Strategy of prevention: lessons from cardiovascular disease.

1968 70 72 74 76 77 FIG 1-Age-adjusted death rates from coronary heart disease (ICD, 8th revision, 410-14) among men aged 35-74 in various countries.Australia and the United States at the start of the period they were high, but they have fallen by some 25%.In England and Wales they started a little short of the American and Australian rates and have shown little change.The Japanese owe their low rates not to their genes but to their way of life: when they move to America they rather quickly acquire American rates.The large recent declines in Australia and the United States must surely be due largely to a declining incidence of disease, since