We present the results of an epidemiological survey on MS conducted in the provinces of Reggio Emilia and Modena (4,980 km²) from 1970 to 1990. The population increased from 943,182 residents in 1970 to 1,024,223 in 1990, with an average population during the period of the survey of 993,056. The mean annual incidence was 1.59 cases/100,000 inhabitants (c.i. 95% 1.42–1.78). The prevalence as of December 31, 1990, was 39.44/100,000 inhabitants. Our study is a further demonstration that Italy is a high-risk zone for this disease, and also demonstrates the possibility of carrying out reliable epidemiological surveys even over extensive territories.

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Grandpa would get out of the Buick to stretch himself and would look back to the western sky and wonder just out into the air if his cows were maybe getting rained on or about to maybe get rained on and he would indicate what clouds he could see and say how they had rain in them, how they were purely full of water, and Aunt Bessie would step out of the Ford to stretch herself and look off to the west and would say just out into the air how she did not see any clouds anywhere with any water in them that Grandpa would say a thing back to that Bessie herself would talk after that Grandpa would say a thing back to again (pp. 143-144). One of the risks of reading this book is that it will make adults more self-conscious about what they say and do when children are around. It is well worth the risk.

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