Was the First Public Health Campaign Successful?
利用1900-1917年美国市级死亡率数据,评估结核病运动推行的疗养院、禁吐痰等措施对肺结核死亡率下降的贡献,发现这些措施最多只能解释一小部分下降。
The US tuberculosis (TB) movement pioneered many of the strategies of modern public health campaigns. Using newly transcribed mortality data at the municipal level for the period 1900–1917, we explore the effectiveness of public health measures championed by the TB movement, including the establishment of sanatoriums and open-air camps, prohibitions on public spitting and common cups, and requirements that local health officials be notified about TB cases. Our results suggest that these and other anti-TB measures can explain, at most, only a small portion of the overall decline in pulmonary TB mortality observed during the period under study.