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The national CADDRE study will examine<br />

children between the ages <strong>of</strong> three-to-five<br />

years and their parents. The PA-CADDRE also<br />

conducts research with toddlers between 18-<br />

to-24 months for early signs <strong>of</strong> ASDs. “Among<br />

the factors we are looking at are what might<br />

happen to a mother when pregnant or<br />

something that might have happened to a<br />

child shortly after birth,” says Dr. Giarelli.<br />

The CADDREs conduct surveillance studies <strong>of</strong><br />

ASDs and other developmental disabilities<br />

with the CDC’s 10-site Autism and<br />

Developmental Disabilities Monitoring<br />

Network (ADDM). The ADDM sites are the<br />

Alabama Autism Surveillance Program;<br />

Arizona Autism Spectrum Surveillance<br />

Program; Arkansas Autism Project; <strong>University</strong><br />

<strong>of</strong> Miami (Florida) Autism and Developmental<br />

Disabilities Monitoring Project; Missouri/<br />

Illinois Autism and Developmental<br />

Disabilities Monitoring Project; New Jersey<br />

Autism Study; South Carolina Developmental<br />

Disabilities Surveillance Program; Utah<br />

Registry <strong>of</strong> Autism and Developmental<br />

Disabilities; West Virginia Autism Study; and<br />

the Wisconsin Surveillance <strong>of</strong> Autism and<br />

Other Developmental Disorders System. The<br />

PA-CADDRE arm <strong>of</strong> the ADDM network is the<br />

<strong>Pennsylvania</strong> Autism and Developmental<br />

Disabilities Surveillance Program (PAADSP).<br />

“PADDSP is a multi-source, multi-year project<br />

to determine and monitor the p<strong>rev</strong>alence <strong>of</strong><br />

ASDs in children born in Philadelphia County<br />

between January 1-December 31, 1998 and<br />

were eight years old in 2006, and children born<br />

in Philadelphia County between January 1-<br />

December 31, 2000 and who will be eight<br />

years old in 2008,” says Dr. Giarelli. “We<br />

determine the ASD rate <strong>of</strong> p<strong>rev</strong>alence by<br />

accessing health records <strong>of</strong> the children from<br />

hospitals, healthcare providers, and other<br />

medical centers.” The results are based on<br />

comparisons to diagnostic criteria for ASDs.<br />

Children are not identified and not formally<br />

evaluated for ASDs. PADDSP works with the<br />

<strong>Pennsylvania</strong> Department <strong>of</strong> Public Welfare<br />

to expand educational activities to improve<br />

public and pr<strong>of</strong>essional awareness and<br />

screening <strong>of</strong> ASDs.<br />

“We hope that the data will lead to a<br />

standardization <strong>of</strong> the practice <strong>of</strong> screening<br />

children for ASDs during routine pediatric<br />

care,” says Dr. Pinto-Martin. “Earlier<br />

detection and education will allow<br />

healthcare providers to be able to help<br />

children and their families when it is most<br />

beneficial, in the first few years <strong>of</strong> life. It<br />

could also lead to equalizing the level <strong>of</strong> care<br />

so that children <strong>of</strong> all races with ASDs get<br />

the help they need.”<br />

When Ms. Pereles organized her first 5K race<br />

to benefit the CAN Foundation in 2001, she<br />

was told she would lose money. Not willing<br />

to accept defeat, she secured many sponsors<br />

and 1,200 participants, raising $100,000 net<br />

for the CAN Foundation. Last year, the sixth<br />

annual event raised almost $200,000.<br />

24<br />

Susan Pereles and her family (clockwise from left): Sons Luke and Noah, husband Dan, C ’83,<br />

Med ’87, and daughter Grace.

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