Anderson D O
Can Med Assoc J. 1965 Nov 6;93(19):1019-30.
Canadian epidemiology is currently in transition from being primarily interested in infectious disease to becoming active in investigating causes of non-infectious disease. Generally, epidemiologists limit their work to "field", "basic", or "theoretical" epidemiology. In all three fields there appears to be a shortage of qualified personnel which is likely to become even more acute because of new roles that epidemiologists will probably play in the future. A minimum of 40 full-time epidemiologists is currently required in Canada.Departments other than departments of preventive medicine at medical schools and teaching hospitals are currently spending 79.5% of all funds allocated for non-microbiological epidemiological research in Canada. Since epidemiology is by its very nature population orientated, rather than clinically orientated, clinicians require consultative advice from epidemiologists at many stages of their research. Epidemiological facilities in departments of preventive medicine should therefore be strengthened in order to provide research training and didactic courses needed as the numbers of physicians, nurses and paramedical persons are increased.
加拿大流行病学目前正处于转型期,从最初主要关注传染病,转变为积极调查非传染病的病因。一般来说,流行病学家将他们的工作局限于“现场”、“基础”或“理论”流行病学。在这三个领域中,似乎都缺少合格人员,而且由于流行病学家未来可能会扮演的新角色,这种短缺可能会变得更加严重。加拿大目前至少需要40名全职流行病学家。医学院和教学医院中除预防医学系之外的其他系,目前在加拿大分配给非微生物流行病学研究的所有资金中占比79.5%。由于流行病学本质上是以人群为导向,而非以临床为导向,临床医生在其研究的许多阶段都需要流行病学家的咨询建议。因此,预防医学系的流行病学设施应予以加强,以便随着医生、护士和辅助医疗人员数量的增加,提供所需的研究培训和教学课程。