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Sexually transmitted diseases newly introduced into diverse primitive and isolated populations have behaved differently in clinical severity and seriousness of the epidemics they have caused, because of culturally different sexual practices. Epidemic interstitial plasma cell pneumonia in the 1930s-1950s in eastern and northern Europe, caused by Pneumocystis carinii and accompanied by cytomegalovirus infection, was an unexpected AIDS-like epidemic which spread slowly, then quickly and inexplicably disappeared. Newly recognized endemic HTLV-I and epidemic HIV human retrovirus infections are behaving in a fashion similarly difficult to anticipate and predict.
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