Overview
British social and economic historian (University of Cambridge) known for his critique of the McKeown thesis, arguing that public-health and sanitary interventions — local government action, clean water, and sanitation — were central to the historical mortality decline that McKeown attributed mainly to nutrition.
Key Contributions / Features
- Public-health reinterpretation of the mortality decline: emphasized social and political intervention (municipal public health, the "four D's") against McKeown's nutrition-centric account, restoring a role for collective action and the state in falling mortality. See Preston Curve and Medicalization of Death.
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