The US tuberculosis (TB) movement pioneered many of the strategies of modern public health campaigns. Using newly transcribed mortality data at the municipal level for the period 1900–1917, we explore the effectiveness of public health measures championed by the TB movement, including the establishment of sanatoriums and open-air camps, prohibitions on public spitting and common cups, and requirements that local health officials be notified about TB cases. Our results suggest that these and other anti-TB measures can explain, at most, only a small portion of the overall decline in pulmonary TB mortality observed during the period under study. (JEL H51, I12, I18, N31, N32)
NBER working papers are circulated for discussion and comment purposes. They have not been peer-reviewed or been subject to the review by the NBER Board of Directors that accompanies official NBER publications.
A new methodology for universal accessibility is proposed to identify barriers in public transport accessibility and travel experience. The methodology focuses on the travel experience of people with disabilities and people with temporary restrictions in physical mobility. The methodology not only focuses on aspects of the planning, design, and operation of public transport systems, but also emphasizes sensitive aspects of user experience, considering satisfaction and emotions. The methodology maps tavel experiences using ethnographic methods and provides a graphical depiction of the trip. This helps in identifying key elements for improving accessibility when planning, implementing, and operating public transport systems. The methodology has two parts: (i) traveling along and observing a complete and common trip of people with a permanent or temporary disability or mobility restrictions, and (ii) analyzing and observing the travel experience. The methodology was applied in Bogotá, Santiago de Chile, and Medellín. The results of the methodology allowed us to formulate policy recommendations to improve the transportation systems of these cities in the short, medium, and long term. The methodology is applicable to other transit systems.
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