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Disease Dilemmas

Rising living standards and the epidemiological transition

  • 3 things to know
  • Component 03

Overview

Recall questions on Omran's epidemiological transition and its stages, how clean water, sanitation and nutrition change a population's disease profile, the link to the demographic transition, the double burden of disease in India, why the transition proceeds at different speeds, and why life expectancy can hide the disease burden.

What you need to know

Answer each one before you reveal it.

Your recallNot started
Numbers

Who first set out the model of epidemiological transition?

Key term

How does access to clean water change a population's disease profile?

Key term

Why does improved sanitation reduce disease even for people who do not use the new facilities?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is the epidemiological transition?

    Model answer

    It is the shift in a country's main causes of death from infectious and parasitic disease towards chronic, degenerative conditions as that country develops.

  2. 2

    Who first set out the model of epidemiological transition?

    Model answer

    Abdel Omran, who published it in 1971.

  3. 3

    Name the first stage of the epidemiological transition and describe its mortality.

    Model answer

    It is the age of pestilence and famine, in which death rates are very high and swing widely with epidemics and food shortages, keeping life expectancy low.

  4. 4

    Describe the second stage of the epidemiological transition.

    Model answer

    In the age of receding pandemics, better nutrition, clean water and sanitation cut infectious deaths sharply, so death rates fall and life expectancy rises quickly, above all among children.

  5. 5

    What characterises the third stage of the epidemiological transition?

    Model answer

    In the age of degenerative and man-made disease most people survive into old age, and cardiovascular disease and cancers become the leading causes of death.

  6. 6

    How does access to clean water change a population's disease profile?

    Model answer

    Safe water closes the faecal-oral route for cholera, typhoid and diarrhoeal disease, which cuts infant mortality sharply and shifts deaths towards the conditions of later life.

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AThe lower quartile is the 2nd value, 11 cm.
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The sunspot cycle lasts about 11 years.
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