oa Central African Journal of Medicine - Civilisation, race and coronary atheroma: With particular reference to its incidence and severity in copperbelt Africans

Volume 4, Issue 1
  • ISSN : 0008-9176



(1) A brief historical review of eoronary atheroma is given to show that although it is not a disease peculiar to western or modern civilisation, it would appear to have been provoked by some factor or factors in the pattern of twentieth century life. (2) The value of the study of the incidence and severity of coronary atheroma in the Bantu peoples is emphasised, with particular reference to the work of South African investigators. (3) The incidence and severity of coronary atheroma in Copperbelt Africans is recorded from the post�mortem examination of a series of cases at Nkana Mine Hospital, and the results are compared with those from a contemporary series of Europeans. (4) The conclusions are similar to those of other workers in this field, namely, that the Bantu, while not being entirely immune to coronary atheroma, develop it much less frequently and less severely than Europeans and rarely die of its complications. (5) The Copperbelt of Northern Rhodesia, where a highly susceptible race lives alongside another which is still practically immune, should be� a promising place to investigate the causes of coronary atheroma.

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