ABSTRACT
Canada and England and Wales have available vital statistics in English that permit detailed descriptions of the emergence and peak of the coronary heart disease pandemic in the two countries. Coronary heart disease mortality rates began to increase about the same time in all three countries. The history of coronary heart disease in Canada from about 1920 to about 1960 was very similar to that in the United States and demonstrates the operation of the same causal factors in both countries. Mortality rates in Canada from "arteriosclerotic and degenerative heart diseases" from 1951 to 1961 demonstrated patterns similar to those in the United States. England and Wales is another advanced country that experienced the coronary heart disease pandemic. Urban areas in England and Wales in 1950-52 had higher mortality rates than rural areas and a greater difference in the mortality rates of men and women.
