The Health Explosion
Posted in Demographics, Health, Mechanization, Trade on June 30th, 2006 by sam – Be the first to commentBetween 1900 and 2000 human numbers almost quadrupled, from around 1.6 billion to more than six billion. The human life span likely doubled, from a planetary life expectancy at birth of perhaps 30 years to one of more than 60. By this measure, the overwhelming preponderance of the health progress in all of human history took place during the past 100 years.
Between the early 1950s and the first half of the current decade, according to estimates by the United Nations Population Division, the planetary expectation of life at birth jumped by almost 19 years, or about two-fifths, from under 47 years to more than 65 years. Average life expectancy in low-income areas surged upward by well over two decades, a rise of more than 50 percent. Even sub-Saharan Africa - despite its protracted post-independence political and economic turmoil and the advent of a catastrophic HIV/AIDS epidemic - is thought to have enjoyed an increase in local life expectancy of more than one-fifth. (Practically the only countries to register no appreciable improvements in life expectancy over this period were the Russian Federation and a handful of other territories within what was once the Soviet Union.)
In the early 1950s, according to UNPD estimates, 156 out of every 1,000 children born around the world did not survive their first year; by the beginning of the 21st century, that toll was down to 57 per 1,000. In “developed” countries, the infant mortality rate is thought to have fallen by more than 85 percent during those same decades, and by nearly 70 percent in the collectivity of “developing” countries. In sub-Saharan Africa the infant mortality rate is thought to have declined by nearly half, and Russia’s infant mortality rate probably fell by more than 80 percent.
Life expectancy and infant mortality rates in the Third World today now approximate the levels prevailing in the rich countries shortly after World War II. The plunge in worldwide mortality is entirely responsible for the increase in human numbers over the course of the 20th century. This is a simple arithmetic fact. The “population explosion” was really a “health explosion.”
The implications of any health explosion for economic development and poverty alleviation are hardly negative. Healthier people are able to learn better, work harder, engage in gainful employment longer, and contribute more to economic activity than their unhealthy, short-lived counterparts.
Between 1900 and 2001, by Angus Maddison’s reckoning, global gross domestic product (GDP) per capita (in internationally adjusted 1990 dollars) nearly quintupled. In both relative and absolute terms, the developed nations enjoyed disproportionate improvements. Nonetheless, every region of the planet became richer. Africa’s economic performance was the most dismal of any major global region over the course of the 20th century; yet even there, per capita GDP looks to have been roughly three times higher in 2001 than it was in 1900.
With a near quadrupling of the human population in the 20th century, and a virtual quintupling in planetary GDP per capita over those same years, global economic output took a gargantuan leap. World GDP might have been more than 18 times higher in 2001 than it was in 1900. But GDP is a measure of economic output — and for the world as a whole, economic output and economic demand must be identical. If the demand for goods and services multiplied nearly twentyfold during the 20th century, humanity’s demand for, and consumption of, natural resources must also have skyrocketed. Yet the relative prices of virtually all primary commodities fell over the course of the 20th century — in many cases, quite substantially.
Despite the tremendous expansion of the international grain trade over the past century, for example, the inflation-adjusted, dollar-denominated international price of each of the major cereals — corn, wheat, and rice — fell by more than 70 percent between 1900 and 1998. By the same token, The Economist magazine’s industrials price index — a weighted composite for 14 internationally traded metals and non-food agricultural commodities — registered a decline, in inflation-adjusted dollars, of almost 80 percent between 1900 and 1999.
Price data are meant to convey information about scarcity. These data would seem to indicate that the resources that humanity makes economic use of grew less scarce over the course of the 20th century.
It may well be that more than half of the world’s population lives in countries with “sub-replacement” fertility — that is to say, places where current childbearing patterns, if continued indefinitely without migration, would lead ultimately to population decline. Some of today’s largest developed nations are expected to see population declines during the next 30 years, ranging from 4% in Germany to 12% in Japan (and even higher in Russia). But the great majority of current sub-replacement populations are in Third World states.
Unless we suffer a cataclysm, world population is set to increase for some time to come. But the era of the “population explosion” is clearly over. World population growth rates peaked in the late 1960s and are barely half as high now.










