Prevalence and incidence of autism spectrum disorder in an Israeli population.
Israeli records showed 0.5 % ASD prevalence in 2010, but later work reveals fast growth and hidden under-diagnosis, especially among minority toddlers.
01Research in Context
What this study did
Michael and colleagues counted Israeli kids with autism. They used 2010 health and education records. No new tests were run. They simply tallied existing diagnoses.
What they found
About 1 in every 200 Israeli children had an ASD diagnosis. That is roughly half the 1 % figure often quoted for the United States. The team also noted new cases kept appearing at a steady rate.
How this fits with other research
Dinstein et al. (2024) later used the same data sets and saw the rate nearly double by 2021. The jump was largest among toddlers, hinting at better detection, not a true surge in autism.
Kerub et al. (2021) looked closer at Bedouin toddlers. They found equal screen-positive rates but far fewer completed evaluations. Their work shows the national 0.5 % figure hides an access gap, not a real ethnic difference.
Morales-Hidalgo et al. (2018) and Morales Hidalgo et al. (2021) found Spanish schoolchildren hover around 1 % to 1.5 %. The Israel-Spain gap suggests either stricter Israeli criteria or under-counting in Israel, not a true population difference.
Why it matters
If you plan services in Israel, budget for at least twice the 2010 caseload. Use the newer Ilan numbers for forward planning. When you screen toddlers, track who never finishes the diagnostic path; Orly’s data say lost families can equal found families. Finally, compare your local count to the 0.5 % baseline—falling short may flag referral bottlenecks, not low autism rates.
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02At a glance
03Original abstract
The prevalence of autism spectrum disorders has been steadily rising. In most parts of the world, rates as high as 1 % are reported, including in the United States. In Israel, previously reported prevalence rates have been in the 0.2 % range, and were based on parental reporting of diagnosis. In this study, records from one of the largest Israeli Health Maintenance organizations were used to calculate both incidence and prevalence of autism spectrum disorder (ASD) in Israel. Israeli prevalence of ASD was calculated at 0.48 % for 1-12 years olds and 0.65 % for 8 year old children in 2010, higher than previous Israeli reports, but still lower than prevalence estimates for the US. Incidence calculations ranged from 0.65 to 0.84 per 1,000 children for children 1-12 year olds. Reasons for these differences are suggested and discussed.
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1611-z