By A. Marx (auth.)
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Extra resources for Annals of Life Insurance Medicine: 1967 Volume III
7] International gains in longevity after midlife. Statistical Bulletin, Metropolitan Life Insurance Company 45, 1 (1964).  Life expectation in India. Lancet 2, 1373 (1963).  Union statistics (1910-1960) for fifty years. Bureau of Census and Statistics, Union of South Africa, 1960. : Nutritional research and the insurance companies. Lecture delivered to the Assurance Medical Society, London, May, 1963. (11] Atlas of diseases. New York: American Geographical Society 1955.  MAY, J. : Ecology of disease.
In such cases the usual extra mortality suggested for any specific impairment in rating manuals designed for highly developed European or North American countries would be completely unrealistic and the underwriter cannot work on the same assumptions. Differences in disease incidence among different population groups may be inherent in any particular group, or may be environmental. In large areas of Africa tropical diseases such as recurrent malaria and bilharzia are rife and not only cause an increased mortality on their own, but, by lowering resistance to other diseases, increase the mortality from secondary infections or other complications.
Inadequacy of medical care, lack of hygiene due to ignorance, and superstitious beliefs account for a generally higher mortality in primitive races, but it may be expected that with the present rapid spread of knowledge and education the mortality among such populations will decrease rapidly and the differences in expectation of life in the tropics and temperate zones and between different races in the same country will rapidly diminish. In fact, in many emerging areas increase in life expectancy is rapidly approaching that of the developed areas [IJ.
Annals of Life Insurance Medicine: 1967 Volume III by A. Marx (auth.)