“…For example, cardiovascular disease is cosmopolitan in distribution, but in studies of traditional societies with little Western influence and urbanization it is uncommon (Thomas, 1927;Donnison, 1929;Morse and Beh, 1937;Murrill, 1949;Whyte, 1958;Abbie and Schroder, 1960;Lowenstein, 1961;Maddocks, 1961;Mann et al, 1962Mann et al, , 1964Hoobler, 1965;Shaper et al, 1969;Burns-Cox and Maclean, 1970;Glanville and Geerdink, 1972;Truswell, 1972;Page et al, 1974;Prior et al, 1974;Oliver et al, 1975;Ward, 1983). Traditional societies subjected to increasing acculturation by migration to more accultured areas (Cruz-Coke et al, 1964;Prior et al, 1968;Marmot and Syme, 1976;Hanna and Baker, 1979;Ward et al, 1979;McGarvey et al, 1980;James et al, 1983;Poulter et al, 1985) or in situ changes in acculturation (Cruz-Coke et al, 1973;La-Barthe, 1973;Page, 1976Page, ,1980Cruz-Coke, 1987;Friedlaender and Page, 1987) often show an increase in BP, lipid levels, and incidence of cardiovascular disease. Crosssectional studies comparing island migrants versus nonmigrants (e.g., McGarvey and Baker, 1979;Ward, 1983) and studies of in situ acculturation (e.g., LaBarthe, 1973;…”