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[Cohorts of children brought up in the first three-quarters of the nineteenth century likely faced very high rates of infectious diseases, and their average stature turned out poor by modern standards, even falling for a series of cohorts. Coinciding with infectious diseases and their frequent epidemics then were severe rates of non-communicable diseases that trended up population-wide over the second half of the nineteenth century. As infectious diseases were contained, a prolonged transition ensued in which non-communicable diseases began shrinking, trending down over the long-term in the twentieth century, even as the population aged more than ever before. This last feature is paradoxical: since non-communicable diseases climb with age, an increasingly aging population means that the rates of such diseases should have grown, but just the reverse occurred.]
Published: Dec 12, 2014
Keywords: Aging; Epidemiologic transition; Malthusian regime of ‘pestilence and famine’; Average stature; Infectious diseases; Epidemics; Pandemics; The age of delayed degenerative disease; Public health infrastructure; Non-communicable diseases; International Classification of Diseases (ICD); The paradox of aging
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