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Social and economic transformation in Poland has been unusually
rapid. On p 1047 Zatonski et al show that mortality from ischaemic heart disease and atherosclerosis at ages 45-64 declined abruptly between 1991 and 1994
by over 20%
while mortality from stroke declined by less than 10%. The abolition of food subsidies in 1989 and
the fall in real disposable income produced sharp swings from animal to
vegetable fats. The abolition of import controls also improved the
supply of fresh fruits, especially in winter and spring. These changes
may be linked with the downturn, especially as other factors,
including stress, smoking, and alcohol consumption, seemed to have
played little part.