Endocrine aspects of cancer: an epidemiological approach

Over the last 2 decades epidemiologists have increasingly used parameters of endocrine function in their studies. Prospective cohort studies offer methodological advantages in view of the latency between the relevant hormonal exposure and the clinical onset of cancer. Examples from the author's experience are provided. Evidence is mounted for an important "time window" for breast cancer development between menarche and the birth of a first child.     

Viral infections and cancer: epidemiological aspects.

Viral infections represent one of the areas in which cancer research has made the greatest advances in the last 20 years. In 1981, only two viruses were known to cause human cancer, i.e., the Epstein-Barr virus (EBV) and the hepatitis B virus (HBV). By 1995, it was estimated that approximately 15% of all cancers occurring world-wide were attributable to viral infections, and the oncogenic role of seven viruses [i.e., EBV, HBV, hepatitis C virus (HCV), human papillomavirus (HPV), human immunodeficiency virus (HIV), human herpesvirus-8 (HHV-8), and human T cell leukemia virus type I (HTLV-I)] has been well-established. In this paper, the epidemiological evidence concerning some of the major aspects of the association between viruses and cancer are summarised.     

Some epidemiological aspects of post-bloom fruit drop disease (Colletotrichum gloeosporioides) in citrus

Fluctuations in the incidence and amount of post-bloom fruit drop disease of citrus caused by Colletotrichum gloeosporioides in Belize prevent economic disease control. During the cooler drier months of the year when blossom infection is common there are variations in the incidence of rainfall and associated climatic parameters, and in the pattern of flowering. Large amounts of disease develop when periods of rain followed by prolonged wetness occur during peak blossoming periods. Blossoms are most susceptible during the open flower stage and infection of terminal flowers invariably results in infection of all other flowers on the spike. Disease incidence is greater in the lower parts of the trees, but flowering is greater in the upper regions. Large numbers of Colletotrichum spores are produced during wet conditions from apparently healthy leaves and from diseased flowers, but these rapidly lose viability when dried. Few spores are produced from old persistent calices (buttons). Although spores from leaves were a less potent inoculum source than those from flowers, they could provide the initial inoculum to commence flower infection when blossoming starts.     

"Epidemic" vs "epidemiological": linguistic aspects of epidemiological terminology

The meaning of the terms "epidemic" and "epidemiological" used in a medical discourse have been analyzed; differential signs have been found by the method of linguistic analysis, making it possible to avoid unjustified interchanges of these terms.     

Some aspects of the use of the level of bacteriological confirmation in the epidemiological analysis of dysentery morbidity]

On the basis of studying the seasonality and the age composition of dysentery morbidity in comparison with the corresponding levels of bacteriological confirmation the authors suggested a method of recalculation of morbidity with consideration to this parameter. This method could be used in epidemiological analysis.     

Some epidemiological models with nonlinear incidence

Epidemiological models with nonlinear incidence rates can have very different dynamic behaviors than those with the usual bilinear incidence rate. The first model considered here includes vital dynamics and a disease process where susceptibles become exposed, then infectious, then removed with temporary immunity and then susceptible again. When the equilibria and stability are investigated, it is found that multiple equilibria exist for some parameter values and periodic solutions can arise by Hopf bifurcation from the larger endemic equilibrium. Many results analogous to those in the first model are obtained for the second model which has a delay in the removed class but no exposed class.Research supported in part by Centers for Disease Control Contract 200-87-0515. Support services provided at University House Research Center at the University of IowaResearch supported in part by NSERC A-8965 and the University of Victoria President's Committee on Faculty Research and Travel