19th Cent Public health: Thomas McKeown's thesis

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The medical contribution: Thomas McKeown

Main points of the argumenet? and to what extent does Anne hardy challenge it?


Population growth was due primarily to a decline in mortality from infectious disease. This decline was driven by improved economic conditions that attended the Industrial Revolution, which provided the basis for rising standards of living and, most important, enhanced nutritional status that bolstered resistance to disease.

Need to view if the immunisation and the control of infectious disease really made a decline in mortality: 

a) airborne diseases: 

TB- was the largest single cause of death in the mid-19th cent, and it was associated


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