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1. WHAT IS EPIDEMIOLOGY
Epidemiology is the study and analysis of the distribution (who, when, and where), patterns
and determinants of health and disease conditions in defined populations.
It is a cornerstone of public health, and shapes policy decisions and evidence-based practice by
identifying risk factors for disease and targets for preventive healthcare. Epidemiologists help
with study design, collection, and statistical analysis of data, amend interpretation and
dissemination of results (including peer review and occasional systematic review). Epidemiology
has helped develop methodology used in clinical research, public health studies, and, to a lesser
extent, basic research in the biological sciences.
Frequency refers not only to the number of health events such as the number of cases of
meningitis or diabetes in a population, but also to the relationship of that number to the size of
the population. The resulting rate allows epidemiologists to compare disease occurrence across
different populations.
Pattern refers to the occurrence of health-related events by time, place, and person. Time
patterns may be annual, seasonal, weekly, daily, hourly, weekday versus weekend, or any other
breakdown of time that may influence disease or injury occurrence. Place patterns include
geographic variation, urban/rural differences, and location of work sites or schools. Personal
characteristics include demographic factors which may be related to risk of illness, injury, or
disability such as age, sex, marital status, and socioeconomic status, as well as behaviors and
environmental exposures.
Characterizing health events by time, place, and person are activities of descriptive
epidemiology, discussed in more detail later in this lesson.
It generally includes the causes (including agents), risk factors (including exposure to sources),
and modes of transmission, but does not include the resulting public health action.
The leading causes of death are diseases of the heart, diseases of the vascular system,
pneumonias, malignant neoplasms/cancers, all forms of tuberculosis, accidents, COPD and allied
conditions, diabetes mellitus, nephritis/nephritic syndrome and other diseases of respiratory
system.
These include hypertension (high blood pressure); coronary heart disease (heart attack);
cerebrovascular disease (stroke); heart failure; and other heart diseases. Cardiovascular disease is
the top cause of death globally.