Examine the reasons, and the consequences of, the fall in the death rate since 1900.
in the UK, the death rate has remained fairly stable at about 600,000 per year 1900. However, in 1900 this is obviously out of a smaller population. The death rate is the number of deaths per thousand of the population per year. In 1900, the death rate stood at 19 but by 2007 of most half to 10
Thomas Mckeown 1972 argues that improve nutrition accounted for up to half the reduction in death rates and was particularly important in reducing the number of deaths on TB. Better nutrition increased resistance to infection and increased survival chances of those who did become infected. Therefore the improved nutrition in food and diet had gradually decreased death rates. However, others have challenged McKeowns explanation as why women live longer but receive a smaller share of the family's food supply, nor why deaths from some infectious diseases such as infant diarrhoea actually rose at time of improving nutrition.
After the 1950s, improved medical knowledge,techniques and organisations did help reduce death rates.ADvances included introduction of antibiotics, blood transfusion, a setting up of a public national Health service in 1949.More recently,improved medication, by pass surgery and others developments have led to a decrease from deaths from heart disease by one third.THis shows that improvements over the past few years have increased the well being of people.
In the 20th century, more effective central and local government with necessary power to pass and enforce laws led to a range of improvements in public health and the quality of the environment. These include improvements in housing (producing drier, better ventilated and less overcrowded accommodation), purer drinking water and laws to combat adulteration of food and drink.
Other social changes have played a part in reducing death rates from the 20th century.For example, the decline in dangerous jobs such as mining.Greater knowledge of the causes of illnesses and smaller family sizes means a decrease in the rate of transmission of infection. With each social change this has gradually slowed down death rates by improvements in technology and so on.
Life expectancy refers to how long on average a person born in a given year can expect to live.As death rates have fallen so life expectancy increases.For example, males born in 1900 could expect on average to live until they were 50(57 for females). Males born in 2003-5 can expect to live for 76.9 years (81.2 for males).Nevertheless, there are class,gender and regional differences. Women generally live longer than men although the gap has increased due to changes in employment and lifestyle such as women smoking.SImarly, those living in North and Scotland have a lower life expectancy than those in the south, while working class men in unskilled or manual jobs are nearly 3 times likely to die before they are 65 compared with men in managerial or professional jobs.
The Griffiths report 1988 on the care of the elderly saw society as facing the problem of meeting escalating costs of health and social care for the growing number of old people.Recently, there have been concerns about the pensions time bombs, with the fears about how society will meet the cost of providing pensions for elderly. In modern societies 'ageism' the negative stereotyping of people on the basis of their age-often portrays old people as vulnerable,incompetent or irrational, and a burden to society.This contrasts with the view of the elderly found in traditional societies in these cultures, the old are revered and respected;ageing is associated with a rising status.
Accoridng to HIrsch 2005 the main problem of an ageing population will be how to fiancé a longer period of old age. This can either be done by paying from our savings and taxes while we are working, or by continuing to work for longer, or a combination of both.
As the evidence shows there has been a gradual decline in death rates due to many changes from changes in laws to medical improvements and so on. However, this means there is a greater number of old people which increases the dependency ratio and the burden for the working population as they would have to provide money for healthcare and pensions through taxes.