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The World in Medicine
June 9, 1999

Dual Disease Burden

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JAMA. 1999;281(22):2078. doi:10.1001/jama.281.22.2078-JWM90004-3-1

The dawn of the 21st century will confront health policy makers with a complex challenge, according to a new report from the World Health Organization (WHO).

The World Health Report 1999: Making a Difference traces the 20th century's health revolution that has witnessed a drop in birth rates and dramatic gains in life expectancy. Yet it points to a collision early in the next century of dual burdens of disease: emerging epidemics of noncommunicable diseases and injury, and the "unfinished agenda" of infectious diseases, malnutrition, and complications of childbirth that disproportionately affect the poor.

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