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epidemic neuropathy in cuba: a public health problem related to the cuban democracy act of the united states.in 1992, the usa embargo on cuba was tightened through the passage of the cuban democracy act (cda) that explicitly restricts food and medical supplies. the embargo has contributed to cause a number of public health problems in cuba including: (1) an epidemic of more than 50,000 cases of optic and peripheral neuropathies in 1992-1993, resulting from dietary deficiency; (2) an epidemic of esophageal stenoses in toddlers who inadvertently drank liquid lye as a result of a soap shortage for which l ...19989648115
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