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A survey of parents across the United States estimates that one in 40 children has autism spectrum disorder, according to a study published Monday in the journal Pediatrics.In other words, the condition was reported in 2.5% of children, representing an estimated 1.5 million kids ages 3 to 17.A report released this year by the US Centers for Disease Control and Prevention estimated the prevalence at one in 59 children or about 1.7%, based on 2014 data."Prevalence is not growing that rapidly, although the CDC's data suggests it is still growing," Thomas Frazier, chief science officer of the advocacy organization Autism Speaks, said in an emailed statement. He was not involved in the new report."What is happening is that these studies use methods that are a bit more liberal and inclusive than the CDC's methods," Frazier said, adding that he prefers the CDC's numbers but understands "that they are likely a bit conservative."The new study is based on the 2016 National Survey of Children's Health, which was conducted by the US Census Bureau and which collected information from parents of more than 50,000 children up to age 17. To be included in the estimate, parents would have had to report that their child had ever received a diagnosis of autism spectrum disorder and that they currently had the condition.The new numbers were also slightly lower than those in the 2017 National Health Interview Survey. It estimated that 2.76% of children had ever received such a diagnosis, which the authors of the new report note is a broader definition.The fact that the new study relies on parental reporting -- which is not validated by health and education records, as in the CDC report -- may be a limitation despite the broad scope of the research, the authors say.Frazier said the 1-in-40 figure is "generally consistent with previous parent surveys and other direct prevalence studies where researchers directly screen for and attempt to identify autism."The parents in the new study also reported more difficulties getting the health care their children need, versus those with Down syndrome, or other behavioral disorder, such as attention-deficit hyperactivity disorder."Though we've seen progress in recent years, this confirms what we know from our parents -- that many children face unacceptable delays in getting a diagnostic evaluation, even after parents, teachers or other caregivers have recognized the signs of autism," Frazier said.In the new study, more than a quarter of children with autism spectrum disorder were taking medication for symptoms related to the condition, and nearly two-thirds have received "behavioral treatments" in the past year, the study says.It also found a higher prevalence for autism spectrum disorder among certain groups such as boys, children of single mothers and households below the federal poverty level, compared with those at least four times above that income threshold.The differences between the new study's numbers and those of the CDC study might be explained by the years they were conducted, the ages of children studied and where they lived, according to the new study.The CDC report was based on data collected from 11 communities across the country but was not necessarily nationally representative, according to that report's co-author Daisy Christensen, surveillance team lead in the developmental disabilities branch of the CDC's National Center on Birth Defects and Developmental Disabilities."Parents know their child best," Christensen, who was not involved in the new report, previously told CNN. "We want to encourage parents to be aware of their child's development, to be aware of the milestones that children achieve."Autism spectrum disorder, a lifelong developmental disability, is characterized by problems with communication and social interaction with accompanying repetitive behavior patterns.The authors note that it's difficult to compare the new report with prior iterations due to updates in how the survey collected its data and how questions were worded."We cannot tell what proportion was explained by internal survey changes rather than external factors," the authors wrote.Still, the report comes as estimated prevalences of the disorder have been rising for decades."Over the '80s and '90s, the diagnostic criteria expanded to include more children," Christensen said, "so I think that's definitely a possibility for the increase that we've seen."In the past, more than half of children identified with autism also had intellectual disability, and now it's about a third, she said. "And that's really consistent with identifying children who are perhaps at the milder end of the spectrum."The new study's authors also note that universal screening recommendations in the 2000s may have led to a rise in prevalence among younger children, for example."Because there is no biological marker, [autism spectrum disorder] is a particularly challenging condition to track," the authors note.But understanding how common it is allows health experts to distribute resources and get families the help they need, according to Frazier."Having prevalence estimates -- even if there is some variation -- helps us to advocate for improved screening, diagnosis, interventions and supports," he said. 5314

A night of teenage fun turned into tragedy on a rural road in Indiana.Four teens, who were attending a slumber party, were killed and four others were injured when an SUV plowed into them while they were pushing a woman's stalled car.It happened Saturday night when a Chevy Suburban driven by Cara Selby broke down just a block away from her home in Cortland, Indiana, officials said.Selby was throwing a slumber party for her daughter. When the teens at the sleepover came out to help push Selby's car back home, another vehicle hit them from behind, the Jackson County Sheriff's Department said.Killed were: Nevaeh Law, 14; Jenna A. Helton, 14; Brittany Watson, 15; and Martin Martinez, 16. 700

A recent incident in Central Florida has state wildlife officers seeing red. According to a Wednesday post on the Florida Fish and Wildlife Conservation Commission website, a gopher tortoise was found completely covered in red spray paint with concrete on its limbs and the top of its shell.The tortoise was found by two people in the middle of a road near the Lake County town of Montverde. FWC says it is both "illegal and very harmful to a gopher tortoise to apply man-made substances, such as paint or concrete, to any part of their body or shell." The gopher tortoise, which is a threatened and protected species, is now being rehabilitated.If you have any information about who may have applied the paint and concrete on the tortoise, please call our Wildlife Alert Hotline at 888-404-FWCC (3922), #FWC or *FWC on a cellphone, or text/email Tip@MyFWC.com. 924

A new beer can with the message "poll workers needed" will be sold in four Kentucky breweries to recruit poll workers for the upcoming general election. After a shortage of poll workers in Kentucky's June primary meant limited polling locations, the partnership between Secretary of State Michael Adams and the Kentucky Guild of Brewers is intended to reach people who may have never considered working election day."Everybody needs to be out there voting every single year, but especially this year," said Bailey Johnson, marketing and sustainability manager for Pivot Brewing in Lexington. "We think that if we can help in any way, shape, or form we're going to do it."Pivot will sell its vintage cider in the cans, that features a link to govoteky.com and a QR code that when scanned on a smartphone will take the user directly to govoteky.com, where they can sign up to be a poll worker and request an absentee ballot.The campaign is intended to reach a younger generation, as poll workers tend to be older but are particularly at risk from the coronavirus."It's really just trying to get people to step up because it's not something you think about doing every year," she said.Three other Kentucky breweries are participating in the campaign:Monnik Beer Co. Dreaming Creek Brewery Wooden Cask Brewery This story was first published by Katherine Collins at WLEX in Lexington, Kentucky. 1416

A new warning has come that more older adults, over the age of 65, are dying from falls.According to the Centers for Disease Control it's increased from about 18,000 a decade ago to 30,000 in 2016. That number could climb to as many as 59,000 by 2030. Luckily falls are preventable. Here are the main things you can do to keep your house safe.These are small changes you can start making now even if you're not over 65 or not concerned about falling. Jason McCullough with Brothers Redevelopment Inc. walked The Now through a house to show some of those changes. The best part is they're relatively easy.McCullough said some of the changes actually start before you get inside the house."Most falls happen (in) main entry areas, kitchens and baths," McCullough said.According to McCullough a grab bar is a versatile tool that can help in any room."They come in a kind of a decorative finish," McCullough said. "This one's brushed steel.  So we usually place these in a bathroom. We'll do a vertical installation for transitions in and out of the tub. And then sometimes we'll also place a diagonal installation so that when you're in the tub you have more safety and stability."McCullough showed how it should look."It's at a height where she can grab it," McCullough said. "It's on a vertical next to the tub. So she can use that getting in and out of the tub, so it's a great transitional stability piece."He said tubs can be an area prone for falls."You have these custom tubs," McCullough said. "Obviously they're raised so they're a little higher than your normal tub is, but it's still, you can see it's below my knee, so that's much more of a fall risk 'cause you're going to catch that and you can't really catch yourself and you're going all the way in. But if you have this, you have something to hold on to."Transitions from room to room can be fall hazards as well."So this would be an issue right here because we have a rise in the floor and this transition's a little thin," McCullough said as he pointed to a change in floor height in a threshold.  "We'd want to see a wider, more sloped transition piece here or we'd want the floor installed level with the other existing floor."McCullough said fall dangers can even be outdoors. He pointed out several issues in the backyard."This is a great example of where we get comfortable and we miss things over the years," McCullough said, as he pointed to steps without rails.  "Our houses age just like we do.  And as we get older, a lot of times our eyesight starts to go, their motor skills start to slip and they don't notice things that they would have, or someone new to their house would have noticed.  And just this kind of little small ledge here, this could be a trip hazard and you don't have anything to grab onto if you do trip and fall."Another thing to consider is if you find yourself always grabbing the wall or you visit a loved one and you notice marks on the wall, that may be a sign that it's time to consider these upgrades. 3068