Abstract: In the present paper, the theory of the Epidemiologic Transition is applied to describe the population and health dynamics in the United States during the last century. The data presented indicate that the U.S. experience belongs to what is referred to as the “Classical” model. The mortality decline in the U.S. occurred during the latter 19th century and marked a shift from pandemics of infection to degenerative and man-made diseases. The transition favored children more than the old, females more than males, and whites more than nonwhites. Mortality decline in 19th century U.S. owed little to medical progress, sanitation measures, or organized health services. More important determinants were improvements in living standards, personal hygiene, nutrition, housing, and ecologic recession of certain diseases. Fertility in the U.S. started to decline toward the end of the 19th century, a decline that was primarily socially determined. In recent decades, however, the organized element has become visible. The theory of the Epidemiologic Transition can be applied to other populations as well and can be helpful in determining the directions to take in efforts to control population growth. The fact that the theory distinguishes three different models of the transition alerts population students and policymakers to the fallacy of applying the population dynamics and solutions of one model to countries belonging to a different model.

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{{Explor lien
   |wiki=    Sante
   |area=    PandemieGrippaleV1
   |flux=    Istex
   |étape=   Corpus
   |type=    RBID
   |clé=     ISTEX:1769F25FAD0FCD8EEB31F0343611010AB6D6AB6C
   |texte=   A century of epidemiologic transition in the United States
}}