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Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
08:51

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Published on: February 19, 2021

Multiple sclerosis prevalence and possible lead exposure.

George Turabelidze1, Mario Schootman, Bao-Ping Zhu

  • 1Missouri Department of Health and Senior Services, Jefferson City, MO, USA. George.Turabelidze@dhss.mo.gov

Journal of the Neurological Sciences
|February 20, 2008
PubMed
Summary
This summary is machine-generated.

This study investigated multiple sclerosis (MS) prevalence in Jefferson County, Missouri. Findings indicate MS rates are comparable to national averages and do not cluster around the local lead smelter.

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Area of Science:

  • Epidemiology
  • Neurology
  • Environmental Health

Background:

  • Community concerns existed regarding a potential excess of multiple sclerosis (MS) cases in Jefferson County, Missouri.
  • A specific focus was placed on investigating a possible link between MS and an active lead smelter in the area.

Purpose of the Study:

  • To estimate the current prevalence of multiple sclerosis (MS) in Jefferson County, Missouri.
  • To determine if MS cases exhibit spatial clustering, particularly around a lead smelter.

Main Methods:

  • A five-year period (1998-2002) study population of Jefferson County residents was analyzed.
  • Capture-recapture analysis was employed for aggressive MS case finding, achieving 95% case ascertainment.
  • Spatial scan statistics were utilized to examine spatial clustering of MS cases.

Main Results:

  • The crude five-year period prevalence of MS was 105 per 100,000 population.
  • Age-standardized prevalence was 107 per 100,000, comparable to other US and Western European regions.
  • No significant spatial clusters of MS cases were identified within the study area, including around the lead smelter.

Conclusions:

  • The prevalence of multiple sclerosis in Jefferson County, Missouri, is comparable to national and international estimates.
  • There is no evidence to suggest that MS cases cluster around the local lead smelter.
  • Community concerns regarding an excess of MS linked to the lead smelter are not supported by the study findings.