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There are a number of basic objectives to this lecture. These are, that by the end of this lecture, you should be able to: define basic terminology of measures of morbidity and mortality, such as, incidence, prevalence, morbidity and mortality; give examples of mar ratios used to define morbidity & mortality; describe the major changes in the patterns of killing diseases in HK over the past 100 years; give valid explanations for the changes; describe the allocation of mortality to different categories of biology, environment, lifestyle, health care and contrast this with the expenditure in these areas; describe the major determinants of health at the community level.