Training For Capitol Hill Staffers Key To Shifting Attitudes On Accessibility

Katherine Tully-McManus, CQ Roll Call/TNS • June 8, 2021
Stock photo by AbsolutVision on Unsplash

WASHINGTON — Many staffers are heading back to Capitol Hill, and official visitors aren’t far behind, but the return to offices is prompting questions about gaps in physical and digital accessibility in Congress for staff, lobbyists, constituents and lawmakers with disabilities.



With historic buildings and slow adoption of technology, Congress still has a long way to go to make itself accessible not just in the physical space but also online, where so much business has been conducted in the past year.


The U.S. House of Representatives’ Select Committee on the Modernization of Congress dug into this issue at a recent hearing, following up on three recommendations the panel made in the 116th Congress to improve website access, closed captioning and to study physical barriers across the Capitol campus.


Rep. Jim Langevin, D-R.I., who co-chairs the Bipartisan Disability Caucus and is the first quadriplegic to serve in the House, says that training and awareness among Hill staff could go a long way to improving both access and dignity for people with disabilities working and visiting the Capitol.

While there is a long list of physical changes to office buildings to be made, those involve a tangle of jurisdictional issues, funding and work orders.


But educating personal office, district and committee aides about accessibility and disability rights and resources could be an effective way to improve access and limit uncomfortable, disrespectful and exclusionary treatment for people with disabilities on Capitol Hill.


Phoebe Ball, who serves as disability policy counsel for the House Education and Labor Committee, described “attitudinal barriers,” including watching staffers gawk as she, a wheelchair user, approached them.


“I have sometimes been greeted by congressional staff with panic, obvious discomfort and occasionally condescension,” Ball told the committee at a hearing on May 27. “Whether these barriers are intentional or unintentional they are unacceptable and some basic disability awareness training can help, as long as the training doesn’t include disability simulations, which can reinforce stereotypes.”


Langevin emphasized that staff without knowledge of disability and accessibility resources can’t fully engage constituents, whether they are looking to take a tour of the Capitol or voicing concerns about a policy issue.


“Many House staff are simply not familiar with disability rights or accessibility services and procedures. By requiring the staff to have accessibility training, we can help the press staff put out communications in an accessible manner, enable administrative staff to handle internal and external accommodation requests properly and ensure staff with disabilities know where to request an accommodation, without fear of it impacting the job,” Langevin testified in that same hearing.


Security screening is one issue that Heather Ansley, associate executive director of government relations at Paralyzed Veterans of America, raised to the Modernization panel.


“Training should also be provided to congressional staff about how to interact with people who do not use speech to communicate, or who appear to behave in a nontypical manner,” she told the committee.


While the rapid move to remote work, virtual meetings and digital broadcasts of congressional action during the coronavirus pandemic accelerated some much-needed technological advances on Capitol Hill, there are still significant gaps in the accessibility of these online tools.

While there are regular audits of physical barriers and ADA compliance, there is much less accountability for ensuring that websites, online forms and social media posts are compatible with assistive technology such as screen readers, which enable people who are blind or have low vision to interact with websites, apps and other digital platforms.


While the ADA was enacted before smartphones were ubiquitous, rulings by the Justice Department and updates to the original law require web-based services be included in the reasonable accommodations under the ADA.


Judy Brewer, director of the Web Accessibility Initiative at the World Wide Web Consortium, said that while the changes made during the pandemic in some ways made Congress more accessible, it also revealed a chasm between the minimum standards and what is truly equitable.


“Given that the pandemic has accelerated society’s move from physical to virtual, COVID has at the same time, put the digital disability divided into sharp relief,” Brewer told the panel.


Langevin and Modernization Chairman Derek Kilmer, D-Wash., both acknowledged that a digital broadcast, which may open proceedings to a wider audience, is not accessible to the deaf community without closed captioning or an interpreter.


The Modernization Committee’s May 27 hearing, which was conducted virtually, did include closed captioning.


Brewer commended the panel for its recommendation to assess all House websites for accessibility standards, but also stressed that congressional documents should be posted in accessible formats.


“We are now seeing progress through innovation, driven by necessity. People with disabilities do not want to lose this virtual access that has opened new doors during this difficult time,” said Brewer.


The Capitol complex is replete with bulky doors and narrow hallways.


Dozens of rooms, including many public restrooms, have doors too heavy to be ADA-compliant or have narrow double-leaf doors and no push-button entry.


According to John Uelmen, general counsel at the Office of Congressional Workplace Rights, his agency’s most recent audit of accessibility found 1,632 barriers to access in House buildings, 447 of them in member offices.


While the observation of a barrier does not necessarily mean that the ADA was violated, Congress does give itself significant leeway in complying with the 31-year-old law. The OCWR doesn’t have strong enforcement power and the tangled web of jurisdictions among the legislative branch disperses accountability.


Uelmen told the committee that the issues in member offices could be easily solved by moving furniture, putting materials within reach or keeping both sides of a double leaf door open.


Ansely cited situations where veterans using power wheelchairs cannot fit into an office or conference room, so they end up meeting in a hallway.


“Now all of us have had hallway meetings if you’ve been on Capitol Hill. But when that’s your standard, because literally you cannot get into the office to navigate it, that’s troublesome, particularly for a woman who has served her country and has a disability as a result,” said Ansely.


Another 532 barriers were found in multiuser restrooms across the House, where sinks and dispensers need to be adjusted to the correct height and door pulls need to be added. But some need to be completely reconfigured to be accessible.


The audit, completed last year, is not available on the OCWR website, where the most recent biennial inspection report on Americans with Disabilities Act compliance is from the 114th Congress.


Uelmen proposed the creation of an ADA coordinator position in the House to facilitate the chamber’s efforts on ADA compliance.


Those efforts are currently being run by close to a half dozen different offices and agencies and are not well coordinated.


He suggested that the position would work alongside and complement the newly created Office of Employee Advocacy and Office of Diversity and Inclusion.


The Senate doesn’t have a committee dedicated to digging into the chamber’s operations like the House Modernization panel.


That leaves much of the oversight to the Rules or Appropriations committees, each with many other agenda items.


But one key Senate danger spot identified in a previous audit of the Capitol has been upgraded in recent years. The Senate subway, which lacked detectable warnings at the platform boarding edges, now has textured warning strips for those with vision impairments and audible announcements about trolley doors closing.


There is no data available on how many people working on Capitol Hill identify as having a disability, despite a push to study the representation of demographic groups among staff in Congress and how they compare with demographics nationwide or in a state or district.


© 2021 CQ Roll Call
Distributed by Tribune Content Agency, LLC


Disability organizations across the country are waiting to receive federal funding that Congress app
By Michelle Diament May 6, 2025
President Donald Trump wants to cut $163 billion in federal spending next year, potentially zeroing out key disability programs, some of which are already pausing services because they’re running out of money. The White House unveiled a budget summary late last week known as a “skinny budget” that calls on Congress to slash funding for non-defense discretionary spending by 22.6% for the fiscal year starting in October. This would affect programs that Congress reauthorizes annually, but does not include mandatory programs like Medicare, Medicaid and Social Security. The summary offers little detail about how many disability programs would be impacted. However, a widely circulated budget document leaked last month from the U.S. Department of Health and Human Services offers clues. That document shows that the Trump administration wants to eliminate funding for protection and advocacy agencies, state councils on developmental disabilities, the lifespan respite program and university centers on developmental disabilities, among other programs, advocates say. The targeted disability programs are housed within the Administration for Community Living, which HHS said in March that it plans to break up. Jill Jacobs, executive director of the National Association of Councils on Developmental Disabilities, said she had hoped that Trump’s skinny budget would allay concerns about the leaked HHS budget, but she indicated that it ended up doing “just the opposite.” “It shows absolutely nothing about any Administration for Community Living (ACL) funding at all. Other operating divisions within HHS are identified, but there is nothing about disability, nothing about aging, nothing at all under the HHS category,” Jacobs said. “This makes things even more confusing — and worrisome.” Already many developmental disability programs are being squeezed because HHS has delayed distributing funding that was authorized by Congress in March. In recent weeks, Disability Rights New Jersey, Disability Rights Mississippi and Disability Rights Arkansas have announced that they would halt certain services — either temporarily or indefinitely — because they are running out of money. The groups are all federally mandated protection and advocacy organizations, or P&As, which exist in each state to provide free legal and advocacy services to individuals with disabilities. The organizations help students with disabilities access school services, investigate abuse and neglect in both private and state-run facilities for those with developmental disabilities and much more. “Our agency has been serving individuals with disabilities since the early 1980s, and this is the first time that we have had to cease taking new cases agency-wide. Congress has already approved (and) allotted these monies for our agency — we just are waiting to receive it,” said Polly Tribble, executive director of Disability Rights Mississippi. “Our federal mandate is to protect and advocate for vulnerable people in Mississippi and to root out abuse, neglect, and exploitation, but without our promised funding, if someone calls tomorrow and needs assistance, we can only refer them to another agency.” Tribble noted that the other agencies they refer to are also dealing with cuts and delays in federal funding. “If this crisis is not resolved immediately, we are facing devastating layoffs that will severely compromise our ability to protect and serve the disability community,” Tribble said. These organizations are not likely to be the last ones curtailing services, said Eric Buehlmann, deputy executive director for public policy at the National Disability Rights Network, an umbrella organization for P&As across the country. “Ultimately all P&As will be effected because they will run out funding to pay for staff and services,” he said. Representatives from HHS did not initially respond to questions about the payment delays, but the agency said on Monday that more than $1.1 billion in funding that Congress approved in March will be released by the Administration for Community Living in the next two weeks. The president’s skinny budget spells out cuts at the Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention and the National Institutes of Health, among others. It seeks to consolidate housing assistance for people with disabilities with other programs and cut their funding. Spending on special education services would remain level, per the plan. But, seven programs under the Individuals with Disabilities Education Act would be consolidated to give “states and school districts greater flexibility” and funding for the Department of Education’s Office for Civil Rights would be chopped by 35%. “Level funding IDEA in particular — as proposed by the White House — is actually a cut,” said Denise S. Marshall, CEO of the Council of Parent Attorneys and Advocates, or COPAA, a nonprofit that advocates for the rights of students with disabilities and their families. That’s because funding has been static since 2023 even as the number of students with disabilities has grown, she said. The focus on cuts has advocates alarmed and programs operating in survival mode. “All of the uncertainty around funding has meant that disability programs are having to spend precious time and resources on contingency planning instead of focusing on supporting people with disabilities and their families,” said Alison Barkoff, a professor at George Washington University who led the Administration for Community Living under the Biden administration. “Programs that are critical to people with disabilities and their families are at serious risk now and heading into the next fiscal year,” she said, emphasizing that “the risk has never been more serious.” CITATION: [ORIGINAL ARTICLE] Nation’s Disability Services System Begins To Buckle As Funding Threats Intensify: https://tinyurl.com/8c7yx375
A sample of a Maryland driver’s license with a butterfly that represents the hidden disability logo.
By Kate Ryan May 6, 2025
The moment that 20-year-old Eric Carpenter-Grantham of Silver Spring had prayed for finally came to Annapolis this year, when both chambers of the Maryland General Assembly passed the bill that he and his mother had championed. “ Eric’s ID Law ” will allow Maryland residents with “non-apparent disabilities” to opt in to a program that will place a butterfly emblem on their state ID or driver’s license. That symbol isn’t just a decorative flourish. It will indicate to anyone looking at it that the holder of that license or ID has a disability that isn’t immediately obvious. That could include deafness, autism, developmental disabilities or a mental health issue. Linda Carpenter-Grantham, Eric’s mother, explained the idea for the butterfly license came after the two had a hard conversation after the death of George Floyd at the hands of Minneapolis police in 2020. Eric has autism, and his mom explained to WTOP that as the mother of a young Black man with a disability, Floyd’s death left her worried. After their conversation, she explained that Eric, a teenager at the time, “was in tears, he was crying, and he said ‘Mom, we’ve got to do something.'” Eric told his mother that he had an idea: “I would like to make something to go onto the ID so that the police will know that me and my friends have autism so that they won’t hurt us if we ever get stopped,'” Linda said. Eric, who has plans to become a pastor, said he “was praying to God” to send him the right symbol to use. “We were thinking about different things like a star,” he said. But then the butterfly magnets they had on their refrigerator at home came to mind. “So I said, ‘Let’s do a butterfly. The butterfly represents hope, peace, freedom and change,'” he said, and that became the centerpiece of their campaign. “We just want to thank every single person who supported this bill from Day One!” Eric said. His future plans include going to college to get a degree in political science, and to eventually become a pastor. “We’re just waiting for the date when the governor will sign the bill, and we’re super excited to stand there and watch him sign it and receive the ink pen!” she said, referring to the custom of passing the pens used to sign bills into law to the people who worked to get the legislation passed. Citations: [ORIGINAL ARTICLE] Maryland drivers with ‘hidden disabilities’ could get butterflies on their licenses: https://tinyurl.com/54upd5tw
ADAPT activists drag themselves up the U.S. Capitol steps at the
By Shaun Heasley March 19, 2025
A documentary about the decades-long fight for disability rights culminating in the passage of the Americans with Disabilities Act is set to premiere.  The film “Change, Not Charity: The Americans with Disabilities Act” follows the twists and turns of a grassroots movement that pushed Congress to mandate curb cuts, ramps and much more to allow people with disabilities access to American life. Relying on archival footage and interviews with activists, lawmakers and other key players, the one-hour film chronicles how the disability rights movement organized and took to the streets to lobby for the ADA in the face of strong opposition. Things came to a head with the “Capitol Crawl,” when people with disabilities including many wheelchair users dragged themselves up the steps of the U.S. Capitol, leading to the 1990 signing of the ADA. “I think the message of this film is that civil rights for people with disabilities are just as important as the rights that everyone either has or should have in our society,” said the film’s director, Jim LeBrecht, who has a disability and who is known for his work on “Crip Camp,” an Oscar-nominated documentary [01] about the origins of the disability rights movement. “There was a coming together of many people, disabled and non-disabled people. Legislators from both sides of the aisle came together in a bipartisan fashion,” he said, referring to the ADA. “I hope that our film will remind our viewers and those in power, that preserving the civil and human rights of people with disabilities benefits everyone.” Narrated by actor Peter Dinklage, “Change, Not Charity: The Americans with Disabilities Act” will air on PBS March 25 at 9 p.m. ET on “American Experience.” Citations: IMDB Webpage for Crip Camp: https://www.imdb.com/title/tt8923484 Original Article: [ARTICLE] PBS To Spotlight Story Behind The ADA: https://www.disabilityscoop.com
Gov. Wes Moore (D) during a hearing last month.(Photo by Bryan P. Sears/Maryland Matters)
By Danielle J. Brown March 6, 2025
Paid family leave, energy projects, and state employee wages taking a hit as DDA, other programs gain in latest spending plan.
Image from https://www.ridehirta.com/invisibledisabilities
By JT Moodee Lockman February 10, 2025
BALTIMORE -- A proposed bill in Maryland would allow residents to disclose "nonapparent disabilities" on their driver's licenses or identification cards. Eric's ID Law, or HB707, [01] would require the Motor Vehicle Administration (MVA) to add a certain symbol to licenses, ID cards or moped permits indicating that the applicant has a nonapparent disability. The idea was proposed by a Maryland family during an appearance on ABC's "The View," The Baltimore Banner reported. [02] The Carpenter-Grantham family had the idea after the 2020 murder of George Floyd [03] which sparked protests across the nation. "I realized that I have an African American son with an invisible disability," mother Linda Carpenter-Grantham said during the TV appearance. The bill was introduced in the state Senate during the 2024 legislative session but missed a deadline in the House. The proposed bill would require the MVA to establish public outreach programs to educate the public about the new symbols or notations. The MVA would work with disability advocates to design the symbols. The MVA would be prohibited from sharing information about an applicant's disabilities. The bill would also prevent the MVA from asking an applicant to provide proof of their disability or reject an application because the listed disability does not match other documents associated with the applicant. Under the bill, the Maryland Police Training and Standards Commission and Department of State Police would have to immediately implement training for police interactions with those who have nonapparent disabilities noted on their IDs. The bill will be the subject of a hearing on Feb. 13 at 1 p.m. What is a nonapparent disability? According to the proposed bill, a nonapparent disability is a health condition that is not immediately obvious or visible, this could include developmental or intellectual disabilities. According to a study by the National Institutes of Health (NIH), [04] common nonapparent disabilities are anxiety and depression, Alzheimer's, deafness, post-traumatic stress disorder (PTSD), attention-deficit hyperactivity disorder/attention deficit disorder (ADHD/ADD), and diabetes among others. People with developmental disabilities are about seven times more likely to encounter law enforcement than neurotypical individuals, according to a 2001 study by the Department of Justice. [05] Citations: [WEBSITE] Legislation: Eric's ID Law , or HB707: https://tinyurl.com/4r5s8ntp [ARTICLE] Maryland mom and her autistic son pitch a disability safety bill on ABC’s ‘The View’: https://tinyurl.com/4nzukspm [ARTICLE] George Floyd's death sparks large protests, confrontations with police: https://tinyurl.com/263hk9sk [STUDY] Living with invisible medical disabilities: experiences and challenges of Chilean university students disclosed in medical consultations: https://tinyurl.com/bdexd9js [ABSTRACT] Contact with Individuals with Autism: Effective Resolutions: https://tinyurl.com/56d6yd44 [ORIGINAL ARTICLE] Proposed bill would allow Marylanders to disclose nonapparent disabilities on their IDs: https://tinyurl.com/9k7z6nyh 
Advocates and members of the developmental disability community rallied Monday to demand legislators
By Konner Metz February 7, 2025
Advocates and service providers on the Eastern Shore are joining Maryland’s disability community to call for rollbacks on projected cuts to funding for developmental disability services. Scott Evans, executive director of the Benedictine School in Ridgely, said the near $200 million in cuts to Developmental Disabilities Administration funding outlined in Gov. Wes Moore’s proposed budget would be the worst he’s seen in his 25-year career. “Bottom line, these proposed cuts of close to $200 million in state funds would be catastrophic to the community service providers, as well as the people we support and our employees,” Evans said. “It would literally set us back years in funding.” The proposed cuts come as the state faces a near $3 billion deficit. Some advocates from the Eastern Shore note they could reduce the choices available for families and people with disabilities. Jonathon Rondeau, president and CEO of The Arc Central Chesapeake Region, says families and people with developmental disabilities on the Eastern Shore already have a limited number of options. “There are less agencies providing services for people with disabilities on the Shore,” Rondeau said. “So if there is instability in the system, it can potentially reduce choice for people with disabilities.” Evans echoed the same sentiment, and added that the cuts could hurt Benedictine’s ability to stay competitive when hiring employees. In recent years, the nonprofit school and service provider has raised wages in an attempt to attract quality employees. “All that has been an investment we’ve made because of the funding that we have received,” Evans said. “Now to wipe that funding out basically overnight means that we’re stuck in a holding pattern.” THE CUTS In Moore’s budget proposal, his office notes that in addition to the $1.3 billion set for the Developmental Disabilities Administration in fiscal year 2026, the state will “better leverage federal funding and align Maryland’s program more closely with federal guidance and practices across other states.” Evans says it’s not clear how DDA would implement the cuts, though his team at Benedictine team is working to crunch the numbers. Evans said it would cost the school hundreds of thousands of dollars of funding at the very least. Specific cuts that worry advocates include reductions in “dedicated hours” funding for those in community living programs, as well as a $14.5 million blow to self-directed services funding. “Someone who is in their late 60s and retired and chooses to stay home every day rather than going to a day program won’t necessarily have that choice anymore,” Rondeau said regarding the dedicated hours cuts. “There won’t be the funding available for that. It’ll be difficult for providers such as The Arc to support someone who may have significant health issues and need to go to the doctors.” Karenna Jones of Salisbury worries that cuts to self-directed services will impact the ability for her family to take care of her 26-year-old son, Kenneth, who has a traumatic brain injury and lives at home. Jones says as long as she lives, she “would never put (her) kid in a provider home.” But large cuts in funding may leave her with no choice. “We might be forced to do that,” Jones said. “It’s not fair.” RALLY IN ANNAPOLIS With the uncertainty swirling, hundreds packed Lawyers Mall in Annapolis Monday night, protesting for legislators to reject the proposed cuts. Leaders at the Benedictine School and The Arc Central Chesapeake Region attended, as did Jones. “I’m always amazed at how quickly the folks within the disability community can rally around a cause, and a cause that means so much to them,” Evans said. “And also, to some extent, the positive response we’ve gotten from legislators about these cuts.” Jones said the rally — organized with just three days notice by a developmental disability coalition — was inspiring and beautiful. “We were saying, ‘Save our DDA services. Save it. Don’t leave us behind,’” Jones said. Citations : [ORIGINAL ARTICLE] ‘Catastrophic:’ Eastern Shore advocates share impacts proposed disability cuts may bring: https://tinyurl.com/5ahffbu8
Advocates for people with developmental disabilities rallied at the State House Monday night in oppo
By Danielle J. Brown February 5, 2025
State Sen. Craig J. Zucker (D-Montgomery), who has a son with autism, promises to be community's ally.
Robert F. Kennedy Jr. testifies before the U.S. Senate Committee on Finance concerning his nominatio
By Michelle Diament February 5, 2025
Despite concerns about his history promoting a debunked link between autism and vaccines, a key U.S. Senate panel advanced Robert F. Kennedy Jr.’s nomination to become the nation’s health secretary. The Senate Finance Committee voted 14 to 13 this week along party lines to send Kennedy’s nomination to the full Senate, which will have final say over whether he will take over the Department of Health and Human Services. The vote came after Sen. Bill Cassidy, R-La., said he would back Kennedy despite expressing reservations just days earlier over his anti-vaccine past. Kennedy has spent years blaming the increase in autism prevalence on childhood vaccinations. During confirmation hearings last week, Cassidy, a medical doctor, unsuccessfully pressured [01] Kennedy to concede that there is no link between autism and vaccines. But, Cassidy said he ultimately decided to back Kennedy after receiving “serious commitments” from the Trump administration. Specifically, Cassidy indicated that he’s been assured that the Centers for Disease Control and Prevention will not remove statements on its website highlighting that vaccines do not cause autism. Kennedy also committed to “work within current vaccine approval and safety monitoring systems and not establish parallel systems” and “maintain the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices recommendations without changes,” Cassidy said. While Kennedy’s nomination is not guaranteed, Cassidy had been viewed as a significant question mark and his support will ease the path to full Senate confirmation. President Donald Trump has said [02] that he’s “open to anything” when it comes to investigating the increase in autism prevalence in recent decades and he’s suggested that Kennedy would have leeway to look into the causes of autism including the long-discredited connection between autism and vaccines. “20 years ago, Autism in children was 1 in 10,000. NOW IT’S 1 in 34. WOW! Something’s really wrong. We need BOBBY!!! Thank You! DJT,” Trump posted to social media just before the Senate committee met to vote this week. In fact, the latest CDC estimates suggest 1 in 36 children [03] have autism compared to 1 in 150 in 2000. Kennedy’s nomination is raising concerns for several national autism and disability organizations. A dozen groups including the Autism Society of America, the Autistic Self Advocacy Network, the National Association of Councils on Developmental Disabilities and The Arc of the United States put out a statement ahead of Kennedy’s confirmation hearings saying that vaccines do not cause autism. “Perpetuating myths linking vaccines to autism does a disservice to the autism community by distracting from their pressing healthcare needs,” the groups said. Instead, the organizations indicated that policymakers should focus on actual needs in the autism community such as access to health care, mental health services, education and more. “The Autism Society is still very disturbed that Mr. Kennedy has not clearly stated that vaccines are not linked to autism,” Christopher Banks, president and CEO of the Autism Society of America, said after Kennedy’s nomination advanced. “Any direction to reinvestigate debunked myths, will reverse progress, and deter funding that addresses healthcare inequities and services that the autism community needs now.” Citations: [ARTICLE] HH S Nominee RFK Jr. declines to reject vaccine autism link: https://tinyurl.com/mkfpb32s [ARTICLE] Trump signals his administration will investigate debunked link between vaccines and autism: https://tinyurl.com/334jkspd [ARTICLE] Autism now affects 1 in 36 kids CDC says: https://tinyurl.com/3m5hve86 [ORIGINAL ARTICLE] Autism Takes Center Stage As RFK Jr. Nomination For HHS Secretary Advances: https://tinyurl.com/jmephrju
rom left, Laura Howell, CEO of Maryland Association of Community Services; Ande Kolp, executive dire
By Danielle J. Brown January 27, 2025
Despite some conversations between state officials and the disability community, advocates say they’re not being heard.
A public service announcement from Autism Speaks offers information about the signs of autism. (Ad C
By Shaun Heasley January 15, 2025
New estimates show that 61.8 million people around the globe have autism and that the developmental disability is among the most common health issues facing youth. As of 2021, researchers found that 1 in 127 people worldwide were on the spectrum, according to findings published [01] recently in the journal The Lancet. Autism was twice as likely to affect males versus females and there was high prevalence among young people, with the condition ranking in the top 10 causes of non-fatal health burden for those under age 20, the study found. The findings are based on a review of studies and data that was conducted as part of the Global Burden of Diseases 2021 Study, which is considered the largest scientific effort to measure the prevalence and impact of various conditions. The autism rate identified in the new study “substantially changed estimates” from the last version of the report in 2019, but the researchers attributed the increase to updates in their methodology, in particular excluding studies that were likely to undercount prevalence. Researchers identified variances in prevalence by geography with autism affecting 1 in 163 people in tropical Latin America versus 1 in 65 people in the higher-income Asia Pacific region. “There are many factors contributing to this wide range, including varying exposures to risk factors, cultural variation, behavioral norms, or screening tools and diagnostic tools being used in those locations, and also how people are responding to these surveys, or whether they even choose to respond or participate in the survey in the first place,” said Dr. Damian Santomauro, an affiliate assistant professor at the Institute for Health Metrics and Evaluation at the University of Washington who led the study. “Work is currently ongoing to explore ways to quantify and correct for these differences so we can paint the most accurate picture of the prevalence of autism globally.” The latest estimates from the Centers for Disease Control and Prevention [02] indicate that 1 in 36 American children are on the autism spectrum. That figure is based on data collected on 8-year-olds in 2020. By contrast the rate was 1 in 150 in 2000. Experts attribute the rise in diagnosis to greater awareness of the developmental disorder. Those behind the new study say they hope their findings will prompt better policies and greater supports for individuals with autism around the world. “The prevalence and health burden of autism persisted across the lifespan,” Santomauro said. “These findings highlight the need for early detection and lifelong supportive services for autistic individuals.” Citations: [ARTICLE] The global epidemiology and health burden of the autism spectrum: findings from the Global Burden of Disease Study 2021: https://tinyurl.com/4xwk9ebm [ARTICLE] Autism now affects 1 in 36 kids, CDC says: https://tinyurl.com/3m5hve86  [ORIGINAL ARTICLE] Autism Affects More Than 60 Million Worldwide, Study Finds: https://tinyurl.com/24fz2bs3
Show More