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Poverty, pollution, and mortality: The 1918 influenza pandemic in a developing German economy

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  • Richard Franke

Abstract

The paper provides a detailed analysis of excess mortality during the ‘Spanish Flu’ in a developing German economy and the effect of poverty and air pollution on pandemic mortality. The empirical analysis is based on a difference‐in‐differences approach using annual all‐cause mortality statistics at the parish level in the Kingdom of Württemberg. The paper complements the existing literature on urban pandemic severity with comprehensive evidence from mostly rural parishes. The results show that middle‐ and high‐income parishes had a significantly lower increase in mortality rates than low‐income parishes. Moreover, the mortality rate during the 1918 influenza pandemic was significantly higher in highly polluted parishes compared with least polluted parishes. Furthermore, the paper provides a detailed description of mortality statistics in Württemberg and new excess mortality rate estimates for Germany and its states.

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  • Richard Franke, 2022. "Poverty, pollution, and mortality: The 1918 influenza pandemic in a developing German economy," Economic History Review, Economic History Society, vol. 75(4), pages 1026-1053, November.
    • Handle: RePEc:bla:ehsrev:v:75:y:2022:i:4:p:1026-1053
    DOI: 10.1111/ehr.13165
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    Cited by:

    1. Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2024. "Socioeconomic mortality differences during the Great Influenza in Spain," Economics & Human Biology, Elsevier, vol. 52(C).
    2. Doran, Áine & Colvin, Christopher L. & McLaughlin, Eoin, 2024. "What can we learn from historical pandemics? A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 342(C).
    3. Schneider, Benjamin & Vipond, Hillary, 2023. "The past and future of work: how history can inform the age of automation," Economic History Working Papers 119282, London School of Economics and Political Science, Department of Economic History.
    4. Bernhard, Marco & Leuch, Corina & Kordi, Maryam & Gruebner, Oliver & Matthes, Katarina L. & Floris, Joël & Staub, Kaspar, 2023. "From pandemic to endemic: Spatial-temporal patterns of influenza-like illness incidence in a Swiss canton, 1918–1924," Economics & Human Biology, Elsevier, vol. 50(C).

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    More about this item

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • N34 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Europe: 1913-
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

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