Central African Journal Of Medicine

In this major synthesis of cross-cultural research, 34 distinguished scientists study 25 common metabolic and degenerative diseases characteristic of all advanced Western nations and then examine their incidence in developing countries, among both hunter-gatherers and peasant agriculturalists. Thus the authors provide a unique opportunity to compare epidemiological data reflecting modern modes of life with data influenced by habits and diets dating back 400 generations to the advent of agriculture, and even 200,000 generations or more to the dawn of man. The results confirm the view that diseases like hypertension, lung cancer, diverticular disease, and appendicitis are maladaptations to environmental factors introduced since the Industrial Revolution. They also demonstrate that such diseases become more prevalent when Western lifestyles are adopted in primitive societies. Certain studies reveal a regression of disease incidence when exercise is increased and a diet high in starch and fiber, low in fat and salt, is resumed--characteristics of a simpler way of life. Western Diseases greatly broadens our perspective on some of the most vexing health problems in our society. It will be an essential reference for epidemiologists, nutritionists, and gastroenterologists in particular.

'Professor Rotberg has given students of African history a detailed and thoroughly documented study of the creation of Malawi and Zambia and much information on the formation and collapse of the Federation of Rhodesia and Nyasaland. No other scholar has written so full and reliable an account of this recent and complex history. Rotberg had access to hitherto unused official archives and to private correspondence, sources that he supplemented by interviews with many of the European and African participants in the events of the last decades of a century of history. No one can read this story without being impressed by the dizzy speed of change in Africa.'-American Historical Review

Refined Carbohydrate Foods and Disease: Some Implications of Dietary Fibre addresses the geographical distribution and historical emergence of the characteristically western diseases, which may be accounted for on a common dietary basis, particularly, on deficiency of dietary fiber. The book is divided into 10 parts, each with number of chapters focusing on relationship between disease and the environment; refined carbohydrate foods; various diseases of the large intestine; and other diseases that are associated with constipation, straining at stool, and refined carbohydrate foods. The book shows the role of refined carbohydrate foods as a significant cause of diseases, because it removes fiber, which has many unsuspected physiological functions. This reference is deemed to be useful to forge stronger links between epidemiologists and experimental workers.

A keyword listing of serial titles currently received by the National Library of Medicine.

The influence of culture on mental illness has been the subject of considerable academic investigation and debate in recent years. This debate has provoked concerns about the validity and reliability of older methodologies which emphasised either universal characteristics of disorders which were heavily biased towards Euro-American systems, or the culturally relativist approach which saw psychological disorders as products largely of their own culture. The "new" cross-cultural psychiatry proposed that the integration of ethnographic and epidemiological techniques be required to enable a culture sensitive psychiatric model to emerge. This monograph describes a series of research studies conducted in primary care in Harare, Zimbabwe, focusing on the most frequent of all psychological disorders, Common Mental Disorders (CMD). The four consecutive studies are unique in several respects, most notably, the involvement of both biomedical and traditional health care providers at all stages, the development of an indigenous measure of CMD for use in epidemiological investigations, the examination of the relationship between local and biomedical models of psychological disorder and the sociodemographic and economic risk factors for CMD. The experiences and findings of these studies provide new directions in our understanding of the contribution of culture to the presentation, assessment, classification and risk factors for CMD in primary care in an urban African setting. The methodology used also sets out a model for epidemiological research in other areas of mental health in different cultural settings.