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So, to reiterate
and anticipate the second question, what were the reasons for the decline in childhood
mortality from infectious diseases? As the decline began before the infectious agents
responsible for the diseases were identified, medical interventions cannot account for the
changes. What else was happening in Europe between 1830-1930 and in HK
from after WWII?
The most notable development was the industrial revolution. This, together with
sweeping changes in the laws governing land use, was preceded by and amplified a mass
movement of people from the previously dominant agricultural sector to urban environments,
often in search of work and higher wages in the emerging factories. This urban drift lead
to considerable strain on the capacity of cities to cope with the food, sanitation and
other resources. Poor housing, over-crowding and poor nutrition lead to an increase in
infectious disease amongst the most vulnerable, the young, the very old, the poorly
nourished and otherwise weakened. From around 1850 onwards growing attempts to introduce
significant infrastructural and legislative means to help cope with the high levels of
disease, crowned by the introduction of the Public Health Act in 1897 ensured standards
for housing, sanitation, drinking water, food quality that were previously lacking. The
gradual appearance of contraception and the increased childhood survival lead to smaller
families, placing less reproductive strain on women, enabling better nourishment for
children, compulsory education and improved wealth from industrial and colonial activities
all contributed. |