Clinical aspects of ciguatera (fish poisoning) in French Polynesia.
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Two different types of study of rheumatic disease in the southwest Pacific are outlined. The Philippines study of a rural developing population is primarily oriented to intervention rather than causation, but before intervention can be effectively planned, information on the frequency and causes of rheumatic complaints is necessary. The Tokelauan investigation is a comprehensive prospective study of the total population with full medical examination of each subject allowing hypotheses to be tested concerning genetic and environmental variables.
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All the Tahitian school children from 3rd to final grade were questioned by an auto-questionnaire in May 1979. 93% replied to the questions asked (3,870). The prevalence of upper respiratory infections was increased as well as broncho-pulmonary symptoms (cough or other lung disease) during the year under study when compared to a control group in Metropolitan France. This prevalence was significantly increased both in boys and girls who smoked. The incidence of frequent or chronic cough was most increased in the older pupils, boarders, those followed a technical curriculum and belonging to the lower socio-professional categories. Asthma was very frequent at 11.5%, had an equal sex incidence and was not linked to any identifiable factor--the same enquiry was done in the Bas-Rhin department in France 3 years before; Tahitian school children, in general, have double the incidence of respiratory disease that is found in the Bas-Rhin.
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The authors record, the first evidence of Platynosomum fastosum in a polynesian cat. This fluke has been previously encountered but was misdiagnosed a Dicrocoelium dendriticum. A finest observation of the morphological characteristics permit to distinguish on the both genera.
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