[Public health in the mountain zone in the nineteenth century. The records of births and deaths in the village of Beost, Ossau valley, Bearn].

Histoire des sciences medicales Pub Date : 2014-10-01
Jean-Pierre Dugéne, Frédéric Bauduer
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Abstract

We report a study on 809 births and 885 deaths collected from the civil registries of the Pyrenean village of Beost, Ossau Valley, Bearn, France, during the entire 19th century. Among the studied parameters, some give us interesting data on the population history. Thus, the rate of mortality under 1 year of age (110,7 per thousand), the global longevity of this population (mean age at death: 45,8 years) and the absence of significant increase in mortality during the winter months and periods of difficulty for food availability argue in favor of a quite satisfactory sanitary level. Nevertheless, the reduced longevity of illegitimate children (nine deaths often before the age of 7) suggests an absence of care for this population category who was socially rejected. Furthermore, the proportion of women dying between 21 and 40 years of age was twice than that of men, which could be explained by maternity-related medical complications. The seasonality of births (and therefore of conceptions) is less typical than in the other mountain populations. Finally, we may note an increased mortality at the end of 1856 due to a cholera epidemic and in 1870 because of small pox.

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19世纪山区的公共卫生。贝亚恩Ossau山谷的Beost村的出生和死亡记录。
我们报告了一项对整个19世纪期间法国贝亚恩Ossau山谷比利牛斯山村庄Beost民事登记处收集的809例出生和885例死亡的研究。在研究的参数中,有一些为我们提供了关于种群历史的有趣数据。因此,1岁以下儿童的死亡率(110.7‰)、这一人口的全球寿命(平均死亡年龄:45.5岁)以及在冬季月份和粮食供应困难时期死亡率没有显著上升,都表明卫生水平相当令人满意。然而,私生子的寿命缩短(通常在7岁之前有9人死亡)表明,这类被社会排斥的人得不到照顾。此外,在21至40岁之间死亡的妇女比例是男子的两倍,这可以用与产妇有关的医疗并发症来解释。与其他山区人口相比,出生(以及怀孕)的季节性不那么典型。最后,我们注意到1856年底霍乱和1870年天花造成的死亡率上升。
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