Something I’ve often wondered about before, and now a paper’s been published that touches on it (in terms of cardiovascular health, at least).
What happens next, in terms of life expectancy, in the developed world? First of all there was sanitation and better housing to reduce the disease burden from infectious diseases. And immunisation, of course. Then economic development and societal changes drive gains from the third stage of the demographic transition (ie better maternal and childhood nutrition reaps more healthy years of life decades later in the lifecourse). And we start to identify some of the big risk factors for disease, and belatedly, deal with them in a meaningful society-wide way (eg smoking bans).
Some of the benefit from these changes is yet to filter through to the life expectancy figures of course, but the era of big improvements is probably drawing to a close. Meanwhile, an overweight younger generation is coming through which is steadily accumulating a hefty burden of future cardiovascular risk.
So how are we going to sustain those improvements in life expectancy in the future?

Earth Day ambivalence
April 22, 2013Never quite know what to make of Earth Day.
Eyebrows would be raised if the International Space Station had an annual “CO2 Scrubber Day” or submarine crews celebrated “Pressure Hull Week” every April.
I should say, I have a general disquiet about the whole concept of annual awareness time intervals. I’m certainly not against the idea for every good cause, but often they trivialise the thing they’re trying to promote. Not saying they don’t work, but somehow Earth Day, like Prostate Cancer Awareness Month, has a touch of absurdity and mild desperation.
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