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[The epidemiological transition in The Netherlands]

J P Mackenbach1

  • 1Erasmus Universiteit, Instituut Maatschappelijke Gezondheidszorg, Rotterdam.

Nederlands Tijdschrift Voor Geneeskunde
|January 16, 1993
PubMed
Summary

Mortality rates in the Netherlands drastically decreased between 1875-1879 and 1970, with infectious diseases significantly declining and cardiovascular diseases rising. This shift reflects a major epidemiological transition in the Dutch population.

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Area of Science:

  • Demography
  • Public Health
  • Historical Epidemiology

Context:

  • Examining historical mortality data from the Netherlands (1875-1879 and 1970).
  • Analyzing changes in cause-specific mortality patterns over time.
  • Investigating the contribution of various causes to overall mortality decline.

Purpose:

  • To assess sex, age, and cause-specific mortality differences between 1875-1879 and 1970 in the Netherlands.
  • To determine the role of different causes of death in the reduction of total mortality during this period.

Summary:

  • Mortality rates in 1970 were significantly lower (one-third for men, one-quarter for women) than in 1875-1879.
  • A substantial decrease in mortality from infectious diseases and nervous system disorders was observed.
  • Increases in the proportional contribution of cancer, cardiovascular diseases, and external causes to total mortality were noted.
  • Infectious diseases, particularly respiratory ones, accounted for nearly 50% of the total mortality decrease.

Impact:

  • Highlights the profound epidemiological transition experienced by the Dutch population.
  • Provides insights into shifting disease burdens and mortality patterns over a century.
  • Informs public health strategies by understanding historical changes in causes of death.

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