A PERCEIVED CLUSTER OF AMYOTROPHIC-LATERAL-SCLEROSIS CASES IN A MASSACHUSETTS COMMUNITY

被引:14
作者
PROCTOR, SP
FELDMAN, RG
WOLF, PA
BRENT, B
WARTENBERG, D
机构
[1] BOSTON UNIV,SCH MED,PREVENT MED SECT,BOSTON,MA 02118
[2] VET ADM MED CTR,DEPT NEUROL,BOSTON,MA
[3] BOSTON UNIV,SCH PUBL HLTH,ENVIRONM HLTH SECT,BOSTON,MA 02215
[4] UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,PISCATAWAY,NJ 08854
关键词
AMYOTROPHIC LATERAL SCLEROSIS; MOTOR NEURON DISEASE; DISEASE CLUSTER; ENVIRONMENTAL RISK; EPIDEMIOLOGY;
D O I
10.1159/000110941
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We investigated a report of a perceived cluster of amyotrophic lateral sclerosis (ALS) in Middleborough, Mass. Although an increase in ALS incidence was observed [2.51 deaths/100,000 person-years (p-y)], relative to the statewide rate over the years 1969-1985 (1.26/100,000 p-y), it was not statistically significant at the 95 % confidence level. Problems in evaluating possible neurological disease clusters and their association with environmental exposures are presented.
引用
收藏
页码:277 / 281
页数:5
相关论文
共 16 条
[1]   GEOGRAPHIC-DISTRIBUTION OF MOTOR NEURON DISEASE AND CORRELATION WITH POSSIBLE ETIOLOGIC FACTORS [J].
BHARUCHA, NE ;
SCHOENBERG, BS ;
RAVEN, RH ;
PICKLE, LW ;
BYAR, DP ;
MASON, TJ .
NEUROLOGY, 1983, 33 (07) :911-915
[2]   ALZHEIMERS-DISEASE, PARKINSONS-DISEASE, AND MOTONEURON DISEASE - ABIOTROPIC INTERACTION BETWEEN AGING AND ENVIRONMENT [J].
CALNE, DB ;
MCGEER, E ;
EISEN, A ;
SPENCER, P .
LANCET, 1986, 2 (8515) :1067-1070
[3]   CONJUGAL MOTOR NEURON DISEASE [J].
CHAD, D ;
MITSUMOTO, H ;
ADELMAN, LS ;
BRADLEY, WG ;
MUNSAT, TL ;
ZIEPER, I .
NEUROLOGY, 1982, 32 (03) :306-307
[4]  
HAWKES CH, 1989, LANCET, V1, P73
[5]  
Kondo K, 1978, Adv Neurol, V19, P509
[6]  
KURTZKE JF, 1982, HUMAN MOTOR NEURON D, P281
[7]  
LILIENFELD DE, 1989, LANCET, V1, P710
[8]   A CLUSTER OF AMYOTROPHIC LATERAL SCLEROSIS [J].
MELMED, C ;
KRIEGER, C .
ARCHIVES OF NEUROLOGY, 1982, 39 (09) :595-596
[9]   AMYOTROPHIC LATERAL SCLEROSIS - A CASE-CONTROL STUDY FOLLOWING DETECTION OF A CLUSTER IN A SMALL WISCONSIN COMMUNITY [J].
SIENKO, DG ;
DAVIS, JP ;
TAYLOR, JA ;
BROOKS, BR .
ARCHIVES OF NEUROLOGY, 1990, 47 (01) :38-41
[10]   GUAM ALS PARKINSONISM-DEMENTIA - A LONG-LATENCY NEUROTOXIC DISORDER CAUSED BY SLOW TOXIN(S) IN FOOD [J].
SPENCER, PS .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1987, 14 (03) :347-357