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Prevalence of congenital colour blindness among Inuit in East Greenland.

PURPOSE: To establish whether congenital colour blindness among males is still rare in Inuit (Eskimos) as indicated previously in 1893 and 1930, especially in East Greenland, as demonstrated by Erik Skeller in 1950. METHODS: The study was comprised mainly of school children. 540 Inuit in East Greenland were compared to 545 controls in East Greenland and Denmark examined by three sets of pseudoisochromatic plates (Ishihara 1932, original plate used by Skeller), Ishihara (1994), and standard P.P. 2 part Igaku-Shoin (1994). RESULTS: Only 1.0% of male Inuit (3/290) are colour blind, a significantly lower incidence than the 8.7% among Danish males in Denmark (15/173). The prevalence was the same in the three control groups, Danes in East Greenland, immigrants and Danes in Denmark. Deuteranopia is the most common type. Females showed the same low prevalence in all four groups. MAJOR CONCLUSIONS: Colour blindness is still remarkably low among Inuit in East Greenland as compared with the present three control groups.

Adolescent↗

Suicide and attempted suicide in Greenland. A controlled study in Nuuk (Godthaab).

Suicidal behaviour in Eskimo populations has changed in pattern and quantity over the last decades. Rates have more than quadrupled and performers now are mainly young persons with obscure motivation. In a study from Greenland's major township all cases of attempted or completed suicide among Greenlanders are analysed for social, emotional, somatic, and environmental predisposing factors in comparison with a non-psychiatric, never-suicidal, matching group. Almost two per thousand of the adult population committed suicide yearly while attempts at suicide were five times as frequent. A quarrelsome, drinking, childhood home background was often found, at least as regards the attempters, who themselves frequently suffered from emotional conflicts with close contacts, alcohol affliction, criminality, and instability at work. Neither bereavement, cross-cultural exposure, broken homes, nor meteorological factors seemed to exert a significant influence. The results are discussed in relation to the social and cultural evolution of the Greenlandic society.

Adult↗

Parasuicidal snow-wandering in Arctic northern Norway.

Psychiatric morbidity in the Arctic has not been extensively studied. Seasonal variations in climate, light and darkness are unique for these areas and impose special kinds of strains on the population. Three case-histories focusing on snow-wandering as a parasuicidal act are presented. One of them bears some resemblance to the Arctic hysteria described among Eskimoes. Reasons for choosing snow-wandering as an alternative to other kinds of suicide are discussed and a hypothesis is suggested. The psychological and physiological factors as explanations for post snow-wandering amnesia are discussed.

Adult↗

Isolation of Sporothrix fungorum from a 500-year-old mummy found in Greenland.

A 500-year-old mummy of a seven-month-old Eskimo infant recently removed from a tomb north of Umanak presented problems of preservation. Among these was fungal coating on the skin, especially on the face. The fungus was isolated and diagnosed as a Sporothrix fungorum. The skin was successfully treated with nystatine. The species Sporothrix fungorum isolated is considered to be very rare, having been reported previously only from Europe and South Africa, but never from Greenland.

Greenland↗

The prevalence and patterns of dental caries in Labrador Inuit youth.

OBJECTIVES: This study was undertaken to examine the prevalence of dental caries in Inuit (Eskimo) youth aged 5-22 years. METHODS: Both tooth-oriented indices and child-oriented caries patterns were recorded in a field study conducted in 1991 in Nain and Hopedale, Northern Labrador. Seventy-eight percent (N = 347) of all school-children in these two locations were examined by a single examiner. RESULTS: Three percent of the population were caries free and 88 percent of those with caries experience had untreated dental decay. The mean combined dmft and DMFT per child for all ages was 6.85, while the mean combined dmfs and DMFS was 15.72. About 38 percent of subjects had pit and fissure caries; 2 percent had hypoplastic lesions; 4 percent had faciolingual caries; 31 percent had molar-approximal caries and 22 percent had faciolingual and molar-approximal caries, the most destructive caries pattern. About 68 percent of the 5-6-year-olds and 26 percent of the 15-22-year-olds experienced the most destructive pattern of decay in their primary and permanent dentitions, respectively. CONCLUSIONS: Preventive measures should start well before the age of 5 years. Describing caries patterns according to the dentition type complemented the traditional indices.

Adolescent↗

Anterior chamber depth and primary angle-closure glaucoma. II. A genetic study.

The genetics of primary angle-closure glaucome (a.c.g.) was studied: a) through the prevalence in sibs and children of a.c.g. probands, and b) through the family distribution of the closely correlated axial anterior chamber depth (ACD). The material emerged from an epidemiologic study in Greeland Eskimos. a) Compared with the general population, the observed prevalence of a.c.g. was increased in sibs of a.c.g. probands and the estimated, future prevalence was found to be the same in sibs and children. Age influence prevented a proper Mendelian analysis, but no simple monogenic inheritance seems probable. b) The biometric study showed a relatively shallow chamber in sibs, children, nephews, nieces and grandchildren of a.c.g. probands. Regression analyses revealed a corresponding pattern, also in control families of probands with shallow chambers and in general population families. A heritability of 70% was found, indicating that about two thirds of the age and sex independent variation in ACD seems to be genetic.

Adolescent↗

Corneal thickness. II. Environmental and genetic factors.

In a material of 839 Greenland Eskimos with no corneal abnormalities, the variations of central corneal thickness (CT) were analysed from a genetic point of view. Environmental factors were suggested by a town-village difference in mean CT level (excess in town), by a higher CT level in families with an indoor occupation, and by a nearly significant husband-wife CT correlation. Using an age-sex-location-independent CT deviation score (CTDS) the family variations were studied in 86 families with two parents and one to seven children, and in 187 sibships with two to seven sibs. The first degree relationships showed a fairly high level of resemblance, which seems to indicate a major genetic influence on CT, with heritability estimates about 0.6--0.7. In men an association was found between CT and Caucasian admixture, which also suggested genetic factors. However, both findings call for reservation because of the socioeconomic environmental influence.

Adolescent↗

Prevalence of pinguecula in Greenland and in Copenhagen, and its relation to pterygium and spheroid degeneration.

The prevalence of pinguecula has been studied by slit lamp examination of 659 Eskimos in South Greenland and 810 Caucasians in Copenhagen. The overall prevalence was found to be 56 per cent in Greenland against 41 per cent in Copenhagen (P less than 0.001) and to rise with increasing age, though with a fall after the age of 60 among Greenland women. Pingueculae (measured by their vertical height) are largest among Greenlanders, and larger in males than in females. They increase in size with increasing age. They are generally located nasally in Greenlanders and temporally in Copenhageners. The prevalence of pinguecula in almost 1 1/2 times higher among Greenlanders than among Copenhageners, while that of spheroid degeneration and that of pterygium are 3 times and slightly over 10 times higher respectively. The incidence of pinguecula and spheroid degeneration are correlated per site and per subject in the two geographically different series. Pterygium is not correlated with regard to site, this being always located nasally. Pterygium practically never harbours spheroid degeneration, neither in its body nor in its head (81 pterygia). Pinguecula and pterygium are therefore to be regarded as two different disorders, while spheroid degeneration is related to pinguecula.

Adolescent↗

Frequency of cataract extraction in Greenlanders.

The total number of cataract extractions in Eskimos in Greenland was 43 during 1979 and 1980. Of these 28 were performed as first eye extractions. The frequency of first eye extractions was found to be rather high, respectively 42 and 72 per 10.000 persons in 60-69 and 70-79-year-old persons. Racial, nutritional, climatological factors together with "backlog effect" are discussed.

Aged↗

Spheroid degeneration, pinguecula, and pterygium among Arabs in the Red Sea territory, Jordan.

Report of an examination of 127 Arabs in the Red Sea City of Aqaba, Jordan. The results are compared with those of the author's examinations, using a similar apparatus, of 659 Eskimos in Western Greenland and 810 Caucasians in Copenhagen. Ultraviolet (u.v.) light is at a maximum in the Red Sea territory, considerable in Greenland, and negligible in Copenhagen. The prevalences of the following degenerative processes are high at the Red Sea, somewhat lower in Greenland, and low in Copenhagen: Climato-keratopathy gr. III (across the cornea, often with autofluorescent spheroids, always with conjunctival location as well), conjunctival spheroids (39%), and pinguecula (90% at the Red Sea). The prevalence of the conjunctival spheroid degeneration greatly exceeds that of the corneal. No difference is demonstrable between tropical and arctic keratopathy. The investigations performed gave results bearing out the view that u.v. light is responsible for all the above degenerative processes. Pterygium is equally frequent at the Red Sea and in Greenland. Lipid deposits (6%) and scleral plaques are not more prevalent at the Red Sea, a fact which argues against an ultraviolet genesis.

Adolescent↗

Spheroid degeneration, keratopathy, pinguecula, and pterygium in Japan (Kyoto).

The prevalences of various possibly sunlight-induced degenerations of the exposed section of the eye have been studied in a series of 189 Japanese (Mongols) in Kyoto (subtropical climate, 35 degrees N. lat.). The results were compared with those of the author's examinations, using the same method and apparatus, in Jordan near the Red Sea (Arabs, N = 127) in Greenland (Eskimos, N = 659), and in Denmark (Caucasians, N = 810). In the Japanese series conjunctival spheroid degeneration was noticed in 31% and pinguecula in 60%, i.e. less frequently than in the sunny Jordan, but more frequently than in Greenland and Denmark. Climatokeratopathy was more rarely observed than in Greenland. This goes to show that the risk of corneal complications is lower in Japan despite the high prevalence of solar conjunctival degenerations. Pterygium was seen in a surprisingly small number of cases (1%), indicating that pterygium bears no relation to the conjunctival degenerations.

Adolescent↗

Focal epithelial hyperplasia in an HIV positive man. An illustrated case and review of the literature.

Focal epithelial hyperplasia (FEH) is a rare but distinctive entity of viral aetiology with characteristic clinical and histopathological features. It is usually seen in children and adolescents of American Indian and Eskimo background; however, it has recently been described in adults who are HIV positive. Suppression of the immune system leaves the individual vulnerable to opportunistic infections. With improved management of immunocompromised patients it is increasingly possible that the general dental practitioner will encounter secondary oral infections such as FEH and must therefore be able to recognize, diagnose and treat these lesions. The following report presents a case of FEH in an HIV-infected man, and is followed by a review of the literature.

AIDS-Related Opportunistic Infections↗

Genetical and geographic studies on isoniazid inactivation.

Rapid and slow inactivators of isoniazid are homozygotes, and intermediate inactivators are heterozygotes. There is no dominance between the two alleles. The chasm between Eskimos and Caucasians in isoniazid metabolism is bridged by our investigation of the races in the Far East.

Alleles↗

Insecticide content of diet and body fat of Alaskan natives.

A study was made of the DDT and DDE content of the diet and body fat of native Alaskans who lived in isolated, primitive areas and had minimal contact with insecticides. No DDT or DDE was detected in any of the native Alaskan foods analyzed with the exception of two white owls, both of which contained low levels of DDE. Eskimos store considerably less DDT and DDE in their body fat than the general population in the United States. These low dietary levels and the resultant low levels in body fat are consistent with previously published data on the relationship between intake and storage of DDT.

Adipose Tissue↗

Strontium-90 in Alaska.

Strontium-90 concentrations have been determined in a variety of foods used by the native population. Caribou from the tundra carry 10 to 20 times the level of domestic cattle. Eskimos for whom caribou is a staple in the diet are found to have four times the strontium-90 content of the average for the world population of the North Temperate Zone.

Alaska↗

Atypical cholinesterase gene E1a: rarity in Negroes and most Orientals.

Development of a rapid screening test for atypical cholinesterase in serum enabled large-scale surveys of populations. The frequency of the heterozygous trait among Greeks, Yugoslavs, and East Indians was similar to that among United States Caucasians (2.8 to 3.3 percent). In trait frequency, U.S. Negroes were intermediate (1.05 percent) between Congolese Africans (0.29 percent) and U.S. Whites (3.3 percent). The gene was absent from or very rare in populations originating in East Asia (Taiwanese, Japanese, Filipinos, and Eskimos). Prolonged apnea during anesthesia from administration of succinylcholine caused by homozygosity for this gene, is expected to be extremely rare among populations of Negroes and East Asians.

Black or African American↗

Stable nitrogen isotope ratios of bone collagen reflect marine and terrestrial components of prehistoric human diet.

The delta 15N values of bone collagen from Eskimos and from Northwest Coast Indians dependent on salmon fishing are about 10 per mil more positive than those from agriculturalists in historic times. Among prehistoric humans, two groups dependent on marine food sources show bone collagen delta 15N values that are 4 to 6 per mil more positive than those from two agricultural groups. The nitrogen isotope ratios of bone collagen from prehistoric inhabitants of the Bahamas are anomalously low for reasons that relate to the biogeochemical cycle of nitrogen in coral reefs.

Bone and Bones↗

Danish children in Greenland have high Epstein-Barr virus titers.

Danish children brought to Greenland have somewhat higher mean titers of antibodies to Epstein-Barr virus than do Danish children in Denmark, although their titers are lower than those found in Eskimo children. This study presents the first evidence of increases in Epstein-Barr virus titers in migrant children.

Antibodies, Viral↗