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Article
November 1930

GEOGRAPHIC OR CLIMATIC VARIATIONS IN THE DEATH RATE FROM PERNICIOUS ANEMIA, EXOPHTHALMIC GOITER, ADDISON'S DISEASE AND ANGINA PECTORIS

Author Affiliations

CINCINNATI

From the Department of Internal Medicine, University of Cincinnati.

Arch Intern Med (Chic). 1930;46(5):741-751. doi:10.1001/archinte.1930.00140170002001
Abstract

In a preceding paper1 it was indicated that the death rate from diabetes is apparently influenced to a marked degree by climatic conditions. The rate diminishes as one nears the equator and in general increases in the opposite directions. This was clearly shown for the states of the United States, for the countries of Europe and for Australia and New Zealand. It was suggested that this increase in the cooler, more stimulating regions probably results from an exhaustion effect of overstimulation by the highly changeable climate. To rule out the consumption of sugar as a responsible factor, the rate of the consumption of sugar was found for many countries and compared with the death rate from diabetes.2 There was not found sufficient correlation between the two to indicate a cause and effect relationship.

It has often been suggested that overeating of other than sugar foods may be responsible for the

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