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疫苗接种作为自闭症的一个成因——误解与争议

Vaccination as a cause of autism-myths and controversies.

作者信息

Davidson Michael

机构信息

University of Nicosia Medical School, Engomi, Cyprus.

出版信息

Dialogues Clin Neurosci. 2017 Dec;19(4):403-407. doi: 10.31887/DCNS.2017.19.4/mdavidson.

DOI:10.31887/DCNS.2017.19.4/mdavidson
PMID:29398935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5789217/
Abstract

Despite significant progress in the study of the epidemiology and genetics of autism, the etiology and patho-physiology of this condition is far from being elucidated and no curative treatment currently exists. Although solid scientific research continues, in an attempt to find explanations and solutions, a number of nonscientific and pure myths about autism have emerged. Myths that vaccines or mercury are associated with autism have been amplified by misguided scientists; frustrated, but effective parent groups; and politicians. Preventing the protection provided by vaccination or administration of mercury-chelating agents may cause real damage to autistic individuals and to innocent bystanders who as a result may be exposed to resurgent diseases that had already been "extinguished. " That such myths flourish is a consequence of the authority of scientific evidence obtained by scientific methodology losing ground to alternative truths and alternative science. This article presents a narrative of the origin of the myths around autism.

摘要

尽管在自闭症流行病学和遗传学研究方面取得了重大进展,但这种疾病的病因和病理生理学仍远未阐明,目前也没有治愈方法。虽然扎实的科学研究仍在继续,试图找到解释和解决方案,但关于自闭症出现了一些非科学的纯粹谬论。疫苗或汞与自闭症有关的谬论被误导的科学家、沮丧但有影响力的家长团体以及政治家放大了。阻止疫苗接种提供的保护或使用汞螯合剂可能会对自闭症患者以及无辜的旁观者造成实际损害,因为这些旁观者可能会接触到已经“消灭”的复发病症。这些谬论盛行是由于通过科学方法获得的科学证据的权威性让位于替代真相和替代科学。本文讲述了围绕自闭症的谬论的起源。

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本文引用的文献

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Vaccine Hesitancy: In Search of the Risk Communication Comfort Zone.疫苗犹豫:探寻风险沟通的舒适区
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Environmental risk factors for autism: an evidence-based review of systematic reviews and meta-analyses.自闭症的环境风险因素:基于证据的系统评价和荟萃分析综述
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Safety of vaccines used for routine immunization of U.S. children: a systematic review.美国儿童常规免疫所用疫苗的安全性:一项系统评价
Pediatrics. 2014 Aug;134(2):325-37. doi: 10.1542/peds.2014-1079. Epub 2014 Jul 1.
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Vaccine. 2014 Jun 17;32(29):3623-9. doi: 10.1016/j.vaccine.2014.04.085. Epub 2014 May 9.
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Do decision biases predict bad decisions? Omission bias, naturalness bias, and influenza vaccination.决策偏差能预测错误决策吗?遗漏偏差、自然性偏差与流感疫苗接种。
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