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Health inequality and the 1918 Influenza in South Africa

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  • Johan Fourie
  • Jonathan Jayes

Abstract

The 1918 influenza – the Spanish flu – killed an estimated 6% of South Africans. Not all were equally affected. Mortality rates were particularly high in districts with a large share of black and coloured residents. To investigate why this happened, we transcribed 39,482 death certificates from the Cape Province. Using a novel indicator – […]

Suggested Citation

  • Johan Fourie & Jonathan Jayes, 2021. "Health inequality and the 1918 Influenza in South Africa," Working Papers 852, Economic Research Southern Africa.
    • Handle: RePEc:rza:wpaper:852
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    1. Doorslaer, Eddy van & Wagstaff, Adam & Rutten, Frans (ed.), 1992. "Equity in the Finance and Delivery of Health Care: An International Perspective," OUP Catalogue, Oxford University Press, number 9780192622914.
    2. Marcella Alsan & Marianne Wanamaker, 2018. "Tuskegee and the Health of Black Men," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 133(1), pages 407-455.
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    5. Burger, Ronelle & Christian, Carmen, 2020. "Access to health care in post-apartheid South Africa: availability, affordability, acceptability," Health Economics, Policy and Law, Cambridge University Press, vol. 15(1), pages 43-55, January.
    6. Quinn, S.C. & Kumar, S. & Freimuth, V.S. & Musa, D. & Casteneda-Angarita, N. & Kidwell, K., 2011. "Racial disparities in exposure, susceptibility, and access to health care in the US H1N1 influenza pandemic," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 285-293.
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    8. van Doorslaer, Eddy & Wagstaff, Adam, 1992. "Equity in the delivery of health care: some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 389-411, December.
    9. Wagstaff, Adam & van Doorslaer, Eddy, 1992. "Equity in the finance of health care: Some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 361-387, December.
    10. Hutchins, S.S. & Fiscella, K. & Levine, R.S. & Ompad, D.C. & McDonald, M., 2009. "Protection of racial/ethnic minority populations during an influenza pandemic," American Journal of Public Health, American Public Health Association, vol. 99(S2), pages 261-270.
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    Cited by:

    1. Rijpma, Auke & van Dijk, Ingrid K. & Schalk, Ruben & Zijdeman, Richard L. & Mourits, Rick J., 2022. "Unequal excess mortality during the Spanish Flu pandemic in the Netherlands," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Daniel de Kadt & Johan Fourie & Jan Greyling & Elie Murard & Johannes Norling, 2021. "Correlates and Consequences of the 1918 Influenza in South Africa," South African Journal of Economics, Economic Society of South Africa, vol. 89(2), pages 173-195, June.
    3. Fourie, Johan & Inwood, Kris & Mariotti, Martine, 2022. "Living standards in settler South Africa, 1865–1920," Economics & Human Biology, Elsevier, vol. 47(C).

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    More about this item

    Keywords

    Banking Regulation; central bank; COVID-19; Healthcare; inequality; Monetary Policy; public health; Risk and Uncertainty; South Africa;
    All these keywords.

    JEL classification:

    • E32 - Macroeconomics and Monetary Economics - - Prices, Business Fluctuations, and Cycles - - - Business Fluctuations; Cycles
    • E52 - Macroeconomics and Monetary Economics - - Monetary Policy, Central Banking, and the Supply of Money and Credit - - - Monetary Policy
    • G21 - Financial Economics - - Financial Institutions and Services - - - Banks; Other Depository Institutions; Micro Finance Institutions; Mortgages
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • N37 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Africa; Oceania

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