MMR-vaccine and regression in autism spectrum disorders: negative results presented from Japan
Tokio Uchiyama1, Michiko Kurosawa, Yutaka Inaba
1Department of Human Welfare, Otsuma Women's University, 2-7-1, Karakida, Tama-city, Tokyo, 206-8540, Japan. tokiouch@otsuma.ac.jp
Abstract:
It has been suggested that the measles, mumps, and rubella vaccine (MMR) is a cause of regressive autism. As MMR was used in Japan only between 1989 and 1993, this time period affords a natural experiment to examine this hypothesis. Data on 904 patients with autism spectrum disorders (ASD) were analyzed. During the period of MMR usage no significant difference was found in the incidence of regression between MMR-vaccinated children and non-vaccinated children. Among the proportion and incidence of regression across the three MMR-program-related periods (before, during and after MMR usage), no significant difference was found between those who had received MMR and those who had not. Moreover, the incidence of regression did not change significantly across the three periods.
Insights
The measles, mumps, and rubella (MMR) vaccine does not cause regressive autism. A Japanese study found no increased incidence of regression in children vaccinated with MMR compared to unvaccinated children.
Area of Science:
- Pediatric medicine
- Vaccinology
- Neurodevelopmental disorders
Background:
- The measles, mumps, and rubella (MMR) vaccine has been controversially linked to autism spectrum disorders (ASD).
- Concerns focus on potential regression in children following vaccination.
- Japan's limited MMR vaccination period (1989-1993) offers a unique natural experiment.
Purpose of the Study:
- To investigate the hypothesis that the MMR vaccine causes regressive autism.
- To analyze the incidence and proportion of regression in children with ASD in relation to MMR vaccination status and timing.
Main Methods:
- Analysis of data from 904 patients diagnosed with autism spectrum disorders (ASD).
- Comparison of regression incidence between MMR-vaccinated and unvaccinated children during the 1989-1993 MMR usage period in Japan.
- Examination of regression rates across three MMR program-related periods: before, during, and after its use.
Main Results:
- No significant difference in the incidence of regression was observed between MMR-vaccinated and unvaccinated children during the MMR usage period.
- The proportion and incidence of regression showed no significant difference between vaccinated and unvaccinated groups across the three MMR program-related periods.
- The overall incidence of regression did not significantly change across the pre-MMR, during-MMR, and post-MMR periods.
Conclusions:
- The findings do not support the hypothesis that the MMR vaccine causes regressive autism.
- The study suggests that MMR vaccination is not associated with an increased risk of regression in children with ASD.
- Public health policies regarding MMR vaccination can be informed by the lack of evidence linking it to autism regression.

