ARCTIC EPIDEMIOLOGY 



their definition of what they were concerned with in tropical 

 medicine, they have also come to recognize the phenomenon of 

 medical underprivilege. 



ANDREWES: The thing that struck me about Dr. Babbott's 

 paper was the very small amount of evidence there was that 

 cold played any part in the story except indirectly. The effect 

 of cold on the habits and crowding of the people is obviously one 

 consequence, but you get crowding in underprivileged people all 

 over the world, including tropical areas, with the same results. 

 The other thing which so obviously effects the issue is the lack 

 of past experience to particular pathogens causing these out- 

 breaks. Now, particularly in relation to common cold research, 

 we thought it was something of great importance to conduct planned 

 studies on the behavior of isolated communities to see what 

 happened to them when they were isolated and when they made 

 contact with civilization again; and apparently we have missed 

 the bus, because there don't seem to be any isolated commu- 

 nities, any more. Even though they have a permanent station on 

 the South Pole, I doubt if we are ever going to be able to get 

 the kind of information we hoped to get. 



REINHARD: I don't think the cause is entirely lost. There 

 are some semi-isolated communities right here in Alaska which 

 would provide beautiful study opportunities to a person if he 

 were willing to sit down in the community and test for every 

 virus that came through, but it would be a running fight all the 

 way. You would have to take what the Lord sent you and analyze 

 it without a hope for control on introduction of viruses. 



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