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Policy and Health in Asia

Demographic and Epidemiologic Transitions

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By: David M. Adamson

This research brief describes work documented in Policy and Health: Implications in Asia, Cambridge University Press, 1999.

Excerpt: From 1960 to 1995, health status dramatically improved in Asia and the Pacific. For example, average under-five mortality rates in Asia was more than halved over that period. Despite these aggregate gains, large disparities still exist between countries and within countries, particularly among women and children. In Asia, these disparities are driven by a profound epidemiologic transition and its associated demographic transition: the burden of infectious diseases, childhood deaths, and fertility rates are all declining. In particular, these transitions are having an impact on how policymakers prioritize interventions to deal with the burden of disease, both now and into the future.

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