TY - JOUR AU - Clay,Karen AU - Troesken,Werner TI - Deprivation and Disease in Early Twentieth-Century America JF - National Bureau of Economic Research Working Paper Series VL - No. 12111 PY - 2006 Y2 - March 2006 UR - http://www.nber.org/papers/w12111 L1 - http://www.nber.org/papers/w12111.pdf N1 - Author contact info: Karen Clay Heinz College Carnegie Mellon University 5000 Forbes Avenue Pittsburgh, PA 15213 Tel: 412/268-4197 Fax: 412/268-7357 E-Mail: kclay@andrew.cmu.edu Werner Troesken Department of Economics University of Pittsburgh Pittsburgh, PA 15260 Tel: 412/648-2823 Fax: 412/648-9074 E-Mail: troesken@pitt.edu M2 - featured in NBER digest on 2006-03-27 AB - This paper explores how early life exposure to poverty and want adversely affects later life health outcomes. In particular, it examines how exposure to crowded housing conditions and impure drinking water undermines long-term health prospects and increases the risk of age-related pathologies such as cancer, heart disease, kidney disease, and stroke. Exploiting city-level data from early-twentieth century America, evidence is presented that cities with unusually high rates of typhoid fever in 1900 had elevated rates of heart and kidney disease fifteen years later; also cities with unusually high rates of tuberculosis in 1900 had elevated rates of cancer and stroke fifteen years later. The estimated coefficients suggest that eradicating typhoid fever (through water purification) and tuberculosis (through improved housing and nutrition) would have reduced later death rates from heart disease, cancer, stroke, and kidney disease by 23 to 35 percent. ER -