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Medics, Monarchs and Mortality, 1600-1800: Origins of the Knowledge-Driven Health Transition in Europe

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  • S. Ryan Johansson
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    Abstract

    Medical knowledge - defined broadly to include both its private and public forms - has been the driving force behind the historical transitions that have raised life expectancy in modern Europe.� Advances in knowledge, rather than better nutrition (particularly the escape from caloric insufficiency) deserve greater emphasis because the very first groups to undergo anything recognizable as a secular risk in longevity were the rich and well fed, rather than the poor and chronically malnourished.� At the beginning of the 16th century Europe's ruling elites lacked virtually any reliable information about how best to use their ample material resources to prevent, manage and cure the ill-health that caused so many premature deaths among them.� The advance of medical knowledge and practice accelerated in Western Europe after c. 1500, with a succession of discoveries that were quite useful (as judged by modern standards) in preventing disease, reducing "life-style" risks, managing illness and providing cures for a few debilitating and deadly diseases - severe dysentery, syphilis, malaria, scurvy and, finally, smallpox, being the principal diseases affected.� Yet, access to most of the available innovative medical care remained closely restricted.� Medical expertise was limited and highly priced, and many of the measures prescribed were unaffordable even to town-dwelling middling-income families in environments that exposed them to endemic and epidemic disease.� Along with the poor, they therefore were left at a grave health disadvantage vis-a-vis adult members of the wealthy urban families to whose conditions the doctors were attending.� The London-based ruling families of England in this epoch benefited to an exceptional degree among the European elites from the contemporary progress of medicine.� Their improved chances of survival in adulthood were the major factor raising royal life expectancy at birth (males and females, combined) from 24.7 years for the cohort born during the 1600s to 49.4 years for those born during the 1700s.

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    Paper provided by University of Oxford, Department of Economics in its series Economics Series Working Papers with number Number85.

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    Date of creation: 01 Oct 2010
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    Handle: RePEc:oxf:wpaper:number85

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    1. Paul A. David & S. Ryan Johansson & Andrea Pozzi, 2010. "The Demography of an Early Mortality Transition: Life Expectancy, Survival and Mortality Rates for Britain's Royals, 1500-1799," Oxford University Economic and Social History Series _083, Economics Group, Nuffield College, University of Oxford.
    2. Chesnais, Jean-Claude, 1992. "The Demographic Transition: Stages, Patterns, and Economic Implications," OUP Catalogue, Oxford University Press, number 9780198286592, October.
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    Cited by:
    1. Eric B. Schneider, 2012. "Real Wages and the Family: Adjusting Real Wages to Changing Demography in Pre-Modern England," Economics Series Working Papers Number 99, University of Oxford, Department of Economics.
    2. Eric Schneider, 2012. "Prices and Production: Agricultural Supply Response in Fourteenth-Century England," Oxford University Economic and Social History Series _097, Economics Group, Nuffield College, University of Oxford.

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