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Kate often cautions people in advance about my little problem. She tells visitors,“Don’t ask if he remembers you, because he will say no. Introduce yourself by name and tell him who you are.” (And to me, she says, “Don’t just say no—that’s rude and will upset people. Say, ‘I’m sorry, I am awful about recognizing people. I wouldn’t recognize my own mother.’”)1 In fact, the migrant experience had led to an increased incidence over the entire spectrum of chronic diseases. Prior and his colleagues acknowledged that their data made this difficult to explain in any simple manner. They suggested“that a different set of relevant variables might account for observed differences in incidence.” Excess weight, whatever the cause, could explain at least part of the increased incidence of hypertension, diabetes, coronary heart disease, and gout among the migrants. They appeared to get more salt in their diets than the islanders did, so that might also explain the increased incidence of hypertension, as might the stress of assimilating to a new culture. The red meat consumed on the mainland might have contributed to the increased incidence of gout as well. The greater incidence of asthma could be explained by the presence of allergens in New Zealand that were absent in Tokelau.
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