft.

Page 95: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

The National Center for Atmospheric Research and the University of Washington – Forest Fire Tests 2001

• Mercury is “picked up by surfaces --leaves or needles— and it stays there until those trees burn.”

• Friedli and Radke conducted lab tests by burning forest samples from across the US -- Sensors immediately detected mercury.

• All samples released nearly all the mercury, ranging from 14 to 71 nanograms per gram of fuel -- a nanogram is one trillionth of a gram.

• Average acre of forest contains about 22 tons (10,000 kg) of fuel. Each acre of a fire can emit up to 71 grams of mercury, which is 71 MILLION mcg, or about 2.5 ounces.

• Fires are estimated to contribute 800 tons of mercury each year, or 25% of all anthropogenic sources. The EPA estimates that U.S. coal-fired plants emit 41 tons Hg.

Page 96: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

11 of top 20 CA fires happened in the last 10 years

SOURCE: Calif. Dept. of Forestry

Page 97: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

YEARS No. FIRES ACRES MERCURY STRUCTURES

BURNED RELEASED* DESTROYED

1995-2000 32,038 740,858 57.8 tons 2,049

2001-2005 34,110 860,260 67.2 tons 7,228

% Increase +6% +16% +16% +353%

*Estimate based on 22 tons of fuel burned per acre

Page 98: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

“Cremation costs to rise as tooth fillings poison the living” 8th January 2007

• Cremations now cause nearly 1/6th of all UK mercury emissions.

• This would likely rise by 2/3rds by 2020, making crematoria the biggest cause of mercury pollution.

• Cremations now account for 3/4ths of UK funerals. The rise in mercury pollution from crematoria is caused by what dentists call the "heavy metal generation" - those 40 and above who are now dying with more teeth because of better dental care.

• Millions of Britons have two to four grams of mercury in their mouths. One gram can pollute a 25-acre lake.

• Austria, Belgium, Germany, Holland, Norway, Sweden and Switzerland now regulate mercury emissions from crematoria

Page 99: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

California Cremations on the Rise

40

45

50

55

% of deathscremated

43.6 48.5 52.7 52.7 55.9

1998 2002 2003 2005 2010

National Funeral Directors Assoc.

Page 100: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

And California Leads the Nation

0

20,000

40,000

60,000

80,000

100,000

120,000

CA FL NY TX IL

# Cremations -2005

Page 101: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

California “Cadaver Emissions”:One-Half Ton of Mercury in ‘05?

• 118,700 cremations in 2005

• UK = 4 grams amalgam mercury/person• US = ??

• @4g = 474.8 kilos = 1,044lbs

Page 102: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Other Environmental Hg Sources

• Auto switches / junkyards.• Fungicides (ethyl merucry) used on golf courses, parks,

cemeteries, playgrounds, tree farms, orchards, vineyards, etc.

• Paper / pulp processors & heavy industry.• PMA• Thimerosal in OTC products like lens solution, eye drops

and nasal sprays.• Fish, especially sushi.• Dental amalgams.

RATIO OF MATERNAL TO CORD BLOOD MERCURY LEVELS IS 1:2

Page 103: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Early Intervention Producing More Diagnoses Among 3-5 Year Olds?

Average Age of

Diagnosis 1990: 5.3 years

Average Age 2000: 4.4 years

Average Age 2006: 3.1 years

Page 104: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

CA Population Rebounds Post 9/113-5 year olds (In millions)

2000 2001 2002 2003 2004 2005

1.575

1.559 1.523 1.519

1.480 1.480

Page 105: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

California Legal Immigration Rebounds - Post 9/11

150,000

200,000

250,000

300,000

LegalImmigrants

252,920 291,191 176,375 242068

2002 2003 2004 2005

Page 106: David Kirby DEBATE WITH ARTHUR ALLEN U.C.S.D. JANUARY 13, 2007.

Proportion of Asian and Hispanic children with autism rises 18% in

DDS system from 2002-2006

Ethnicity 2002 2006

Asian/Hispanic 6,518 12,426

33% of total 39% of total

White 8,448 13,242

43% of total 41% of total

SOURCE: DDS