Title

Late stages of epidemiological transition : health status in the developed world

Document Type

Journal article

Source Publication

Health & Place

Publication Date

9-1-1999

Volume

4

Issue

3

First Page

209

Last Page

222

Publisher

Pergamon Press

Keywords

Epidemiological transition, Developed countries, Diseases of modernisation, Emergent diseases

Abstract

Drawing on the example of twentieth century Europe, this paper examines themes in the spatial development of the late stages of epidemiological transition in developed countries. A preliminary analysis of mortality trends for sample countries in four European regions (north, Scandinavia, south and east) suggests that, as the epidemiological transition progressed to its later stages during the period 1901–1975, spatial variability in the importance of classical infectious diseases increased. This trend was countered by a spatial convergence in the importance of disease groupings that typify late transition. An apparently new epidemiological phase in late transition, linked to the emergence and re-emergence of infectious and parasitic diseases, is illustrated with reference to tuberculosis and the acquired immunodeficiency syndrome (AIDS).

DOI

10.1016/S1353-8292(99)00010-6

Print ISSN

13538292

E-ISSN

18732054

Publisher Statement

Copyright © 1999 Elsevier Science Ltd.

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Full-text Version

Publisher’s Version

Recommended Citation

Smallman-Raynor, M., & Phillips, D. (1999). Late stages of epidemiological transition: Health status in the developed world. Health & Place, 4(3), 209-222. doi: 10.1016/S1353-8292(99)00010-6