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Some Historical Perspective for Anxious Parents

Blog Post | Health & Medical Care

Some Historical Perspective for Anxious Parents

Victorians regularly prescribed opium to treat infant teething, with deadly results.

Old photo of mother and child

As every parent knows, infancy and childhood can be fraught with peril. From Sudden Infant Death Syndrome to suffocation, the list of dangers to infants is extensive. But the risks today pale in comparison to those that children faced in the past.

Judith Flanders’ exhaustively detailed book, Inside the Victorian Home: a Portrait of Domestic Life in Victorian England, offers a disturbing glimpse of early childhood in the Victorian era. It should fill everyone with gratitude for the sheer scale of medical advancement in the last century or so.

The benefits of vaccines and proper sanitation are, of course, well-known. However, the sheer extent of their positive impact on the lives of children bears repeating. Before the age of five, 35 out of every 45 Victorian children had experienced either smallpox, measles, scarlet fever, diphtheria, whooping cough, typhus or enteric fever — or some combination of those illnesses — and many of them did not survive.

As late as 1899, more than 16 percent of children died before their first birthday; today in the United Kingdom that figure is 0.35 percent.

What is less well known is that it was not just disease, but also primitive medicine that killed infants.

Consider teething and one of its alleged cures. Today, teething is accepted as a routine stage of development. In Victorian England, it was not. According to the common wisdom of the age, teething was a potentially deadly disorder, sometimes involving convulsions, and should be treated with opium.

Giving opium to an infant is a very bad idea, causing — you guessed it — convulsions and often death. A shocking 16 percent of child deaths in Victorian England were the result of well-meaning attempts to treat teething with opium. Parents attributed these opium-induced deaths to teething and blamed themselves for failing to have administered a high enough dose of the opium “cure”.

Childhood ailments, real and imagined, were often treated with hard liquor, such as brandy, or milder alcoholic drinks, like wine. Patent medicines were also popular. John Collis Browne’s Cholodyne, for example, which was supposed to have cured everything from colds and coughs to stomach aches and sleeplessness, contained cannabis and a hypnotic drug called chloral hydrate in addition to opium.

Other common cures included ipecacuanha, a powdered root that induces vomiting; and the laxative calomel, made of mercury chloride, which is highly toxic. Newborns were also routinely given castor oil (a laxative later famously force-fed to prisoners in Mussolini’s Italy) shortly after birth.

It should be noted that, as horrid as Victorian medical practices were, child mortality rates fell dramatically as better urban sanitation and scientific understanding of disease spread. Medical practices weren’t the only part of Victorian childhoods that might today be considered abusive, or at least troubling. Childhood discipline practices, it turns out, have also evolved quite a bit since the Victorian era.

As Flanders writes, our understanding of “what seemed harsh changed over time”. Some Victorian parents held their children’s fingers against hot fireplace grates and cut them with knives, to teach them the dangers of fire and sharp objects. Corporal punishment, even including whipping, was still common, although it gradually vanished over the course of a century.

Children were denied any food that they enjoyed. Food that tasted good enough to be consumed because of desire rather than hunger was considered morally damaging to the young. Eggs, bacon, and other flavorful foods were thought to be the gateway drugs to a life of hedonism and sin.

Even children from prosperous families grew up on a Spartan diet of bread, porridge and watered-down milk. The wealthy Gwen Raveat née Darwin, a granddaughter of Charles Darwin and the daughter of a Cambridge University don, recalled that during her childhood, twice a week she was allowed toast “spread with a thin layer of that dangerous luxury, jam. But of course, not butter too. Butter and jam on the same bit of bread would have been an unheard-of indulgence — a disgraceful orgy.”

Many children had to contend with actual hunger rather than just bland diets, and child labor, often in dangerous conditions, was common. Child labor is not a practice unique to the Victorian era—however linked the two may be in the popular imagination.

It had been ubiquitous since time immemorial and finally began to come under scrutiny during the Victorian age. As the wealth generated by industrialisation started to improve working conditions and wages began to rise, fewer and fewer children worked compared to the past.

None of this is to deny the existence of things worth worrying about today. But parents shouldn’t forget that their kids are growing up in a far safer and gentler world than they would have been just a few generations ago.

This first appeared in CapX.

Morocco World News | Population Demographics

Morocco’s Remarkable Progress in Reducing Child Mortality

“According to the report, the under-five mortality rate in Morocco has declined by an impressive 4.8 percent, dropping from 81 deaths per 1,000 live births in 1990 to 52 in 2000, and further to 17 in 2022.

The report also reveals that the infant mortality rate in Morocco has decreased from 64 deaths per 1,000 infants in 1990 to 15 deaths in 2022. Additionally, the neonatal mortality rate has declined by 3.9 percent, falling from 37 deaths per 1,000 live births in 1990 to 29 deaths in 2000, and reaching 11 in 2022.”

From Morocco World News.

Science | Vaccination

First Malaria Vaccine Slashes Early Childhood Mortality

“In a major analysis in Africa, the first vaccine approved to fight malaria cut deaths among young children by 13% over nearly 4 years, the World Health Organization (WHO) reported last week. The huge evaluation of a pilot rollout of the vaccine, called RTS,S or Mosquirix and made by GlaxoSmithKline, also showed a 22% reduction in severe malaria in kids young enough to receive a three-shot series.”

From Science.

Blog Post | Health & Medical Care

Surprisingly, the World Is Becoming More Equal

Chelsea Follett and Vincent Geloso measure the global decline in income inequality in their comprehensive new paper.

Summary: Contrary to popular belief, global inequality is shrinking across many dimensions of human well-being, including income, lifespan, nutrition, education, internet access, and political liberty. This article presents a new Inequality of Human Progress Index that measures and confirms this trend, arguing that greater global interconnectedness and market liberalization have contributed to increases in equality across the globe.


Read Chelsea Follett and Vincent Geloso’s full paper, “Global Inequality in Well‐​Being Has Decreased across Many Dimensions,” here.

Reading the news or listening to politicians and pundits speak, one could easily get the impression that global inequality is getting worse. But is the widely held belief that the world is becoming less equal true, or is it mistaken? The overwhelming majority of long‐​term trends regarding living standards—ranging from rising life expectancy to declining rates of poverty and hunger—show considerable improvement, even accounting for recent pandemic‐​related setbacks. You can explore the evidence for yourself on websites such as Human​Progress​.org. Have those improvements been widely shared, or have they accumulated mainly to a small population while much of the world is left behind?

That’s what George Mason University economist Vincent Geloso and I set out to discover. What we found is that while global inequality unquestionably still exists, it is in fact shrinking.

Our Inequality of Human Progress Index offers a new way of measuring global inequality. It is more comprehensive than any prior international inequality index, taking into account a greater number of dimensions. We found that in addition to a global decline in income inequality, there have also been declines in lifespan inequality, nutritional inequality, educational inequality, internet access inequality, and political liberty inequality. Around the world, gaps in these areas are shrinking.

Most importantly, there has been a decline in overall global inequality. That result was consistent, even under a variety of specifications that we tested. The data show that across all but two of the areas we examined, the world has become more equal since 1990. The data does not support the narrative of rising worldwide inequality.

The exceptions were infant survival inequality and clean air inequality. While infant mortality has decreased everywhere, it has fallen faster in rich countries with advanced medical technology and neonatal intensive care units. Clean air inequality has also gone up, probably because economic development often results in more pollution during industrialization before falling as a nation attains postindustrial prosperity—a tendency economists call the “environmental Kuznets curve.” Much of the world is still undergoing this transition.

Our research shows that improvements in international development have been both greater and more dispersed than many people realize. While there are still gaps, they are shrinking, and an accurate assessment of current trends is critical as we try to deepen our understanding of the drivers of human progress. The greater global interconnectedness and market liberalization of the past few decades have, it seems, not only raised absolute living standards but also equality. The world is not only better off than is commonly appreciated but also more equal.

This article was originally published at Cato.org. Read Chelsea Follett and Vincent Geloso’s full paper here.

Blog Post | Health & Medical Care

Why Are We So Gloomy?

Our evolved instincts are making us more anxious and depressed than we should be.

Summary: Many young people today are pessimistic about the future of the planet and humanity, believing that environmental degradation, poverty, violence, and inequality are getting worse. However, this gloomy outlook is not supported by the facts, which show remarkable improvements in living standards, health, education, peace, and prosperity over the last century. This article explores why people are so prone to pessimism and how to overcome it by examining the evidence of human progress.


Do you believe that the world is coming to an end? If so, you are not alone.

In 2021, researchers at the University of Bath polled 10,000 young people between the ages of 16 and 25 in Australia, Brazil, Finland, France, Great Britain, India, Nigeria, the Philippines, Portugal, and the United States. The researchers found that, on average, 83 percent of respondents thought that “people have failed to care for the planet.” Seventy-five percent thought that the “future is frightening.” Fifty-six percent thought that “humanity is doomed.” Fifty-five percent thought that they will have “less opportunity than [their] parents.” Finally, 39 percent stated that they were “hesitant to have children.”

The study remains one of the most comprehensive surveys of young people’s perception of the environmental state of the planet. But is this kind of doom warranted? The following global statistics paint an entirely different picture:

Between 1950 and 2020, the average inflation-adjusted income per person rose from $4,158 to $16,904, or 307 percent. Between 1960 and 2019, the average life expectancy, rose from 50.9 years to 72.9 years, or 43.2 percent. (Unfortunately, the pandemic reduced that number to 72.2 years.)

Between 2000 and 2020, the homicide rate fell from 6.85 per 100,000 to 5.77, or 16 percent.

Deaths from inter-state wars fell from a high of 596,000 in 1950 to a low of 49,000 in 2020, or 92 percent (though the war between Russia and Ukraine is bound to increase that number).

The rates of extreme poverty have plummeted, with the share of people living on less than $1.90 per day declining from 36 percent in 1990 to 8.7 percent in 2019. Though, once again, the pandemic has temporarily worsened that number somewhat.

Between 1969 and 2019, the average infant mortality rate per 1,000 live births fell from 89.7 to 20.9, or 77 percent.

Between 1961 and 2018, the daily supply of calories rose from 2,192 to 2,928, or 34 percent. Today, even in Africa, obesity is a growing concern.

The gross primary school enrollment rate rose from 89 percent in 1970 to 100 percent in 2018. The gross secondary school enrollment rate rose from 40 percent to 76 percent over the same period. Finally, the gross tertiary school enrollment rate rose from 9.7 percent to 38 percent.

The literacy rate among men aged 15 and older rose from 74 percent in 1975 to 90 percent in 2018. The literacy rate among women aged 15 and older rose from 56 percent in 1976 to 83 percent in 2018.

In 2018, 90 percent of women between the ages of 15 and 24 were literate. That number was almost 93 percent among men of the same age. The age-old literacy gap between the sexes has all but disappeared.

There is plenty of good news on the global environmental front as well:

The chance of a person dying in a natural catastrophe — earthquake, flood, drought, storm, wildfire, landslide or epidemic — fell by almost 99 percent over the last century.

Between 1982 and 2016, the global tree canopy cover increased by an area larger than Alaska and Montana combined.

In 2017, the World Database on Protected Areas reported that 15 percent of the planet’s land surface was covered by protected areas. That’s an area almost double the size of the U.S.

That year, marine protected areas covered nearly seven percent of the world’s oceans. That’s an area more than twice the size of South America.

There is more good news for the fish: Since 2012, more than half of all seafood consumed came from aquaculture, as opposed to the fish caught in the wild.

And while it is true that the total amount of CO2 emitted throughout the world is still rising, CO2 emissions in rich countries are falling both in totality and on a per capita basis.

With so much good news around us, why are we so gloomy? We have evolved to look out for danger. That was the best way to survive when the world was much more threatening. But, while the world has changed, our genes have not. That’s why the front pages of the newspapers are always filled with the most horrific stories. If it bleeds, it leads.

To make matters worse, the media compete with one another for a finite number of eyeballs. So, presenting stories in the most dramatic light pays dividends. Or, as one study recently found, for a headline of average length, “each additional negative word increased the click-through rate by 2.3%.” And so, in a race to the bottom, all media coverage got much darker over the last two decades.

We are literally scaring ourselves to death, with rates of anxiety, depression and even suicide rising in some parts of the world. To maintain your mental composure and to keep matters in perspective, follow the trendlines, not the headlines. You will discover that the world is in a much better shape than it appears. You will be more cheerful and, most importantly, accurately informed.

This article was originally published at RealClearPolicy on May 31st, 2023.