- David Barker, professor (djpb@mrc.soton.ac.uk)1
- 1University of Southampton, Developmental Origins of Health and Disease Centre, Princess Anne Hospital, Southampton SO16 5YA
Finding an archive of health records is one thing—and being able to talk your way into accessing them may depend on coincidence
Development of the hypothesis that adverse conditions in utero and during infancy increase the risk of cardiovascular disease in later life required epidemiological studies of a kind never undertaken before. It was necessary to find records of birth weight and living conditions during infancy for people born at least 60 years ago and to link these to their current cardiovascular health. After a search lasting several years, a large collection of records came to light in Hertfordshire. The existence of this collection was due to the foresight of one midwife, Ethel Margaret Burnside. Getting access to the records, however, was down to a fortunate coincidence, and the subsequent research probably would not be possible today.
Hertfordshire records
At the beginning of the 20th century, there was widespread concern about the physical deterioration of the British people. One in 10 infants died before they were a year old, and many of those who survived reached adult life in poor health. During 1902, reports in the national press claimed that up to two thirds of the young men who volunteered to fight in the Boer War in South Africa (1899 to 1902) had been rejected because of unsatisfactory physique. An interdepartmental committee set up in 1903 drew a shocking picture of the nation's children—malnourished, poorly housed, and deprived. Moreover, the birth rate was falling. The medical officer of health for Hertfordshire at around this time stated:
Hertfordshire does less than forty out of the fifty-five counties to perpetuate the national stock; for England and Wales the birth-rate has for thirty-three years been steadily declining, only two Continental countries (Belgium and France) having lower birth-rates, while that for Japan is increasing and is …
Sign in
Personal subscribers, sign in here:
Article access
Article access for 1 day
Purchase this article for £20 $30 €32*
The PDF version can be downloaded as your personal record
CiteULike
Connotea
Del.icio.us
Digg
Facebook
Reddit
Technorati
Twitter
Stumbleupon
Rapid responses
Latest Responses
The decline in the breast cancer incidence is 1.2% and it is not significant.
Published 10 February 2012
'twas ever thus
Published 10 February 2012
The value of historic human remains
Published 10 February 2012
In Praise of British Literature
Published 10 February 2012
Is real shared decision making possible?
Published 10 February 2012
Most responses
Does anyone understand the government’s plan for the NHS? (17 responses)
Published 17 Jan 2012
Bad medicine: medical nutrition (15 responses)
Published 18 Jan 2012
Shared decision making: really putting patients at the centre of healthcare (7 responses)
Published 27 Jan 2012
Why legislation is necessary for my health reforms (7 responses)
Published 1 Feb 2012
Search for evidence goes on (5 responses)
Published 17 Jan 2012