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International Journal of Epidemiology 2002;31:18-21
© International Epidemiological Association 2002

Reprints and Reflections

Commentary: Civilization and peptic ulcer 40 years on

Mervyn Susser and Zena Stein

Joseph L Mailman School of Public Health, Columbia University, 600 West 168 St, New York, NY 10032, USA. E-mail: mws2@columbia.edu

We are happy to see the International Journal of Epidemiology reprint one of our papers1 some 40 years after publication. We are not among the deeply sceptical who would deny that understanding marches on with time. Sometimes, as with peptic ulcer, it is a slow march. Some of the mist and mystery surrounding the condition, as well as a degree of disbelief our conclusions provoked, have cleared. Points of entry to much that seemed impenetrable can be discerned.

Here we take up the editor's invitation to tell how the work came to be written. For us, the story begins in 1959, when MS received a letter from the Editor of the Practitioner. That journal planned to publish a symposium on peptic ulcer, and he hoped MS would write a review of its epidemiology.

The invitation was a great surprise. We were not long out of troubles in Apartheid South . . . [Full Text of this Article]

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