Give a brief introduction about an important person or study that contributed to the evolution of epidemiology. State why the person/study is important and what the impact on epidemiology was. Please include a reference.
Although epidemiology as a discipline has blossomed since World War - II , epidemiologic thinking has been traced from Hippocrates through John Graunt, William Farr, John Snow, and others.
Circa 400 B.C.
Epidemiology’s roots are nearly 2,500 years old.
Hippocrates attempted to explain disease occurrence from a rational rather than a supernatural viewpoint. In his essay entitled “On Airs, Waters, and Places,” Hippocrates suggested that environmental and host factors such as behaviors might influence the development of disease.
1662
Another early contributor to epidemiology was John Graunt, a London
haberdasher and councilman who published a landmark analysis of
mortality data in 1662. This publication was the first to quantify
patterns of birth, death, and disease occurrence, noting
disparities between males and females, high infant mortality,
urban/rural differences, and seasonal variations.
1800
William Farr built upon Graunt’s work by systematically collecting
and analyzing Britain’s mortality statistics. Farr, considered the
father of modern vital statistics and surveillance, developed many
of the basic practices used today in vital statistics and disease
classification. He concentrated his efforts on collecting vital
statistics, assembling and evaluating those data, and reporting to
responsible health authorities and the general public.
1854
In the mid-1800s, an anesthesiologist named John Snow was
conducting a series of investigations in London that warrant his
being considered the “father of field epidemiology.” Twenty years
before the development of the microscope, Snow conducted studies of
cholera outbreaks both to discover the cause of disease and to
prevent its recurrence. Because his work illustrates the classic
sequence from descriptive epidemiology to hypothesis generation to
hypothesis testing (analytic epidemiology) to application, two of
his investigations gives a detailed sort of epidemiology.
19th and 20th centuries
In the mid- and late-1800s, epidemiological methods began to be
applied in the investigation of disease occurrence. At that time,
most investigators focused on acute infectious diseases. In the
1930s and 1940s, epidemiologists extended their methods to
noninfectious diseases. The period since World War II has seen an
explosion in the development of research methods and the
theoretical underpinnings of epidemiology. Epidemiology has been
applied to the entire range of health-related outcomes, behaviors,
and even knowledge and attitudes. The studies by Doll and Hill
linking lung cancer to smoking and the study of cardiovascular
disease among residents of Framingham, Massachusetts are two
examples of how pioneering researchers have applied epidemiologic
methods to chronic disease since World War II. During the 1960s and
early 1970s health workers applied epidemiologic methods to
eradicate naturally occurring smallpox worldwide. This was an
achievement in applied epidemiology of unprecedented
proportions.
In the 1980s, epidemiology was extended to the studies of injuries and violence. In the 1990s, the related fields of molecular and genetic epidemiology (expansion of epidemiology to look at specific pathways, molecules and genes that influence risk of developing disease) took root. Meanwhile, infectious diseases continued to challenge epidemiologists as new infectious agents emerged (Ebola virus, Human Immunodeficiency virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS)), were identified (Legionella, Severe Acute Respiratory Syndrome (SARS)), or changed (drug-resistant Mycobacterium tuberculosis, Avian influenza). Beginning in the 1990s and accelerating after the terrorist attacks of September 11, 2001, epidemiologists have had to consider not only natural transmission of infectious organisms but also deliberate spread through biologic warfare and bioterrorism.
Today, public health workers throughout the world accept and use epidemiology regularly to characterize the health of their communities and to solve day-to-day problems, large and small.
Give a brief introduction about an important person or study that contributed to the evolution of...
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