REPLY
Epidemic Neuropathy in Cuba
Gustavo C. Roman, MD
1 November 1995 | Volume 123 Issue 9 | Page 734
IN RESPONSE:
The comments on my article on the Cuban neuropathy epidemic are appreciated. Dr. Perez-Stable feels that internal political decisions in Cuba were the main factor precipitating the epidemic. This may be true; however, quantifying the effect of the embargo, compared with that of other factors on the island and overseas is a subjective judgment. The Cuban government could not provide appropriate food supplies to the population in the months before the epidemic began, but it is undeniable that the Torricelli amendment greatly affected food purchases and increased costs. As Dr. De Long notes, shortages continue to affect all areas of health care. Despite the recent decision by President Clinton to normalize the immigration status of Cuban nationals, the Helms-Burton Bill could only worsen the health situation in Cuba and should be opposed. I join Drs. Perez-Stable and De Long in their plea for a humanitarian solution to this conflict.
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