Pharmaceutical Review (Associate Editor) The ecology of diseases changes along with the climate. The evolution of metabolic illnesses changes along with human gastronomy. The resurgence of once-nearly eliminated illnesses reflects changes in human beliefs. Life expectancy also changes as a result of human lifestyle. All told, the spread of subtropical pathogens (like the Dengue virus) into the north, the rise of high-calorie diets as a public health concern in more and more parts of the world, the acceptance of anti-vaccine ideologies that have led to the resurgence of previously controlled diseases like the measles, and the impending threat of cardiovascular diseases to life expectancy are causing the global map of endemic malignancies to change rapidly.