The incidence rate in Barbados falls near the lower limits of rates reported for Caribbean populations. There was a marked seasonal effect among males, even though the climate varies little throughout the year. This observation, and the incidence peak during 1984-1985, provide support for the role of environmental factors in the etiology of IDDM.
more closely. A study of awareness ofthe "reduce the risk" campaign in a socially deprived area in south Wales in 1994 showed that a third of 250 mothers with children born before the introduction of the campaign said that they checked their babies more often than they had done previously.5For babies to endure increasingly long periods of solitude after birth is biologically unreasonable. In 1991 in Cardiff we included another factor to lower the risk of the syndrome: we encouraged mothers to have their babies in their room at night for the first six to nine months and to keep the cot in which the babies slept by day close by. To focus only on posture, heating, and smoking and not to consider where a baby sleeps could detract from other factors in the care giving environment that might be protective. Any intervention programme aiming to reduce the incidence of the sudden infant death syndrome must also consider the broad range of care practices that could reduce the risk.
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