Seasonality and Coronary Heart Disease Deaths in United States Firefighters

United States firefighters have a high on‐duty fatality rate, and coronary heart disease is the leading cause. Seasonality affects the incidence of cardiovascular events in the general population, but its effects on firefighters are unknown. This study statistically examined the seasonal and annual variation of all on‐duty coronary heart disease deaths among US firefighters between 1994 and 2004 using the chi‐square distribution and Poisson regression model of the monthly fatality counts. It also examined the effect of ambient temperature (apparent as well as wind chill temperature) on coronary heart disease fatalities during the study span using a time‐stratified, case‐crossover study design. When grouped by season, we observed the distribution of the 449 coronary heart disease fatalities to show a relative peak in winter (32%) and relative nadir in spring (21%). This pattern was significantly different (p=0.005) from the expected distribution under the null hypothesis of season having no effect. The pattern persisted in additional analyses, stratifying the deaths by the type of duty in which the firefighters were engaged at the time of their deaths. In the Poisson regression model of the monthly fatality counts, the overall goodness‐of‐fit between the actual and predicted case counts was excellent (χ₄²=16.63; p=0.002). Two distinct peaks were detected: one in January–February and the other in August–September. Overall temperature was not associated with increased risk of on‐duty death. After allowing for different effects of temperature in mild/hot versus cold periods, a 1°C increase was not protective in cold weather; nor did it increase the risk of death in warmer weather. The findings of this study reveal statistical evidence for excess coronary heart disease deaths among firefighters during winter; however, the temporal pattern of coronary heart disease deaths was not linked to temperature variation. The seasonal pattern was also found to be independent of duty‐related risks.     

Metabolic syndrome is inversely related to cardiorespiratory fitness in male career firefighters

Cardiovascular disease (CVD) accounts for 45% of on-duty fatalities among firefighters, occurring primarily in firefighters with excess CVD risk factors in patterns resembling the metabolic syndrome (MetSyn). Additionally, firefighters have a high prevalence of obesity and sedentary behavior suggesting that MetSyn is also common. Therefore, we assessed the prevalence of MetSyn in firefighters and its association with cardiorespiratory fitness (CRF) in a cross-sectional study of 957 male career firefighters. The CRF was measured by maximal exercise tolerance testing (standard metabolic equivalent [METS]). The MetSyn was defined according to modified criteria from the Joint Scientific Statement. Group differences were compared using χ-test and logistic regression. The prevalence of MetSyn was 28.3%. Firefighters in the lowest fitness category (METS ≤ 10) had a nearly 10-fold higher prevalence of MetSyn (51.2%) compared with colleagues in the highest fitness category (METS > 14) (MetSyn prevalence 5.2%) (p value < 0.0001, adjusted for age). In multivariate regression models, every 1-unit increase in METS decreased the odds of having the MetSyn by 31% (odds ratio 0.69 [95% confidence interval 0.63-0.76] [age adjusted]), whereas age had no significant effect after adjusting for CRF. We found a high prevalence of the MetSyn in this group of career emergency responders expected to be more active, fit, and relatively younger than the general population. Moreover, there is a highly significant inverse, dose-response association with CRF. Firefighters should be given strong incentives to improve their fitness, which would decrease prevalent MetSyn, a likely precursor of on-duty CVD events and contributor to CVD burden in this population.     

古田山国家级自然保护区白颈长尾雉的分布格局及其季节变化

为了解浙江省古田山国家级自然保护区内白颈长尾雉(Syrmaticus ellioti)的分布格局和季节变化, 2014年5月至2016年4月, 我们对其进行了为期2年的网格化监测。共有44个公里网格拍摄到白颈长尾雉, 独立探测数量为211次, 雌雄性比为1 : 1.64。白颈长尾雉主要分布在实验区和缓冲区, 其探测率在常绿落叶阔叶混交林、杉木(Cunninghamia lanceolata)林、针阔叶混交林、人工油茶(Camellia oleifera)林和常绿阔叶林中依次递减, 主要分布在海拔600-800 m。冬、春两季, 白颈长尾雉活动强度和区域相对较小, 而夏、秋两季活动强度和区域相对增加, 其分布在海拔段(F_4,12 = 3.76, P < 0.05)和季节间(F_3,12 = 3.34, P < 0.05)都存在显著差异。对海拔和气候因子进行回归分析发现, 日平均气温和海拔对白颈长尾雉是否出现均有极显著影响(P < 0.01); 白颈长尾雉月探测率和探测到白颈长尾雉位点的海拔均与月平均气温呈极显著正相关(P < 0.001), 而与月平均降水量无显著线性关系(P > 0.05)。这表明白颈长尾雉的活动在很大程度上受海拔和气温影响, 随月平均气温的升高有向高海拔迁移的趋势。模型选择和多模型推断显示, 最优模型仅保留“100 m内水源”这一个变量, 次优模型是“100 m内水源 × 海拔”, 最优和次优模型的权重分别为0.18和0.14, “100 m内水源”和“海拔”是影响白颈长尾雉在保护区内分布的重要因子, 重要值分别为0.82和0.51。因此, 白颈长尾雉的分布并非仅由某一个或几个环境变量决定, 而是由多个环境变量共同决定。气温的变化和对不同海拔段的选择是导致白颈长尾雉形成不同季节分布格局的原因。     

The level of autoantibodies against oxidized LDL is not associated with the presence of coronary heart disease or diabetic kidney disease in patients with non-insulin-dependent diabetes mellitus

Oxidation of low-density lipoprotein (LDL) may be an important factor in the development of diabetic macrovascular and renal complications. The level of autoantibodies against oxidized LDL (oxLDL-Ab) can be used as an index of LDL oxidation in vivo. The purpose of this study was to investigate the association between the level of oxLDL-Ab and the presence of coronary heart disease and renal dysfunction in patients with non-insulin-dependent diabetes mellitus (NIDDM). We determined the plasma levels of oxLDL-Ab in 46 NIDDM patients and 48 well matched non-diabetic control subjects. NIDDM patients had a moderately higher level of oxLDL-Ab than control subjects (0.083 ± 0.051 vs. 0.062 ± 0.045, p = 0.04). However, there was no difference in the level of oxLDL-Ab between subjects with and without coronary heart disease, and the level of oxLDL-Ab was not associated with indices of glomerular filtration rate or urinary albumin excretion.     

The effect of fatigue and training status on firefighter performance

Firefighting is a strenuous occupation that requires optimal levels of physical fitness. The National Fire Protection Association suggests that firefighters should be allowed to exercise on duty to maintain adequate fitness levels. However, no research has addressed the effect of exercise-induced fatigue on subsequent fire ground performance. Therefore, the primary purpose of this study was to determine the effect that a single exercise session had on the performance of a simulated fire ground test (SFGT). Secondarily, this study sought to compare the effect of physical training status (i.e., trained vs. untrained firefighters) on the performance of an SFGT. Twelve trained (age: 31.8 ± 6.9 years; body mass index [BMI]: 27.7 ± 3.3 kg·m(-2); VO2peak: 45.6 ± 3.3 ml·kg(-1)·min(-1)) and 37 untrained (age: 31.0 ± 9.0 years; BMI: 31.3 ± 5.2 kg·m(-2); VO2peak: 40.2 ± 5.2 ml·kg(-1)·min(-1)) male career firefighters performed a baseline SFGT. The trained firefighters performed a second SFGT after an exercise session. Time to complete the SFGT, heart rate, and blood lactate were compared between baseline and exercise SFGT (EX-SFGT) conditions. In the trained firefighters, time to complete the SFGT (9.6% increase; p = 0.002) and heart rate (4.1% increase; p = 0.032) were greater during the EX-SFGT compared with baseline, with no difference in post-SFGT blood lactate (p = 0.841). The EX-SFGT time of the trained firefighters was faster than approximately 70% of the untrained firefighters' baseline SFGT time. In addition, the baseline SFGT time of the trained firefighters was faster than 81% of the untrained firefighters. This study demonstrated that on-duty exercise training reduced the work efficiency in firefighters. However, adaptations obtained through regular on-duty exercise training may limit decrements in work efficiency because of acute exercise fatigue and allow for superior work efficiency compared with not participating in a training program.     

Excess deaths during the 2004 heatwave in Brisbane, Australia

The paper examines whether there was an excess of deaths and the relative role of temperature and ozone in a heatwave during 7–26 February 2004 in Brisbane, Australia, a subtropical city accustomed to warm weather. The data on daily counts of deaths from cardiovascular disease and non-external causes, meteorological conditions, and air pollution in Brisbane from 1 January 2001 to 31 October 2004 were supplied by the Australian Bureau of Statistics, Australian Bureau of Meteorology, and Queensland Environmental Protection Agency, respectively. The relationship between temperature and mortality was analysed using a Poisson time series regression model with smoothing splines to control for nonlinear effects of confounding factors. The highest temperature recorded in the 2004 heatwave was 42°C compared with the highest recorded temperature of 34°C during the same periods of 2001–2003. There was a significant relationship between exposure to heat and excess deaths in the 2004 heatwave [estimated increase in non-external deaths: 75 ([95% confidence interval, CI: 11–138; cardiovascular deaths: 41 (95% CI: −2 to 84)]. There was no apparent evidence of substantial short-term mortality displacement. The excess deaths were mainly attributed to temperature but exposure to ozone also contributed to these deaths.     

Temperature-induced excess mortality in Moscow,Russia

After considering the observed long-term trends in average monthly temperatures distribution in Moscow, the authors evaluated how acute mortality responded to changes in daily average, minimum and maximum temperatures throughout the year, and identified vulnerable population groups, by age and causes of death. A plot of the basic mortality–temperature relationship indicated that this relationship was V-shaped with the minimum around 18°C. Each 1°C increment of average daily temperature above 18°C resulted in an increase in deaths from all non-accidental causes by 2.8%, from coronary heart disease by 2.7%, from cerebrovascular diseases by 4.7%, and from respiratory diseases by 8.7%, with a lag of 0 or 1 day. Each 1°C drop of average daily temperature from +18°C to −10°C resulted in an increase in deaths from all non-accidental causes by 0.49%, from coronary heart disease by 0.57%, from cerebrovascular diseases by 0.78%, and from respiratory diseases by 1.5%, with lags of maximum association varying from 3 days for non-accidental mortality to 6 days for cerebrovascular mortality. In the age group 75+ years, corresponding risks were consistently higher by 13–30%. The authors also estimated the increase in non-accidental deaths against the variation of daily temperatures. For each 1°C increase of variation of temperature throughout the day, mortality increased by 0.3–1.9%, depending on other assumptions of the model.     

Patterns of Bat Fatalities at Wind Energy Facilities in North America

Abstract Wind has become one of the fastest growing sources of renewable energy worldwide, but widespread and often extensive fatalities of bats have increased concern regarding the impacts of wind energy development on bats and other wildlife. We synthesized available information on patterns of bat fatalities from a review of 21 postconstruction fatality studies conducted at 19 facilities in 5 United States regions and one Canadian province. Dominance of migratory, foliage- and tree-roosting lasiurine species (e.g., hoary bat [Lasiurus cinereus]) killed by turbines was consistent among studies. Bat fatalities, although highly variable and periodic, consistently peaked in late summer and fall, coinciding with migration of lasiurines and other species. A notable exception was documented fatalities of pregnant female Brazilian freetailed bats (Tadarida brasiliensis) in May and June at a facility in Oklahoma, USA, and female silver-haired bats (Lasionycteris noctivagans) during spring in Tennessee, USA, and Alberta, Canada. Most studies reported that fatalities were distributed randomly across turbines at a site, although the highest number of fatalities was often found near the end of turbine strings. Two studies conducted simultaneously in the same region documented similar timing of fatalities between sites, which suggests broader patterns of collisions dictated by weather, prey abundance, or other factors. None of the studies found differences in bat fatalities between turbines equipped with lighting required by the Federal Aviation Administration and turbines that were unlit. All studies that addressed relationships between bat fatalities and weather patterns found that most bats were killed on nights with low wind speed (<6 m/sec) and that fatalities increased immediately before and after passage of storm fronts. Weather patterns may be predictors of bat activity and fatality; thus, mitigation efforts that focus on these high-risk periods could reduce bat fatality substantially. We caution that estimates of bat fatality are conditioned by length of study and search interval and that they are biased in relation to how searcher efficiency, scavenger removal, and habitat differences were or were not accounted for. Our review will assist managers, biologists, and decision-makers with understanding unifying and unique patterns of bat fatality, biases, and limitations of existing efforts, and it will aid in designing future research needed to develop mitigation strategies for minimizing or eliminating bat fatality at wind facilities.     

不同年龄性别中国人死亡的月分布

用死亡月分布变异系数作为月份对死亡影响程度的指标 ,对 1989年分年龄 (5岁分组 )性别中国人死亡月分布进行了研究。结果表明 ,不同年龄中国人死亡存在明显的月份集中性 ,并且随着年龄的增高 ,其死亡月分布模式逐渐转变; 两性死亡月分布模式相似; 死亡率水平与死亡受月份影响的程度不完全一致。月份对死亡影响的程度可能与特定年龄性别人群的生理机能状况和疾病谱的季节性节律及其危害程度有关。     

Weather and deaths in Pittsburgh,Pennsylvania: A comparison with Birmingham,Alabama

The relationship between weather and daily mortality was examined over a 4-year period in the temperate climate of Pittsburgh, Pennsylvania. Eight weather parameters were correlated with daily mortality using multiple, simple, and partial correlation techniques. Results from this study were then compared with results obtained from a previous investigation involving an identical analysis of the effects of weather on death in the subtropical climate of Birmingham, Alabama. Although the relationship between weather and total mortality is statistically significant in both areas, weather in the temperate region accounts for a greater portion of the daily variation in number of deaths. In both cities the effect of weather increases with age and is more intense among the white than the nonwhite population but does not appear to vary with sex. In both places weather significantly influences death due to respiratory diseases and circulatory diseases in general, but affects little, mortality from cancer or behaviorally related causes. The cities differ, however, in that Pittsburgh weather is significantly associated with deaths from ischemic heart disease but not with cerebrovascular mortality, while the reverse is observed in Birmingham. The cities also differ in specific meteorological factors and in the seasonal distribution of the intensity of the weather-mortality relationship.     

Latitude-related changes in the amplitude of annual mortality rhythm. The biological equator in man

There is extensive literature describing the effect of season on mortality rates, especially in cardiovascular and respiratory disease. This study compares latitude with the extent of seasonal variation of monthly deaths from all causes. In developed countries, there is a peak of deaths in winter and a trough in summer. Monthly numbers of deaths were established in 89 countries in the Northern and Southern Hemisphere. Using cosinor analysis, the extent of seasonal variation (amplitude) was established and correlated with latitude. The amplitude of seasonality was greatest in mid-latitude around 35°, but low or absent near the equator and subpolar regions. The amplitude can differ at the same latitude. The weather in equatorial regions and in habitations near the Arctic Circle is very different, but death has a similar seasonal rhythm. The purpose is to record this epidemiological finding even though no simple explanation is provided. Weather alone cannot explain it, and it is possible that day length (photoperiod) has an important, but complex, underlying role.     

Influence of Behavior on Bird Mortality in Wind Energy Developments

ABSTRACT As wind power generation is rapidly expanding worldwide, there is a need to understand whether and how preconstruction surveys can be used to predict impacts and to place turbines to minimize impacts to birds. Wind turbines in the 165-km² Altamont Pass Wind Resource Area (APWRA), California, USA, cause thousands of bird fatalities annually, including hundreds of raptors. To test whether avian fatality rates related to rates of utilization and specific behaviors within the APWRA, from March 1998 to April 2000 we performed 1,959 30-minute behavior observation sessions (360° visual scans using binoculars) among 28 nonoverlapping plots varying from 23 ha to 165 ha in area and including 10–67 turbines per plot, totaling 1,165 turbines. Activity levels were highly seasonal and species specific. Only 1% of perch time was on towers of operating turbines, but 22% was on towers of turbines broken, missing, or not operating. Of those species that most often flew through the rotor zone, fatality rates were high for some (e.g., 0.357 deaths/megawatt of rated capacity [MW]/yr for red-tailed hawk [Buteo jamaicensis] and 0.522 deaths/MW/yr for American kestrel [Falco sparverius]) and low for others (e.g., 0.060 deaths/MW/yr for common raven [Corvus corax] and 0.012 deaths/MW/yr for turkey vulture [Cathartes aura]), indicating specific behaviors or visual acuity differentiated these species by susceptibility to collision. Fatality rates did not correlate with utilization rates measured among wind turbine rows or plots for any species except burrowing owl (Athene cunicularia) and mallard (Anas platyrhynchos). However, mean monthly fatality rates of red-tailed hawks increased with mean monthly utilization rates (r² = 0.67) and especially with mean monthly flights through turbine rows (r² = 0.92). Fatality rates increased linearly with rates of utilization (r² = 0.99) and flights near rotor zones (r² = 1.00) for large raptor species and with rates of perching (r² = 0.13) and close flights (r² = 0.77) for small non-raptor species. Fatalities could be minimized or reduced by shutting down turbines during ≥1 season or in very strong winds or by leaving sufficiently large areas within a wind farm free of wind turbines to enable safer foraging and travel by birds.     

The Influence on Survival of Season of Onset of Childhood Acute Lymphoblastic Leukemia (All)

Rhythmicity has been found to be an important characteristic of leukocytes. We tested, therefore, whether rhythmicity could be found to be reflected in one or more of the developmental stages of childhood acute lymphoblastic leukemia. The patient material comprised 205 children 96 girls and 109 boys) whose disease was diagnosed in Israel during the years 1976-1981. Their mean age was 5.9 years ± 3.94. No seasonal onset of disease was found, either in the whole group or in subgroups divided by sex or lymphocyte surface markers. Survival analyses however, revealed that the season of diagnosis influenced survival. Excluded from the study were 9 cases (4.4%) due to lack of some items. The follow-up period was between 1 and 72 months (median 26 months). It appeared that the life table curves were running in their temporal order, each following curve representing a consecutive 3-month period. The difference between the curves was statistically significant (p = 0.025/0.009). The survival percentages at the end of the follow-up increased steadily, from a trough during November-January (56.5%) to a peak in August-October (80.0%). Analysis by sex and white blood cell (WBC) count showed that the difference between the life table curves was primarily due to girls presenting less than 50,000 cells per cumm (n = 73, p = 0.005/0.0028). The survival percentages in the same order as mentioned earlier were: 47.1%, 68.4%, 89.5% and 94.4%. The steady rise in the different female time series suggests a circannual pattern. In the male series no temporal order could be detected nor did the difference between seasonal survival reach a level of significance. The significance of the participation of natural environmental factors in causing the seasonal variations in malignancy is discussed.     

AVHRR NDVI与气候因子的相关分析

对中国１６０个气象站１０ａ的连续ＡＶＨＲＲ ＮＤＶＩ数据、气象观测数据进行相关分析,并结合植被覆盖类型资料深入探讨了ＡＶＨＲＲ ＮＤＶＩ／气温和ＡＶＨＲＲ ＮＤＶＩ／降水相关系数的地区差异及其随植被类型变化规律。研究结果表明,对中国的大部分地区,气温对植被的影响超过降水。就自然植被而言,其对降水的敏感性趋势为草本植被大于灌木植被,灌木植被大于乔木植被。就农作物而言,降水影响取决于耕作制度、作物种类     

Effect of Temperature on Hospital Admissions for Myocardial Infarction in a Subarctic Area

In a study of the effect of mean daily temperature on the admission and fatality rates of 771 patients with myocardial infarction the admission rate was found to be significantly higher on cold (temperature below 0°C.) than on warm (temperature above 0°C.) days. The fatality rate was almost equal in cold and warm weather. Thus the seasonal fluctuation in the admission rate of patients with myocardial infarction is probably due to a direct effect of environmental temperature.     

Short‐term fluctuations in death by cause,temperature, and income in the United States, 1930–1985

Abstract

Disclosures that this decade has had the five hottest years ever recorded globally raise concern that extreme temperatures might be associated with higher mortality. An analysis of fluctuations in annual cause‐specific deaths, seasonal temperatures, and annual income per capita in Massachusetts, Michigan, Washington, Utah, North Carolina, and Mississippi, 1930 to 1985, suggests that, on the contrary, a temperature increase throughout the year was associated with fewer deaths from all causes combined, including deaths from infectious diseases, heart diseases, cerebrovascular diseases, pneumonia, and influenza. An average temperature increase of one degree Fahrenheit was associated with a more than 2 per cent decline in deaths from pneumonia and influenza. The only category of deaths showing no significant association was death from malignant neoplasms. Compared to spring, summer, and fall temperature fluctuations, unusually cold winter temperatures had the strongest fatal effects, but only in North Carolina and Mississippi. The greatest cumulative temperature effects on mortality were found in the same two states. Controlling for annual fluctuations in income per capita did not influence the relationship between temperature and mortality. There was evidence suggesting that the level of wealth ameliorated the fatal effects of extreme temperatures. In conclusion, unusually warm weather was followed by fewer deaths; unusually cold weather, by more deaths.     

中国兜兰属宽瓣亚属植物地理分布格局及其主导气候因子

为明确兜兰属宽瓣亚属(Paphiopedilum Subgen. Brachypetalum)植物在中国的自然地理分布格局及其主导气候因子,该研究以7种宽瓣亚属植物为研究对象并利用Arc GIS技术提取其在中国194个地理分布点的气候数据,采用描述性统计分析宽瓣亚属植物在中国分布区的气候特点,采用逐步回归拟合各气候因子与其经纬度分布的线性关系,最后通过冗余分析(RDA)和蒙特卡洛(Monte-Carlo)检验量化各气候因子对宽瓣亚属植物地理分布的贡献率。结果表明:(1)宽瓣亚属植物在中国主要分布于滇东南、黔西南、黔南、黔东北、滇西北、桂北与黔南交界处以及桂西北至桂西南地区。(2)该亚属植物在中国分布区的昼夜温差月均值、年平均气温变化范围、最暖季度平均气温、最冷季度平均气温4项热量因子的平均值分别为8.13、23.70、23.62和9.23℃,降水量变异系数、最湿季度降水量、最干季度降水量、干旱指数4项水分因子平均值分别为75.66%、673.10 mm、73.97 mm和26.12%,整体上具有湿热的气候特点;各物种间,狭域分布的物种与广布种间的气候因子存在显著差异。(3)逐步回归分析...     

The University of Manitoba Follow-up Study: A Prospective Investigation of Cardiovascular Disease: Part I. General Description—Mortality and Incidence of Coronary Heart Disease

A prospective study of cardiovascular disease was initiated in 1946 whereby 3983 healthy North American males, 91% under age 40, were subjected to periodic electrocardiograms and medical examinations between 1948 and 1963. The health of all but five of the 3773 survivors was known in 1963. There were 210 deaths: aircraft accidents accounted for 45%, cardiovascular disease 20%, cancer 11% and other causes 23%. The aggregate mortality closely resembled that of the Canadian Life Table 1955-57 (Male). Extra deaths were observed under age 40 owing to a high frequency of flying accidents. At older ages the mortality was lower than expected because congenital and chronic diseases were excluded at entry. One hundred and forty-three developed coronary heart disease. The case fatality rate was 31%. The incidence rate for coronary heart disease rose progressively from 0.277 per thousand per year for ages 25-34 to 26.5 at ages 60-69.     

Seasonality of retinal detachment incidence and its associations with climate: an 11-year nationwide population-based study

This study aimed to examine the seasonal variability of retinal detachment (RD) in Taiwan by using an 11-yr nationwide population database. This study also investigated the association of weather conditions, i.e., ambient temperature, relative humidity, rainfall, monthly hours of sunshine, and atmospheric pressure, with RD. Data were retrospectively collected from the Taiwan National Health Insurance Research Database. The study sample included 23 718 RD hospitalizations between January 1999 and December 2009. The incidence rate of RD/100 000 people over the 132 months was computed according to sex and age groupings of <20, 20-39, 40-59, and ≥60 yrs. Then, the association between climatic factors and the monthly RD incidence rate was examined. The ARIMA (autoregressive integrated moving average) method was also employed to test the seasonality of RD incidence rates and their association with climatic factors. The annual RD incidence rates were between 7.8 and 10.8 cases/100 000 people during the study period. A fairly similar seasonal pattern of monthly RD incidence rates was apparent for males and females and males and females combined. Rates were highest August through October, decreasing in November, and lowest in February. After adjusting for time, trend, and month, the ARIMA regression models for the male, female, and males and females combined consistently revealed the monthly RD incidence rate was significantly and positively associated with ambient temperature, but negatively associated with atmospheric pressure. The authors conclude that the monthly RD incidence rates were significantly associated with seasonality. The monthly RD incidence rates were positively associated with ambient temperature and negatively associated with atmospheric pressure.     

Reproducible and Predictable Yearly Pattern in the Incidence of Uterine Cervical Cancer

A yearly pattern in the occurrence of uterine cervical cancer (UCC), obtained from cytological examinations reported as type V (cases concluding a malignant alteration), has been previously shown for data obtained in the Monterrey Metropolitan Area (state of Nuevo Leon, Mexico) for a span of 10 years (1978-1987), with a peak of relative incidence in the month of February being highly stable for consecutive years. With the aim of extending and validating those results, we analyzed the monthly totals of positive detected cases of UCC in the states of Nuevo Leon, Chihuahua, Coahuila, and Tamaulipas (covering most of Northern Mexico) during the same period. To eliminate bias due to the seasonal variation in the number of screening smears, data were first expressed in relation to the number of cytological examinations done the same month. The least-squares fit of a 1 -year cosine curve to the data of relative incidence in the four states reveals a statistically significant yearly pattern (p = .008), with a maximum of relative incidence in February almost double that during the rest of the year. Results indicate that the relative incidence of UCC is higher than the yearly average during the winter, with secondary peaks in May and October. In view of the nonsi-nusoidal waveform in the incidence of UCC, we undertook a multiple-component analysis, allowing several cosine functions to be simultaneously fitted to the data. Results indicate that the yearly pattern in the relative incidence of UCC can be represented by a model that includes two components with periods of 12 and 4 months (p = .004). The same model can be documented as statistically significant independently for each of the four states. These results, summarizing over 2200 positive cases of UCC detected in more than 1,100,000 screening smears, are in full agreement with those found previously for part of the state of Nuevo Leon and reveal a highly stable and predictable yearly pattern of variation in the relative incidence of UCC in Northern Mexico. (Chronobiology International, 13(4), 305-316, 1996)