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Endemic clustering of multiple sclerosis in time and place, 1934-1984. Confirmation of a hypothesis.

Abstract
The occurrence of multiple sclerosis in clustered groups of cases that are often related to others in time and place has been observed on several occasions in the last 50 years. Selected clusters are here reviewed in relation to suspected sources of heavy metal (mercury, lead) poisoning as background for the analysis of the 1983-1985 "outbreak" of 30-40 cases of multiple sclerosis in Key West, Florida. Evidence is presented that the time-place clustering resulted from environmental pollution stemming from a nearby dump pile of rocky debris. The probable mechanism is discussed.
AuthorsT H Ingalls
JournalThe American journal of forensic medicine and pathology (Am J Forensic Med Pathol) Vol. 7 Issue 1 Pg. 3-8 (Mar 1986) ISSN: 0195-7910 [Print] United States
PMID3728417 (Publication Type: Journal Article)
Topics
  • Adult
  • Connecticut
  • Female
  • Florida
  • Humans
  • Japan
  • Lead Poisoning
  • Male
  • Massachusetts
  • Mercury Poisoning
  • Multiple Sclerosis (chemically induced, epidemiology, genetics)
  • Pedigree
  • Space-Time Clustering
  • Washington

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