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Abstract

We carried out a door-to-door-survey to screen a community of 14,010 people (Parsis living in colonies in Bombay, India) for possible neurologic diseases, and used defined diagnostic criteria to evaluate people who tested positive on the screening survey. There were three clinically definite cases of multiple sclerosis (21/100,000). This is the first prevalence survey for multiple sclerosis in a large developing country.

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Published In

Neurology®
Volume 38Number 5May 1988
Pages: 727
PubMed: 3362370

Publication History

Published online: May 1, 1988
Published in print: May 1988

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N. E. Bharucha, MD
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
E. P. Bharucha, MD
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
N. H. Wadia, MD
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
B. S. Singhal, MD
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
A. E. Bharucha, MBBS
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
A. V. Bhise, MSc
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
J. F. Kurtzke, MD
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.
B. S. Schoenberg, MD, DrPH
From the Departments of Neuroepidemiology (Drs. N. Bharucha, E. Bharucha, A. Bharucha, and Ms. Bhise) and Neurology (Dr. Singhal), Bombay Hospital, Medical Research Center, Bombay; the Department of Neurology (Drs. N. Bharucha and E.P. Bharucha), K.E.M. Hospital and Seth G.S. Medical College, Bombay; the Department of Neurology (Dr. Wadia), Jaslok Hospital and Research Centre, Bombay; the Department of Neurology (Drs. Wadia and Singhal), J.J. Group of Hospitals and Grant Medical College, Bombay, India; the Neuroepidemiology Research Program and the Neurology Service (Dr. Kurtzke), Veterans Administration Medical Center, and the Departments of Neurology and Community Medicine, Georgetown University School of Medicine, Washington, DC; and the Neuroepidemiology Branch (Dr. Schoenberg), National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD.

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  1. Epidemiology and clinical features of demyelinating disorders in India, Neurology and Clinical Neuroscience, 9, 4, (266-273), (2021).https://doi.org/10.1111/ncn3.12487
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  2. Multiple sclerosis epidemiology in Asia and Oceania; A systematic review and meta-analysis, Multiple Sclerosis and Related Disorders, 54, (103119), (2021).https://doi.org/10.1016/j.msard.2021.103119
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  3. Multiple sclerosis in India: Iceberg or volcano, Journal of Neuroimmunology, 307, (27-30), (2017).https://doi.org/10.1016/j.jneuroim.2017.03.015
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  4. Population screening for association of mitochondrial haplogroups BM, J, K and M with multiple sclerosis: interrelation between haplogroup J and MS in Persian patients, Multiple Sclerosis Journal, 11, 6, (728-730), (2016).https://doi.org/10.1191/1352458505ms1228sr
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  5. Epidemiology of Multiple Sclerosis, Neurologic Clinics, 34, 4, (919-939), (2016).https://doi.org/10.1016/j.ncl.2016.06.016
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  8. Estimated Prevalence and Incidence of Multiple Sclerosis in Iran, European Neurology, 72, 5-6, (370-374), (2014).https://doi.org/10.1159/000365846
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  9. MS incidence and prevalence in Africa, Asia, Australia and New Zealand: A systematic review, Multiple Sclerosis and Related Disorders, 3, 1, (48-60), (2014).https://doi.org/10.1016/j.msard.2013.06.015
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  10. Neurology in the developing world, Neurologic Aspects of Systemic Disease Part III, (1773-1782), (2014).https://doi.org/10.1016/B978-0-7020-4088-7.00114-0
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