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Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited

This paper argues that the public health conceptual framework of epidemiologist Geoffrey Rose, first published as “Sick Individuals and Sick Populations” in 1985, provides a useful way to critically analyze prevention and control options for modern non-communicable diseases (NCD) and their forerunne...

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Detalles Bibliográficos
Autor principal: Frank, John W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620930/
https://www.ncbi.nlm.nih.gov/pubmed/36417251
http://dx.doi.org/10.3390/epidemiologia3020015
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author Frank, John W.
author_facet Frank, John W.
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description This paper argues that the public health conceptual framework of epidemiologist Geoffrey Rose, first published as “Sick Individuals and Sick Populations” in 1985, provides a useful way to critically analyze prevention and control options for modern non-communicable diseases (NCD) and their forerunner, obesity, a pandemic now engulfing Lower-and-Middle-Income-Countries. That framework is based on the notions of primordial, primary, secondary and tertiary prevention—the full spectrum of “more upstream and more downstream” approaches, each with its pros and cons. These are illustrated using the pellagra epidemic in the southeastern USA from 1900 to the 1940s, which still has much to teach us about these same basic policy options for controlling the modern NCD pandemic. In particular, Rose’s dictum, “Seek the causes of (population) incidence, not of (individual) cases”, points up the compelling advantages of upstream prevention for controlling both epidemics.
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spelling pubmed-96209302022-11-18 Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited Frank, John W. Epidemiologia (Basel) Review This paper argues that the public health conceptual framework of epidemiologist Geoffrey Rose, first published as “Sick Individuals and Sick Populations” in 1985, provides a useful way to critically analyze prevention and control options for modern non-communicable diseases (NCD) and their forerunner, obesity, a pandemic now engulfing Lower-and-Middle-Income-Countries. That framework is based on the notions of primordial, primary, secondary and tertiary prevention—the full spectrum of “more upstream and more downstream” approaches, each with its pros and cons. These are illustrated using the pellagra epidemic in the southeastern USA from 1900 to the 1940s, which still has much to teach us about these same basic policy options for controlling the modern NCD pandemic. In particular, Rose’s dictum, “Seek the causes of (population) incidence, not of (individual) cases”, points up the compelling advantages of upstream prevention for controlling both epidemics. MDPI 2022-04-06 /pmc/articles/PMC9620930/ /pubmed/36417251 http://dx.doi.org/10.3390/epidemiologia3020015 Text en © 2022 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Frank, John W.
Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title_full Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title_fullStr Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title_full_unstemmed Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title_short Prevention and Control Strategies for Non-Communicable Disease: Goldberger, Pellagra and Rose Revisited
title_sort prevention and control strategies for non-communicable disease: goldberger, pellagra and rose revisited
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9620930/
https://www.ncbi.nlm.nih.gov/pubmed/36417251
http://dx.doi.org/10.3390/epidemiologia3020015
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