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Three stages in history with respect to mortality (Omran 1971)

• Stage 1: Age of Pestilence and Famine
• Existed for 1000s of years (and still exists in some areas)
• Poor nutrition & sanitation , unclean drinking water
• Continuous epidemics of acute infections diseases
• Life expectancy between 20-40 years

• Stage 2: Age of Receding Pandemics
• transition stage in the late 1800s and early 1900s
• Improvements in public health
Medical knowledge (Germ theory of diseases)
• Addressing population issues (sanitation, food availability, etc.)
• US Life expectancy at birth in 1900: 47.3 years
• Mortality shifts from infectious disease to chronic degenerative diseases

• Stage 3: Age of Degenerative and Human-Made Diseases
• Mid 1900s to present
• low death rates from infectious disease (in some areas)
• Mortality due to degenerative diseases
• Life expectancy at birth
• 2016 United States: 78.7 years
• 2016 Global: 72 years

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Which of the following is an example of a credential?

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In which century did public education emerge in the United States?

The first public normal school in the United States was founded shortly thereafter in 1839 in Lexington, Massachusetts. Both public and private “normals” initially offered a two-year course beyond the secondary level, but by the twentieth century, teacher-training programs required a minimum of four years.

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