IJE Advance Access originally published online on July 28, 2005
International Journal of Epidemiology 2005 34(6):1203-1206; doi:10.1093/ije/dyi144
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.
Commentary |
Commentary: Health and economic transition
1 Professor of European Public Health, European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK
2 Economist, World Health Organization, European Office for Health and Development, Palazzo Franchetti, S. Marco 2847, Venice 30124, Italy.
* Corresponding author. European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. E-mail: martin.mckee@lshtm.ac.uk
| The first 150 words of the full text of this article appear below. |
If economic fluctuations impact on mortality then a region where one might expect to see an effect would be the countries of the former Soviet Union. The Soviet Union had created a complex network of economic interdependency between its constituent republics. A product such as a car or a television set might incorporate components from ten or more republics, each being exchanged through a system of barter that was isolated from the global marketplace. This all changed in 1991. Each of the 15 republics became an independent country.1 Few had any experience of how to engage in international trade and what they produced, if they were able to get the constituent parts, could not compete with higher quality goods from other parts of the world. With governments no longer willing to pour subsidies into uncompetitive loss-making industries, manufacturing output slumped. Unemployment, which officially did not exist under communism, was soon
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