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Previous Volume 334:1063-1064 April 18, 1996 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by The Cuba Neuropathy Field Investigation Team

To the Editor: The report by the Cuba Neuropathy Field Investigation Team (Nov. 2 issue)¹ describes an excellent retrospective case–control study to determine the proximal causes of the epidemic of optic neuropathy in Cuba from 1991 through 1993. The causes included low micronutrient consumption and an excessive metabolic demand for B vitamins associated with the consumption of refined sugar, tobacco, and alcohol.

The report fails, however, as a public health analysis in that it does not address the more fundamental causes of the epidemic. These, like the causes of many outbreaks in the past, are to be found in socioeconomic . . . [Full Text of this Article]

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