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Tuberculosis mortality in the United States and in Britain was declining in the late nineteenth century but rising in Ireland. Only in the first decade of the twentieth century did mortality from tuberculosis begin to fall and even then it remained higher in Ireland than in Britain and many other European nations throughout the first half of the twentieth century. Why Ireland’s pattern of tuberculosis mortality was different is the subject of this book. Several controversies in the history of tuberculosis epidemics are addressed; the degree to which poverty and standard of living played a part in the tuberculosis decline, the role of public health, urbanisation and gender. Because tuberculosis was comparatively higher in Ireland it remained a much more potent political issue well into the twentieth century and the interaction between Ireland’s politics and the question of tuberculosis is discussed.
The practice of medicine has advanced dramatically in recent years, but the language used to discuss illness – by medical practitioners, patients and carers – has not kept pace. As a result, clinicians and, just as importantly, patients and their relatives and carers, are not able to communicate clearly in relation to illness. The upshot is misunderstanding and confusion on all sides. In this ground-breaking book, Dr Fergus Shanahan, an eminent gastroenterologist who has practised in Ireland, the United States and Canada, and published widely around the world, looks at memoirs of illness, and outlines the lessons we can learn from a better understanding of the words we use to describe illness. He looks at the ways in which language can act as a barrier with regard to illness, and proposes practical ways in which we can dismantle these barriers. The book is written for the general reader: as Dr Shanahan puts it himself, he is "enough of an expert to be wary of experts". The Language of Illness, part manifesto, part memoir, and part instruction manual, is an appeal for the use of clearer, more holistic language, by all those involved with, and affected by, illness. Like the great American poet-doctor William Carlos Williams, he aims to help us develop a new language by means of which we can develop a new way of living with illness – which is an integral part of the human condition. Put simply, it is a book for all those who care about caring.
First multi-year cumulation covers six years: 1965-70.
Upon competition of a ten year research project which analyzes the effect of air pollution and death rates in US cities, Lester B. Lave and Eugene P. Seskin conclude that the mortality rate in the US could shrink by seven percent with a similar if not greater decline in disease incidence if industries followed EPA regulations in cutting back on certain pollutant emissions. The authors claim that this reduction is sufficient to add one year to average life expectancy. Originally published in 1977.
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