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At its core, epidemiology is concerned with changes in health and
disease. The discipline requires counts and measures: of births,
health disorders, and deaths, and in order to make sense of these
counts it requires a population base defined by place and time.
Epidemiology relies on closely defined concepts of cause -
experimental or observational - of the physical or social
environment, or in the laboratory. Epidemiologists are guided by
these concepts, and have often contributed to their development.
Because the disciplinary focus is on health and disease in
populations, epidemiology has always been an integral driver of
public health, the vehicle that societies have evolved to combat
and contain the scourges of mass diseases.
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