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American Journal of Epidemiology Vol. 135, No. 7: 803-816
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Childhood Diabetes, Epidemics, and Epidemiology: An Approach for Controlling Diabetes

World Health Organization DIAMOND Project Group on Epidemics 1

Reprint requests to Dr Ronald E. LaPorte, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15021.

The identification of the environmental factors causing insulin-dependent diabetes in children has remained elusive. However, evidence is rapidly accumulating that childhood diabetes exhibits epidemic patterns, much like that seen with an infectious disease. It is likely that within these epidemics the environmental determinants of disease will be found. Here the authors argue that the development of a surveillance system for early identification of epidemics plus field studies are needed to determine the etiology and mode of transmission of the disease. Am J Epidemiol 1992; 135:803–16.

diabetes mellitus; insulin-dependent; epidemics

1Members of the World Healtti Organization DIAMOND Project Group on Epidemics- Canada—M. Tan; Estonia— Dr T. Podar; Finland—Dr. J Tuomilehto, Dr. E. Tuomilehto—Wolf; Japan—Dr. N. Tajima, Dr. N. Matsuura; Latvia—Dr. G Brigis; Poland—Dr M. Rewers; United Kingdom—Dr. A. Burden; Alabama—Dr. J. Roseman, L. Wagenknecht, Pennsylvania—Dr. R. LaPorte, Dr. C. Moy, Dr. J. Dorman, S. Patrick; Virgin Islands—Dr. E. Tull, World Health Organization—Dr. H. King; Austria—E. Schober; Lithuania—Dr. Z Padaiga; Puerto Rico—T. Frazer, Sudan—A. Elamin; Russia—Dr. R. Potemkina.


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