Chronic Illness in Children – Who is Sounding the Alarm?

September 12, 2019

Chronic Illness in Children—Who Is Sounding the Alarm?

By the Children’s Health Defense Team

 

Children in the United States are experiencing a serious and historically unprecedented burden of chronic illness. American children display consistently poorer health outcomes than children in other wealthy nations, notwithstanding substantially higher per capita health care spending on U.S. children.

In a 2004 report, the National Research Council and Institute of Medicine called attention to the rising tide of ill health in American children and its long-term implications, warning that “the nation cannot thrive if it has large numbers of unhealthy adults.” Ten years later, in Lancet Neurology, pediatric experts lamented the pandemic of neurodevelopmental toxicity in children that is “silently eroding intelligence, disrupting behaviors, truncating future achievements and damaging societies.” Despite these and many other admonitions, U.S. agencies and officials have paid no meaningful attention to the crisis.

What’s wrong with this picture?

The list of chronic afflictions beleaguering U.S. children—sometimes nearly from birth—includes neurodevelopmental conditions, autoimmune illnesses, atopic disorders, mental health problems and more. In many instances, multiple conditions overlap, or one condition increases the risk for subsequent disorders. Children with chronic conditions now constitute over 70% of pediatric intensive care hospital admissions.

In 2011, a widely cited survey found that over two-fifths (43%) of children had at least one of 20 chronic health conditions, and this proportion rose to over half (54%) when including obesity and developmental and behavioral risks. The health conditions assessed by the researchers ranged from learning disabilities to diabetes to depression. Another national study, published in the Journal of the American Medical Association (JAMA) in 2010, zeroed in on the deterioration in children’s health over time. From 1988 to 2006, there was a doubling of the prevalence of four types of chronic conditions (obesity, asthma, behavior/learning problems and “other” physical conditions), which rose from 12.8% to 26.6% of American children and youth. If researchers replicated those studies now, trends suggest that the numbers would be even higher.

Chronic illness in children accounts for significant health care expenditures, both public and private. An annual survey of outpatient care conducted by the National Center for Health Statistics showed, for example, that at least 17% of children’s visits to a doctor in 2016 were for chronic conditions (either routine or “flare-up” care). Medicaid covered a third of the visits, with the remainder mostly billed to private insurance. Research also points to a rise in the proportion of children with one or more complex chronic conditions—conditions that incur a disproportionate share of health care costs. A Minnesota study reported significantly increased five-year prevalence and incidence rates of multiple complex chronic conditions in children from 1999 to 2014. The 1990s also marked a rise in the proportion of hospitalized children who have complex chronic conditions—such children are at increased risk of lengthy hospital stays as well as mortality compared to children hospitalized for other reasons.

Autism spectrum disorders

Four diagnoses, sometimes called the “4-A” disorders, are among the most prevalent in their impact on children’s quality of life: autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), asthma and allergies. The ASD and ADHD diagnostic labels both refer to collections of behaviors and symptoms determined largely through subjective measures.

The spike in diagnosed autism has been particularly dramatic, with a rate of increase that has accelerated over time and particularly since the late 1980s. Analysis of reliable long-term data shows that there has been a 1000-fold increase in autism prevalence since the 1930s and a 25-fold increase over the past several decades. Recent work also highlights upward ASD trends among black and Hispanic children and worsening racial/ethnic disparities.

According to national special education data from the 1980s and 1990s, approximately one in 2,850 children born in 1982 had an autism diagnosis by age 10, versus one in 550 for children born less than a decade later (in 1990). In 2000, the Centers for Disease Control and Prevention (CDC) started collecting regional surveillance data, but its latest estimate—one in 59 eight-year-olds—pertains to children born 13 years ago in 2006. More recent federal data for 3- to 17-year-olds identified autism in one in 36 children in 2016, up from one in 45 in 2014—a 23% increase in two years. The 2016 National Survey of Children’s Health produced similar results, revealing parent-reported ASD prevalence of one in 40 children aged 3-17.

Dr. Walter Zahorodny of Rutgers Medical School runs the CDC’s autism and developmental disabilities monitoring program in New Jersey, the nation’s longest-running and most comprehensive surveillance site. New Jersey reported the highest autism prevalence for eight-year-olds born in 2006—one in 34 (3%) and, for boys, one in 22 (4.5%). In May 2018, concurrent with the release of the CDC’s surveillance estimates, Dr. Zahorodny declared autism an “urgent public health concern,” citing “a true increase of approximately 150% to 200% in the period since 2000.” Zahorodny also suggested that New Jersey’s higher autism rate, compared to the national average, might not only represent a more accurate picture of what is going on in the metropolitan U.S. as a whole—due to variations in how thoroughly other states conduct surveillance—but also that New Jersey itself might still be underestimating autism.

Attention-deficit/hyperactivity disorder

Diagnoses of ADHD are on the rise. For both ADHD and autism, evidence from human and animal studies suggests that neuroinflammation likely lays the groundwork. A population-based study published in 2015, which gathered reports from both teachers and parents, suggested that ADHD might affect up to 16% of elementary-school children (roughly one in six)—three times higher than the estimated ADHD prevalence (5%) cited in the DSM-5. According to the CDC, ADHD diagnoses rose by 42% in less than a decade (2003–2011) for children and adolescents ages 4-17, translating into an average annual increase of 5%.

Some researchers view ASD and ADHD as “different manifestations of one overarching disorder,” and the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in fact allow for a joint ADHD-ASD diagnosis. The CDC reports that almost two-thirds (64%) of children and teens diagnosed with ADHD have “at least one other mental, emotional or behavioral disorder,” including ASD as well as behavior or conduct problems, anxiety, depression or Tourette syndrome.

Because of the reliance on subjective criteria for ADHD diagnosis—and due to health care providers’ propensity to propose treatment via stimulants—ADHD is a disputed diagnostic label. Some argue that ADHD is a “polyfactorial disorder” and that “no single factor alone [is] sufficient to account for all the difficulties experienced by the children.”

Asthma

Asthma is the most common childhood chronic illness. Having attained epidemic proportions, asthma morbidity in the U.S. is at an all-time high. A nationally representative study of kindergarten-age children born in 2001 determined that nearly one in five (18%) had asthma, while 7% had been either hospitalized or taken to an emergency room for asthma-related reasons. The CDC’s somewhat lower estimate suggests that one in ten children have asthma, but the agency’s figures are high for some subgroups, such as non-Hispanic black children (17%). Among children who frequently go to the emergency room, asthma is the most common condition prompting such visits.

Adverse environmental exposures during fetal and early infant life can set the stage for asthma later on. These include in utero exposure to phthalates, antibiotic use in the first year of life, and childhood exposure to parabens and other synthetic preservatives. Researchers posit that the growing prevalence of asthma may be an indicator of “increased population risk for the development of other chronic non-communicable autoimmune diseases.”

Allergies

Allergies are another of the most common conditions affecting U.S. children, having increased by an estimated 50% from 1997 to 2011. About one in 13 American children (approximately two per classroom) has at least one food allergy, with about 40% reporting multiple food allergies and roughly the same proportion reporting one or more severe food allergies and a history of severe reactions. […]

© [Article Date] Children’s Health Defense, Inc. This work is reproduced and distributed with the permission of Children’s Health Defense, Inc. Want to learn more from Children’s Health Defense? Sign up for free news and updates from Robert F. Kennedy, Jr. and the Children’s Health Defense. Your donation will help to support us in our efforts.

12 thoughts on “Chronic Illness in Children – Who is Sounding the Alarm?

  1. Pssst, I gotta secret I can pass along, but don’t repeat it or they’ll have ya. Wanna know why your kids are sick, and getting sicker? It’s simple: check out what they’re being fed, then count the number of vaccines they are subjected to. There’s the answer and hell, it doesn’t even take half a nut shell.

    Liked by 1 person

    • Interesting, My daughter refused to allow my grandson to have hepatitis B vaccine the day he was born (no vaccines prior to age 12 months confer permanent immunity – the immune system is too immature). She demanded to know how he could possibly be exposed to hepatitis B. The doctor said he might get it in the hospital. She said the hospital obviously had a problem with hygiene standards if that was true and that’s where he should focus his attention.

      Liked by 1 person

      • I have no doubt that increasing levels of ionizing radiation play some role in chronic illness, Gloria. They clearly did in Chernobyl victims. As do the US vaccine regime, water fluoridation and chlorination (shown to kill gut bacteria essential to immunity) and the 150 chemical toxins we all carry in our bloodstream now.

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  2. If you eliminate treating the symptom of illness instead of the cause; if your assessment includes the side affects of drugs used unnecessarily (in treating symptoms instead of cause) which disrupt the bodies natural biochemistry and can spiral any illness into further and further unresolvability; if you consider that major testing or patient specific research is almost always undertaken despite often simple obvious cause evidence – then you will just be beginning to understand that things are not as always as they seem.
    Our medical system is sicker than our children.
    May I suggest that it has begun to resemble the military industrial complex in that they politic and wheedle in order to ensure continued demand for their products and services … all the while upping the ante when it comes to prices. American people have never been sicker.

    And like the MIC the AMA cares little or not at all about the cost in human life all that represents; in fact, yes: they make infinitely more money and their services remain in quite much higher demand if we stay sick.
    Let me explain this:
    the holistic community, as one example, has suggested that the cause of Attention Deficit Disorder was unusually high levels of refined sugar in the diet of those children. In other words, fruit loops, captain crunch, pop tarts, sodapop.
    An entire generation raised on foods with the nutritional value of a plate full of styrofoam. But who’s going to look into that – there’s no money in that and it’s not going to improve the AMA’s standing in society as being an organization that is absolutely indispensable – to say change their diet.
    Here’s another little note: our children have become house cubs. They don’t get outside; they don’t exercise; they don’t play. They watch TV and goof around with computers. But what doctor is going to cut to the chase and tell mom or dad that their kid needs to get outside once in awhile: run around, climb trees, rollerskate, hopscotch, play baseball. There’s no drug prescriptions involved in doing that.

    There’s so much more that could be said about this but I’m mainly suggesting that their is really no mystery involved here. As preposterous as it might seem – things really have become that ridiculous and convoluted; and yes, it’s all about money and influence and power.

    Liked by 1 person

  3. It’s definately something chemical that is being introduced into their systems… especially the neurological symptoms of autism … so sad. I took care of a baby once, who was autistic. Every diaper change almost filled the little room with an odor that was like nothing I ever smelled before. Strong and pungent and it actually made me almost gag. Another two year old I took care of came down with neuro symptoms a few hours after he had his vaccinations. He was diagnosed with ‘Shaken baby syndrome’ Dad was taking care of him and was charged with abuse., found guilty and was in jail. Poor Dad. Mom had gone to work) This was in my ‘nurse’ days … God bless all of us !

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  4. I have a special interest in autistic children and it’s pretty typical for them not to have normal bowel movements due to dysbiosis – an imbalance of normal intestinal bacteria. I’ve known several parents who have improved high functioning autism in their kids with stool transplants and special diets.

    Liked by 1 person

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