Before World War II, the mortality pattern in the Arctic was character
ized by very high mortality due to infectious diseases, in particular
tuberculosis, and to injuries. Life expectancy was low and chronic dis
eases such as cancer and heart disease were rare. Improved living cond
itions and health services have drastically altered health conditions
since then. The circumpolar population groups are small and scattered,
and the burden of pathogenic factors is high. The impact of environme
ntal contaminants is therefore difficult to study epidemiologically. I
n the absence of local industrial sources of pollution, mercury and or
ganochlorines in the traditional diet are presently the most serious e
nvironmental threats to human health in Greenland. Although we observe
no effects on human health at present, the situation is potentially s
erious and should be closely monitored.