Multiple sclerosis; its frequency and distribution, with special reference to San Francisco.

Epidemiologic surveys of multiple sclerosis were conducted in 1949 in San Francisco, Winnipeg, Boston, New Orleans, and Denver. Reports of cases for 1939 through 1948 were obtained from record offices, hospitals and clinics, and private physicians. The basis for the observations was the group of "probable" cases among residents. In San Francisco these probable cases in residents numbered 415; however, in only 146 of these was the onset between 1939 and 1948. Of the 143 patients who were white, 51 were male and 92 female. The average annual incidence based on these figures was 2.1 per 100,000-1.5 for males and 2.6 for females.Prevalence, based on probable cases in residents on January 1, 1949, was 29.7 cases per 100,000 population-21.2 for males and 38.1 for females. Mortality was 0.7 per 100,000 population-0.9 for females and 0.6 for males. In comparison of the findings for San Francisco with those of other cities, both the incidence and the severity of the disease appear to decrease from north to south.