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Man-Made Lakes and Human Health

Colin McCord, MD; Patricia Rosenfield, PhD
JAMA. 1976;235(12):1273. doi:10.1001/jama.1976.03260380065037.
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Major technological change cannot take place without corresponding changes in the environment and in human health. In no situation is this more evident than in the massive ecological disturbances that follow construction of large dams, impounding enormous quantities of water. This has been particularly evident in the tropics, but temperate countries are not immune—there were epidemics of malaria in Tennessee in TVA days.

Man-Made Lakes and Human Health is the most comprehensive review of this subject that has been produced to date. Included are articles on the diseases affected by new water systems (schistosomiasis, malaria, onchocerciasis, and arbovirus diseases are the most important); separate articles on ten specific dams or irrigation projects; a section on specific ecological factors (insect vectors, molluscs, eutrophication, etc); and a concluding series on the human response to ecological change.

The 31 authors comprise a well-balanced selection of medical scientists, engineers, biologists, and others. This broad


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