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Mortality Decline in Cuba, 1900–1959: Patterns, Comparisons, and Causes

Published online by Cambridge University Press:  05 October 2022

James W. McGuire and
Laura B. Frankel
James W. McGuire
Affiliation:
Wesleyan University
Laura B. Frankel
Affiliation:
Wolfson College, University of Oxford
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Abstract

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Revolutionary Cuba since 1959 has outpaced most other Latin American countries at raising life expectancy and reducing infant mortality. Pre-revolutionary Cuba from 1900 to 1959 did even better, however, outperforming all other Latin American countries for which data are available. Pre-revolutionary Cuba became Latin America's unlikely champion of mortality decline despite experiencing slow economic growth and high income inequality, a record that is inconsistent with the “wealthier is healthier” interpretation of mortality reduction. It also achieved this distinction despite being ruled by governments that are sometimes portrayed as corrupt, personalistic, patronage-ridden, subordinate to U.S. business interests, and neglectful, at best, of the exploited and downtrodden. We attribute pre-revolutionary Cuba's rapid mortality decline to its health care system's accessibility to a large fraction of the poor and to features of the island's history, geography, labor union movement, and political system that contributed to this accessibility.

Resumen

Resumen

Desde 1959, Cuba revolucionaria ha superado a casi todos los países latinoamericanos en el incremento de la expectativa de vida y la reducción de la mortalidad infantil. Sin embargo, desde 1900 hasta 1959, Cuba pre-revolucionaria fue más exitosa aún, superando a todos los países latinoamericanos con los que se cuenta información. Cuba pre-revolucionaria se convirtió en el campeón latinoamericano del declive de la mortalidad a pesar de sufrir un lento crecimiento económico y una alta inequidad en el ingreso; un récord que es inconsistente con la interpretación “más rico, más saludable” sobre la reducción de la mortalidad. A su vez, Cuba alcanzó esa distinción a pesar de haber estado bajo gobiernos en muchos casos tildados de corruptos, personalistas, manejados por el patronazgo político, subordinados a intereses norteamericanos, y negligentes, en el mejor de los casos, de los explotados y de los oprimidos. Atribuimos este rápido declive de la mortalidad en Cuba pre-revolucionaria a un alto nivel de acceso al sistema de salud por un gran segmento de los pobres, y a las características de la historia de la isla, su geografía, su movimiento obrero y su sistema político.

Information

Type
Research Article
Information
Latin American Research Review , Volume 40 , Issue 2 , June 2005, pp. 83 - 116
Copyright
Copyright © 2005 by the University of Texas Press

Footnotes

*

The Harvard Center for Population and Development Studies and a Christian A. Johnson Endeavor Foundation Research Apprenticeship at Wesleyan University provided generous support for this research. We are particularly grateful for comments and suggestions by Juan Carlos Albizu-Campos Espiñeira, Lorena Barberia, Arachu Castro, Sergio Díaz-Briquets, Jorge Domínguez, Susan Eckstein, Julie Feinsilver, Richard Garfield, Steven Levitsky, Carmelo Mesa-Lago, and Michael Reich; by the LARR editors; by three anonymous LARR referees; and by participants in a March 2003 seminar at the Harvard Center for Population and Development Studies, a March 2003 panel at the Latin American Studies Association meeting in Dallas, and a December 2003 seminar at the David Rockefeller Center for Latin American Studies at Harvard. We also thank the staff of the Interlibrary Loan Office at Wesleyan University for helping us to obtain research materials. The authors take responsibilty for any error of fact or interpretation.

References

Alba, Victor 1968 Politics and the Labor Movement in Latin America. Stanford, CA: Stanford University Press.Google Scholar
Alonso, José F., Donate-Armada, Ricardo A., and Lago, Armando M. 1994 “A First Approximation Design of the Social Safety Net for a Democratic Cuba.” In Cuba in Transition, Vol. 4. Proceedings of the Fourth Annual Meeting of the Association for the Study of the Cuban Economy (ASCE), Florida International University, Miami, FL, August 11–13, 1994. http://lanic.utexas.edu/la/cb/cuba/asce/cuba4/ (accessed March 2003).Google Scholar
Astorga, Pablo, and FitzGerald, Valpy 1998 “The Standard of Living in Latin America During the Twentieth Century.” Centro Studi Luca D'Agliano—Queen Elizabeth House Development Studies Working Paper No. 117, St. Antony's College, University of Oxford.Google Scholar
Barraclough, Solon 2000 “Protecting Social Achievements during Economic Crisis in Cuba.” In Social Development and Public Policy: Some Lessons from Successful Experiences, edited by Chai, Dharam, 229–76. London and New York: St. Martin's Press and United Nations Research Institute for Social Development.Google Scholar
Batista, Fulgencio 1961 Piedras y leyes. México, DF: Ediciones Botas.Google Scholar
Benjamin, Medea, Collins, Joseph, and Scott, Michael 1984 No Free Lunch: Food and Revolution in Cuba. San Francisco, CA: Institute for Food and Development Policy.Google Scholar
Brundenius, Claes 1979 “Measuring Income Distribution in Pre- and Post-Revolutionary Cuba.” Cuban Studies/Estudios Cubanos 9 (2): 29–44., (July).Google Scholar
Brundenius, Claes 1984 Revolutionary Cuba: The Challenge of Economic Growth with Equity. Boulder, CO: Westview Press.Google Scholar
Bureau of Inter-American Affairs 2002 “Zenith and Eclipse: A Comparative Look at Socio-Economic Conditions in Pre-Castro and Present Day Cuba.” Rev. ed. http://www.state.gOv/p/wha/ci/14776.htm (accessed February 9, 2003).Google Scholar
Caldwell, John C. 1986 “Routes to Low Mortality in Poor Countries.” Population and Development Review 12 (2): 171–220. (June).CrossRefGoogle Scholar
Caldwell, John C., and Caldwell, Pat 1993 “Women's Position and Child Mortality and Morbidity in Less Developed Countries.” In Women's Position and Demographic Change, edited by Federici, Nora, Karen Oppenheim Mason, and Sogne, S⊘lvi, 122–39. New York, NY: Oxford University Press.Google Scholar
Calvó Fonseca, Rafael, Barrientos, Alejandro, Ortega, Francisco, and Radelat, Juan L. 1952 Rural Sanitation. Document CIH/6 Eng. First Inter-American Congress of Public Health. Transactions and Symposia. Havana.Google Scholar
Cárdenas Rivero, Yairys, Cruz, Mileydis Izquierdo Santa, Ferra, Yohandra Crespo, Díaz, Yuleydis Felix, and Hernández, Yudeisy Rodríguez 2001 “Comportamiento de los recien nacidos de muy bajo peso en el Hospital Docente Ginecoobstétrico de Guanabacoa.” Paper prepared for the II Jornada Científica Estudiantil Virtual de Ciencias Médicas, April 18–May 15, 2001. Facultad de Ciencias Médicas, Universidad de La Habana. http://fcmfajardo.sld.cu/jornada/trabajos/comp_recien/Trabajo.htm (accessed April 5, 2003).Google Scholar
Carnell, Brian 2002 “Cuba vs. the United States on Infant Mortality.” http://www.skepticism.net/print/articles/2002/000022.html (accessed February 6, 2003).Google Scholar
Catasus Cervera, Sonia, and Castellón, Raúl Hernández 1977 “Algunas consideraciones en torno a la mortalidad infantil en Cuba.” Revista Cubana de Administración de Salud 3 (3): 281–88. (July–September).Google Scholar
Centro de Estudios Demográficos 1976 La población de Cuba. Havana: Editoral de Ciencias Sociales.Google Scholar
CEPAL/CELADE [Comisión Económica para América Latina y el Caribe/Centro Latinoamericano y Caribeño de Demografía] 2002 “América Latina y Caribe: Estimaciones y Proyecciones de Población 1950–2050.” Demographic Bulletin 35 (69): (January).Google Scholar
Chomsky, Aviva 2000 “‘The Threat of a Good Example’: Health and Revolution in Cuba.” Dying for Growth: Global Inequality and the Health of the Poor, edited by Jim Yong Kim, Irwin, Alec, Millen, Joyce, and John Gershman Monroe, 331–57. ME: Common Courage Press.Google Scholar
Collver, O. Andrew 1965 Birth Rates in Latin America: New Estimates of Historical Trends and Fluctuations. Research Series No. 7. Berkeley, CA: Institute of International Studies, University of California.Google Scholar
Cuba 1943 Informe general del censo de 1943. La Habana: P. Fernández.Google Scholar
Cuba. JUCEPLAN [Junta Central de Planificación] 1975 Las estadísticas demográficas cubanas. La Habana: Editorial de Ciencias Sociales.Google Scholar
Cuba. JUCEPLAN/DCE [Junta Central de Planificación, Dirección Central de Estadística] 1974 Anuario estadístico de Cuba 1974. La Habana: JUCEPLAN/DCE.Google Scholar
Daniels, Norman, Kennedy, Bruce, and Kawachi, Ichiro 2000 Is Inequality Bad for Our Health? Boston, MA: Beacon Press.Google Scholar
Danielson, Ross 1979 Cuban Medicine. New Brunswick, NJ: Transaction Books.Google Scholar
Debasa, Jorge, and Quiñones, Fernando González 1971 “Cuba: Los componentes de la mortalidad entre 1919–1954. Utilidad de la proyección de la mortalidad.” Serie C, No. 132. September. Santiago, Chile: Centro Latinoamericano de Demografía (CELADE).Google Scholar
Deininger, Klaus, and Squire, Lyn 1998 “Measuring Income Inequality: A New Database.” Washington, DC: World Bank, Policy Research Department. http://www.worldbank.org/research/growth/deisqu2.zip (accessed May 8, 2001).Google Scholar
Díaz-Briquets, Sergio 1981 “Determinants of Mortality Transition in Developing Countries Before and After the Second World War: Some Evidence from Cuba.” Population Studies 35 (3): 399–411. (November).CrossRefGoogle ScholarPubMed
Díaz-Briquets, Sergio 1983 The Health Revolution in Cuba. Austin, TX: University of Texas Press.Google Scholar
Díaz-Briquets, Sergio 1986 “How to Figure Out Cuba: Development, Ideology and Mortality.” Caribbean Review 15 (2): 8–11. and 39–42 (Spring).Google ScholarPubMed
Díaz-Briquets, Sergio 2003 Personal communication, April 15.Google Scholar
Díaz-Briquets, Sergio, and Pérez, Lisandro 1982 “Fertility Decline in Cuba: A Socioeconomic Interpretation.” Population and Development Review 8 (3): 515–37. (September).CrossRefGoogle Scholar
Domínguez, Jorge 1978 Cuba: Order and Revolution. Cambridge, MA: Harvard University Press.Google Scholar
Domínguez, Jorge 2003 Personal communication, August 6.Google Scholar
Drèze, Jean, and Sen, Amartya K. 1989 Hunger and Public Action. Oxford: Clarendon Press.Google Scholar
Easterlin, Richard A. 1996 Growth Triumphant: The Twenty-first Century in Historical Perspective. Ann Arbor: University of Michigan Press.CrossRefGoogle Scholar
Eberstadt, Nicholas 1986 “Did Fidel Fudge the Figures? Literacy and Health: The Cuban Model.” Caribbean Review 15 (2): 5–7. and 37–38 (Spring).Google ScholarPubMed
Eckstein, Susan 1994 Back from the Future: Cuba under Castro. Princeton, NJ: Princeton University Press.Google Scholar
Eckstein, Susan, and Barberia, Lorena 2002 “Grounding Immigrant Generations in History: Cuban-Americans and Their Transnational Ties.” International Migration Review 36 (3): 799–837. (Fall).CrossRefGoogle Scholar
Enríquez Clavelo, José O., Popa, Olga María López, Marrero, Lina Noa, Ramírez, Maribel Alonso, and Pou, Miriam Mildestein. 1999 “Recién nacido de my bajo peso: Frecuencia de nacimiento, mortalidad y supervivencia.” Medicentro 3 (1). http://capiro.vcl.sld.cu/medicentro/v3n199/rec.html (accessed April 5, 2003).Google Scholar
Farnos Morejón, Alfonso 1977 “Los niveles de mortalidad en Cuba durante el siglo XX.” Revista Cubana de Administración de Salud 3 (4): 351–63. (October-December).Google Scholar
Feinsilver, Julie 1993 Healing the Masses: Cuban Health Politics at Home and Abroad. Berkeley, CA: University of California Press.CrossRefGoogle Scholar
Filmer, Deon, and Pritchett, Lant 1999 “The Impact of Public Spending on Health: Does Money Matter?” Social Science and Medicine 49 (10): 1309–1323. (November).CrossRefGoogle ScholarPubMed
Flegg, A. T. 1982 “Inequality of Income, Illiteracy and Medical Care as Determinants of Infant Mortality in Underdeveloped Countries.” Population Studies 36 (3): 441–53. (November).CrossRefGoogle ScholarPubMed
Foreign Policy Association 1935 Problems of the New Cuba. New York, NY: Foreign Policy Association.Google Scholar
Garfield, Richard M. 1989 “War-Related Changes in Health and Health Services in Nicaragua.” Social Science & Medicine 28 (7): 669–76.CrossRefGoogle ScholarPubMed
Gonzalez Quiñones, Fernando, and Debasa, Jorge 1970 Cuba: Evaluación y ajuste del censo de 1953 y las estadísticas de nacimientos y defunciones entre 1943 y 1958. Tabla de mortalidad, por sexos, 1952–54. Serie C, No. 124 (June). Santiago, Chile: Centro Latinoamericano de Demografía (CELADE).Google Scholar
González Quiñones, Fernando R., and Ramos Piñol, Oscar R. 1996 Cuba: Balance e indicadores demográficos estimados del período 1900–1959. La Habana: Centro de Estudios Demográficos, Universidad de la Habana.Google Scholar
Heck, K. F., Schoendorf, K. C., and Parker, J. 1999 “Are Very Low Birthweight Births among American Indians and Alaska Natives Underregistered?” International Journal of Epidemiology 28 (6): 1096–1011. (December).CrossRefGoogle ScholarPubMed
Henshaw, Stanley K., Singh, Susheela, and Haas, Taylor 1999 “The Incidence of Abortion Worldwide.” International Family Planning Perspectives 25 (Supplement): S30–S38 (January).CrossRefGoogle ScholarPubMed
Hernández, Roberto F. 1969 “La atención médica en Cuba hasta 1958.” Journal of Inter-American Studies 11 (4): 533–57. (October).CrossRefGoogle Scholar
Hertzman, Clyde 2001 “Health and Human Society.' American Scientist 89 (6): 538–45. (November–December).CrossRefGoogle Scholar
Heston, Alan, Summers, Robert, and Aten, Bettina 2002 Penn World Table Version 6.1. Center for International Comparisons at the University of Pennsylvania (CICUP), October 2002. http://pwt.econ.upenn.edu (accessed October 20, 2002).Google Scholar
Hill, Kenneth E. 1983 “Appendix 1: An Evaluation of Cuban Demographic Statistics, 1938–1980.” In “Fertility Determinants in Cuba,” by Paula E. Hollerbach and Sergio Díaz-Briquets. Working Paper No. 102, Center for Policy Studies. New York, NY: The Population Council.Google Scholar
Hill, Kenneth E. 1991 “Approaches to the Measurement of Child Mortality: A Comparative Review.” Population Index 57 (3): 368–82. (Fall).CrossRefGoogle Scholar
Hill, Kenneth E. et al. 1999 Trends in Child Mortality in the Developing World: 1960–1996. New York: UNICEF.Google Scholar
Hollerbach, Paula E., and Díaz-Briquets, Sergio 1983 “Fertility Determinants in Cuba.” With an Appendix by Kenneth Hill. Working Paper No. 102, Center for Policy Studies. New York, NY: The Population Council.Google Scholar
Howell, Embry M., and Blondel, Béatrice 1994 “International Infant Mortality Rates: Biases from Reporting Differences.” American Journal of Public Health 84 (5): 850–852. (May).CrossRefGoogle ScholarPubMed
IBRD [International Bank for Reconstruction and Development] 1951 Report on Cuba: Findings and Recommendations of an Economic and Technical Mission. Washington, DC: IBRD.Google Scholar
Kochanek, Kenneth D., and Martin, Joyce A. 2004 “Supplemental Analyses of Recent Trends in Infant Mortality.” Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/infantmort/infantmort.htm (accessed June 16, 2004).Google Scholar
Kramer, M.S., Platt, R.W., Yang, H., Haglund, B., Cnattingius, S., and Bergsjo, P. 2002 “Registration Artifacts in International Comparisons of Infant Mortality.” Pediatric and Perinatal Epidemiology 16 (1): 16–22. (January).CrossRefGoogle ScholarPubMed
Landstreet, Barent F. Jr. 1976 “Cuban Population Issues in Historical and Comparative Perspective.” PhD Diss. Latin American Studies Program Dissertation Series No. 75. May. Cornell University.Google Scholar
Lewis, Oscar, Lewis, Ruth M., and Rigdon, Susan M 1977 Four Women: Living the Revolution, An Oral History of Contemporary Cuba. Urbana, IL: University of Chicago Press.Google Scholar
Lockmiller, David A. 1938 Magoon in Cuba: A History of the Second Intervention, 1906–1909. Chapel Hill, NC: University of North Carolina Press.Google Scholar
Losada, Abel F. 1999 Cuba: Población y economía entre la independencia y la revolución. Barcelona: Universidade de Vigo, Servicio de Publicaciones.Google Scholar
Luzón, José Luis 1987 Economía, población, y territorio en Cuba 1899–1983. Madrid: Ediciones Cultura Hispánica del Instituto de Cooperación Iberoamericana.Google Scholar
MacGaffey, Wyatt, and Barnett, Clifford R. 1962 Cuba: Its People, Its Society, Its Culture. New Haven, CT: Human Relations Area Files.Google Scholar
Maddison, Angus 1995 Monitoring the World Economy 1820–1992. Paris: Organisation for Economic Co-Operation and Development.Google Scholar
McGuire, James W. 1999 “Labor Union Strength and Human Development in East Asia and Latin America.” Studies in Comparative International Development 33 (4): 3–34. (Winter)CrossRefGoogle Scholar
McGuire, James W. 2001 “Social Policy and Mortality Decline in East Asia and Latin America.” World Development 29 (10): 1673–1697. (October).CrossRefGoogle Scholar
McGuire, James W. 2002 “Democracy, Social Provisioning, and Under-5 Mortality: A Cross-National Analysis.” Prepared for delivery at the 2002 Annual Meeting of the American Political Science Association, Boston, MA, August 29-September 1. http://condor.wesleyan.edu/jmcguireGoogle Scholar
McGuire, James W., and Frankel, Laura B. 2004 “Dimensions and Determinants of Mortality Decline in Pre-Revolutionary Cuba.” Working Paper, Series 14 (6): (October). Harvard Center for Population and Development Studies. http://www.hsph.harvard.edu/hcpds/workingpapers.htmlGoogle Scholar
Mehrotra, Santosh 1997 “Human Development in Cuba: Growing Risk of Reversal.” In Development with a Human Face: Experiences in Social Achievement and Economic Growth, edited by Mehrotra, Santosh and Jolly, Richard, 384–417. Oxford: Clarendon Press.Google Scholar
Mesa-Lago, Carmelo 1969 “Availability and Reliability of Statistics in Socialist Cuba.” Latin American Research Review 4 (1): 53–91.Google Scholar
Mesa-Lago, Carmelo 1981 The Economy of Socialist Cuba: A Two-Decade Appraisal. Albuquerque, NM: University of New Mexico Press.Google Scholar
Mesa-Lago, Carmelo 2000 Market, Socialist, and Mixed Economies: Comparative Policy and Performance—Chile, Cuba, and Costa Rica. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Navarro Ruíz, Maribel, and Molina Hernández, Orlando R. 1999 “Hospital Ginecoobstétrico Provincial Docente ‘Mariana Grajales,‘ Santa Clara, Villa Clara. Factores asociados a la mortalidad neonatal.” Medicentro 3 (2). http://capiro.vcl.sld.cu/medicentro/v3n299/fact.htm (accessed April 5, 2003).Google Scholar
Nelson, Lowry 1950 Rural Cuba. Minneapolis, MN: University of Minnesota Press.Google Scholar
Núñez Machín, Ana 1981 Memoria amarga del azúcar. La Habana: Editorial de Ciencias Sociales.Google Scholar
O'Connor, James R. 1964 “The Political Economy of Pre-Revolutionary Cuba.” PhD Diss., Department of Economics, Columbia University. Ann Arbor, MI: University Microfilms International.Google Scholar
Osa, José A. de la 2002 “¡6,2! Mortalidad infantil en Cuba en el 2001.” Granma 2 January 2002. http://www.granma.cubaweb.cu/2002/01/02/nacional/articulo13.html (accessed February 14, 2002).Google Scholar
Osa, José A. de la 2003 “Mortalidad infantil en el 2002: ¡6,5!” Granma 8 January 2003. http://www.granma.cubaweb.cu/2003/01/08/index.html (accessed February 14, 2002).Google Scholar
PAHO [Pan American Health Organization] 1988 Los servicios de salud en las Américas: Análisis de indicadores básicos. Cuaderno Técnico No. 14. Washington, DC: PAHO.Google Scholar
Pritchett, Pant, and Summers, Lawrence H. 1996 “Wealthier is Healthier.” Journal of Human Resources 31 (4): 841–868. (Fall).CrossRefGoogle Scholar
Rios Vlassabot, N. E. 1983 “Sistemas de información de estadísticas vitales en Cuba.” Revista Cubana de Administración de Salud 9 (1): 16–31. (January-March).Google Scholar
Riverón Corteguera, Raúl 1996 “Neonatal Mortality in Cuba, 1970–1993.” International Child Health 7 (4): 35–48. (October).Google Scholar
Roberts, C. Paul, and Hamour, Mukhtar, eds. 1970 Cuba 1968: Supplement to the Statistical Abstract of Latin America. Statistical Abstract of Latin America Supplement Series, No. 1. Los Angeles, CA: Latin American Center, University of California, Los Angeles.Google Scholar
Roemer, Milton I. 1991 National Health Systems of the World. Vol. 1, The Countries. New York, NY: Oxford University Press.Google Scholar
Rojas Ochoa, Francisco, and Texidó, Carlos Sánchez 1977 “Cobertura y calidad de la información estadística sobre la mortalidad perinatal en Cuba.” Boletín de la Oficina Sanitaria Panamericana 82 (4): 334–43. (April).Google Scholar
Santana, Sarah 1988 “Some Thoughts on Vital Statistics and Health Status in Cuba.” In Cuban Political Economy, edited by Zimbalist, Andrew, 107–18. Boulder, CO, and London: Westview Press.Google Scholar
Scarpaci, Joseph L. 1988 Primary Medical Care in Chile: Accessibility Under Military Rule. Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
Schroeder, Susan 1982 Cuba: A Handbook of Historical Statistics. Boston, MA: G. K. Hall and Co.Google Scholar
Schwartz, Rosalie 1997 Pleasure Island: Tourism and Temptation in Cuba. Lincoln, NE: University of Nebraska Press.Google Scholar
Solomon, Lawrence 2003 “Castro's Dupes.” CubaNet News, Inc. (Coral Gables, FL), February 4, 2003. http://www.cubanet.org/CNews/y03/feb03/04e4.htm (accessed February 11, 2003).Google Scholar
Spielman, Andrew, and D'Antonio, Michael 2001 Mosquito: A Natural History of Our Most Persistent and Deadly Foe. New York, NY: Hyperion.Google Scholar
Thomas, Hugh 1971 Cuba: The Pursuit of Freedom. New York, NY: Harper and Row.Google Scholar
Ugalde, Antonio, Selva-Sutter, Ernesto, Castillo, Carolina, Carolina, Paz, and Cañas, Sergio 2000 “Conflict and Health. The Health Costs of War: Can They Be Measured? Lessons from El Salvador.” British Medical Journal 321 (7254): 169–172. (July 15).CrossRefGoogle ScholarPubMed
UNICEF (United Nations Children's Fund) 1997 State of the World's Children. New York, NY: Oxford University Press. http://www.unicef.org/sowc97/download.htm (accessed June 21, 2001).Google Scholar
United Nations 1955 Handbook of Vital Statistics Methods. UN Document ST/STAT/Ser.F/7. New York, NY: United Nations Department of Economic and Social Affairs.Google Scholar
United Nations 1992 Child Mortality since the 1960s: A Database for Developing Countries. New York: United Nations, Department of Economic and Social Development, Population Division.Google Scholar
United Nations 2000 Demographic Yearbook, Historical Supplement. CD-ROM.Google Scholar
United States. CDC (Centers for Disease Control and Prevention) 2002 Health, United States, 2002. With Chartbook on Trends in the Health of Americans. Hyattsville, MD: National Center for Health Statistics. Accessed February 23, 2003, at http://www.cdc.gov/nchs/hus.htmGoogle Scholar
United States Congress. Office of Technology Assessment 1994 International Health Statistics: What the Numbers Mean for the United States. Background Paper OTA-BP-H-1 16. September. Washington, DC: U.S. Government Printing Office.Google Scholar
Wheeler, Tim 1997 “The Children of Jose Martí.” People's Weekly World [Communist Party USA], January 25, 1997. Accessed February 7, 2003, at http://www.hartford-hwp.com/archives/43b/089.htmlGoogle Scholar
Wilkie, James W., Alemán, Eduardo, and Ortega, José Guadalupe, eds. 1999 Statistical Abstract of Latin America. Vol. 35. Los Angeles, CA: UCLA Latin American Center Publications.Google Scholar
Wilkinson, Richard G. 2001 Mind the Gap: Hierarchies, Health, and Human Evolution. New Haven: Yale University Press.Google Scholar
World Bank 2002 World Development Indicators on CD-ROM. Washington, DC: World Bank.Google Scholar
Zanetti, Oscar and García, Alejandro 1976 United Fruit Company, un caso del dominio imperialista en Cuba. La Habana: Editorial de Ciencias Sociales.Google Scholar