Just Finished Reading: Epidemiology – A Very Short Introduction by Rodolfo Saracci (FP: 2010)
After the previous book on Pandemics I thought it would be
good to look at the human response to epidemics and disease in general. This
was indeed a very good complimentary read to the previous two books. Over just
126 pages the author looks at the science of disease control starting with the
actual measurement of health and disease. After all if you can’t accurately
measure something there’s no way to know if anything you’re doing to combat it
is having any effect. Measurements give you data to work with which should
allow you to zero in on the vectors that gave rise to the disease in the first
place – they might show you were the first cases arose or they might show
disease clusters or even the fabled patient zero themselves! Once the data has
been collected and analysed it should give an idea of the cause of the disease
(contaminated drinking water for instance) and allow treatment – or at the very
least isolation of the affected area or population. Follow up data can also
show the effects of any procedure undertaken to combat or mitigate the effects
of the disease – such as handwashing after assisting in childbirth before
moving onto the next patient (a process hotly debated before becoming common
practice).
All of the above allows the tracking of disease within a
population over time and, even without an effective cure, increases the
possibility of controlling the spread and reducing any potential negative
effects. Even without knowing much about the actual disease organism –
bacteria, virus, parasite, fungus – epidemiological study can still highly
inform effect procedures to combat its effects. Detailed analysis of the
disease itself can come later (hopefully) and will undoubtedly help in devising
better protective protocols but a good level of epidemiological data crunching
can take you a long way even before you know what you’re fighting.
As I said earlier this was a nice complimentary volume to
the previous pair and takes discussion of infectious diseases and pandemics to
the next (higher) level and I’d recommend reading all three books as a set.
Only one more in this particular ‘blitz’ to go just taking it one more level up
in scale. Then we’ll get back to normal programming – or at least as ‘normal’
as it gets around here.
7 comments:
ha the new normal is the old insane
It's hard to appreciate sometimes how long it took what seem to us to be commonsense ideas -- handwashing -- to establish themselves. I think I encountered a bit of that in Spangenburg and Moser's history of medicine, but I can't remember the arguement against handwashing.
@ Mudpuddle: I do wonder what the 'new' normal will be considering we never really had an 'old' normal. It's like like anything stays still long enough for it to be 'normalised'!
@ Stephen: Sense is never common I suppose! I think the 'argument' against hand-washing was that it wasn't necessary. If you disputed the existence of germs then there was nothing to 'wash' off....
If only COVID19 were being dealt with scientifically. The knowledge of how is there, but the politics make it so hard to carry out. GAH!!!
i've gotten to the place where my Grampa said i'd get to: where things long ago were wonderful and today's stuff is terrible...
@ Judy: I think here it's about 10% political with the usual finger pointing and blame game. In countries like Iran & Russia it's maybe 25% political and in the US its 100% political. Needless to say this is not a particularly effective approach to, you know, a Public Health crisis..... [shakes head]
@ Mudpuddle: Things always seem better in the past because we tend to forget the bad stuff. Generally speaking the best time to live is always now.... Generally.... [grin]
Yep, at this point it is 100% political. That's why the superintendent of my district shut down schools completely for the first quarter. Yet so many other districts around us have stayed open. Some are doing shortened days/alternating students, and some are going full days/all students. It is fucking INSANE.
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