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Researchers from University College London and Imperial College London found recorded multiple sclerosis (MS) prevalence in England more than doubled between 2000 and 2020, rising from 107.1 to 231.8 cases per 100,000 (21,997 to 37,669 cases). Using primary care records from the Clinical Practice Research Datalink Aurum covering 1990â2023 and published in JAMA Neurology (23 March 2026), the team estimated roughly 131,000 people were living with MS in 2020 and projected about 190,000 in England today.
Adjusted prevalence increased by about 6% per year (PR 1.06). Survival improved over the study period (annual mortality hazard ratio per later year 0.88), attributed to earlier diagnosis, better access to care and diseaseâmodifying therapies.
The study identified stark socioeconomic differences: prevalence was higher in least deprived areas while mortality was higher in the most deprived (HR 1.22), with smoking and abnormal weight (underweight or obesity) linked to greater mortality.
Trends showed rising odds of obesity and underweight and lower rates of smoking cessation in deprived communities.
Authors note limitations including routine data collection, potential misclassification and residual confounding.







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