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ChristineMember12/04/2023 at 12:44 pm
I think your question re Cusco is good. I too wondered that and I am trying to understand what he is saying. I have lived in Peru (Arequipa 2.100m at a lower altitude than Cusco though) for over 10 years, and was diagnosed in Peru. While on the surface incidence seems lower in Peru, I would suggest that the incidence is the same or more because:
a) lack of statistics could lead to lower figures
b) lack of diagnosis – often this is the thought that the symptoms are caused by old age and there are no movement specialists outside of LIMA and few neurologists.
c) The study Llibre Guerra 2022 reports that door to door surveys in Latin America studying Parkinson’s Disease found a high % had Parkinson’s disease but had NEVER been diagnosed nor received medical or neurological attention (Llibre Guerra et al: 2022). The study does not give the % as I searched but on communication with the author he revealed the statistic that places incidence at a similar levels to high income countries generally. It may part of a future publication so I am not at liberty to share the %
I’d like a slightly clear understanding of the talk too.
My videos from Peru.
Ray of Hope (VOTES Needed):
thanks Christine Jeyachandran