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[The small epidemiologic transition: further decrease in infant mortality due to medical intervention during

W J van der Veen1

  • 1Rijksuniversiteit, disciplinegroep Huisartsgeneeskunde, faculteit Medische Wetenschappen, Bloemsingel 1, 9713 BZ Groningen. w.j.van.der.veen@med.rug.nl

Nederlands Tijdschrift Voor Geneeskunde
|March 29, 2003
PubMed
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The small epidemiologic transition, driven by medical advances, reduced early life mortality but did not decrease childhood disabilities. New interventions increased options but not overall child health outcomes.

Area of Science:

  • Epidemiology
  • Public Health
  • Medical History

Context:

  • The study examines the 'small epidemiologic transition' beginning in the 1960s.
  • This transition is a continuation of the 'large epidemiologic transition' that significantly increased life expectancy.
  • It focuses on medical interventions in pregnancy, childbirth, and neonatal care.

Purpose:

  • To analyze the impact of recent medical interventions on mortality and morbidity in early life.
  • To understand the dual effects of antenatal screening, selective abortion, and neonatal intensive care.
  • To evaluate the net outcome of the small epidemiologic transition on childhood disabilities.

Summary:

  • The small epidemiologic transition involved increased life expectancy due to reduced early-life mortality.

Related Experiment Videos

  • Medical interventions like antenatal screening and neonatal intensive care were introduced.
  • While mortality decreased, childhood disabilities persisted or increased due to complex intervention effects.

    • Impact:

    • Medical advancements have expanded options in prenatal and neonatal care.
    • Despite reduced mortality, the prevalence of childhood disabilities has not significantly decreased.
    • The small epidemiologic transition highlights a paradox: improved survival but persistent or increased morbidity.