Abstract

Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease, is a progressive and fatal neuromuscular disease; the majority of ALS patients die within 2-5 years of receiving a diagnosis (1). Familial ALS, a hereditary form of the disease, accounts for 5%-10% of cases, whereas the remaining sporadic cases have no clearly defined etiology (1). ALS affects persons of all races and ethnicities; however, whites, males, non-Hispanics, persons aged >60 years, and those with a family history of ALS are more likely to develop the disease (1-3). No cure for ALS has yet been identified, and the lack of proven and effective therapeutic interventions is an ongoing challenge. Current treatments available do not cure ALS but have been shown to slow disease progression. Until recently, only one drug (riluzole) was approved to treat ALS; however, in 2017, the Food and Drug Administration approved a second drug, edaravone (4).

Highlights

  • What is already known about this topic?

  • The estimated Amyotrophic lateral sclerosis (ALS) prevalence for 2014 was 5.0 cases per 100,000 population, the same as 2013 estimate

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Summary

Morbidity and Mortality Weekly Report

Paul Mehta, MD1; Wendy Kaye, PhD1; Jaime Raymond, MPH1; Ruoming Wu, MPH1; Theodore Larson, MS1; Reshma Punjani, MPH1; Daniel Heller; Jessica Cohen, MPH1; Tracy Peters, PhD1; Oleg Muravov, MD, PhD1; Kevin Horton, DrPH1. The second component comprises a secure web portal to allow persons with ALS to self-register to facilitate identification of cases not collected through the first component [7]. Cases from both data sources are merged and deduplicated. The prevalence of ALS was calculated from the Registry by using the deduplicated total number of persons with ALS identified through administrative data and those who selfidentified through the portal as the numerator. A total of 15,927 persons were identified as having definite ALS across the three national databases and through web portal registration for 2014 (Table). Rates were highest in the Midwest (5.7 per 100,000 population), followed by the Northeast (5.5), the South (4.7), and the West (4.3) (Table)

Discussion
Sex Males Females Unknown
What is already known about this topic?
What is added by this report?
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