Presently, Epidemiology is not the science which studies , only, the distribution and propagation of the infectious diseases ; it is also the science that surveys thoe illnesses that are non infectious but which constitute major public health problems, in a given geographical zone. According to the Online Principles of Epidemiology , a Computer-Based Tutorial Program, by Howard Strasberg, this science "is the study of the distribution and determinants of disease in human populations. It involves assessing the frequencies and types of disease in various groups of people and the factors which influence their distribution." My new definition of the epidemilogy will be, therefore, the following one: The epidemiology is this science whose domain is: My new definition of the epidemiology, although very large, is not a complete one, because what is a major public health's problem remains to be defined. Indeed, a regional problem of health can constitute a problem of major concern as well to the point of view of the potential lethality of the illness than to that of the socioeconomic burden it brings. The medico-sanitary politics, to be adopted by the concerned organisms, will vary, therefore, accordingly to this lethal or invalidating potentiality of the illness and accordingly to the regional resources. When, by the processes of immunization, chimiotherapy and sanitation (purification of swamps and other dead water basins, by ex.), the prevalence of an illness in an given environment , has become statistically negligible amd its propagation to adjacent area, i.e., its incidence in a period of several years, has become statistically non signififcant one says that this illness has been eradicated from the area. The ultimate goal of the Epidemiology is the eradication of diseases. When this goal is not reached, for an illness , but that its prevalence has been maintained at a reasonable rate, one uses the term of control. --------------------- * The cohort is a group of people, about the same age, often living in the same geographical zone, that are followed from a beginning period to an end period (most often years) for the occurence of a particular disease. |