When plague broke out in Manchuria in 1910 as a result of transmission from marmots to humans, it struck a region struggling with the introduction of Western medicine, as well as with the interactions of three different national powers: Chinese, Japanese, and Russian. In this fascinating case history, William Summers relates how this plague killed as many as 60,000 people in less than a year, and uses the analysis to examine the actions and interactions of the multinational doctors, politicians, and ordinary residents who responded to it. Summers covers the complex political and economic background of early twentieth-century Manchuria and then moves on to the plague itself, addressing the various contested stories of the plague's origins, development, and ecological ties. Ultimately, Summers shows how, because of Manchuria's importance to the world powers of its day, the plague brought together resources, knowledge, and people in ways that enacted in miniature the triumphs and challenges of transnational medical projects such as the World Health Organization.

Medically unexplained somatic symptoms are problematic in psychiatry, primary care settings, and other clinical areas. The burden they impose on health-care systems constitutes a significant public health problem. At the international symposium "Rethinking Somatoform Disorders," this problem was addressed by specialists working in somatoform disorders, psychiatric nosology, epidemiology, and biological and cross-cultural psychiatry. The meeting was the third of the Keio University International Symposia for Life Sciences and Medicine, in collaboration with the World Health Organization and the World Psychiatric Association.

In the 1970s it seemed infectious diseases had been conquered, but today global epidemics seem to pose a new, more sinister, threat. This fascinating study explores these new infectious diseases, such as Swine Flu, SARS and AIDS, and the re-emergence of old threats, and discusses their role in society.

The increasing importance of sickness and disability data across health-related disciplines is the focus of this concise but comprehensive resource. It reviews the basics of morbidity at the population level by defining core concepts, analyzing why morbidity has overtaken mortality as central to demographic study, and surveying ways these data are generated, accessed, and measured. Subsequent chapters demonstrate how this knowledge can be used to better understand-and potentially solve-critical public health issues, benefitting not only populations served, but also areas such as health services planning, resource allocation, and health policy-setting. To make this material useful to the most readers, this reference: Explains why and how morbidity data are categorized by health professionals and other data users. Examines various methods of identifying and measuring morbidity data. Identifies demographic and non-demographic factors associated with morbidity. Describes and evaluates sources of U.S. morbidity data. Reviews the current state of morbidity in the U.S., and what it means for healthcare and society in general. Suggests future uses of morbidity data in reducing health disparities and improving population health. In Sickness and In Health is uniquely relevant to demographers and demography students, public health professionals, and epidemiologists. Its presentation of concepts and applications makes the book a valuable classroom text and a useful guide for those addressing challenges facing U.S. healthcare.

Whoever coined the adage "an ounce of prevention is worth a pound of cure" could not have known how important this adage would become. The challenge of altering the health trajectories of poor lifestyle decisions for such behaviors as smoking, drinking and using illicit drugs, violence, dropping out of school, engagement in risky sexual behaviors and crime through prevention research has led to a new discipline, prevention science. Defining Prevention Science covers this emerging field of science: its goals, its conceptual and theoretical foundations, its methods and especially its utility. Not content to simply differentiate the field from its close allies: epidemiology, psychology, neuroscience, sociology, economics, the text explains how these many disciplines enhance each other at both research and intervention levels and how prevention science draws on these biological, behavioral and social sciences to create an innovative knowledge base that has provided cost-effective, evidence-based prevention interventions and policies. To this end, familiar developmental benchmarks are recast in prevention/health promotion context, from the crucial importance of adolescence in encountering and deterring high-risk behaviors to the risks and resiliencies of single-mother families. An international group of contributors offers current findings, up-to-date methods for effective evidence-based interventions and improvements in research technologies in these key areas: Physical, cognitive and emotional vulnerability across the life course. The roles of developmental influences in prevention. Intervention development, delivery and implementation. Bringing the intervention approach to research design. New directions in analytic methods. Cost analysis and policy implications. Advances in Prevention Science: Defining Prevention Science aims to inspire further refinements in the field and encourage communication among researchers in its own and related disciplines, including public health, epidemiology, psychology, and criminology. This is the first volume in the series, Advances in Prevention Science, that provides the framework for other volume that will focus on such issues as: Prevention Science in School Settings: Complex Relationships and Processes; Preventing Crime and Violence and The Prevention of Substance Use.

Hans-Werner Wahl, Hermann Brenner, Heidrun Mollenkopf, Dietrich Rothenbacher and Christoph Rott Ageing research has been identi?ed as a prototypical ?eld of inquiry deserving the full exploitation of single discipline approaches and interdisciplinary synergies amongst these single perspectives. Although this is a generally accepted insight, there still is a strong need to provide models of how this global and most fundamental challenge can be dealt with. It seems in any case necessary to narrow down the wide scope of ageing research issues to sets of key constructs most promising in terms of interdisciplinary cross-fertilisation. Againstthis,themajoraimofthebookistoprovideacomprehensive treatment of one well-selected set of key issues of recent ageing research, i. e. health, competence and well-being. In addition, the book's ambition is to identify priorities for future ageing research and to further new avenues for interdisciplinary approaches and social policy applications. The substance of the book is based on an international conference which took place on June 18 and 19, 2004 in Heidelberg, Germany. Framed within the array of health, competence and well-being perspectives in ageing research, the idea of the conf- ence was to provide an integrated presentation of ?ndings generated in the German Centre for Research on Ageing at the University of Heidelberg (Deutsches Zentrum f. ur Alternsforschung, DZFA). The centre's three departments, i. e.

Reactions to pandemics are unlike any other global emergency; with an emphasis on withdrawal and containment of the sight of the infected. Dealing with the historical and conceptual background of diseases in politics and international relations, this volume investigates the global political reaction to pandemic scares. By evaluating anxiety and the political response to pandemics as a legitimisation of the modern state and its ability to protect its citizens from infectious disease, Understanding the Politics of Pandemic Scares examines the connection between international health governance and the emerging Western liberal world order. The case studies, including SARS, Bird Flu and Swine Flu, provide an understanding of how the world order, global health governance and people's bodies interact to produce scares and panics. Aaltola introduces an innovative new concept of politosomatics' based on the relationship that links individual stress, strain, and fear with global circulations of power to evaluate increasingly global bio-political environments in which pandemics exist. This book will be of interest to students and researchers of International Relations, Global Health, International Public Health and Global Health governance.

Examining the principles and methods of research on the evaluation of factors affecting the outcome of illness, this book emphasizes diagnostic and therapeutic interventions--the factors most readily modified by health care providers. The author discusses various ways of structuring observations on patient groups, and appraises the nature and strength of inferences drawn from those observations. He also demonstrates how the results of this type of research--clinical epidemiologic research--can be incorporated into the decision-making process utilized in clinical medicine.
This book contains a concise account of topics such as the assessment of the use of diagnostics and screening tests and their role in improving the outcome of illness, the evaluation of therapeutic efficacy through experimental and nonexperimental studies, and a particularly useful chapter on assessment of therapeutic safety. It is an essential reference and guide to the quantitative assessment of the consequences of illness for clinicians in training or in practice.The new edition of Clinical Epidemiology greatly expands the chapter on randomized control trials, and includes a whole new chapter on meta-analysis, authored by Peter Cummings. Meta-analysis, the statistical synthesis of data from comparable studies, was unheard of 30 years ago, but with the advent of increased computer technology, the method has been steadily growing in importance in the epidemiology community.

"Corynebacterium diphtheriae" is the classical etiological agent of diphtheria and the type strain of the genus "Corynebacterium." While diphtheria of the respiratory tract became rare with the introduction of vaccination programs in industrialized countries, even today several thousand cases per year are reported to the World Health Organization. This shows that diphtheria is not completely eradicated and that reservoirs exist. The book summarizes the latest advances made in understanding "C. diphtheriae" and the closely related species "Corynebacterium ulcerans" and" Corynebacterium pseudotuberculosis." Topics addressed are genomics of toxigenic corynebacteria, host-pathogen-interaction, detection, surveillance and treatment as well as application aspects.

The role that the social and behavioural sciences play in the daily practice of dentistry is now an essential part of all dentistry training, but it can often seem distant from the reality of daily clinical practice. Dentists often ask: what is sociology? Why do I need to know about psychology? Why do I need sociology and psychology to be an effective dentist? How can they help improve my clinical practice? This new textbook answers these important questions and shows how the social and behavioural sciences can inform the practice of dentistry and allied healthcare services in the twenty-first century. It provides a comprehensive, accessible introduction to sociology and psychology for students and members of the dental team with no prior knowledge of the subject, and although the book assumes little or no previous knowledge of psychology or sociology, it also provides enough depth to meet the needs of those with some background in these fields. Throughout, the links between sociology and psychology and everyday practice are emphasized and explained and theoretical concepts are put into the context of everyday clinical work. The authors have extensive experience in teaching and researching the social and behavioural sciences from undergraduate to post-doctoral levels. This book will be an indispensable teaching aid within dental health education, and other allied health and social care disciplines.

Outbreaks, Epidemics, and Health Security: Ensuring Future Preparedness for Small Island Nations and the World reviews the many lessons learned from the COVID-19 pandemic. Topics include epidemic preparedness, the politics of epidemics, health security, anti-vaccine campaigns, vaccine preparedness, the need for detailed information sharing and infection tracking versus protected health information, the effects on international relations, the need for intelligence assets to contribute to global health, and the development of biodefense shields.

One of the first books on Covid-19 from an expert in emerging infectious disease.

The Coronavirus pandemic has devastated lives and livelihoods around the world - and continues to do so. These personal tragedies will, and must, be told and heard. There is, however, also a truthful and objective scientific narrative to be written about how the virus played out and how the world set about dealing with it. Spike is that story - from the inside. Its author, Jeremy Farrar, is one of the UK's leading scientists and a ? member of the SAGE emergency committee.

As head of the Wellcome Trust, and an expert in emerging infectious diseases, Jeremy Farrar was one of the first people in the world to hear about a mysterious new respiratory disease in China - and to learn that it could readily spread between people. Farrar describes how it feels as one of the key scientists at the sharp end of a fast-moving situation, when complex decisions must be made quickly amid great uncertainty. His book casts light on the UK government's claims to be 'following the science' in its response to the virus, and is informed not just by Farrar's views but by interviews with other top scientists and political figures.

Farrar, who has spent his career on the frontlines of epidemics including Nipah virus in Malaysia, bird flu in Vietnam and Ebola in West Africa, also reflects on the wider issues of Covid-19: the breath-taking scientific advances in creating tests, treatments and vaccines; the challenge to world leaders to respond for the global good and the need to address inequalities that hold back success against the virus. All these shape how the world ultimately fares not just against Covid-19, but against all the major health challenges we face globally.

Pandemics, Science and Policy analyses the World Health Organisation's (WHO) management of the 2009 H1N1 Pandemic. Abeysinghe illustrates the ways in which the WHO's account was vulnerable to contestation, and ultimately how uncertain risks can affect policy and action on the global level.

Basic Biostatistics presents a multidisciplinary survey of biostatics methods, each illustrated with hands-on examples. Methods range from the elementary, including descriptive statistics, study design, statistical interference, categorical variables, evaluation of diagnostic tests, comparison of means, linear regression, and logistic regression. These introductory methods create a portfolio of biostatistical techniques for both novice and expert researchers. More complicated statistical methods are introduced as well, including those requiring either collaboration with a biostatistician or the use of a statistical package. Specific topics of interest include microarray analysis, missing data techniques, power and sample size, statistical methods in genetics. Expert advice is given on when to seek statistical help, and how to conduct a meeting with the statistical collaborator or consultant. Basic Biostatistics is an essential resource for researchers at every level of their career.

In this thesis two variants of the fast variable elimination method are developed. They are intuitive, simple to implement and give results which are in very good agreement with those found from numerical simulations. The relative simplicity of the techniques makes them ideal for applying to problems featuring demographic stochasticity, for experts and non-experts alike. Within the context of mathematical modelling, fast variable elimination is one of the central tools with which one can simplify a multivariate problem. When used in the context of of deterministic systems, the theory is quite standard, but when stochastic effects are present, it becomes less straightforward to apply. While the introductory and background chapters form an excellent primer to the theory of stochastic population dynamics, the techniques developed can be applied to systems exhibiting a separation of timescales in a variety of fields including population genetics, ecology and epidemiology.

Cancer Epidemiology in Asian Americans is a comprehensive volume that provides the most current research on cancer etiology within this fast growing population sub-group in the United States. The book explores epidemiologic methods that are typically used in migrant studies, providing descriptive epidemiology of cancer patterns separately in Chinese, Japanese, Filipino and other Asian ethnic groups including Asian Indians, Koreans, Vietnamese, and other Southeast Asians. A major focus of the volume provides reviews of analytic risk factors for specific cancer sites including lung, colorectal, prostate, breast, liver and more. These chapters aim to explain the increases or decreases in incidence rates of various cancers upon migration, paying attention to changing risk factor prevalence, the importance of timing of exposures, and other co-factors important in the etiology of these cancers. Genetic determinants and gene-environment relationships associated with specific cancers are also discussed.. This first of its kind volume that is devoted to studies of cancer in Asian Americans provides a foundation to better understanding of environmental and lifestyle causes of cancer in this group, identifying gaps in our knowledge, and potential strategies for prevention.

Pulmonary embolism is a common but vexing illness. This book provides a contemporary overview of the most important issues from a Western and a Japanese perspective, providing the reader with state-of-the-art knowledge of the epidemiology and molecular biology of the disease. In the Diagnosis section, the relationship between venous thrombosis and pulmonary embolism is explored, and exciting new findings are presented in the fields of echocardiography and magnetic resonance imaging. The Management section focuses on surgical intervention with acute embolectomy as well as updating thromboendarterectomy for chronic pulmonary embolism. The importance of primary and secondary prevention is emphasized in chapters addressing low molecular weight heparin and the inferior vena cava filter. This cutting-edge book is a valuable resource for practicing physicians, researchers, and students in internal medicine, hematology, pulmonary critical care, and vascular medicine.

Although the spatial dimension of ecosystem dynamics is now widely recognized, the specific mechanisms behind species patterning in space are still poorly understood and the corresponding theoretical framework is underdeveloped. Going beyond the classical Turing scenario of pattern formation, Spatiotemporal Patterns in Ecology and Epidemiology: Theory, Models, and Simulation illustrates how mathematical modeling and numerical simulations can lead to greater understanding of these issues. It takes a unified approach to population dynamics and epidemiology by presenting several ecoepidemiological models where both the basic interspecies interactions of population dynamics and the impact of an infectious disease are explicitly considered. The book first describes relevant phenomena in ecology and epidemiology, provides examples of pattern formation in natural systems, and summarizes existing modeling approaches. The authors then explore nonspatial models of population dynamics and epidemiology. They present the main scenarios of spatial and spatiotemporal pattern formation in deterministic models of population dynamics. The book also addresses the interaction between deterministic and stochastic processes in ecosystem and epidemic dynamics, discusses the corresponding modeling approaches, and examines how noise and stochasticity affect pattern formation. Reviewing the significant progress made in understanding spatiotemporal patterning in ecological and epidemiological systems, this resource shows that mathematical modeling and numerical simulations are effective tools in the study of population ecology and epidemiology.

Bias analysis quantifies the influence of systematic error on an epidemiology study's estimate of association. The fundamental methods of bias analysis in epi- miology have been well described for decades, yet are seldom applied in published presentations of epidemiologic research. More recent advances in bias analysis, such as probabilistic bias analysis, appear even more rarely. We suspect that there are both supply-side and demand-side explanations for the scarcity of bias analysis. On the demand side, journal reviewers and editors seldom request that authors address systematic error aside from listing them as limitations of their particular study. This listing is often accompanied by explanations for why the limitations should not pose much concern. On the supply side, methods for bias analysis receive little attention in most epidemiology curriculums, are often scattered throughout textbooks or absent from them altogether, and cannot be implemented easily using standard statistical computing software. Our objective in this text is to reduce these supply-side barriers, with the hope that demand for quantitative bias analysis will follow.

A "health disparity" refers to a higher burden of illness, injury, disability, or mortality experienced by one group relative to another. These disparities may be due to many factors including age, income, race, etc. This book will focus on their estimation, ranging from classical approaches including the quantification of a disparity, to more formal modelling, to modern approaches involving more flexible computational approaches. Features: * Presents an overview of methods and applications of health disparity estimation * First book to synthesize research in this field in a unified statistical framework * Covers classical approaches, and builds to more modern computational techniques * Includes many worked examples and case studies using real data * Discusses available software for estimation The book is designed primarily for researchers and graduate students in biostatistics, data science, and computer science. It will also be useful to many quantitative modelers in genetics, biology, sociology, and epidemiology.

Russia and a few other Eurasian countries have been home to the fastest-growing epidemics of HIV in the world over the last several years. A study published by the U.S. National Intelligence Council in 2002 identified Russia among five "second wave" countries likely to experience explosive further increases in HIV/AIDS over the next decade if appropriate measures are not taken. It is widely acknowledged that HIV/AIDS is evolving as a serious epidemiological, social, political, and national security problem throughout the Eurasian region. Yet each of these countries confronts a unique set of challenges and strategies for facing those challenges. This volume offers country-specific accounts, authored by the leading players in the analysis of the situation and the fight against the virus.

This edited volume presents current research in biostatistics with emphasis on biopharmaceutical applications. Featuring contributions presented at the 2017 ICSA Applied Statistics Symposium held in Chicago, IL on June 25 to 28, 2017, this book explores timely topics that have a high potential impact on statistical methodology and future research in biostatistics and biopharmaceuticals. The theme of this conference was Statistics for a New Generation: Challenges and Opportunities, in recognition of the advent of a new generation of statisticians. The conference attracted statisticians working in academia, government, and industry; domestic and international statisticians. From the conference, the editors selected 28 high-quality presentations and invited the speakers to prepare full chapters for this book. These contributions are divided into four parts: Part I Biostatistical Methodology, Part II Statistical Genetics and Bioinformatics, Part III Regulatory Statistics, and Part IV Biopharmaceutical Research and Applications.Featuring contributions on topics such as statistics in genetics, bioinformatics, biostatistical methodology, and statistical computing, this book is beneficial to researchers, academics, practitioners and policy makers in biostatistics and biopharmaceuticals.

What is the prevalence of insomnia in a particular age group, in men and women, or in Caucasians and African Americans? What is the average total sleep time among normal sleepers among these groups? How does the sleep of Caucasians and African Americans differ? These are just some of the questions addressed in The Epidemiology of Sleep. This new book presents the most detailed and comprehensive archive of normal and abnormal sleep patterns. Based on a landmark study supported by the National Institute on Aging, 772 subjects from a host of populations including men, women, and various age and ethnic groups, prepared detailed sleep diaries for a two-week period. The use of these sleep diaries yielded a plethora of data on such characteristics as normal sleep patterns, various forms of insomnia, fatigue, depression, anxiety, and daytime sleepiness differentiated by age, sex, and ethnicity. The results generated by these data, charted in the book's numerous tables and graphs, provide a critical methodological advance in the sleep literature. The Epidemiology of Sleep opens with an overview of the rationale and unique characteristics of the study. This is followed by a comprehensive review of the existing epidemiological literature on sleep. Chapter three presents a detailed description of the methods used in the survey followed by meticulous information on the epidemiology of normal and insomnia sleep, that is unparalleled in the literature. Chapter six provides an archive of sleep patterns among African Americans. The book concludes with a discussion and interpretation of the most interesting findings. This insightful study, coupled with the comprehensive review of the existing literature on the epidemiology of sleep, make this volume an invaluable resource for sleep researchers, clinicians, health and clinical psychologists, gerontologists, epidemiologists, and advanced students.

From the President of the Research Society on Alcoholism In the last decade research concerning the causes and consequences of alcohol abuse and alcoholism has come of age. We have witnessed a plethora of sci entific findings that have shed light on some of the actions of alcohol at the molecular level. Interesting new data have been forthcoming on the complexi ties of the development of tolerance to alcohol. It is becoming increasingly appropriate to consider that tolerance to alcohol involves biological as well as psychological factors. New scientific insights have been gained concerning the treatment of with drawal as well as the presence of persistent withdrawal signs that may possibly be involved with relapse. More recently, new and compelling data indicating that alcoholism is a common familial disorder have appeared. Clinical studies indicate that alcoholism is a heterogeneous disorder with multiformity in clin ical symptomatology and genetic heterogeneity. The heterogeneity of the clin ical features and the heritability of the predisposing factors of alcoholism are currently under vigorous scientific investigation. In the past several years sophisticated psychosocial studies have provided fundamental information on subjects at high risk for alcoholism. Psychosocial and biological studies of families including alcoholics and subjects at high risk are likely to bring new insights to our understanding of etiological factors. Moreover, as a result of these studies we stand to develop better prevention initiatives and treatment approaches."

Our understanding, prevention, and treatment of HIV have made remarkable strides in the past two decades, but the way has not been smooth or straight. Part history, part narrative, and mainly "scientific autopsy," this book is an insider's account of the errors, controversies, and corrections that have marked the first 25 years of the HIV/AIDS epidemic in the United States. The author discusses the sources of these errors and controversies and provides many examples. These range from the scientifically contentious and protracted-- such as laboratory contaminations that lead to identifying HTLV-III and HTLV-IV, or arguments that there were HIV patients who were "silently infected," and not detectable by standard HIV tests--to controversies that the scientific community quickly evaluated and discarded--such as the belief that HIV is spread by mosquitoes, or that one AIDS-associated cancer is caused by "poppers," nitrates inhaled for sexual stimulation. This book describes how these many scientific errors occurred, how they got propagated, how they distracted researchers and the public, and how they got corrected. Holmberg, a longtime past Chief of Epidemiology in the CDC's Division of HIV/AIDS Prevention, shows us how scientific errors and controversies inevitably occur in the absence, ignorance, or dismissal of good data, and the promotion of bad data or analyses. He suggests reforms of governmental processes, medical and scientific journal review, and in graduate education that may help scientists recognize and correct errors faster, and so deal with future epidemics more efficiently.