ABSTRACT

Chronic diseases—cardiovascular disease, cancer, chronic respiratory disease and diabetes—are not only the principal cause of world-wide mortality but also are now responsible for a striking increase in the percentage of sickness in developing countries still grappling with the acute problems of infectious diseases. This "double disease burden" poses demanding questions concerning the organisation of health care, allocation of scarce resources and strategies for disease prevention, control and treatment; and it threatens not only improvement in health status but economic development in the many poorer countries of the Asia Pacific region.

This book presents an historical account of the development of the double disease burden in Asia and the Pacific, a region which has experienced great economic, social, demographic and political change. With in-depth analysis of more than fifteen countries, this volume examines the impact of the double disease burden on health care regimes, resource allocation, strategies for prevention and control on the wealthiest nations in the region, as well as the smallest Pacific islands. In doing so, the contributors to this book elaborate on the notion of the double disease burden as discussed by epidemiologists, and present real policy responses, whilst demonstrating how vital health is to economic development.

Health Transitions and the Double Disease Burden in Asia and the Pacific will be of great value to both scholars and policy makers in the fields of public health, the history of medicine, as well as to those with a wider interest in the Asia-Pacific region.

chapter 2|32 pages

Two health transitions in Australia

The Western and the Indigenous

chapter 3|29 pages

Health transitions

Hong Kong and China and the double disease burden

chapter 5|19 pages

The double disease burden in Asia and the Pacific

Japan and its diseases

chapter 7|16 pages

Good health at low cost

The Sri Lankan experience

chapter 8|18 pages

Double disease burden in Thailand

Economic growth and public provisioning

chapter 9|18 pages

Health transition in Viet Nam

Resolving past priorities and meeting new challenges

chapter 10|19 pages

Singapore

Health policy and programming in historical perspective and social, political and economic context

chapter 11|19 pages

Learning from the past

Changing policies concerning the double disease burden in Malaysia

chapter 12|14 pages

Dealing with difficult diseases

Renovating primary health care to deal with chronic conditions in Indonesia

chapter 13|22 pages

Evolution, revolution and devolution

A cross-sectional analysis of the emergence of the double disease burden in the Philippines

chapter 16|9 pages

Asia and Pacific health transitions

Retrospect and prospect