The disease spectrum in a Maldivian (Adduan) population

The changing pattern of disease in the population of Addu Atoll, Republic of Maldives, Indian Ocean, is reviewed. Over 30 years the population has nearly trebled with an increasing percentage in those under the age of 15 years. Diarrhoeal diseases and respiratory infections are now the dominant health problems where previously malaria and filariasis were major causes of morbidity. These problems are discussed against a background of changing financial resources and standards of health care.