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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 request from children is changing the future of LEGO kits. The company announced they will be phasing out their single-use plastic bags used to separate parts of their kits beginning next year.“We have received many letters from children about the environment asking us to remove single-use plastic packaging. We have been exploring alternatives for some time and the passion and ideas from children inspired us to begin to make the change,” stated CEO Niels Christiansen in a company release.The toymaker has set a goal of making all of their packaging sustainable by the end of 2025. Beginning in 2021, they will look at using recyclable paper bags in their kits.Testing has already taken place, and LEGO says kids liked the paper bags because they were environmentally friendly and easy to open.Other LEGO products will be getting an environmentally friendly makeover in the future, too. The company said it is testing blocks made from sugar cane and other sustainable materials. 992

A massive redevelopment plan that would add a hotel and convention center to Chula Vista's bayfront cleared its last major hurdle Tuesday. The Port of San Diego board of directors unanimously approved the plan, which would add a 1,600 room hotel a 400,000 square-foot convention center along the shores of Bayside Park. The project has been in the works for more than a decade, but developer RIDA can now pull permits for the .1 billion project. "It's transformational," said port commissioner Ann Moore, noting the project would add retail, restaurants, park space and create 7,000 permanent jobs. "The revenues that this project generates will actually be used to pay for the project."Chula Vista residents at Bayside Park expressed concern Tuesday that the traffic would be overwhelming. "I think that Chula Vista is already kind of crowded so I don't know if that's the best thing to have people coming into the city," said resident Sherry Hunter. Ed Conroy, who walks in the park daily, said he expected an onslaught of traffic but that the extra crowds could benefit local businesses."It looks like they're growing," he said. "It's going to be a lot of mass transit, it's going to be a lot of traffic, it's going to be, I guess, for the good of the city."Moore said the project would make a number of infrastructure improvements, including adding shuttles and extending H Street to the water. Crews could break ground by the middle of next year, with opening as early as mid-2023. 1497

A romance between two lost, lonely women who seize a chance at fulfillment in their forbidden affair, "Ammonite" is a methodical art film with plenty to savor.Kate Winslet and Saoirse Ronan -- who have 11 Oscar nominations between them and maybe in the running to add a couple more to the pile -- simmer with understated performances, allowing nuances and gestures to speak worlds that dialogue can't match. Their screentime together lifts the film to its greatest heights, conjuring a simmering dynamic that infuses excitement into the moribund story.The historical fiction drama, set in the 1840s, imagines the personal life of pioneering British paleontologist Mary Anning (Winslet), who was marginalized by the scientific community boy's club. Reduced to peddling fossils to wealthy tourists in order to support her ailing mother (Gemma Jones), Mary develops an exterior as hard and impenetrable as the bones and rocks she unearths.Mary grudgingly agrees to make some extra money by caring for Charlotte (Ronan), the ailing wife dumped off on her by one of her clients. At first, Mary sees Charlotte as a privileged nuisance who can't connect to her life of science and struggle, but they find common interests and angsts, causing the ice between them to slowly crack. They steal moments of intimacy amid their struggle-filled life, finding joy and passion neither imagined was waiting for them. Left unspoken -- but weighing heavily all along -- is the realization that the social values and customs of the time all but doom their prospects.Director Francis Lee ("God's Own Country") shows an eye for sweeping visuals and an ear for intimate moments. He's not as adept at infusing his story with much urgency, though. Many scenes unfold as lingering tone poems meant to set the scene and color the characters. The drawback is that the movie moves so slowly that it's easy to lose interest and drift away."Ammonite" is often as dull and opaque as its title, but worth watching for the two lead performances, as well as its intricately spun tale of a complicated friendship and love. The film is just as beautiful and difficult as the relationship it depicts.RATING: 2.5 stars out of 4.Phil Villarreal TwitterPhil Villarreal FacebookPhil Villarreal Amazon Author PagePhil Villarreal Rotten Tomatoes 2313

A naked man was arrested at the scene of a five car accident in Westland, Michigan on Tuesday night.The man was arrested after he got out of his truck, stripped down and started dancing in the street.Video of the arrest was posted to Facebook shortly after the crash. Police have not yet said why the man was acting so erractically.One person involved in the crash was taken to the hospital for treatment. No other serious injuries were reported. 459

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