1
00:00:01,320 --> 00:00:03,240
Speaker 1: And Amanda jam Nation.

2
00:00:03,440 --> 00:00:07,320
Speaker 2: Well, yesterday, in quite a startling press conference, Donald Trump said.

3
00:00:07,040 --> 00:00:11,320
Speaker 3: This effective immediately. The FDA will be notifying physicians at

4
00:00:11,320 --> 00:00:14,640
Speaker 3: the use of I said, well, let's see how we

5
00:00:14,680 --> 00:00:22,880
Speaker 3: say that. I said a menifen acetamenefen said okay, which

6
00:00:22,920 --> 00:00:27,639
Speaker 3: is basically commonly known as tailanol during pregnancy can be

7
00:00:27,760 --> 00:00:33,040
Speaker 3: associated with a very increased risk of autism.

8
00:00:33,440 --> 00:00:37,840
Speaker 2: Tailanol is our equivalent of paracetamol, and yesterday Australia's Therapeutic

9
00:00:37,880 --> 00:00:42,400
Speaker 2: Goods Administration said paracetamol remains pregnancy Category A in Australia,

10
00:00:42,479 --> 00:00:45,800
Speaker 2: meaning it's considered safe for use in pregnancy. This was

11
00:00:45,800 --> 00:00:49,239
Speaker 2: a very dangerous press conference yesterday. To find out what's

12
00:00:50,000 --> 00:00:52,000
Speaker 2: the truth behind all of this, were joined by one

13
00:00:52,000 --> 00:00:55,000
Speaker 2: of Australia's leading health experts, doctor Nick Coatesworth.

14
00:00:55,200 --> 00:00:56,240
Speaker 4: Good morning, doctor.

15
00:00:56,000 --> 00:00:59,000
Speaker 1: Nick, Hi, Amanda, Hi, jp Hi doctor Nick.

16
00:00:59,400 --> 00:01:01,880
Speaker 4: How did you respond seeing that yesterday?

17
00:01:03,520 --> 00:01:06,959
Speaker 1: Ah? Look, it's so difficult with Trump. I mean, you

18
00:01:07,040 --> 00:01:08,720
Speaker 1: want to give him the benefit of the doubt, and

19
00:01:08,800 --> 00:01:11,880
Speaker 1: then every time he just throws himselfself on a grenade,

20
00:01:11,959 --> 00:01:14,440
Speaker 1: really and throws the rest of us on a grenade

21
00:01:14,440 --> 00:01:18,600
Speaker 1: as well. I mean, what he's alluding to is a

22
00:01:18,640 --> 00:01:23,080
Speaker 1: series of studies that showed that there was a correlation

23
00:01:23,360 --> 00:01:28,119
Speaker 1: so with panadol use and kids who ended up having

24
00:01:28,440 --> 00:01:32,800
Speaker 1: neurodiverse disorders in only a few studies, and now they

25
00:01:32,880 --> 00:01:38,080
Speaker 1: were studies from reputable universities. But you know, this is

26
00:01:38,240 --> 00:01:41,440
Speaker 1: just a link. It doesn't it doesn't prove cause and effect.

27
00:01:41,480 --> 00:01:43,760
Speaker 1: And we have to remember that whilst there are these

28
00:01:43,800 --> 00:01:46,560
Speaker 1: few studies that did show a link, there are many

29
00:01:46,600 --> 00:01:50,080
Speaker 1: many more studies that didn't. Now, Trump, in his usual

30
00:01:50,120 --> 00:01:52,200
Speaker 1: way of not being able to see any shades of gray,

31
00:01:52,320 --> 00:01:55,200
Speaker 1: comes out and says there is a very increased risk

32
00:01:55,560 --> 00:01:59,760
Speaker 1: of autism if you use parasnamol during pregnancy. Didn't he

33
00:01:59,760 --> 00:02:01,960
Speaker 1: starymble over a set of minus And it's not an

34
00:02:02,000 --> 00:02:04,680
Speaker 1: easy word to say. I have to say, but look,

35
00:02:05,320 --> 00:02:08,360
Speaker 1: there's not We don't have the evidence for that, and

36
00:02:09,160 --> 00:02:11,200
Speaker 1: but we do need to study it. I mean, that's

37
00:02:11,240 --> 00:02:13,960
Speaker 1: the problem with Trump. There's kernels of truth in everything

38
00:02:14,160 --> 00:02:17,840
Speaker 1: that he says, and it is something that needs ongoing study.

39
00:02:17,960 --> 00:02:19,919
Speaker 1: So if you're a pregnant lady at the moment, say

40
00:02:19,919 --> 00:02:21,200
Speaker 1: you've picked up a bit of a coal and you're

41
00:02:21,240 --> 00:02:22,440
Speaker 1: running a high fever, is.

42
00:02:22,360 --> 00:02:25,280
Speaker 3: It better to take paracetamol or let the fever run

43
00:02:25,320 --> 00:02:25,920
Speaker 3: its course.

44
00:02:25,720 --> 00:02:27,520
Speaker 4: Which is what he said. He said women just tough

45
00:02:27,560 --> 00:02:27,880
Speaker 4: it out.

46
00:02:28,840 --> 00:02:31,840
Speaker 1: Yeah, I mean, come on, isn't that just classic blokes

47
00:02:31,880 --> 00:02:34,000
Speaker 1: telling a pregnant woman what to do. Just go and

48
00:02:34,080 --> 00:02:36,920
Speaker 1: just go and tough it out. No, no, no, I

49
00:02:36,960 --> 00:02:39,680
Speaker 1: don't think there's any difference in the advice earlier in

50
00:02:39,680 --> 00:02:42,960
Speaker 1: the week to today to tomorrow. I think, you know,

51
00:02:43,120 --> 00:02:46,160
Speaker 1: if you feel like you need a pain relief or

52
00:02:46,200 --> 00:02:48,000
Speaker 1: you've got a fever that you want to bring down

53
00:02:48,000 --> 00:02:52,200
Speaker 1: with medication, the then paracetamol is your best choice, and

54
00:02:52,280 --> 00:02:54,400
Speaker 1: it continues to be the best choice.

55
00:02:54,080 --> 00:02:56,800
Speaker 4: And it's dangerous, isn't it for women to not take anything?

56
00:02:58,120 --> 00:03:00,799
Speaker 1: Well, I think if you sit there with pain, or

57
00:03:00,840 --> 00:03:03,120
Speaker 1: you sit there with fever for several days in a row,

58
00:03:03,639 --> 00:03:06,079
Speaker 1: then you should take something for it. And the other

59
00:03:06,160 --> 00:03:10,320
Speaker 1: thing that you know, again stripping back all the you know,

60
00:03:10,400 --> 00:03:15,200
Speaker 1: the exaggeration and the falsehoods. If you're a woman who

61
00:03:15,600 --> 00:03:19,640
Speaker 1: is needing to take panidole fairly consistently during pregnancy, then

62
00:03:19,680 --> 00:03:21,960
Speaker 1: there is another issue at play that you need to

63
00:03:22,000 --> 00:03:25,200
Speaker 1: engage your obstetrician or your midwife or your gp with.

64
00:03:25,520 --> 00:03:28,200
Speaker 1: So of course you shouldn't sit there with pain or

65
00:03:28,240 --> 00:03:31,200
Speaker 1: persistent fever and just try and manage it yourself. But

66
00:03:31,240 --> 00:03:34,280
Speaker 1: that's a different that's a different question. Trump's going out

67
00:03:34,280 --> 00:03:36,840
Speaker 1: there and saying tough it out, don't take panidole, and

68
00:03:36,880 --> 00:03:39,880
Speaker 1: I think in Australia we're clearly saying no, don't do that.

69
00:03:40,360 --> 00:03:46,480
Speaker 1: Paodole remains a category a drug, and it's a medication, guys,

70
00:03:46,520 --> 00:03:50,080
Speaker 1: that's been studied for decades. I've got a close colleague

71
00:03:50,120 --> 00:03:55,120
Speaker 1: who did her PhD looking for a link between parasnamol

72
00:03:55,200 --> 00:03:58,680
Speaker 1: and asthma, for example. When you have large exposures of

73
00:03:58,720 --> 00:04:02,320
Speaker 1: medications to pregnant women, you have to study them. So

74
00:04:02,440 --> 00:04:05,000
Speaker 1: on that level, that's probably the only thing that Trump

75
00:04:05,080 --> 00:04:05,960
Speaker 1: got right yesterday.

76
00:04:06,040 --> 00:04:10,240
Speaker 2: It's interesting that he's speaking about this vast increase in autism.

77
00:04:11,160 --> 00:04:13,160
Speaker 2: What I've heard other experts say is has been a

78
00:04:13,240 --> 00:04:16,479
Speaker 2: vast increase in the diagnosis of autism, and the net

79
00:04:16,760 --> 00:04:19,520
Speaker 2: is now much wider. People with Aspergers are put in

80
00:04:19,560 --> 00:04:23,880
Speaker 2: that same category as people who do have severe intellectual disabilities.

81
00:04:24,000 --> 00:04:26,600
Speaker 2: It's a big, wide net and a whole lot of genetics,

82
00:04:26,600 --> 00:04:28,240
Speaker 2: a whole lot of other things come into play when

83
00:04:28,279 --> 00:04:30,400
Speaker 2: you're looking at the causality, and no one really knows

84
00:04:30,720 --> 00:04:33,280
Speaker 2: what causes autism. You can't just say this is a

85
00:04:33,279 --> 00:04:34,000
Speaker 2: major factor.

86
00:04:35,040 --> 00:04:38,240
Speaker 1: No, you can't. And I think that that's a really

87
00:04:38,320 --> 00:04:41,000
Speaker 1: important thing when you're looking at that word causality, because

88
00:04:41,000 --> 00:04:45,200
Speaker 1: all the different studies have been done with different populations

89
00:04:45,240 --> 00:04:49,119
Speaker 1: of kids with different criteria. So some you're including people

90
00:04:49,160 --> 00:04:52,120
Speaker 1: with severe autism, some you're bringing in the mild, some

91
00:04:52,200 --> 00:04:55,200
Speaker 1: you're bringing in the moderate. So you're just not comparing

92
00:04:55,400 --> 00:04:57,200
Speaker 1: like for like with the studies. It makes them very,

93
00:04:57,279 --> 00:05:00,200
Speaker 1: very different, difficult to do. If we were going to

94
00:05:00,240 --> 00:05:03,719
Speaker 1: see what we call a signal, as in, there's you know,

95
00:05:03,800 --> 00:05:05,679
Speaker 1: there's a hint here that we need to go further

96
00:05:05,760 --> 00:05:08,279
Speaker 1: and we should make some sort of statement. I think

97
00:05:08,279 --> 00:05:10,880
Speaker 1: we would have seen it by now. And I've looked

98
00:05:10,880 --> 00:05:13,159
Speaker 1: at the studies that Trump was referring to again, those

99
00:05:13,200 --> 00:05:17,159
Speaker 1: studies done the Boston Birth Cohort. Their studies don't have Harvard.

100
00:05:17,600 --> 00:05:20,360
Speaker 1: Those studies do exist, but what they don't do is

101
00:05:20,440 --> 00:05:23,560
Speaker 1: prove that there's a causal link. They do suggest that

102
00:05:23,600 --> 00:05:24,679
Speaker 1: we need to do more study.

103
00:05:25,000 --> 00:05:27,760
Speaker 4: Take to and call doctor Nick in the morning. Thank you.

104
00:05:27,800 --> 00:05:33,920
Speaker 1: That's the one, jon Zy Bill. Either doctor Nick Coachworth.

105
00:05:33,960 --> 00:05:35,600
Speaker 4: Thank for your thank you for your levity, thank you

106
00:05:35,640 --> 00:05:36,280
Speaker 4: for joining us.

107
00:05:36,560 --> 00:05:37,680
Speaker 1: Thanks guys, thank you,