During 1992 and 1993 an epidemic of neuropathy developed in Cuba
which effected over 50,000 individuals and caused optic neuropathy,
death, myelopathy and sensory neuropathy. Patients with neurologic
disease responded to B group vitamins and oral supplementation of
the population curbed the epidemic. Dietary restrictions and
excessive carbohydrate intake were the immediate cause of the
epidemic though the primary cause might have been political. With
the recent changes in politics with regards to the Soviet Union as
well as the fact that for over 30 years the United States has
maintained an economic embargo against Cuba. The embargo was
tightened in 1992. From these political events the largest epidemic
of neurologic disease in this century occurred. The American
Academy of Neurology has issued a plea to encourage physicians and
other health personnel to support efforts leading to lifting of the
U.S. embargo against Cuba for humanitarian reasons. 22098 [neu]
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