1976
DOI: 10.1136/bmj.1.6014.861
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Multiple sclerosis among immigrants in Greater London.

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Cited by 117 publications
(63 citation statements)
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“…Compared to other ethnic groups residing at the same latitudes, people of northern European ancestry are at higher risk for MS (Dean et al, 1976;Pugliatti et al, 2002;Alter et al, 2006;Smestad et al, 2008). This increased susceptibility might be due to genetic differences between ethnic groups.…”
Section: Geography and Ethnicitymentioning
confidence: 98%
“…Compared to other ethnic groups residing at the same latitudes, people of northern European ancestry are at higher risk for MS (Dean et al, 1976;Pugliatti et al, 2002;Alter et al, 2006;Smestad et al, 2008). This increased susceptibility might be due to genetic differences between ethnic groups.…”
Section: Geography and Ethnicitymentioning
confidence: 98%
“…1 Epidemiological analysis of twins, 2,3 half-sibs 4 and adoptees 5 confirm the involvement of genetic factors while the role of environmental agents is demonstrated by the results of migration studies. 6 In Australia, studies of the prevalence of multiple sclerosis have been particularly influential showing a latitudinal relationship similar to that seen in the Northern Hemisphere with lower rates in northern regions closer to the equator (11/100 000) than in the south (74/ 100 000). 7,8 However, overall, these prevalence rates are lower than those seen in Northern Europe, even though the majority of the Australian population originates from Northern Europe, suggesting that, despite expressing the same susceptibility genes, Australians may be at relatively reduced risk of multiple sclerosis through differential exposure to the causative environmental risk factors.…”
Section: Introductionmentioning
confidence: 93%
“…Most studies have demonstrated that females are more predisposed to MS than males, with predominance of cases in patients of Caucasian relative to African descent (ARRUDA et al, 2001;CARDOSO et al, 2006;FRAGOSO;PERES, 2007;FINKELSZTEJN et al, 2009). Although, it has been established that immigrants from areas of elevated risk for MS who have migrated, before 16 years-of-age, to a low-risk geographical location are likely to maintain their risk-factor (DEAN et al, 1976), this phenomenon was not investigated in the epidemiological studies analysed considering the impact of European immigration on the development of Brazil. Further, epidemiological surveys to exclude the possibility of CDV having any effect on MS in Brazil were not localized.…”
Section: Public Health Concernsmentioning
confidence: 99%