Lesson 1: Introduction to Epidemiology
Summary, References, and Websites
As the basic science of public health, epidemiology includes the study of the frequency, patterns, and causes of health-related states or events in populations, and the application of that study to address public health issues. Epidemiologists use a systematic approach to assess the What, Who, Where, When, and Why/How of these health states or events. Two essential concepts of epidemiology are population and comparison. Core epidemiologic tasks of a public health epidemiologist include public health surveillance, field investigation, research, evaluation, and policy development. In carrying out these tasks, the epidemiologist is almost always part of the team dedicated to protecting and promoting the public's health.
Epidemiologists look at differences in disease and injury occurrence in different populations to generate hypotheses about risk factors and causes. They generally use cohort or case-control studies to evaluate these hypotheses. Knowledge of basic principles of disease occurrence and spread in a population is essential for implementing effective control and prevention measures.
References
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- Wagner MM, Tsui FC, Espino JU, Dato VM, Sittig DF, Caruana FA, et al. The emerging science of very early detection of disease outbreaks. J Pub Health Mgmt Pract 2001;6:51–9.
- Centers for Disease Control and Prevention. Framework for evaluating public health surveillance systems for early detection of outbreaks: recommendations from the CDC Working Group. MMWR May 7, 2004; 53(RR05);1–11.
- Centers for Disease Control and Prevention. Interim guidance on infection control precautions for patients with suspected severe acute respiratory syndrome (SARS) and close contacts in households. Available from: http://emergency.cdc.gov/HAN/han00132.asp.
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- Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance. MMWR Recomm Rep 1997:46(RR-10):1–55.
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- Centers for Disease Control and Prevention. Outbreak of severe acute respiratory syndrome–worldwide, 2003. MMWR 2003: 52:226–8.
- Centers for Disease Control and Prevention. Revised U.S. surveillance case definition for severe acute respiratory syndrome (SARS) and update on SARS cases–United States and worldwide, December 2003. MMWR 2003:52:1202–6.
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- Centers for Disease Control and Prevention. Asthma mortality — Illinois, 1979–1994. MMWR. 1997;46(MM37):877–80.
- Centers for Disease Control and Prevention. Hepatitis A outbreak associated with green onions at a restaurant–Monaca, Pennsylvania, 2003. MMWR 2003; 52(47):1155–7.
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- Lee LA, Ostroff SM, McGee HB, Jonson DR, Downes FP, Cameron DN, et al. A. outbreak of shigellosis at an outdoor music festival. Am J Epidemiol 1991. 133:608–15.
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- Centers for Disease Control and Prevention. Outbreak of West Nile-Like Viral Encephalitis–New York, 1999. MMWR 1999;48(38):845–9.
- Centers for Disease Control and Prevention. Prevalence of overweight and obesity among adults with diagnosed diabetes — United States. 1988–1994 and 1999–2002. MMWR 2004;53(45):1066–8.
- National Center for Health Statistics [Internet]. Atlanta: Centers for Disease Control and Prevention [updated 2005 Feb 8]. Available from: http://www.cdc.gov/nchs/products/pubs/pubd/hestats/overwght99.htm.
Websites
For more information on: | Visit the following websites: |
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CDC's Epidemic Intelligence Service | http://www.cdc.gov/eis/ |
CDC's framework for program evaluation in public health | http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4811a1.htm |
Updated Guidelines for Evaluating Public Health Surveillance Systems | http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm |
Case Definitions for Infectious Conditions Under Public Health Surveillance | http://www.cdc.gov/osels/ph_surveillance/nndss/casedef/ |
John Snow |
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- Page last updated: May 18, 2012
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