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IJE Advance Access originally published online on October 1, 2004
International Journal of Epidemiology 2005 34(3):525-526; doi:10.1093/ije/dyh213
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2004; all rights reserved.

Commentary

Commentary: History in the search of policy

Gretchen A Condran

Department of Sociology, Temple University, Philadelphia, Pennsylvania, USA 19122. E-mail: gcondran@Temple.edu

The first 10% of the full text of this article appears below.

The work of Thomas McKeown has spawned a decades-long controversy about the sources of the long-term reduction in mortality, beginning sometime in the 18th century, that, in his view, was undeniably the impetus for the modern rise of population. On one side of the debate, McKeown argues that a changing economic environment, specifically increases in food production resulting in better nutrition, was the most important factor in the downward shift in mortality levels, while medicine, focused on providing individual immunizations and treatments, had little on no impact on the decline1,2

McKeown's argument is part of a long tradition linking economic conditions to the growth of population. It incorporates the Malthusian notion that an increase in food supplies increased the population . . . [Full Text of this Article]


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