The 1991 to 1994 epidemic of neuropathy in Cuba has been one of the more devastating in recent history, affecting more than 500 000 people throughout the entire country with clinical manisfestations of optic and peripheral neuropathy.
Although the causes are not entirely clear, it seems that a combination of acute nutritional deficiency and the toxic effects of tobacco and possibly other unidentified toxic substances in involved.
The epidemic coincided with the acute worsening of the economic situation on the island following political changes in Eastern European countries and a tightening of the US economic embargo.
This paper reviews reports of a strikingly similar epidemic known as the « Amblyopia of the Blockade », which occurred in Cuba almost a century ago when the island was undergoing a US naval blockade during the Cuban-Spanish-American war.
It discusses the parallelism with the recent epidemic as well as the implications of the historical evidence to clarify further the ultimate causes of these epidemics.
Mots-clés Pascal : Neuropathie, Epidémiologie, Cuba, Antilles, Amérique Centrale, Amérique, Amblyopie, Historique, Etiologie, Crise économique, Embargo, Epidémie, Homme, Système nerveux pathologie, Oeil pathologie, Trouble vision
Mots-clés Pascal anglais : Neuropathy, Epidemiology, Cuba, West Indies, Central America, America, Amblyopia, Case history, Etiology, Economic crisis, Embargo, Epidemic, Human, Nervous system diseases, Eye disease, Vision disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0272832
Code Inist : 002B17A01. Création : 199608.