Two at one blow: reemergence of tularemia in Upper Austria

After field dressing a rabbit in the state of Upper Austria, Austria two members of a family were infected with tularemia in November 2010. The patients were a man in his forties and his father-in-law in his sixties. Tularemia is a rare disease in Austria. In the last 10 years between 2 and 8 cases have been reported annually. Of the total of 40 cases none was reported in the state of Upper Austria. Thus, this case report documents the reemergence of tularemia in Upper Austria.     

Enteroviral aseptic meningitis in Japan, 1981-1991. A report of the National Epidemiological Surveillance of Infectious Agents in Japan.

In Japan, aseptic meningitis cases due to enterovirus infections increase every summer in various degrees with an incidence peak usually in July. During the past 11 years from 1981 through 1991, a total of 8,595 enterovirus isolations from aseptic meningitis cases were reported from 54 participating laboratories. Eight enterovirus types caused large epidemics; more than 100 isolations of each type from aseptic meningitis cases were reported for every epidemic year of the respective type. They were coxsackievirus (C) types B3 and B5, echovirus (E) types 4, 6, 7, 9, 18 and 30. Among these, the highest meningitis-associating frequency was reported for E30, representing 82.6% of the total isolations reported for the type during this period, followed by E4, 71.1%. The frequencies of E9, E7, E6 and CB5 were in a range from 54.5% to 44.4%, while that of E18 was 37.7% and that of CB3 21.0%. During the epidemics, enterovirus-associated meningitis was most frequently reported among children of 4-7 years of age. High frequencies were also shown in infants less than 1-year of age in some types. A total of 4,240 enteroviruses were isolated from cerebrospinal fluid of aseptic meningitis cases, representing 49.3% of the cases with enterovirus isolation.     

Obesity in Pima Indians: Large increases among post-World War II birth cohorts

Several studies have shown secular increases in obesity during the past 35 years, and others have reported increases in dietary fat consumption during the same period. Here we report a dramatic increase in obesity among Pima Indians born after World War II that appears to be associated with increased exposure to Western customs and diet following 1945. We examined the body mass index (BMI = weight in kilograms/height² in meters) of 1,128 male and 1,372 female Pima Indians aged 15–65 years who were born between 1901 and 1964 and were examined between 1965 and 1990. We found large increases in BMI among Pima Indian men and women in post-World War II birth cohorts (1945 and later). The parallel changes in body mass index, dietary fat, and exposure to Western culture following World War II suggest that culturally mediated changes in diet and level of physical activity associated with modern industrialized society may have led to the large increases in obesity in the Pima Indians and to smaller parallel changes observed worldwide in westernized countries. © 1993 Wiley-Liss, Inc.     

Apolipoprotein E polymorphism in elderly Japanese-Brazilian immigrants does not explain the reduced cardiovascular risk factor incidence

Study of immigrant populations may contribute to a better understanding of the epidemiology of diseases associated with the aging process. We examined the prevalence of cardiovascular risk factors, including apolipoprotein E (ApoE) polymorphism, in elderly subjects who were born in Japan, migrated to South Brazil and have lived in that region for over 40 years, versus a group of elderly, locally born Brazilians living in the same region. These Japanese subjects came to Brazil after World War II (1950-1960) from several Japanese cities, mainly Nagasaki, Kumamoto and Hokkaido. Among 1007 subjects genotyped for ApoE polymorphism, we selected 540 elderly subjects (>60 years old), consisting of 270 Japanese-Brazilians and 270 Brazilians of European ancestry from Rio Grande do Sul State (Gaucha population). The Japanese-Brazilian group had significantly lower prevalences of obesity, type 2 diabetes mellitus, dyslipidemia, and metabolic syndrome than did the Gaucho population group. ApoE polymorphism frequencies were similar in the two groups. The differences in cardiovascular risk factors observed in the two populations cannot be explained by ApoE polymorphism; they could be related to conservation of Japanese lifestyle habits, such as diet.     

Gregorius Agricola memorial lecture: Lung cancer—A work-related disease for 500 years,as predicted by Agricola

In the early 16th century Gregorius Agricola reported on Bergsucht (miner's consumption) in mine workers in the Erzgebirge. About 350 years later, Härting and Hesse reported on large numbers of lung cancers among the mine-workers in the same mine district, thus confirming that Bergsucht primarily was lung cancer, but could also have been pnumoconiosis or tuberculosis or a combination of both. Mining for bismuth continued another 75 years – through World War II. Bismuth mining was replaced by large scale uranium mining from the late 1940 through 1989, employing some 400–450,000 workers, resulting in the major local epidemic of work-related cancer larger than anywhere in the world, so far amounting to ±14–15,000 cases. Had the mine developers listened to the warnings by Agricola and Härting and Hesse, the epidemic could have been prevented.     

The Metabolic Transition in Japan

The notion of a (socio‐) metabolic transition has been used to describe fundamental changes in socioeconomic energy and material use during industrialization. During the last century, Japan developed from a largely agrarian economy to one of the world's leading industrial nations. It is one of the few industrial countries that has experienced prolonged dematerialization and recently has adopted a rigorous resource policy. This article investigates changes in Japan's metabolism during industrialization on the basis of a material flow account for the period from 1878 to 2005. It presents annual data for material extraction, trade, and domestic consumption by major material group and explores the relations among population growth, economic development, and material (and energy) use. During the observed period, the size of Japan's metabolism grew by a factor of 40, and the share of mineral and fossil materials in domestic material consumption (DMC) grew to more than 90%. Much of the growth in the Japanese metabolism was based on imported materials and occurred in only 20 years after World War II (WWII), when Japan rapidly built up large stocks of built infrastructure, developed heavy industry, and adopted patterns of mass production and consumption. The surge in material use came to an abrupt halt with the first oil crisis, however. Material use stabilized, and the economy eventually began to dematerialize. Although gross domestic product (GDP) grew much faster than material use, improvements in material intensity are a relatively recent phenomenon. Japan emerges as a role model for the metabolic transition but is also exceptional in many ways.     

Past Japanese successes show the way to accomplish future goals

Many parasitic diseases have been eradicated in industrialized countries and well-proven tools and techniques exist to control them. However, the same diseases still cause incalculable ill health and suffering in the developing world. The difficulty remains how best to apply existing solutions where they are most needed. Within a period of 25 years following World War II, Japan eliminated many parasitic diseases and raised national health and living standards to world-leading levels. Gradually, the predominantly community-driven and intersectoral collaborative partnership systems (i.e. private sector, public sector, general public, etc.) and practices that worked in Japan are being extended to Asia and now Africa. These are backed by the provision of substantial human and financial resources from a nation whose population retains the reputation as being the healthiest and longest living in the world.     

The history of glycobiology in Japan

This mini review surveys the major accomplishments in the field of glycoconjugates research in Japan, which were made after World War II. It describes early movements in the field of glycoconjugate research in Japan, development of the new techniques to investigate structures of the sugar chains of glycoconjugates, studies of the functions of the sugar chain moieties, and the political movement in Japan to support the basic research necessary for the development of glycotechnology. As introduced in this short article, important groundwork for glycobiology was made by Japanese researchers.     

The association between prolonged fatigue and cardiovascular disease in World War II veteran twins.

Reports of fatigue preceding cardiac events have recently been confirmed by large prospective studies. To assess for genetic confounding, we investigated prolonged fatigue and cardiovascular disease (CVD) in a cohort of World War II veteran twins. We examined data from a questionnaire mailed to members of the National Academy of Sciences-National Research Council (NAS-NRC) World War II Twins Registry in 1998 and 1999 which included questions on demographics, medical conditions and symptoms of fatigue. Data from twins discordant for prolonged fatigue lasting a month or more were analyzed using conditional logistic regression. Among 1955 twin pairs, 157 monozygotic and 174 dizygotic pairs (mean age 74 years) were discordant for prolonged fatigue. An association was found between prolonged fatigue and a history of myocardial infarction or coronary artery surgery adjusting for age, socioeconomic status, smoking, alcohol use and depression (OR [Odds Ratio]: 2.2; 95% CI: 1.3-4.0). When analyses were performed separately by zygosity, the association was slightly larger for monozygotic (OR: 3.3; 95% CI: 1.2-9.1) than dizygotic twins (OR: 1.9; 95% CI: 0.9-4.0). These data corroborate the association of fatigue with CVD and suggest that it is not influenced by a common genetic factor. Further studies are needed to clarify the relationship and to better understand the biologic mechanisms.     

An epidemic of echovirus 18 in 1988 in Japan--high association with clinical manifestation of exanthem. A report of the National Epidemiological Surveillance of Infectious Agents in Japan

Laboratory reports of isolation of echovirus serotype 18 (E18) slightly increased in the summer of 1987 followed by a sharp increase with a peak in July, 1988. A total of 1,094 isolations were reported during these two years from 39 laboratories participating in the National Epidemiological Surveillance of Infectious Agents in Japan. When compared with the previous E18 outbreaks, a higher proportion of children at two years of age or under (58.3%) and a much higher incidence of exanthem (46.4%) were remarkable. Meningitis-associated isolations were reported in 30.6%, less than half of the percentage of the previous epidemic.     

Helicobacter pylori and gastric cancer

Gastric cancer is a worldwide cancer especially frequent in Japan and South America. This cancer affects 10 to 70 people per 100,000 according to the countries. Since the end of the Second World War, the incidence of gastric cancer has been decreasing in France and accounts for less than 10 % of mortality. Helicobacter pylori infection, host genetic background, food regimen are known to be involved in this cancer. Helicobacter pylori should be eradicated in selected patients, such as patients' relatives with documented gastric cancer as well as patients having another gastrointestinal cancer.     

Two faces of death: fatalities from disease and combat in America's principal wars, 1775 to present

Throughout America's first 145 years of war, far more of the country's military personnel perished from infectious diseases than from enemy action. This enduring feature of war was finally reversed in World War II, chiefly as a result of major medical advances in prevention (vaccines) and treatment (antibiotics). Safeguarding the health of a command is indispensable for the success of any campaign. Wars are lost by disease, which causes an enormous drain on the military's resources and affects both strategy and tactics. Disease and combat mortality data from America's principal wars (1775-present) fall into two clearly defined time periods: the Disease Era (1775-1918), during which infectious diseases were the major killer of America's armed forces, and the Trauma Era (1941-present), in which combat-related fatalities predominated. The trend established in World War II continues to the present day. Although there are currently more than 3,400 U.S. military fatalities in Iraq, the disease-death toll is so low that it is exceeded by the number of suicides.     

American Anthropology in the Middle Decades: A View from Hollywood

North American anthropology had an earlier interest in studies of the United States and in critical approaches than is often recognized. Such interests were pursued before World War II but were set aside during the war and in anthropology's postwar expansion. This perspective on anthropological history was inspired by the work of Hortense Powdermaker, specifically the disjunction between her 1930s research in segregated Mississippi and her pioneering study of Hollywood in the late 1940s. Reexamining that study highlights the theoretical framework that led to omissions in her account of Hollywood, while her explanation of movie content invites a more diachronic approach. Parallels between the history of the movies and that of cultural anthropology from the 1930s through the 1960s suggest how both were shaped by the Depression, World War II, and the Cold War.     

An early chapter in behavioral physiology and sociobiology: the science of Martin Lindauer

The fields of behavioral physiology and sociobiology enjoyed spectacular success in post World War II Germany. One of the major contributors to this blossoming in behavioral science was Martin Lindauer, who furthered the research approach of his mentor (Karl von Frisch), made numerous seminal discoveries, and nurtured a strong next generation in the area of neurobiology and behavior. We review the scientific development of Martin Lindauer within the German academic system in the years surrounding World War II, examine his research approach and achievements, and discuss his unusually successful methods of scientific pedagogy.     

At one time,operations outside the hospital were not uncommon.

Before World War II, it was not uncommon for a person with influenza caused by streptococcus to develop empyema. Retired surgeon Harry Morton recalls two well-known patients who had empyema-related operations outside the hospital.     

Herpangina surveillance in Japan, 1982-1989. A report of the national epidemiological surveillance of infectious agents in Japan.

In Japan, herpangina cases increase every summer with an incidence peak in July. During the past eight years from January, 1982 to December, 1989, a total of 3,974 viruses from herpangina cases were reported from 47 participating laboratories, and coxsackie A (CA) viruses accounted for most of them, 3,055 (76.9%). The major types associated with herpangina were, in order of frequency, CA4, 10, 5, 6, 2 and 3, representing 87.2%-80.8% of total isolations reported for each respective type in this period. Eighty-four point four percent of the total virus isolations were from children at four years of age or younger. More than 80% of total CA virus isolations were from nasopharyngeal specimens and nearly 90% of the viruses were isolated in mice.     

Energy restriction during childhood and early adulthood and ovarian cancer risk

Dietary energy restriction may protect against cancer. In parts of The Netherlands, mostly in larger cities, periods of chronically impaired nutrition and even severe famine (Hunger Winter 1944-1945) existed during the 1930s and World War II (1940-1945). We studied the association between energy restriction during childhood and early adulthood on the risk of ovarian cancer later in life. In 1986, the Netherlands Cohort Study was initiated. A self-administered questionnaire on dietary habits and other cancer risk factors was completed by 62,573 women aged 55-69 years at baseline. Follow-up for cancer was established by record linkage to the Netherlands Cancer Registry. After 16.3 years of follow-up, 364 invasive epithelial ovarian cancer cases and 2220 subcohort members (sampled from the total cohort directly after baseline) with complete information confounders were available for case-cohort analyses. In multivariable analysis, ovarian cancer risk was lower for participants with an unemployed father during the 1930s (Hazard Ratio (HR), 0.70; 95% Confidence Interval (CI), 0.47-1.06) compared to participants with an employed father as well as for participants living in a city during World War II (HR, 0.69; 95% CI, 0.54-0.90) compared to participants living in the country-side. Residence in a Western City during the famine (Hunger Winter) was not associated with a decreased risk. Our results show a relation between proxy variables for modest energy restriction over a longer period of time during childhood or early adulthood and a reduced ovarian cancer risk.     

The vegetable ivory industry: Surviving and doing well in Ecuador

Buttons made of vegetable ivory were once in great demand in industrial parts of the world. Vegetable ivory is the hard white seed endosperm from palms of the genusPhytelephas (Arecaceae). After World War II, ivory nuts were largely replaced by plastics. Recently the authors visited a factory on the coast of Ecuador that was founded in 1926 and still produces buttons of vegetable ivory on a large scale. Eighty employees produce about 5000 lb of buttons a month; these are exported to Japan, West Germany, and Italy. The production is described step by step and the future of vegetable ivory is discussed briefly.     

Sustainable management of planted landscapes: lessons from Japan

In Japan, 42?% of forests are planted forests, and most of them were established after World War II (1950–1980) to meet increased wood demands. Although Japanese planted forests are now reaching their planned harvest age, they have not been managed, and their restoration is now being discussed. Japanese foresters have not cut their own forests, and the country’s high wood demands have been met by imports during recent decades. The decline of young forests due to the stagnation of forestry activity is suggested to be partly responsible for the nation-wide decline in early-successional species, which is referred to as the “second crisis of biodiversity.” As a timber-importing nation, it is suggested that Japan has underused the nation’s own forests and has overused forests elsewhere. A revival of Japanese plantation forestry may contribute to the restoration of early-successional species because young planted forests are likely to provide suitable habitats. Furthermore, only 30?% of the current planted forests in Japan will be needed to meet the expected future domestic demand for lumber and plywood without imports. The remaining 70?% of the current planted forests may be restored to natural forests with or without harvesting. The history of Japanese planted forests suggests that some natural trees/forests should be retained, even in the landscapes that specialize in wood production, because part of the planted forests may be economically marginalized in the future, and their restoration to natural forests would then be needed.