On politics and health: an epidemic of neurologic diseases in Cuba

Article Abstract:

The U.S. embargo against Cuba may have contributed to an epidemic of neuropathy in Cuba in 1992 and 1993. The epidemic resulted from restricted diets high in carbohydrates that became widespread in Cuba following the demise of the former Soviet Union, Cuba's main trade partner. Major features of the neuropathy were optic neuropathy, sensory peripheral neuropathy, dysautonomic neuropathy, dorsolateral myeloneuropathy, sensorineural deafness, dysphonia and dysphagia, and spastic paraparesis. Treatment of patients with B group vitamins achieved complete remission. Physicians should consider asking their legislators to lift the U.S. embargo against Cuba for humanitarian reasons.

Demographic aspects, Peripheral nerve diseases, Peripheral nervous system diseases, Vitamin B deficiency

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Effect of the U.S. Embargo and Economic Decline on Health in Cuba

Article Abstract:

The author discusses the deteriorating situation of Cuba's health care system over the past 15 years as a combined result of the US embargo and an economic crisis, both of which have brought about serious shortages of medical supplies. A lack of nutrition has brought on an epidemic of blindness. Inability to purify drinking water due to a lack of chlorination chemicals has caused an outbreak of Guillain-Barre syndrome. Shortages of soap have caused use of lye and poisonings when young children ingest it. Increases in tourism have brought an increase in prostitution and the spread of HIV infection.

Risk factors, Economic sanctions, Blindness, Guillain-Barre syndrome, Sanctions (International law)

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Cumulative epinephrine dose during cardiopulmonary resuscitation and neurologic outcome

Article Abstract:

High doses of epinephrine cause an unfavorable outcome in patients in cardiac arrest. Epinephrine is often used during cardiopulmonary resuscitation to improve blood flow to the heart and brain. Researchers compared neurologic outcome in 178 patients in cardiac arrest who were given epinephrine during cardiopulmonary resuscitation in an emergency department. A total of 151 recovered and 63 had a favorable neurologic outcome. Those with a favorable neurologic outcome were more likely to have received a low dose of epinephrine than those with an unfavorable neurologic outcome.

Complications and side effects, Epinephrine, Cardiac arrest

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