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ARTICLE |

A Positive Strategy for the Nation's Health

Lester Breslow, MD, MPH
JAMA. 1979;242(19):2093-2095. doi:10.1001/jama.1979.03300190033021.
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IT IS TIME to establish a positive strategy for the nation's health. Fortunately, the last few years have brought a new momentum toward improved health, making it easier to prepare a forward thrust. For example, the total age-adjusted death rate in the nation has been dropping about 1.0% to 1.5% annually from 1920 until the 1950s. Then the decline slowed to less than one third the previous rate. Since 1970, the total age-adjusted death rate has been dropping faster again, 2.0% annually.1 Infant mortality practically leveled out from 1955 to 1965, but in recent years it has turned steeply downward, about 4% per year (for most of the data in this paper I am indebted to the National Center for Health Statistics, Hyattsville, Md; responsibility for interpretation is mine). While the expectation of life at birth increased quite steadily from 1920 to 1955, the decade 1955 to 1965 showed

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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