{"title":"Comparison of carcinogenicity of betel quid with and without tobacco: an epidemiological review.","authors":"P C Gupta, J J Pindborg, F S Mehta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A comparison of carcinogenicity of the habit of chewing betel quid with and without tobacco has been attempted through a reassessment of the available epidemiological evidence on aetiology of oral cancer and pre-cancer. Primary evidence comes from the reports which emphasize a low incidence of oral cancer among population groups who practise the habit of chewing betel quid without tobacco compared with those which practise the habit of chewing betel quid with tobacco. A more specific comparison is sought here through the quantitative estimation of the relative risks of the two types of betel habits. Out of three studies selected, two studies showed that the relative risk for the habit of betel quid without tobacco was not significant whereas the relative risk for the habit of betel quid with tobacco was highly significant. In the third study, although both relative risks were significant, the relative risk for the habit of betel quid with tobacco was significantly higher than the risk for the habit of betel quid without tobacco. The evidence from studies of oral pre-cancer was also in the same direction. It is suggested that in intervention and primary prevention programmes for oral cancer, the emphasis in the first instance might be upon the exclusion of tobacco from the betel quid rather than the complete discontinuation of the habit of chewing betel quid.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 4","pages":"213-9"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malaria ecology--the Trinidadian aspect.","authors":"L S Fonaroff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Triad models serve as reference points for the examination of etiological factors and salient features in Trinidad's malaria control efforts. Adaptive mechanisms and 'role-switching' in biological and cultural evolution are highlighted as are the significance of environment and man-environment forces. A community model is presented which incorporates an inventory of somatic and psychological factors, risk-taking behaviours, and environmental and material resources pertaining to specific diseases which a particular habitat and population group maintain.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social factors and leprosy in Lamjung, West Central Nepal: implication for disease control.","authors":"M Pearson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Such is the ability of leprosy to generate misconceptions and fears, that many patients are reluctant to be identified. Deformity and paralysis which may occur compound the stigma attached to this rare disease of slow insidious onset. Epidemiological studies of leprosy refer only to known disease and often to highly selected groups of the population. Cohorts are therefore incomplete, and variations in prevalence may reflect social attitudes and data reliability. This paper describes the demographic and spatial distribution of leprosy in Lamjung, a district of west central Nepal. Variations in known leprosy prevalence between sexes, ethnic groups and areas are related to social and physical factors. An apparent paradox of low leprosy prevalence in an ethnic group with a high proportion of infectious leprosy is associated with adverse social attitudes and poor survey coverage. Although the data are too limited for an epidemological analysis variations associated with social and physical factors have crucial implications for disease control.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 4","pages":"229-36"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17973603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health, nutrition and fertility. A review of correlates in rural development.","authors":"J Uyanga","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper explores a series of relationships linking fertility through health status to measurable outcomes of development strategies, using references from the developing world.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 1","pages":"45-58"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patterns of cardiovascular diseases mortality in the Glasgow region.","authors":"P C Gatenby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a region of high mortality from cardiovascular diseases questions are posed on the spatial uniformity and temporal consistency of the mortality pattern. Cardiovascular diseases in the Glasgow region of Scotland were examined in response to these questions. Between 1964 and 1972 inclusive, extensive and significant variations from the regional mean were found for cardiovascular diseases mortality in local areas of the study region. Local areas south-east of Glasgow (in Lanarkshire) highlighted localities with above average mortality. Elsewhere, several local areas in Ayrshire, southwest of Glasgow, had high mortality. The main location where mortality was below average occurred to the west of the centre of the region. The need for further analysis of temporal characteristics and an examination of the association between disease rates and other environmental indicators is suggested by the findings.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 1","pages":"75-85"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17973598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influenza-like illness: a monitoring system.","authors":"J D Knox, R A Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper draws attention to the widespread problems associated with an epidemic of influenza at all levels--personal, family and society. In the absence of effective policies of prevention and cure, there is a need for a system which will constantly survey the scene on a clinical basis and give an early warning of an impending epidemic. The means hitherto available have been crude and rather slow to react. A system is described which is based on weekly telephoned reports from a geographically widely spread network of general practitioners, mainly in Tayside. The co-ordinated system operates during the influenza 'season', and provides information to the contributors, health planners, epidemiologists and to WHO. Examples of the work of the 'spotter practices' are drawn from the season 1980-81. The material is validated by virological sampling studies, by the internal consistency of the figures, and by reference to what is happening in other geographical areas. The feasibility of the system has been demonstrated (even under epidemic conditions), and it is suggested that a national co-ordinating system be established.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 1","pages":"87-91"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17973599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Environmental and health effects of the nuclear industry and nuclear weapons: a current evaluation.","authors":"C J Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The nuclear weapons industry in the U.S. comprises nine major plants, supported by a network of subcontractors and grantee institutions. Weapons development progresses at the Lawrence Livermore and Los Alamos Laboratories under the auspices of the University of California. Fissionable materials and tritium are produced at the Savannah River Plant (du Pont) or at Hanford. Reprocessing of plutonium and weapons grade uranium and manufacture of components are carried out at Rocky Flats (formerly Dow, now Rockwell Int.). Large amounts of radionuclides are generated or involved in operations at most of the nine plants. Internal reports of surveillance efforts by weapons plant personnel to monitor emissions of radioactive gases and particulates have now been released by several of the plants (in one case through litigation). Those reports document major releases of radioactive gases and particulates to the environment in the past, and continuing routine releases of some importance. Few investigations have been made of effects from these potent carcinogens in local populations. There have been several preliminary reports (Rocky Flats, Los Alamos and Savannah River) and one comprehensive report [Ambio 10: 176 (1981)]. Evidence of significantly increased rates of cancer of the more radiosensitive organs has been demonstrated. Adequate cancer registry and vital statistics data are essential for the comprehensive investigations of somatic and genetic effects which should be carried out around all nuclear installations near population centres.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 2-3","pages":"135-52"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The zoonotic potential of reservoirs of leishmaniasis in the Old World.","authors":"R S Bray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 'good' reservoir of leishmaniasis in the Old World is judged according to five criteria: contact with man, chronic susceptibility, good presentation of the disease organism, intimate contact with the phlebotomine sandfly vector and major source of blood meals for the vector. The endemics of cutaneous leishmaniasis in Soviet Asia and of visceral leishmaniasis in the South of France are examined in the light of these criteria. Other special examples of the criteria are highlighted and the exceptions cited. A table lists the present knowledge of the existence of reservoirs of Old World leishmaniasis.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 4","pages":"257-67"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The ecology of toxoplasmosis.","authors":"C P Beattie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Toxoplasma infection comes from oöcysts in cat faeces and from tissue cysts in the flesh of infected animals. It can also be transferred congenitally by trophozoites. Where cats are common, where social, climatological and geological conditions favour the survival and maturation of oöcysts, and where raw or undercooked meat is rarely eaten infection comes predominantly from oöcysts. Where raw or undercooked meat is commonly eaten and opportunities for contact with cats and their faeces are few, infection comes predominantly from tissue cysts. Infection is very common in all species of mammals and birds throughout the world, but rarely does any harm. Exceptions are when lowered resistance due to disease or cytotoxic or immunosuppressive drugs allow latent infection to become patent and when infection is transmitted congenitally.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17818529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical, veterinary and environmental liaison activities in Scotland.","authors":"J C Sharp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The past decade has seen many changes in the relationships between the medical, veterinary and environmental health professions in Britain. Doctors and veterinarians had traditionally tended to remain in isolation to each other despite mutual interests, while working relationships between public health doctors and environmental health officers were disrupted following re-organization of the NHS in 1974 and of local government in 1975. The situation was, however, generally less acute in Scotland where active encouragement had been given since the early 1970s towards the creation of local liaison groups in different areas of the country, the first of which was formally established in Aberdeen in 1969. The subsequent development of other liaison groups and the role of the Communicable Diseases (Scotland) Unit in coordinating inter- and intra-professional liaison and communications throughout Scotland is described, along with examples of combined activities in surveillance, investigation and control measures.</p>","PeriodicalId":79218,"journal":{"name":"Ecology of disease","volume":"1 4","pages":"269-74"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17975581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}