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Objective  To test if supplemental dietary selenium is associated with changes in the incidence of prostate cancer. Patients and method  A total of 974 men with a history of either a basal cell or squamous cell carcinoma were randomized to either a daily supplement of 200 μg of selenium or a placebo. Patients were treated for a mean of 4.5 years and followed for a mean of 6.5 years. Results  Selenium treatment was associated with a significant (63%) reduction in the secondary endpoint of prostate cancer incidence during 1983–93. There were 13 prostate cancer cases in the selenium‐treated group and 35 cases in the placebo group (relative risk, RR=0.37, P=0.002). Restricting the analysis to the 843 patients with initially normal levels of prostate‐specific antigen (≤4 ng/mL), only four cases were diagnosed in the selenium‐treated group and 16 cases were diagnosed in the placebo group after a 2 year treatment lag, (RR=0.26 P=0.009). There were significant health benefits also for the other secondary endpoints of total cancer mortality, and the incidence of total, lung and colorectal cancer. There was no significant change in incidence for the primary endpoints of basal and squamous cell carcinoma of the skin. In light of these results, the ‘blinded’ phase of this trial was stopped early. Conclusions  Although selenium shows no protective effects against the primary endpoint of squamous and basal cell carcinomas of the skin, the selenium‐treated group had substantial reductions in the incidence of prostate cancer, and total cancer incidence and mortality that demand further evaluation in well‐controlled prevention trials.

Passerine birds that reuse nest sites face an increased parasite and pathogen load. They also are more likely to use fresh green vegetation during nest construction. The present results demonstrate that at least one passerine, the European Starling: (a) selects a small subset of available plant species for inclusion in nest material; and (b) chooses plants whose volatiles are more likely to inhibit arthropod hatching and bacterial growth relative to a random subset of available vegetation. The results also show that preferred plants possess greater numbers of mono- and sesqueter-penes at higher concentrations relative to a random subset of available plants. These findings strongly suggest that starlings use chemicals in fresh vegetation as fumigants against parasites and pathogens.

West Nile virus, which was recently introduced to North America, is a mosquito-borne pathogen that infects a wide range of vertebrate hosts, including humans. Several species of birds appear to be the primary reservoir hosts, whereas other bird species, as well as other vertebrate species, can be infected but are less competent reservoirs. One hypothesis regarding the transmission dynamics of West Nile virus suggests that high bird diversity reduces West Nile virus transmission because mosquito blood-meals are distributed across a wide range of bird species, many of which have low reservoir competence. One mechanism by which this hypothesis can operate is that high-diversity bird communities might have lower community-competence, defined as the sum of the product of each species' abundance and its reservoir competence index value. Additional hypotheses posit that West Nile virus transmission will be reduced when either: (1) abundance of mosquito vectors is low; or (2) human population density is low. We assessed these hypotheses at two spatial scales: a regional scale near Saint Louis, MO, and a national scale (continental USA). We found that prevalence of West Nile virus infection in mosquito vectors and in humans increased with decreasing bird diversity and with increasing reservoir competence of the bird community. Our results suggest that conservation of avian diversity might help ameliorate the current West Nile virus epidemic in the USA.