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Some historical achievements of preventive medicine

        SOME HISTORICAL ACHIEVEMENTS OF PREVENTIVE MEDICINE

It is all too easy in our cosy world to forget just how hostile life was as recently as a century ago and so to belittle what preventive medicine has achieved so far. A hundred years ago, only six babies out of ten survived to adulthood and the life expectancy of a British boy born between 1871 and 1880 was 41 years, and that of his sister 45 years. If they managed to survive the first year of life this improved to 48 and 50 years respectively. Today this has totally changed-mainly because of preventive rather than curative measures. Generally speaking we all accept that when we have a baby it will be born alive and will survive to see old age-but this is a very recent assumption in the history of the human race. Childbirth itself was extremely hazardous for both a mother and her child only a century ago and then the child had to survive all the childhood infections, in addition to smallpox and ??. Nutrition in Victorian England was so poor that children's resistance was low and they were likely to pick up anything that was going. The majority of the population of Victorian England lived in urban slums, water was often unsafe and few houses had piped water at all. In the environment of cities diseases spread and took hold of whole communities, causing thousands of deaths in any one epidemic. Over the last hundred years, though, the death rates from ??, enteric fever and the main infectious diseases of childhood have been reduced by more than 99 per cent.
In western countries mortality in every age group up to the age of 35 is now one tenth or less of what it was a hundred years ago and among children aged 1-9 it is now one twentieth of what it was then. In fact mortality has fallen by 88 per cent.

*6/72/41*
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