title: Oral health in the Pacific Islands.
abstract: OBJECTIVE
  To assess the variability of caries prevalence throughout the Pacific Islands region.
  
  
  METHODS
  Search conducted using Medline database for relevant journal articles (in English) from 1970 documenting oral health status in the region. Further material and statistics accessed through World Health Organization website and Secretariat of the Pacific Community. Available literature reviewed.
  
  
  RESULTS
  There is a lack of recent data. Marked geographical differences in caries experience were reported with high DMFT values in urban areas compared to rural areas. The rise in caries prevalence was linked to an increase in sugar consumption. This was demonstrated in Tokelau where the mean number of decayed and filled teeth of children aged 5-10 years rose from approximately 3 in 1963 to 5 in 1999; sugar imports increased by up to 8 times over this period. IMPLICATIONS FOR ACTION: Standardised epidemiological surveys are needed to document current oral health status in the region. A collaborative approach to health promotion should be adopted with cooperation between nations, healthcare professionals and other agencies to ensure effective preventative strategies are developed.
authors.affiliation: Global Child Dental Health Taskforce, Centre for Population Oral Health, Westmead, NSW 2145, Australia. mahdoherty@yahoo.com
authors.forename: Mary A H
authors.initials: MA
authors.lastname: Doherty
authors.forename: Anthony S
authors.initials: AS
authors.lastname: Blinkhorn
authors.forename: Ellison S
authors.initials: ES
authors.lastname: Vane
mesh_terms: D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology* / Q000209:etiology; D019422:Dietary Sucrose / Q000009:adverse effects; D006285:Health Planning; D006801:Humans; D009909:Oral Health; D010139:Pacific Islands / Q000453:epidemiology; D015995:Prevalence; D012423:Rural Health; D014504:Urban Health
chemical_list: D019422:Dietary Sucrose