HCMI 3240 Lecture Notes - Lecture 2: Infant Mortality, Cardiovascular Disease, Dysentery
Document Summary
Infant mortality between 1915 and 2000: after 1960"s drop is due to medical care, before 1960"s is due to public health, urban infant mortality is more common. Deaths from infectious diseases among children: until 1920"s this was more common than cardiovascular disease. Sulfa drugs: antibiotics, decreased mortality due to bacteria, 1938. The role of vaccines in improving public health. Introduction for 8 vaccines prevented 103 million cases of the disease in the us since. Us infant mortality after 1960"s: keeps declining, mostly due to medical care. Leading determinants of overall health: 40% behavioral, 30% genetic, 15% socioeconomic, 10% healthcare, 5% environment. Health vs. social care spending: many countries spend more on social care, us spends 16% on health and 9% on social. Difference between rich and poor: rich people tend to live longer, can pay for healthcare, can afford better nutrition, natural selection, those with better health pair with those in the same health, children are then healthier.