Document Detail

The Australian mortality decline: all-cause mortality 1788-1990.
MedLine Citation:
PMID:  9599849     Owner:  NLM     Status:  MEDLINE    
This review describes the Australian decline in all-cause mortality, 1788-1990, and compares this with declines in Europe and North America. The period until the 1870s shows characteristic 'crisis mortality', attributable to epidemics of infectious disease. A decline in overall mortality is evident from 1880. A precipitous fall occurs in infant mortality from 1900, similar to that in European countries. Infant mortality continues downward during this century (except during the 1930s), with periods of accelerated decline during the 1940s (antibiotics) and early 1970s. Maternal mortality remains high until a precipitous fall in 1937 coinciding with the arrival of sulphonamide. Excess mortality due to the 1919 influenza epidemic is evident. Artefactual falls in mortality occur in 1930, and for men during the war of 1939-1945. Stagnation in overall mortality decline during the 1930s and 1945-1970 is evident for adult males, and during 1960-1970 for adult females. A decline in mortality is registered in both sexes from 1970, particularly in middle and older age groups, with narrowing of the sex differential. The mortality decline in Australia is broadly similar to those of the United Kingdom and several European countries, although an Australian advantage during last century and the first part of this century may have been due to less industrialisation, lower population density and better nutrition. Australia shows no war-related interruptions in the mortality decline. Australian mortality patterns from 1970 are also similar to those observed in North America and European countries (including the United Kingdom, but excluding Eastern Europe.
R Taylor; M Lewis; J Powles
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  22     ISSN:  1326-0200     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-06-19     Completed Date:  1998-06-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  27-36     Citation Subset:  IM    
Department of Public Health and Community Medicine, University of Sydney, NSW.
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MeSH Terms
Age Distribution
Australia / epidemiology
Cause of Death / trends*
Child, Preschool
Europe / epidemiology
Great Britain / epidemiology
Infant Mortality / trends
Maternal Mortality / trends
Middle Aged
Mortality / trends*
Population Surveillance
Risk Factors
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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