The Determinants of Health Progress after the Second Industrial Revolution

  • Fabrice Murtin


Murtin assesses the relative importance of two potential long-term causes of the epidemiological transition, namely the rise in income and educational attainment. Both variables are significant determinants of infant mortality, total mortality and life expectancy since 1870. However, education alone accounts for the bulk of health improvements. This confirms the claim by Deaton that income per se is a poor determinant of longevity, and at the same time it provides an explanation for the strong correlation between longevity and income (i.e., the Preston curve) as education and income are highly correlated. Murtin concludes that education can therefore be viewed as the main determinant of the health transition.


Infant Mortality Health Expenditure Technological Progress Industrial Revolution Healthcare Expenditure 
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Copyright information

© Fabrice Murtin 2016

Authors and Affiliations

  • Fabrice Murtin
    • 1
  1. 1.Organisation for Economic Co-operation and Development (OECD)France

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