Abstract • A door-to-door survey was carried out to screen a community of 14010 people (Parsis living in colonies in Bombay, India) for possible neurologic diseases. High school graduates, social workers, and medical students administered a screening questionnaire that had been shown in a pilot survey to have a sensitivity of 100% for identifying those with Parkinson's disease. Neurologists used defined diagnostic criteria to evaluate individuals positive on the screening survey. There were 46 people (25 men, 21 women) who suffered from Parkinson's disease (328.3 cases per 1000 population). The age-specific prevalence ratios increased consistently with age. Ageadjusted prevalence ratios were slightly higher for men. References 1. Burns RS, Lewitt PA, Pakkenberg H, et al: The clinical syndrome of striatal dopamine deficiency: MPTP-induced parkinsonism . N Engl J Med 1985;31:1418-1421.Crossref 2. World Health Organization: Research Protocol for Measuring the Prevalence of Neurological Disorders in Developing Countries: Neurosciences Programme . Geneva, World Health Organization, 1981. 3. Osuntokun BO, Schoenberg BS, Nottidge VA, et al: Research protocol for measuring the prevalence of neurologic disorders in developing countries: Results of a pilot study in Nigeria . Neuroepidemiology 1982;1:143-153.Crossref 4. Schoenberg BS: Neuroepidemiologic generalizations: High tax on importing data, low tax on importing principles . Neuroepidemiology 1983;2:117-120.Crossref 5. Bharucha NE, Bharucha EP, Dastur HD, et al: Pilot survey of prevalence of neurologic disorders in the Parsi community of Bombay . Am J Prev Med 1987;3:293-299. 6. Mistree KP: Zoroastrianism: An Ethnic Perspective . Bombay, KR Cama Oriental Institute, 1982. 7. Karkal M: Marriage behaviour and demographic transition among Parsis , in Srinivasan K, Mukherjee S (eds): Dynamics of Population and Family Welfare . Bombay, Himalaya Publishing House, 1983, pp 397-410. 8. US Dept of Commerce, Bureau of the Census: 1970 Census of Population: General Population Characteristics, United States Summary. Government Printing Office, 1972. 9. Census of 1961: Parsis of Greater Bombay. Bombay, Maharashtra Government Census Office, 1971, vol 10, pt 10. 10. Schoenberg BS: Epidemiology of movement disorders , in Marsden CD, Fahn S (eds): Movement Disorders , ed 2. Stoneham, Mass, Butterworths, 1987, pp 17-32. 11. Kurland LT: Epidemiology: Incidence, geographic distribution and genetic considerations , in Fields WS (ed): Pathogenesis and Treatment of Parkinsonism . Springfield, Ill, Charles C Thomas Publisher, 1958, pp 5-49. 12. Kessler II: Epidemiologic studies of Parkinson's disease: II. A hospital-based survey . Am J Epidemiol 1972;95:308-318. 13. Kessler II: Epidemiologic studies of Parkinson's disease: II. A community-based survey . Am J Epidemiol 1972;96:242-254. 14. Gudmundsson KRA: A clinical survey of parkinsonism in Iceland . Acta Neurol Scand 1967;43(suppl 33):1-61.Crossref 15. Rosati G, Granieri E, Pinna L, et al: The risk of Parkinson's disease in Mediterranean people . Neurology 1980;30:250-255.Crossref 16. Jenkins AC: Epidemiology of parkinsonism in Victoria . Med J Aust 1966;2:496-502. 17. Harada H, Nishikawa S, Takahashi K: Epidemiology of Parkinson's disease in a Japanese city . Arch Neurol 1983;40:151-154.Crossref 18. Marttila RJ, Rinne UK: Epidemiology of Parkinson's disease in Finland . Acta Neurol Scand 1976;53:81-102.Crossref 19. DuPont E: Epidemiology of parkinsonism: The Parkinson investigation, Aarhus, Denmark. Preliminary report , in Worm-Petersen J, Bottcher J (eds): Symposium on Parkinsonism . Herlev, Denmark, Merck, Sharp & Dohme, 1977, pp 65-75. 20. Schoenberg BS, Anderson DW, Haerer AF: Prevalence of Parkinson's disease in the biracial population of Copiah County, Mississippi . Arch Neurol 1985;35:841-845. 21. Lance JW, Schwab RB, Peterson EA: Action tremor and the cogwheel phenomenon in Parkinson's disease . Brain 1963;86:95-110.Crossref 22. Schwab RS, Young RR: Non-resting tremor in Parkinson's disease . Trans Am Neurol Assoc 1971;96:305-307. 23. Barbeau A, Pourcher E: New data on the genetics of Parkinson's disease . Can J Neurol Sci 1982;9:53-66. 24. Geraghty JJ, Jankovic J, Zetusky WJ: Association between essential tremor and Parkinson's disease . Ann Neurol 1985;17:329-333.Crossref 25. Larsson T, Sjögren T: Essential tremor: A clinical and genetic population study . Acta Psychiatr Neurol Scand 1960;36(suppl 144):1-176.
Archives of Neurology – American Medical Association
Published: Dec 1, 1988