Winner of the 2021 Choice Outstanding Academic Title Award
In A History of Population Health Johan P. Mackenbach offers a broad-sweeping study of the spectacular changes in peopleâs health in Europe since the early 18th century. Most of the 40 specific diseases covered in this book show a fascinating pattern of ârise-and-fallâ, with large differences in timing between countries. Using a unique collection of historical data and bringing together insights from demography, economics, sociology, political science, medicine, epidemiology and general history, it shows that these changes and variations did not occur spontaneously, but were mostly man-made. Throughout European history, changes in health and longevity were therefore closely related to economic, social, and political conditions, with public health and medical care both making important contributions to population health improvement.
Readers who would like to have a closer look at the quantitative data used in the trend graphs included in the book can find these it here.
Johan P. Mackenbach is Professor of Public Health at Erasmus MC, Rotterdam, The Netherlands. He is a member of the Royal Netherlands Academy of Sciences and the Academia Europaea, and has published widely on contemporary and historical health issues.
Chapter 1. Introduction
âUtopia come true?
â âRising life expectancy
â âThe rise and fall of disease
âThe epidemiologic transition theory
â âThe McKeown debate and the Preston-curve
â âThe role of human agency
â &;How to read this book
â âConcepts, sources, data and methods
PART I. LONG-TERM TRENDS: A BIRDâS EYE VIEW
Chapter 2. Long-term trends in population health
âChanges in over-all population health
â âDeclining mortality
â âYoung and old, men and women
â âRegional and social inequalities
â âRising height
â âMore years in good health, more years in bad health?
âChanges in disease patterns
â âShifting causes of death
â âShifts in the burden of disease
â âDiseases rise, diseases fall
âEpidemiologic transition 2.0
â âA theory in need of repair
â âHow: characterizing change
â âWhen: staging change
â âWhere: locating change
Chapter 3. Understanding trends in population health
â Theories of population health
â âAn âecological-evolutionary theoryâ of the origins of disease
â âExplaining long-term change
âEconomic, political and sociocultural conditions
â âEconomic history: improvements in living standards
â âPolitical history: the rise of the modern state
â âSociocultural history: the lights go on
âPublic health and medical care
â âA short history of public health
â âThe impact of public health
â âA short history of medical care
â âThe Role of Medicine
PART II. ZOOMING IN: THE RISE AND FALL OF DISEASES
Chapter 4. Health problems of pre-industrial societies
âViolence and hunger
â âWar
â âHomicide
â âFamine
âGreat epidemics
â âPlague
â âSmallpox
â âTyphus
â âMalaria
Chapter 5. Health problems of industrializing societies
âCommunicable diseases
â âCholera, dysentery, typhoid
â âTuberculosis
â âSyphilis
â âScarlet fever, measles, whooping cough, diphtheria
â âPneumonia, influenza
âMaternal, infant and perinatal mortality
â âMaternal mortality
â âInfant mortality
â âStill-births
â Other health problems of industrializing societies
â âPellagra, rickets, goitre
â âPeptic ulcer, appendicitis
â âLung diseases caused by occupational and environmental exposures
Chapter 6. Health problems of affluent societies
â Chronic diseases
â âIschaemic heart disease
â âCerebrovascular disease
â âDiabetes mellitus
â âStomach, colorectal, breast, prostate cancer
â âLung cancer
â âLiver cirrhosis
â âDementia
â âDepression
â Injuries
â âRoad traffic injuries
â âSuicide
â A new plague
â âAIDS
PART III: SYNTHESIS AND OUTLOOK
Chapter 7. Why?
â Why did European population health improve?
â âThe rise and fall of disease
â âThe role of human agency
â âThe role of public health and medical care
â âThe Rise of the West: was there a âprime moverâ?
â Why did some countries rush ahead or lag behind?
â âNorthern lights: the Swedish advantage
â âDutch comfort: we were the champions
â âSouthern miracles: from rear-guard to forefront
â âBalkan troubles: the weight of the past
â âRussian roulette: the value of life
Chapter 8. Outlook
â Feathers of Icarus
â âGeopolitical instability
â âIncreasing inequality
â âGlobal environmental change
â The way ahead
â âThe public health paradigm
â âAn expanding circle of concern
â âRe-thinking Utopia
â By way of conclusion
â âThrough the telescope of history
â âThe European experience
â âThe role of politics
â âThe future
Appendices
Bibliography
Index
Health care professionals with an interest in medical history, students and scientists in public health, economics, sociology, and related disciplines, and anyone interested in the history of health and disease.