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IJE Advance Access originally published online on October 1, 2004
International Journal of Epidemiology 2005 34(3):521-524; doi:10.1093/ije/dyh196
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2004; all rights reserved.

Commentary

Commentary: Medicine, population, and tuberculosis

Leonard G Wilson

University of Minnesota, Minneapolis, 797 Goodrich Avenue, Saint Paul, MN 55105, USA. E-mail: wilso004@umn.edu

The first 150 words of the full text of this article appear below.

Thomas McKeown's 1971 paper appeared in connection with a series of three other papers, two published before 1971 and one after, all dealing with the population increase in England and Wales since 1700.1–3 In 1976, McKeown incorporated the themes of the papers in his book The Modern Rise of Population.4 The 1971 paper reprinted here was an interim summary of opinions that McKeown developed and reiterated over more than 20 years and continued to express through the remainder of his life. These themes were that the population of England and Wales had begun to grow in the 18th century because of a decline in the death rate, a decline that had occurred independently of medical measures. McKeown considered medical measures almost totally ineffective until the mid-20th century. The only exceptions he would allow were that vaccination had reduced mortality from smallpox in the 19th century, and in the 20th . . . [Full Text of this Article]


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