Module 1 : Introduction
Lecture 1 : Introduction
 
An example of an epidemiological study would be ‘ Incidence of Thalasemia in the Sindhi community or the incidence of HIV among Intravenous Drug Users – these would be examples of descriptive studies

When trying to understand the causes or determinants of a particular disease in a certain population – this would be an example of an analytical study  - for example trying to understand the determinants of diabetes among Gujratis.

 
Leading Causes of Death in the United States in 1900 and 1990 (National Center for Health Statistics, 1992)
                                                                                                               
1900  
1990
Influenza & Pneumonia 
  Diseases of the Heart
Tuberculosis   
  Malignant Neoplasms (cancer)
Gastroenteritis 
Unintentional Injuries
Diseases of the Heart  
Cerebrovascular Stroke
Vascular Lesions of the cns 
Chronic Obstructive Pulmonary Disease
Chronic Nephritis   
 Pneumonia and Influenza
All accidents 
 
Cancer
 
Certain diseases of early infancy
 
Diptheria
 

(Adapted from Taylor, 1995 pp 8)

 

Notice the change in the leading causes of death from 1900 to 1990 What causes these causes?

Top 3 leading causes of death are all viral and bacterial in 1900 – however the top 5 causes in 1990 are neither viral nor bacterial (due to widespread use of antibiotics) but are chronic illnesses (except for Unintentional injuries) and are linked to lifestyle factors. Also Diptheria and diseases of early infancy are completely eliminated from the 1990 list due to widespread vaccination