Clinical observations made on the Inuit in the Eastern Canadian Arctic duri
ng the past three decades support that the current high prevalence of chron
ic otitis media among their children is a relatively new phenomenon. It is
a social/economic disease related to their urbanization that occurred follo
wing World War II when the vast majority of the Inuit abandoned their isola
ted nomadic way of life and moved into permanent settlements. The disease,
in a great many, runs a natural course with spontaneous healing. There is e
vidence that as the new millennium approaches the prevalence of the disease
among the children is decreasing. (C) 1999 Elsevier Science Ireland Ltd. A
ll rights reserved.