When I had my post-residency dispersal at our provincial hospital, a lot of cases of cardiovascular accidents ("stroke") happened. It would not have caught my attention if the victims were older people, like those belonging to the 40-75 age bracket. It was unusual, as I would see it, because the cases involved people of my age, 20-40 age-bracket. Looking at the possible cause, i could only hypothesize that it is probably be due to high carbohydrate intake, as the people in my province eat a lot of rice, attributed to the fact that 'planting rice' is the predominant livelihood in the area. I cannot trace it to lack of exercise as the people are obviously hard-working from sun-up to sun-down. Smoking and alcohol intake maybe higher than other communities but it has always been a lifestyle of many that you wonder why these cases did not happen before if it is the culprit. At any rate, i am sure there are a lot of unreported cases of 'stroke' and 'heart ...