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Neurology Service, Veterans Administration Medical Center, East Orange, and Department of Neurosciences (Drs. Cook. Tapp, and Dowling), University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark; the National Institutes of Health (Dr. Poskanzer), National Cancer Institute, Bethesda, MD; and the Orkney Health Board (Mr. Cromarty), Kirkwall, Orkney, UK Walker is in private practice in Orkney.
The incidence of MS in the Orkney Islands has been updated from 1941 to September 21, 1983. Since 1965, MS incidence rates have fallen significantly when compared with those for 1941 to 1964. Alterations in age-specific prevalence, mean duration of illness, and mean age of the MS population are consistent with the decline in incidence of MS in recent years. Although the reason for the decreasing incidence is uncertain, it is consistent with the hypothesis that MS may be caused by canine distemper virus.
Address correspondence and reprint requests to Dr. Cook. Neurology Service (127), VA Medical Center, East Orange, NJ 07019
Supported by Veterans Administration Project No. 001 and a grant from The Kroc Foundation
Accepted for publication August 17, 1984.
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