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Lecture 12 Income and Living Standards. Se Yan. The Escape from Hunger and Premature Death, 1700-2100: Europe, America, and the Third World . New York: Cambridge University Press, 2004. Robert Fogel. What Can Money Buy?. better (and more) food and water less crowded, cleaner housing
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The Escape from Hunger and Premature Death, 1700-2100: Europe, America, and the Third World. New York: Cambridge University Press, 2004. Robert Fogel
What Can Money Buy? • better (and more) food and water • less crowded, cleaner housing • no work away from home for mother • no work for children
NYC, 1890 NYC, 1890
Working on feathers, NYC, 1911, “Dirty floor, vermin abounded, garbage standing uncovered”
How much energy do we require? • BMR (basal metabolic rate)=amt to maintain body temp and sustain functioning of organs (no work) • 1350-2000kcal/day for adult males 20-39 • Depends on age, sex, height, weight • Survival diet is 1.27 BMR
Calories • France • 1753 kcal/capita 1781-90; 1846 in 1803-12 • 2290 kcal/consuming unit • England • 2100 kcal/capita • 2700 kcal/consuming unit • US • 3700 kcal/consuming unit
Why Have Elderly Health and Longevity Increased? Explanations from Union Army Data(Costa 2000) • Infectious disease at older ages AND infectious disease in early life led to chronic disease at older ages • Workers worn out by manual occupations • Improving prenatal and postnatal conditions (proxied by size of city of early residence, season of birth)
Robert Fogel’s Union Army Data • ~36,000 white soldiers • Military records, pension records (including detailed medical records) linked to 1850, 1860, 1880, 1900, and 1910 censuses • ~6,000 black soldiers • Military records and pension records • Will link to detailed post-war medical records and censuses
What has happened over entire century? • Costa (2002): declines in functional limitation of 0.6% per year between 1910 and 1990s • Evidence for recent acceleration • Costa (2000): average decline in chronic respiratory problems, valvular heart disease, arteriosclerosis, and joint and back problems 0.7% per year, 1900s-1970s/1980s
Explaining Chronic Disease Decline • 29% of decline in combined category of respiratory problems, valvular heart disease, CHF, arteriosclerosis, and joint and back problems, 1910-1970s/80s, accounted for by shift from manual to non-manual occupations
A World of Occupational Stress • Manual jobs dominate: • In 1900 38% of labor force farm or farm workers and 70% of male, non-farm labor force manual • In 1990 3% of labor force farm and 52% of male, non-farm labor force manual • Manual jobs not mechanized • Exposure to dust, fumes, and animal and industrial pollutants (both farmers and manual workers)
Explaining Mortality Decline • Declining impact of season of birth accounts for 16-17% of mortality difference between UA and 1960-80 data • Improvements in all measurable early life factors (inc. city size effects) account for perhaps 30% of mortality decline UA and 1970
Underlying Causes Improvements in Early and Late Life Conditions • Economic growth • Less dependent upon seasonal agricultural cycle • Shift from manual to white collar work • Scientific knowledge and health habits • Decline in typhoid mortality even before public health investments
Underlying Causes Improvements in Early and Late Life Conditions • Public health investments • Troesken (2004), Costa and Kahn (2004), Bleakley (2002) • Poor and blacks biggest beneficiaries because had fewest self-protection options • Public willingness to invest because of fear of infection but expenditures undertaken by cities low relative to value of lives saved (Costa and Kahn 2006)
Trends • Life expectancy • Rising at increasing rate • Height • sharp increase heights of cohorts born 1900-1970, leveling since 1970 • BMI • Becoming heavier
Malthusian Economics and the Demographic Transition (mainly fertility)
Why care about population and trends • Population inhibits/promotes growth • Ratio old to young • Growth models • Social security • 500-750 population cycles • Epidemics – trade and people did not have immunities to world disease pool • After 1750 population takes off (agriculatural revolution
2 concepts • Why sudden population growth? What relative role of fertility vs mortality? • Demographic transition • Shift high mortality/high fertility regime to low mortality/low fertility regime • Does fertility or mortality change first • What is driving shifts? • Household economics • Economic-biological theories
Malthusian theory • Population rises geometrically • Food supply rises arithmetically • How bring population and food supply into balance? • Positive check • Preventive check
Testing Malthus • Wrigley and Schofield (1981) on England • First to re-construct a country’s population • The Old View was that 1741-1841 not much change in birth rates, decline in death rates • New View was that more rapid increase in fertility but mortality similar so population grows more rapidly
What data use to reconstruct population history? • Parish records • Who not in records? • Birth vs baptism • Dissenters (16th-18th c. rising) • Real wage data
Summary Wrigley-Schofield view • Income rises then • Age at marriage falls then • Higher fertility and population then • Pressure on food supply (wages down) then • Marriage rate falls and fertility falls • Falling wages have no effect on mortality
Caveat: Other countries • France: population not rising, because fertility falling (within calculus of choice) • Sweden: little change fertility, but mortality falling
Richard Steckel and Jerome Rose (eds.), The Backbone of History: Health and Nutrition in the Western Hemisphere (7000 BP – 1900 AD), Cambridge University Press, 2002 • Largest collection of skeletal microdata ever assembled: 12,500 skeletons, 65 sites, 7 millennia • Uniform methodology: 24 bio-archaeologists, 6 historians Fertility: the regulator of demographic dynamics in the Ancient Americas
Subject:The human skeleton.Microdata:source for studying health, nutrition and demographic dynamics Fertility: the regulator of demographic dynamics in the Ancient Americas
4 measures of health and nutrition • Porotic hyperostosis • Degenerative joint disease (limbs, spine) • Dental disease • Stature Fertility: the regulator of demographic dynamics in the Ancient Americas
Hard Times in Ancient Americas • Skeletal archaeology shows porotic hyperostosis as nearly universal —perhaps due to extreme dependence on corn. Fertility: the regulator of demographic dynamics in the Ancient Americas
Porotic Hyperostosis: a physiological adaptation to inadequate absorption of oxygen • High frequency: 1/3 – 1/12 of adults in these communities show signs of extraordinary bone remodeling. • Worsened over time: as the transition to sedentary agriculture proceeded (1-3,000 BP), physiological conditions deteriorated. • No gendered difference: “A near complete absence of sex differentials in pathologies is surprising.” Fertility: the regulator of demographic dynamics in the Ancient Americas
Degenerative joint disease (DJD) • DJD: 10-20% of adults of both sexes. • From age 20, hard, repetitive work exacted severe wear on both sexes, particularly of joints required for mobility, manipulation of objects, and carrying loads. • Genderdifferences:statisticallysignificantin DJD andcranialfractures. Fertility: the regulator of demographic dynamics in the Ancient Americas
Degenerativejoint disease, spine:picture worsens • Generally high levels ranging from 25 to 83% for adults from the Mesoamerican sites—a ubiquitous affliction, principally due to hard labor. • “Where the means of carrying heavy burdens is almost solely the human body, an enormous biological cost is exacted from the organism.” Fertility: the regulator of demographic dynamics in the Ancient Americas
Shovel shaped incisors:genetictrait of Native Americans Fertility: the regulator of demographic dynamics in the Ancient Americas
Severe dental disease was common in societies based on corn Fertility: the regulator of demographic dynamics in the Ancient Americas
Stature, 3 features stand out: • 1. Males decline over time in mean height: 1 cm. per thousand years--due to worsening nutrition? • 2. Female stature constant over time even from pre-historic period. • 3. Males show decreasing stature from north (164 cm) to south (161 cm). Fertility: the regulator of demographic dynamics in the Ancient Americas
Three conclusions • Great variations in fertility • Ancient times, • low pressure demographic regime: • fertility was a brake on population growth • Classic times, • high pressure demographic system: • higher fertility, low life expectancy • mortality was the brake on pop. growth Fertility: the regulator of demographic dynamics in the Ancient Americas
Three conclusions 2. Agriculture was the “caboose” of demographic change, not the “engine” • Agriculture seems to have evolved as a response to demographic pressure • Rather than propelling demographic transformations. • Why? Because in classic times demographic transformations occurred in all settlement types. Fertility: the regulator of demographic dynamics in the Ancient Americas
Three conclusions 3. Modern period: fundamental demography of native peoples did not change with the clash of biospheres • Paleodemographic method is insensitive to demographic catastrophe—unless a mass grave is found • Underlying fundamentals persisted for almost a thousand years (til 1800) Fertility: the regulator of demographic dynamics in the Ancient Americas
Postscript: Blame Colombus? • Demographic catastrophe was real—the debate is about magnitude and cause(s) • Magnitude: extinction for many smaller populations (e.g, Tainos); 1/3-3/4 loss for larger populations (Aztecs). • Cause(s): the great debate—disease? War/pacification/exploitation? Both? • Varied place-to-place: Hispaniola: exploitation, not disease… Fertility: the regulator of demographic dynamics in the Ancient Americas
Wages, Prices, and Living Standards in China, Japan, and Europe, 1738-1925 Robert C. Allen et al