Author: Gena Gruntcharova

This is the second book from the TEMPUS JEP-3604 syllabus. It is a bulgarian translation from the highly successful manual of WHO, ditto*.

* Beaglehole R., Bonita R., Kjelllstrom T. Basic epidemiology. Geneva: World Health Organization, 1993, 174pp.

A textbook providing a basic introduction to the principles, methods, and applications of epidemiology in medicine and public health. Intended for use in a formal training course, the book aims to prepare students for an approach to health care that is increasingly concerned with preventive medicine and the most efficient use of resources. To this end, the authors use numerous examples from the scientific literature to show how the tools of epidemiology can be applied to the prevention of disease, the promotion of health, and the formulation of rational policies. Particular attention is given to the use of epidemiological research to detect associations between modifiable environmental factors and specific disease.

The book has eleven chapters. The first two chapters describe the history and scope of epidemiology, highlight some of its major triumphs, and discuss various approaches to the measurement of disease. The third chapter, devoted to the different types of epidemiological study, describes the applications, advantages, and limitations of the major types of observational and experimental studies, emphasizing the many possibilities for errors in epidemiological measurement. Chapter four gives a brief account of some basic statistical concepts and techniques. Chapter five and six describe the epidemiological approach to causation and explain when and how epidemiology can be used in preventive medicine, including the design of screening programmes. A chapter on communicable disease epidemiology describes the detailed and systematic epidemiological work needed to investigate an epidemic, identify its cause, and determine the best means to control it.

Others chapters explain the application of epidemiological principles and methods to the practice of clinical medicine, and discuss the special features of environmental and occupational epidemiology, including techniques for risk assessment and risk management, and methods for determining dose-effect and dose-response relationships. Of particular practical value is a chapter on health services and health policy, which shows how epidemiology can be used to support policy choices based on a reasonable knowledge of the likely outcomes and costs. The concluding chapter offers advice on how to read the medical and health literature critically, so as to be able to make independent judgements of the reliability of epidemiological data.

" Covering the scope of theoretical and applied epidemiology in a brief book is a daunting task, which this World Health Organization manual manages commendably " - from British Medical Journal

" An epidemiology textbook should be easy to read, contain sufficient information, encourage the reader to continue his or her study of epidemiology, and serve as a reference book. Basic Epidemiology meets all these requirements and more " - from Journal of the Swedish Medical Association

" Well written and covers all applications of epidemiology to health. Because of its wide scope and clear presentation, it would be useful as an introductory text for medical, nursing and paramedical students " - from Epidemiology Monitor

" Refreshingly different, with a new style and approach to teaching and learning epidemiology which is strongly recommended " - from Indian Journal of Medical Research



Chapter 1: What is epidemiology?

Chapter 2: Measurement of health and disease

Chapter 3: Types of epidemiological studies

Chapter 4: Fundamentals of biostatistics

Chapter 5: Causal inference in epidemiology

Chapter 6: Epidemiology versus prophylaxis

Chapter 7: Epidemiology of infectious disease

Chapter 8: Clinical epidemiology

Chapter 9: Occupational and environmental epidemiology

Chapter 10: Epidemiology-health care-health policy

Chapter 11: How to study epidemiology?


Appendix 1: Answers to study questions

Appendis 2: Epidemiological journals

Alphabetical index