Experts ‘Shocked and Appalled’ Over Trump, RFK Jr. Claims on Autism, Tylenol

Medical experts in the United States and abroad expressed shock Monday at US President Donald Trump's claim that acetaminophen, commonly known by the brand name Tylenol, is linked to autism spectrum disorders in developing fetuses when taken during pregnancy.

Trump made the claim during a press conference with Health and Human Services Secretary Robert F. Kennedy where the president at one point made a broad statement about the prevalence of autism before checking to make sure it was correct.

"There are certain groups of people that don't take vaccines and don't take any pills, that have no autism," said the president before asking the health officials assembled at the event, "Is that a correct statement, by the way?"

Kennedy replied that "there are some studies that suggest" there are low autism rates in Amish communities, which tend to have low immunization rates—but do not uniformly shun vaccines or the use of over-the-counter medications.

The debunked myth that autism spectrum disorders do not exist in Amish communities was just one of Trump's claims aimed at linking the use of Tylenol to autism—an effort that left Helen Tager-Flusberg, a psychologist and the founder of the Coalition of Autism Scientists, "shocked and appalled."

"In some respects this was the most unhinged discussion of autism that I have ever listened to," Tager-Flusberg told The New York Times in a discussion with three other experts. "It was clear that none of the presenters knew much about autism—other than the mothers’ lived experience—and nothing about the existing science. This may be the most difficult day in my career."

"To hear from the most powerful office in the world that you should definitely not take paracetamol during pregnancy is alarming and will frighten women."

A central claim presented during the press conference was that the consumption of Tylenol during pregnancy is linked to autism in children—a potential connection that scientists have researched for years with inconclusive results.

Administration officials referred to a recent scientific review from the Harvard TH Chan School of Public Health and the Icahn School of Medicine at Mount Sinai, which did not conduct any new research on birth outcomes but compiled evidence from existing scientific studies of the use of Tylenol during pregnancy.

Andrea Baccarelli, the dean of the Harvard TH Chan School and a co-author of the review, said Monday after the press conference that—as doctors have already long warned—"caution" is warranted regarding the use of Tylenol in pregnancy, especially prolonged or heavy use, but that a causal link to autism has not been proven by the available research.

The president suggested the link has been proven, telling the public: "Don’t take Tylenol [during pregnancy]. Don’t take it. Fight like hell not to take it.”

The American College of Obstetricians and Gynecologists affirmed that "in two decades of research on the use of acetaminophen in pregnancy, not a single reputable study has successfully concluded that the use of acetaminophen in any trimester of pregnancy causes neurodevelopmental disorders in children." The group added that fever during pregnancy "can be harmful to pregnant people when left untreated." Acetaminophen is an often-used fever reducer.

Trump and Kennedy also repeated the long-debunked claim that vaccines are linked to autism and said they would commit millions of taxpayer dollars to researching environmental factors, including vaccines.

The experts who spoke to the Times took issue with a central viewpoint presented at the press conference: that the rise in diagnoses of autism spectrum disorders represents a "crisis."

"If anything, the fact we now have increased diagnoses is a reason to celebrate," said Eric Garcia, the Washington bureau chief for The Independent and the author of We’re Not Broken: Changing the Autism Conversation. "For the longest time, we overlooked autistic people of color and girls. Having data is good. It allows us to ask: 'What do we do with these people? How can we serve them?' Instead, we’re seeing their existence as a crisis."

Epidemiologist Brian K. Lee added that "increased awareness and changing diagnostic criteria" is behind the rise in diagnoses, and Alison Singer, president of the Autism Science Foundation, noted that Trump incorrectly claimed that "one in 31" children is now diagnosed with an autism spectrum disorder.

"That’s the prevalence for the full autism spectrum. The prevalence of profound autism is about one in 216," said Singer, who is also the mother of a child with autism.

In the United Kingdom, Health Secretary Wes Streeting was blunt in his assessment of Trump's comments on autism and acetaminophen, which is known in the UK as paracetamol.

"I’ve just got to be really clear about this: There is no evidence to link the use of paracetamol by pregnant women to autism in their children," said Streeting. "I would just say to people watching, don’t pay any attention whatsoever to what Donald Trump says about medicine. In fact, don’t take even take my word for it, as a politician—listen to British doctors, British scientists, the NHS."

Sorcha Eastwood, a member of Parliament from Northern Ireland, added that Trump's unfounded claim was "wrapped in blame towards women and shaming women."

"To hear from the most powerful office in the world that you should definitely not take paracetamol during pregnancy is alarming and will frighten women. To hear that if you take paracetamol during pregnancy that you will give your child autism is completely unfounded and untrue," said Eastwood.

Earlier this year, Kennedy angered disability rights advocates with a proposal, described by National Institutes of Health director Jay Bhattacharya, to create a national registry for people with autism. The Health and Human Services Department later walked back Bhattacharya's comments.

But "the language and attitude displayed by Trump and RFK," said Eastwood, displayed "their blatant prejudice towards autism."