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March 21, 1966

Emigrant Rosetans

JAMA. 1966;195(12):1071. doi:10.1001/jama.1966.03100120139048

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To the Editor:—  I once inquired (189:699, 1964) why so few Rosetans over 55 years of age were included in the Stout et al paper "Unusually Low Incidence of Death From Myocardial Infarction" (188: 845, 1964). The numbers over 55 were substantially fewer than those sampled in the four nearby Pennsylvania towns. The possibility of an increased mortality from causes other than myocardial infarction was suggested as a possible explanation for the low incidence of that disease. In his answer to my letter, Dr. Wolf, one of the authors, indicated that emigration from Roseto, not death, was the explanation.Now that Dr. Keys has challenged the thesis that the Rosetans have been proved to be resistant to coronary arteriosclerosis (195:93,1966), I am emboldened to ask a question that has been troubling me these many months. Why, if life in Roseto is "gay, boisterous, and unpretentious," the people "simple,

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