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One trend stands out clear-
ly in the confusion: "Where
Jews live in mixed popula-
tion, they are consistently
more at risk for IBD than are
their neighbors."
An IBD document from the
Ileitis and Colitis Foundation
was more specific about IBD,
calling it "predominantly a
disease of the developed
world?'
The foundation document
listed the countries reporting
the highest incidence rate of
IBD as the United States,
England, Scotland, the Scan-
dinavian countries, a few
countries in Western and
Central Europe and Israel.
The risk of developing IBD
is about four to five times,
greater among- Jews living in
the United State and Europe,
the foundation found, noting
that rates have not been high
among Israeli Jews.
The disease is incurable at
present, though drugs are us-
ed in other countries to ease
symptoms of the disease. The
drugs are still awaiting Food
and Drug Administration ap-
proval for use in the United
States.
Some doctors prefer to ig-
nore any Jewish factor in
IBD. Dr. Steven James of the
National Institute of Allergy
and Infectious Diseases at the
National Institute of Health
argues that studies showing
Jews with a disproportionate-
ly high incidence of IBD were
first done in -cities with large
Jewish populations.
Another factor, he says, is
that many years ago, only
persons with access to good
medical care were able to
have the diagnosis.
Jews, who usually have bet-
ter access to medical care in
those urban areas where the
studies were • made, "were
diagnosed more often for that
fact alone," he says.
Mendeloff and his col-
leagues were described as be-
ing aware of these factors, but
maintain that the disease is
linked to Jewish genes.
Last year, four doctors at
the Ichilov Hospital and
Sackler Faculty of Medicine
at Tel Aviv University review-
ed all the data and proposed
a compromise. Their spokes-
man, Dr. T. Gilat, said that
IBD represents "the interac-
tion of two sets of factors."
The data offers strong sup-
port for the conclusion that
environmental factors are
paramount in the causation
of IBD, "but current research
also suggests the coexistence
of genetic factors!'
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WEST BLOOMFIELD STORE
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Near Schaefer
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Jewish Telegraphic Agency
THE DETROIT JEWISH NEWS
131