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Am J Epidemiol 2002; 156:292.
Copyright © 2002 by the Johns Hopkins Bloomberg School of Public Health


BOOK REVIEWS

From the Guest Editor

Alfredo Morabia

Clinical Epidemiology Division University Hospital 1211 Geneva 14 Switzerland

Here is more on "the book that does not exist," as Winkelstein has put it (1). A text on the history of epidemiology is badly needed. Meanwhile, a collection of papers, written by both professional historians and epidemiologists, has become available (2–8) and can provide useful material for courses dedicated to history in the teaching curriculum of epidemiology scholars. Social and Preventive Medicine (International Journal in Public Health) started publishing these papers in January 2001. Most were presented at a workshop on the history of epidemiology, entitled "Measuring Our Scourges," held in Annecy, France, on July 1–10, 1996.

The Annecy workshop focused on the history of epidemiologic methods rather than on specific achievements of epidemiology in controlling plagues such as cholera, tuberculosis, malaria, typhoid fever, or lung cancer. The rationale was the following: Students of epidemiology learn successfully how to describe the states of health of populations and how to investigate outbreaks. Then they will learn, with increasing degrees of complexity, to understand and to apply the design of prospective and retrospective studies, and the concepts of bias, confounding, and interaction. They also come to think in terms of causation, with different levels of sophistication. Because they have mastered this set of methods and concepts, are able to adapt them to specific research questions, and can make them evolve when encountering new types of problems, these students become (and are given positions as) "epidemiologists" rather than any other kind of scientist.

In this context, it is crucial to understand the historical process that led to the emergence and formalization of the methods we use today. Methods, just as diseases or scientists do, have their own history. Being aware of their genesis and of the context in which they were developed not only is of cultural interest but also is indispensable for their critical appraisal. Our methodological tools were often developed while trying to solve specific problems in specific social and scientific environments. The concept of confounding, for example, seems to have been borrowed largely from statistics and sociology and refined as part of the controversy about recognizing the harmful effect of tobacco (9).

To offer support to people who would like to use this material for teaching purposes, the publisher of this journal (Birkhäuser Verlag AG, Basel, Switzerland) has authorized us to place the published papers, along with the related editorials, in pdf format on a Web site (http://www.epidemiology.ch/history). If you do use this material, please share with us your joys as well as your frustrations. Remember: the book does not exist.

REFERENCES

  1. Winkelstein W Jr. From the Editor. (Editorial). Am J Epidemiol 2002;155:776.[Free Full Text]
  2. Comstock GW. Cohort analysis: W. H. Frost’s contributions to the epidemiology of tuberculosis and chronic disease. Soz Praventivmed 2001;46:7–12.[ISI][Medline]
  3. Doll R. Cohort studies: history of the method. II. Retrospective cohort studies. Soz Praventivmed 2001;46:152–60.[ISI][Medline]
  4. Doll R. Cohort studies: history of the method. I. Prospective cohort studies. Soz Praventivmed 2001;46:75–86.[ISI][Medline]
  5. Eyler JM. The changing assessments of John Snow’s and William Farr’s cholera studies. Soz Praventivmed 2001;46:225–32.[ISI][Medline]
  6. Vandenbroucke JP. Changing images of John Snow in the history of epidemiology. Soz Praventivmed 2001;46:288–93.[ISI][Medline]
  7. Hardy A. Methods of outbreak investigation in the "era of bacteriology" 1880–1920. Soz Praventivmed 2001;46:355–60.[ISI][Medline]
  8. Eyler JM. Constructing vital statistics: Thomas Rowe Edmonds and William Farr, 1835–1845. Soz Praventivmed 2002;47:6–13.[ISI][Medline]
  9. Vandenbroucke J. History of confounding. Soz Praventivmed (in press).

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This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
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Right arrow Email this article to a friend
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Right arrow Articles by Morabia, A.
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Right arrow Articles by Morabia, A.
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What's this?