Health_Medical_Care_08

Health_Medical_Care_08 - Health and the Role of Medical...

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Health and the Role of Medical Care PAM 435 January 24, 2008
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Join SAEPE Society for the Advancement of Excellence in Premedical Education MEET DOCTORS PHILANTHROPY EVENTS PREMEDICAL ADVICE MEETING WED. JAN. 30 MEETING WED. JAN. 30 th th Goldwin Smith Lewis Auditorium 6:30pm Goldwin Smith Lewis Auditorium 6:30pm
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Today’s Objectives 1)How has the health of the population changed over time? - length of life (quantity) - quality of life 1)How important has medical care been in improving population health relative to other factors?
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Source: Cutler, Deaton, and Lleras-Muney, 2006.
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18 th and 19 th Centuries: High Infant Mortality Due Largely to Rampant Infectious Diseases Economic growth and improvements in nutrition made children more resilient to these disease in the 1750 – 1850 era. Combination of poor nutrition and fact that children develop antibodies slowly made children particularly susceptible to: typhoid small pox cholera dysentery non-respiratory tuberculosis Source: Cutler, 2004.
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Argument for Importance of Nutrition 1848 England: 60% of deaths were due to infectious disease; by 1971, infectious disease mortality had decreased by 95%. Agricultural yields and caloric intake increased during 18 th century, and average adult height in Europe increased by 10 centimeters. Mortality is U-shaped in a person’s body mass index. Medical care and public health not likely to explain reductions before 1850. For example, mortality from tuberculosis fell 80% before there was any effective treatment for the disease. Source: Cutler, Deaton, and Lleras-Muney, 2006.
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Copyright ©2000 American Academy of Pediatrics Source: Guyer, B. et al. Pediatrics 2000; 106: 1307-1317.
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