Effects at the Domestic State Level Demographic

Infectious disease may generate significant negative outcomes for human health, ranging from debilitation to the death of the human host. Such outcomes range from a sickened population to widespread mortality and the consequent contraction of the population, or the pathogen-specific contraction of defined age cohorts within a given population. For example, the mortality generated by HIV/AIDS is most pronounced in the 15-45 age cohort. Epidemics may also generate pressures for rapid out-migration from affected areas, as people attempt to flee the source of the infection. Of the case studies, HIV/AIDS exhibits profound negative impacts in the domain of demography, particularly as it continues to destroy entire cohorts of young adults and leaves behind massive orphan populations in a climate of destitution. The global demographic impact of the 1918 pandemic influenza was equally significant (at circa

50 million dead), again with a concentration of mortality in the cohort of young (and previously healthy) adults. Conversely, both the SARS epidemic and the BSE/VCJD epidemics have both exhibited relatively minor levels of morbidity and mortality.

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