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[A study on human behavior and socioeconomic factors affecting malaria transmission and control in Qiongzhong, Hainan].

This study was conducted in Heping District of Quiongzhong County, a hyperedemic mountainous area, in August-September 1992. The comparative surveys between the village and state-run farm, Li and Miao nationalities and Han nationality were carried out by using the sociological method together with the epidemiological methods. Gray relational analysis was conducted between the aforementioned 7 socioeconomic human behavioral factors and IFA rates. The result showed that their degrees of relation (r) were in the following order: (1) percentage of persons who had stayed in the mountain overnight (r = 0.8690); (2) percentage of bed net users (r = 0.7990); (3) percentage of households seeking medical service (r = 0.7990); (4) number of mosquito nets per person (r = 0.7867); (5) percentage of householders knowing malaria transmission route (r = 0.7798); (6) percentage of households with tile-roofed houses (r = 0.6767) and (7) income per capita (r = 0.6636). It indicates that staying in the mountain, using bed net and seeking medical service were three discriminating factors affecting local malaria transmission and control. Therefore, it is suggested that carrying out health education, changing the stay-in-mountain behavior, increasing the utilization of mosquito nets and reinforcing the primary health care should be taken as the fundamental measures for malaria control programme.

China↗

[Immunologic methods in epidemiologic monitoring of population, affected by radioactive iodine as a result of the accident at the Chernobyl nuclear plant].

Ultrasound investigations of the thyroid gland and determinations of microsomal antibodies have been performed in persons who lived in the town of Korosten (Zhitomir Region) during the Chernobyl accident. A high correlation has been found between ultrasound and immunological results. The immunological screening of the population suffered from the Chernobyl disaster might be successfully used for the autoimmune thyroiditis detection. These data complete those obtained by the ultrasound tests.

Accidents, Occupational↗

Methods for survey and diagnosis.

This contribution is an overview of current epidemiologic methods used in evaluating organic dust-containing environments for evidence of adverse pulmonary effects. Potential problems include vague diagnostic criteria of "disease" and inadequate tools for definitive diagnosis, as illustrated by asthma and hypersensitivity pneumonitis. The enthusiastic investigator may consider trivial changes indicative of real or potential disease, and add the studied environment to a growing list of menaces of the workplace or of everyday life. Attention to scientific principles is needed lest epidemiology becomes scare-mongering made respectable by sophisticated statistics.

Alveolitis, Extrinsic Allergic↗

Clinical uses of the epidemiologic approach.

The trend in clinical research today is toward increasing reliance on quantitative epidemiologic methods. To evaluate the validity of studies based on epidemiologic principles and their applicability to clinical practice, a working knowledge of the most commonly used observational and experimental study designs is useful. Characteristics of three basic study designs are discussed.

Adult↗

[Epidemiological examples of infectious disease spread].

The globalisation of trade with animals and animal products and increase of travel transports are very important issues with respect to prevent and control animal diseases or epizootics respectively. The disease control concepts as a complex manner should be established on scientific basis and must be permanently evaluated and updated. Outbreak investigations in order to clarify the source of infection and/or the spread of animal diseases including zoonoses are important fields of activities of veterinary epidemiologists. The application of modern epidemiological methods is the precondition of a successful disease control. On selected examples of animal diseases, the use of these methods is demonstrated. It is urgently necessary to intensify the epidemiological work in applied research and practice.

Animals↗

[Research of aging: epidemiological perspectives].

The epidemiological aging research has the descriptive task of characterizing the phenomena of aging and their consequences: illness, disability, handicap, and death--in defined population groups and comparing these groups. The other closely related task is analytical epidemiology, which searches for predictive or causal factors: traits, events or conditions of the aging phenomena. Special problems for this research are created by the facts that exposure to the causal factors often may be assumed to have taken place long time before the aging process becomes apparent, that the causal factors may act on cumulative basis over long time, that the effects may be irreversible, and that the factors may no longer play a role at advanced age. The possible role of genetic factors, acting alone or in combination with environmental factors, must be considered and elucidated by special epidemiological methods. The rapid advances in molecular biology raise expectations about epidemiological utilization providing much more precise assessment of the genetic contribution to the aging phenomena, which also will improve the outlook of identification of environmental factors, particularly when there is a gene-environment interaction. The results of these studies will contribute to prevention and treatment of the health problems related to aging.

Aged↗