Was the First Public Health Campaign Successful?

• 成果类型: Article
• 署名作者: Anderson, Mark; Charles, Kerwin Kofi; Olivares, Claudio Las Heras; Rees, Daniel, I
• 署名单位: Montana State University System; Montana State University Bozeman; National Bureau of Economic Research; University of Chicago; Central Bank of Chile; University of Colorado System; University of Colorado Denver
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.20170411
• 发表日期: 2019
• 页码: 143-175
• 关键词: intrinsic transmission dynamics; drug-resistant tuberculosis; mathematical-theory; mortality trends; UNITED-STATES; disease; decline; epidemics; cities; water

摘要

The US tuberculosis (TB) movement pioneered many of the strategies of modern public health campaigns. Using newly transcribed mortality data at the municipal level for the period 1900-1917, we explore the effectiveness of public health measures championed by the TB movement, including the establishment of sanatoriums and open-air camps, prohibitions on public spitting and common cups, and requirements that local health officials be notified about TB cases. Our results suggest that these and other anti-TB measures can explain, at most, only a small portion of the overall decline in pulmonary TB mortality observed during the period under study. (JEL, H51, I12, I18, N31, N32)