At CDC, we understand that people may be concerned when they hear these study results and we have been working to understand what’s causing the increase. We know that some of the increase is probably due to the way children are identified and served in local communities, although exactly how much is due to these factors is unknown To understand more, we need to keep accelerating our research. We recognize that people need answers now, and we hope these updated prevalence estimates will help communities to plan better for the supports and services that families need. We are working, together.