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Summary of audience discussion: The 

 frequency of infections in this reported 

 group is four to five times higher than that 

 found in the preceding slave period. Histor- 

 ical literature from the 1890-1930 period 

 indicates biologists found Afro-Americans 

 in such a severe state of demographic dis- 

 equilibrium that they predicted their extinc- 

 tion in America by 1950. It may have been 

 their participation in the public assistance 

 programs of the 1 930s that reversed the sit- 

 uation. 



The endoeranial periostitic lesions are in- 

 triguing since, if they were infectious, it is 

 not easy to postulate how fatal meningitis 

 was avoided for a period long enough to 

 permit the observed osseous response. One 

 possibility may be that the lesion was a re- 

 flection not of acute, pyogenic disease but 

 rather of intrauterine treponematosis. This 

 consideration is based on the slender evi- 

 dence of observing that all cases were in 

 neonates or feti and that Hutchinson's teeth 

 evolve in a milieu of spirochete-infected 

 tissue. 



While it might be intriguing to view this 

 as a population healthy enough to resist ma- 

 jor infections, their calculated infant mor- 

 tality and stillbirth rates are identical with 

 the disastrous contemporary demographic 

 statistics, indicating that this population 

 was not healthier than others, but instead 

 was in a devastatingly unhealthy state. 



Zagrrb Pateopaihology Symp. t988 



