Health Transitions and the Double Disease Burden in Asia and the Pacific: Histories of Responses to Non-communicable and Communicable Diseases

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Milton James Lewis, Kerrie L. Macpherson
Routledge, 2013 - Health & Fitness - 317 pages
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Chronic diseases—cardiovascular disease, cancer, chronic respiratory disease and diabetes—are not only the principal cause of world-wide mortality but also are now responsible for a striking increase in the percentage of sickness in developing countries still grappling with the acute problems of infectious diseases. This "double disease burden" poses demanding questions concerning the organisation of health care, allocation of scarce resources and strategies for disease prevention, control and treatment; and it threatens not only improvement in health status but economic development in the many poorer countries of the Asia Pacific region.

This book presents an historical account of the development of the double disease burden in Asia and the Pacific, a region which has experienced great economic, social, demographic and political change. With in-depth analysis of more than fifteen countries, this volume examines the impact of the double disease burden on health care regimes, resource allocation, strategies for prevention and control on the wealthiest nations in the region, as well as the smallest Pacific islands. In doing so, the contributors to this book elaborate on the notion of the double disease burden as discussed by epidemiologists, and present real policy responses, whilst demonstrating how vital health is to economic development.

Health Transitions and the Double Disease Burden in Asia and the Pacific will be of great value to both scholars and policy makers in the fields of public health, the history of medicine, as well as to those with a wider interest in the Asia-Pacific region.


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some introductory observations
the Western and the Indigenous
Hong Kong and China and the double disease burden
4 Health transition and the rising threat of chronic noncommunicable diseases in India
Japan and its diseases
6 Challenges of and responses to the double disease burden in Korea
the Sri Lankan experience
economic growth and public provisioning
health policy and programming in historical perspective and social political and economic context
changing policies concerning the double disease burden in Malaysia
renovating primary health care to deal with chronic conditions in Indonesia
a crosssectional analysis of the emergence of the double disease burden in the Philippines
14 The double disease burden in Papua New Guinea
15 The double disease burden in Pacific Island states except Papua New Guinea
retrospect and prospect

resolving past priorities and meeting new challenges

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About the author (2013)

Milton J. Lewis was a Senior Research Fellow in the School of Public Health, 1989- 2006 and is now at the Menzies Centre for Health Policy, University of Sydney, Australia.

Kerrie L. MacPherson is an Associate Professor of History, the Kadoorie Institute, University of Hong Kong.

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