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Choosing a future for epidemiology

I. Eras and paradigms

Bibliographic Data

ID11023656
AuthorsMervyn Susser (Columbia University), Ezra Susser (0000-0001-7665-4826)
Year1996
Volume86
Issue5
Pages668-673
Publication date1996-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.86.5.668
PMID8629717
OpenAlexW2135660578
LanguageEN
Citations received156
References cited30

To inform choices about the future of epidemiology, the present condition of epidemiology is examined, in terms of its evolution through three eras, each demarcated by its own paradigm: (1) the era of sanitary statistics with its paradigm, miasma; (2) the era of infectious disease epidemiology with its paradigm, the germ theory; and (3) the era of chronic disease epidemiology with its paradigm, the black box. The historical context in which these eras arose is briefly described. In each era, the public health was at the center of the concerns of the founders and early protagonists of the prevailing paradigm. Around this intellectual development we weave a further theme. We argue that in the present era, the public health has become less central a concern. At the same time, in epidemiology today the dominant black box paradigm is of declining utility and is likely soon to be superseded

Context (archaeology) · Epistemology · Paradigm shift · Pathology · Public health · Sociology · BRCA gene mutations in cancer · Colorectal Cancer Screening and Detection · Epidemiology · Global Cancer Incidence and Screening · History · Medicine · Gerontology

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Unique citing works156
Citations per year5,2
Citation span1996 - 2026 (31)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 143

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