Mortality has declined drastically in many countries throughout the world over the past centuries. Life expectancies doubled, infant and child mortality declined strongly and mortality shifted to older ages. This phenomenon started in the 18th or 19th centuries in western industrialised countries and it was observed in other countries as well, although in a later period of titne and at a different pace of decline. This common pattern of mortality decline observed in western countries has led to the fonllulation of the demographic transition theory and, later, to the formulation of the epidctniological transition theory, which is the subject of this study.

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J.P. Mackenbach (Johan)
Erasmus University Rotterdam
Erasmus MC: University Medical Center Rotterdam

Wolleswinkel-van den Bosch, J.H. (1998, November 25). The epidemiological transition in The Netherlands. Erasmus University Rotterdam. Retrieved from