Epidemiological Transition

Kevin MCCRACKEN, David Rosser PHILLIPS

Research output: Book Chapters | Papers in Conference ProceedingsEntry for encyclopedia/dictionaryResearchpeer-review

6 Citations (Scopus)

Abstract

The term 'epidemiologic(al) transition' was coined by Abdel Omran in 1971 to refer to the shift from an infectious disease dominated cause of death pattern to one in which chronic degenerative ailments predominate. As such, the epidemiological transition is one strand of a broader process of 'demographic transition' comprising declining birth and death rates, population ageing, changing morbidity patterns, increasing spatial mobility, rising urbanisation, evolving labour force structure and the like. The basic propositions, successive stages, models of transition and claimed determinants of disease promulgated by Omran are outlined first. Critiques and extensions of the theory are then addressed. The impression of smooth, uninterrupted progression through the transition conveyed by Omran is shown to be false and the continuation of epidemiological evolution beyond what was initially envisaged illustrated. Attention in turn is drawn to the tendency to underestimate the continuing burden of infectious disease mortality in present-day developed nations and the debate over the historic importance of different disease determinants. The widening out of the original transition theory into a more encompassing 'health transition' perspective combining both the mortality and morbidity sides of human health is outlined and the 'compression' versus 'expansion' of morbidity debate about the quality of health over the years of additional life expectancy introduced. The importance of recognizing subnational variations in epidemiological profiles is argued and the particular difficulties posed by 'epidemiological polarisation' in many less developed countries noted. Finally the utility of epidemiological transition theory for health planning and strategies is considered.

Original languageEnglish
Title of host publicationInternational encyclopedia of human geography
PublisherElsevier
Pages571-579
Number of pages9
ISBN (Electronic)9780080449104
ISBN (Print)9780080449111
DOIs
Publication statusPublished - 2009

Fingerprint

morbidity
contagious disease
declining birth rate
mortality
health
determinants
Disease
health planning
demographic transition
death rate
life expectancy
cause of death
labor force
polarization
urbanization
present

Keywords

  • Compression of morbidity
  • Determinants of disease
  • Epidemiology
  • Healthcare planning
  • Infectious and noninfectious diseases
  • Population aging

Cite this

MCCRACKEN, K., & PHILLIPS, D. R. (2009). Epidemiological Transition. In International encyclopedia of human geography (pp. 571-579). Elsevier. https://doi.org/10.1016/B978-008044910-4.00334-5
MCCRACKEN, Kevin ; PHILLIPS, David Rosser. / Epidemiological Transition. International encyclopedia of human geography. Elsevier, 2009. pp. 571-579
@inbook{439cdf245db244b2870b7d3950a13e25,
title = "Epidemiological Transition",
abstract = "The term 'epidemiologic(al) transition' was coined by Abdel Omran in 1971 to refer to the shift from an infectious disease dominated cause of death pattern to one in which chronic degenerative ailments predominate. As such, the epidemiological transition is one strand of a broader process of 'demographic transition' comprising declining birth and death rates, population ageing, changing morbidity patterns, increasing spatial mobility, rising urbanisation, evolving labour force structure and the like. The basic propositions, successive stages, models of transition and claimed determinants of disease promulgated by Omran are outlined first. Critiques and extensions of the theory are then addressed. The impression of smooth, uninterrupted progression through the transition conveyed by Omran is shown to be false and the continuation of epidemiological evolution beyond what was initially envisaged illustrated. Attention in turn is drawn to the tendency to underestimate the continuing burden of infectious disease mortality in present-day developed nations and the debate over the historic importance of different disease determinants. The widening out of the original transition theory into a more encompassing 'health transition' perspective combining both the mortality and morbidity sides of human health is outlined and the 'compression' versus 'expansion' of morbidity debate about the quality of health over the years of additional life expectancy introduced. The importance of recognizing subnational variations in epidemiological profiles is argued and the particular difficulties posed by 'epidemiological polarisation' in many less developed countries noted. Finally the utility of epidemiological transition theory for health planning and strategies is considered.",
keywords = "Compression of morbidity, Determinants of disease, Epidemiology, Healthcare planning, Infectious and noninfectious diseases, Population aging",
author = "Kevin MCCRACKEN and PHILLIPS, {David Rosser}",
year = "2009",
doi = "10.1016/B978-008044910-4.00334-5",
language = "English",
isbn = "9780080449111",
pages = "571--579",
booktitle = "International encyclopedia of human geography",
publisher = "Elsevier",
address = "Netherlands",

}

MCCRACKEN, K & PHILLIPS, DR 2009, Epidemiological Transition. in International encyclopedia of human geography. Elsevier, pp. 571-579. https://doi.org/10.1016/B978-008044910-4.00334-5

Epidemiological Transition. / MCCRACKEN, Kevin; PHILLIPS, David Rosser.

International encyclopedia of human geography. Elsevier, 2009. p. 571-579.

Research output: Book Chapters | Papers in Conference ProceedingsEntry for encyclopedia/dictionaryResearchpeer-review

TY - CHAP

T1 - Epidemiological Transition

AU - MCCRACKEN, Kevin

AU - PHILLIPS, David Rosser

PY - 2009

Y1 - 2009

N2 - The term 'epidemiologic(al) transition' was coined by Abdel Omran in 1971 to refer to the shift from an infectious disease dominated cause of death pattern to one in which chronic degenerative ailments predominate. As such, the epidemiological transition is one strand of a broader process of 'demographic transition' comprising declining birth and death rates, population ageing, changing morbidity patterns, increasing spatial mobility, rising urbanisation, evolving labour force structure and the like. The basic propositions, successive stages, models of transition and claimed determinants of disease promulgated by Omran are outlined first. Critiques and extensions of the theory are then addressed. The impression of smooth, uninterrupted progression through the transition conveyed by Omran is shown to be false and the continuation of epidemiological evolution beyond what was initially envisaged illustrated. Attention in turn is drawn to the tendency to underestimate the continuing burden of infectious disease mortality in present-day developed nations and the debate over the historic importance of different disease determinants. The widening out of the original transition theory into a more encompassing 'health transition' perspective combining both the mortality and morbidity sides of human health is outlined and the 'compression' versus 'expansion' of morbidity debate about the quality of health over the years of additional life expectancy introduced. The importance of recognizing subnational variations in epidemiological profiles is argued and the particular difficulties posed by 'epidemiological polarisation' in many less developed countries noted. Finally the utility of epidemiological transition theory for health planning and strategies is considered.

AB - The term 'epidemiologic(al) transition' was coined by Abdel Omran in 1971 to refer to the shift from an infectious disease dominated cause of death pattern to one in which chronic degenerative ailments predominate. As such, the epidemiological transition is one strand of a broader process of 'demographic transition' comprising declining birth and death rates, population ageing, changing morbidity patterns, increasing spatial mobility, rising urbanisation, evolving labour force structure and the like. The basic propositions, successive stages, models of transition and claimed determinants of disease promulgated by Omran are outlined first. Critiques and extensions of the theory are then addressed. The impression of smooth, uninterrupted progression through the transition conveyed by Omran is shown to be false and the continuation of epidemiological evolution beyond what was initially envisaged illustrated. Attention in turn is drawn to the tendency to underestimate the continuing burden of infectious disease mortality in present-day developed nations and the debate over the historic importance of different disease determinants. The widening out of the original transition theory into a more encompassing 'health transition' perspective combining both the mortality and morbidity sides of human health is outlined and the 'compression' versus 'expansion' of morbidity debate about the quality of health over the years of additional life expectancy introduced. The importance of recognizing subnational variations in epidemiological profiles is argued and the particular difficulties posed by 'epidemiological polarisation' in many less developed countries noted. Finally the utility of epidemiological transition theory for health planning and strategies is considered.

KW - Compression of morbidity

KW - Determinants of disease

KW - Epidemiology

KW - Healthcare planning

KW - Infectious and noninfectious diseases

KW - Population aging

UR - http://www.scopus.com/inward/record.url?scp=85044532186&partnerID=8YFLogxK

UR - http://commons.ln.edu.hk/sw_master/3980

U2 - 10.1016/B978-008044910-4.00334-5

DO - 10.1016/B978-008044910-4.00334-5

M3 - Entry for encyclopedia/dictionary

SN - 9780080449111

SP - 571

EP - 579

BT - International encyclopedia of human geography

PB - Elsevier

ER -

MCCRACKEN K, PHILLIPS DR. Epidemiological Transition. In International encyclopedia of human geography. Elsevier. 2009. p. 571-579 https://doi.org/10.1016/B978-008044910-4.00334-5