EPIB 301 Lecture 2: Lecture 2: History of Epidemiology

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Document Summary

Many contributions of epidemiology to society: framingham study (risk factors for cvd): long-term ongoing cardiovascular study on town of framingham, ma. Huge contribution to current understanding of effects of smoking, diet, etc: epidemiologic intelligence service. Eis officers aid in rapid response to domestic/public health needs: infections/non-infectious diseases, injury prevention, environmental health, occupational health. Physicians, veterinarians, scientists: pu(cid:271)li(cid:272)ation of u. s. Surgeon general"s report smoking and health: identified deleterious effects of smoking on health: current conceptual movements: Eco-social perspective on population health suggests policies, institutions, characteristics of context contribute to the shaping of health. Individual risk/population health, pathophysiologic pathways, genetic factors, social relationships, living conditions, neighborhood/community, institution, social/economic policy, environment. Life course perspective determinants of health are distributed across life course and even before conception. Accumulative effect of exposure, genetic susceptibility, etc. Use of epidemiology: historical use: documents patterns, types, causes of morbidity/mortality over time. Ex: decline in the rate of infectious disease mortality between 1900 and.

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