The cultural setting of the isolated Cree Indian and Inuit communities is described and measures of their health examined. Questionnaires were employed to consider both epidemiological and socio-cultural facets and physical examination evaluated serological indicators of nutritional status. Changes of lifestyle toward store purchased food and a lessened reliance on hunting and fishing along with the non-native nature of the health services available seem to be leading to heart conditions, hypertension and diabetes all of which give cause for concern.

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