The rise and fall of diseases: reflections on the history of population health in Europe since ca. 1700.

The rise and fall of diseases: reflections on the history of population health in Europe since ca. 1700.
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DOI:
10.1007/s10654-021-00719-7
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发表时间:
2021-12
影响因子:
13.6
通讯作者:
Mackenbach JP
Mackenbach JP
中科院分区:
医学1区
文献类型:
--
作者:
Mackenbach JP

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这篇文章探讨了自公元前2000年以来在欧洲发生的令人惊讶的现象。1700大多数疾病都表现出“上升和下降”的模式。它认为,如此多的疾病的出现表明,它们的最终原因不是在体内寻找,而是在人类与环境之间的相互作用中。欧洲人在不懈追求更美好生活的过程中,不断从事新的活动,使他们面临新的健康风险,其速度是进化无法跟上的。幸运的是,大多数疾病也再次减少,这主要是由于人类干预的结果,其形式是公共卫生干预或医疗保健的改善。在18、19和20世纪,疾病几乎连续不断地开始下降,这表明“流行病学转变”的概念用处有限。
This essay explores the amazing phenomenon that in Europe since ca. 1700 most diseases have shown a pattern of 'rise-and-fall'. It argues that the rise of so many diseases indicates that their ultimate cause is not to be sought within the body, but in the interaction between humans and their environment. In their tireless pursuit of a better life, Europeans have constantly engaged in new activities which exposed them to new health risks, at a pace that evolution could not keep up with. Fortunately, most diseases have also declined again, mainly as a result of human interventions, in the form of public health interventions or improvements in medical care. The virtually continuous succession of diseases starting to fall in the 18th, 19th and 20th centuries suggests that the concept of an “epidemiological transition” has limited usefulness.
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