Controlling tuberculosis? Evidence from the first community-wide health experiment

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Controlling tuberculosis? Evidence from the first community-wide health experiment. / Clay, Karen; Juul Egedesø, Peter ; Hansen, Casper Worm; Jensen, Peter Sandholt; Calkins, Avery.

I: Journal of Development Economics, Bind 146, 102510, 09.2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Clay, K, Juul Egedesø, P, Hansen, CW, Jensen, PS & Calkins, A 2020, 'Controlling tuberculosis? Evidence from the first community-wide health experiment', Journal of Development Economics, bind 146, 102510. https://doi.org/10.1016/j.jdeveco.2020.102510

APA

Clay, K., Juul Egedesø, P., Hansen, C. W., Jensen, P. S., & Calkins, A. (2020). Controlling tuberculosis? Evidence from the first community-wide health experiment. Journal of Development Economics, 146, [102510]. https://doi.org/10.1016/j.jdeveco.2020.102510

Vancouver

Clay K, Juul Egedesø P, Hansen CW, Jensen PS, Calkins A. Controlling tuberculosis? Evidence from the first community-wide health experiment. Journal of Development Economics. 2020 sep;146. 102510. https://doi.org/10.1016/j.jdeveco.2020.102510

Author

Clay, Karen ; Juul Egedesø, Peter ; Hansen, Casper Worm ; Jensen, Peter Sandholt ; Calkins, Avery. / Controlling tuberculosis? Evidence from the first community-wide health experiment. I: Journal of Development Economics. 2020 ; Bind 146.

Bibtex

@article{72d8e14505c843eca8b1a5f98bd9c5db,
title = "Controlling tuberculosis? Evidence from the first community-wide health experiment",
abstract = "This paper studies the immediate and long-run health effects of the first community-based health intervention in the world – the Framingham Health and Tuberculosis Demonstration, 1917–1923. The official evaluation committee and the historical narrative suggest that the Demonstration was highly successful in controlling tuberculosis and reducing mortality. Using newly digitized annual cause-of-death data for municipalities in Massachusetts, 1901–1934, and different empirical strategies, we find little evidence to support this positive assessment. Although we find that the Demonstration increased the identification of new TB case, this did not translate into reductions in tuberculosis mortality, total mortality, or infant mortality. This evidence contributes to an ongoing debate on whether public health interventions mattered for the historical decline in (tuberculosis) mortality prior to modern medicine and may help us to understand how to lower the burden of tuberculosis in the developing world today.",
keywords = "Faculty of Social Sciences, Public health, Health demonstration, Tuberculosis mortality, Infant mortality",
author = "Karen Clay and {Juul Egedes{\o}}, Peter and Hansen, {Casper Worm} and Jensen, {Peter Sandholt} and Avery Calkins",
year = "2020",
month = "9",
doi = "10.1016/j.jdeveco.2020.102510",
language = "English",
volume = "146",
journal = "Journal of Development Economics",
issn = "0304-3878",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Controlling tuberculosis? Evidence from the first community-wide health experiment

AU - Clay, Karen

AU - Juul Egedesø, Peter

AU - Hansen, Casper Worm

AU - Jensen, Peter Sandholt

AU - Calkins, Avery

PY - 2020/9

Y1 - 2020/9

N2 - This paper studies the immediate and long-run health effects of the first community-based health intervention in the world – the Framingham Health and Tuberculosis Demonstration, 1917–1923. The official evaluation committee and the historical narrative suggest that the Demonstration was highly successful in controlling tuberculosis and reducing mortality. Using newly digitized annual cause-of-death data for municipalities in Massachusetts, 1901–1934, and different empirical strategies, we find little evidence to support this positive assessment. Although we find that the Demonstration increased the identification of new TB case, this did not translate into reductions in tuberculosis mortality, total mortality, or infant mortality. This evidence contributes to an ongoing debate on whether public health interventions mattered for the historical decline in (tuberculosis) mortality prior to modern medicine and may help us to understand how to lower the burden of tuberculosis in the developing world today.

AB - This paper studies the immediate and long-run health effects of the first community-based health intervention in the world – the Framingham Health and Tuberculosis Demonstration, 1917–1923. The official evaluation committee and the historical narrative suggest that the Demonstration was highly successful in controlling tuberculosis and reducing mortality. Using newly digitized annual cause-of-death data for municipalities in Massachusetts, 1901–1934, and different empirical strategies, we find little evidence to support this positive assessment. Although we find that the Demonstration increased the identification of new TB case, this did not translate into reductions in tuberculosis mortality, total mortality, or infant mortality. This evidence contributes to an ongoing debate on whether public health interventions mattered for the historical decline in (tuberculosis) mortality prior to modern medicine and may help us to understand how to lower the burden of tuberculosis in the developing world today.

KW - Faculty of Social Sciences

KW - Public health

KW - Health demonstration

KW - Tuberculosis mortality

KW - Infant mortality

U2 - 10.1016/j.jdeveco.2020.102510

DO - 10.1016/j.jdeveco.2020.102510

M3 - Journal article

VL - 146

JO - Journal of Development Economics

JF - Journal of Development Economics

SN - 0304-3878

M1 - 102510

ER -

ID: 243472052