140 years later, there is still no known cause, nor cure, for the disease. Treatments to slow progression are available and may help with functioning. Onset of MS remains unclear, however, it is now recognized that MS can arise during childhood or adolescence. 3 MS affects roughly 2.1 million people worldwide with wide geographic variation. In general, observed prevalence is greater at higher latitudes with exceptions (i.e. low rates observed among Chinese, Japanese and Africans; high rates observed among Sardinians, Iranians and Palestinians). 4,5 Diagnoses and treatments: Patients may present with a range of symptoms from cognitive changes to ataxia, depression, visual impairments or hemiparesis. Commonly identified symptoms include: