introduction and role of epidemiology
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- 1. SupattraSrivanichakorn
ASEAN Institute for Health Development,
Mahidol University
Introduction andRole of Epidemiology
2. What is Epidemiology ?
The study of the distribution and determinants of diseases and
injuries in human population.(Mausner&Bahn)
the study of the distribution and determinants of health related
states or events in specified populations, and the application of
this study to the control of health problems. (dictionary of
epidemiology)
3. 4. The Traditional Model of Disease
Host
Agent
Environment
Source: G.E. Alan Dever, 1980
5. 6. Healthy People in Healthy Communities.
Source: U.S Department of Health and Human Services, 2000
7. Health, Healthy peopleHealth concept model
Definition of Health
Health concept model
8. Epidemiological Model for Health Policy Analysis
COMPLEX INTERNAL
SYSTEMS
HUMAN BIOLOGY
GENETIC INHERITANCE
MATURATION AND AGING
SOCIAL
RESTORATIVE
AN EPIDEMIOLOGICAL MODEL FOR HEALTH POLICY ANALYSIS
ENVIRONMENT
SYSTEM OF HEALTH CARE ORGANIZATION
PSYCHO-LOGICAL
CURATIVE
PREVENTIVE
PHYSICAL
LEISURE ACTIVITY RISK
EMPLOYMENT PARTICIPATION AND OCCUPATIONAL RISKS
LIFE STYLE (SELF-CREATED RISKS
CONSUMPTION PATTERNS
Source: G.E. Alan Dever, Social Indicator research
2,1976,455.
9. Multi-dimension of health
Psychological
Social
Physical
Spiritual
Health:A state of complete physical, mental, and social well being
- not merely the absence of disease or infirmity (WHO1948)
10. 11. 12. Domains in Epidemiological data?
TIME -
PERSON -
PLACE -
Distribution and Determinants of Problems
13.
14.
+
15. The Mandala of Health
culture
community
Life style
Personal Behavior
Economic-
social Env.
Family
Health service system
spiritual
Work/Occupation
Body
Mind
Physical Environment
Biology
Human invented Environment
Biological world
16. Alma-Ata Declaration WHO, Geneva,1978Primary Health CareHealth
for All by the Year 2000
Ottawa Charter for Health Promotion (1986):
Birth of the new public health
Health - a resource for living, not the objective of living;
emphasis on social and personal resources, as well as physical
capacities
17. Understand the Whole Person
Context
- Culture
18. Work 19. School 20. HC systemFamily
Person
- Family system
21. Family Life cycle 22. Life cycle 23. Family of origin 24.
HistoryDisease
- S & S
25. IxIllness
- Feeling
26. Ideas 27. Function 28. Expectation