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Thank you for the opportunity to respond to Dr Granados’ misunderstanding of our paper.1
First, we cannot envisage any plausible mechanism explaining the short-term relationship between the Great Depression and cancer outcomes he describes. Although healthcare can now improve survival for some cancers, and a recession might affect access to care, the Great Depression predated the widespread use of effective cancer treatments.
Second, turning to infectious diseases, our recent systematic review found that the mechanisms linking economic changes to infectious diseases are complex and time-varying,2 but we cannot identify a plausible …