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Saturday, December 16, 2017

The Seven Words You Can't Say at CDC

In The Politics of Autism, I discuss the political aspects of science and public health

Lena H. Sun and Juliet Eilperin at WP:
The Trump administration is prohibiting officials at the nation’s top public health agency from using a list of seven words or phrases — including “fetus” and “transgender” — in any official documents being prepared for next year’s budget.

Policy analysts at the Centers for Disease Control and Prevention in Atlanta were told of the list of forbidden words at a meeting Thursday with senior CDC officials who oversee the budget, according to an analyst who took part in the 90-minute briefing. The forbidden words are “vulnerable,” “entitlement,” “diversity,” “transgender,” “fetus,” “evidence-based” and “science-based.”

In some instances, the analysts were given alternative phrases. Instead of “science-based” or ­“evidence-based,” the suggested phrase is “CDC bases its recommendations on science in consideration with community standards and wishes,” the person said. In other cases, no replacement words were immediately offered.
If the ban extends beyond budget documents, this policy would be a problem for the CDC website.  A small sample of references to evidence-based practices and resources:

From a page on screening and diagnosis:
Research indicates that parents are reliable sources of information about their children’s development. Evidence-based screening tools that incorporate parent reports (e.g., Ages and Stages Questionnaire, the Parents’ Evaluation of Developmental Status, and Child Development Inventories) can facilitate structured communication between parents and providers to discover parent concerns, increase parent and provider observations of the child’s development, and increase parent awareness. Such tools can also be time- and cost-efficient in clinical practice settings.2,3,4
From a publication on early warning signs:
Evidence-based educational and interventional strategies can help children learn and build competency in areas of need.
From a CDC guide to autism websites:
A Parent’s Guide to Evidence-Based Practice and Autism
This manual from the National Autism Center aims to assist parents as they make difficult decisions about how best to help their children with autism spectrum disorders reach their full potential.

...
The National Professional Development Center on Autism Spectrum Disorders
This organization strives to promote optimal development and learning of infants, children, and youth with ASD and provide support to their families through the use of evidence-based practices. They provide resources for educators that are evidence-based.