Environment, population, and biology : a short history of modern epidemiology / Alessandra Parodi, David Neasham, and Paolo Vineis

Since its origin in the 19th century, epidemiology has faced an internal tension between an approach oriented toward biology and the study of mechanisms, and an approach oriented toward populations and their interactions with the environment. Initially, this tension took the form of an opposition between microbiology and statistics. We describe the early roots of the quantitative approach to health and disease and several historical examples of the above tension. The search for the causes of pellagra exemplifies our thesis. In Italy, where pellagra was endemic, contrasting opinions coexisted between the hypothesis of contaminated maize, supported by Cesare Lombroso, and the hypothesis of a prevailing role of poverty and poor nutrition. In the United States, Joseph Goldberger found no evidence for the hypothesis of contaminated maize or for a microbiological agent, but recognized the central role of nutrition. The "cure" Goldberger proposed was land reform, but he continued studying the disease from a mechanistic point of view; shortly after his death, niacin deficiency was identified as the cause of pellagra. The tension between mechanistic and population-based studies is still present within epidemiology and is in fact essential for the success of the discipline..

Medienart:

E-Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

Perspectives in biology and medicine - 49(2006), 3, Seite 357-368

Sprache:

Englisch

Beteiligte Personen:

Parodi, Alessandra [VerfasserIn]
Neasham, David [VerfasserIn]
Vineis, Paolo [VerfasserIn]

Links:

Volltext

Themen:

Bacteriology
Communicable Disease Control
England
Epidemiology
France
History, 19th Century
History, 20th Century
Humans
Italy
Pellagra
Statistics as Topic

Anmerkungen:

Gesehen am 14.05.2021

Umfang:

12

doi:

10.1353/pbm.2006.0044

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

1757767444