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

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.