Tapia-Conyer R
Subsecretario de Seguridad y Control de Enfermedades, Secretaria de Salud, México, D.F.
Gac Med Mex. 1997;133 Suppl 1:161-6.
The epidemiological transition describes the changes in the health profile of populations where infectious diseases are substituted by chronic or non-communicable diseases. Even in industrialized countries, infectious diseases emerge as important public health problems and with a very important association with several type of neoplasm. Molecular epidemiology brings in new tools for the study of the epidemiological transition by discovering infectious agents as etiology of diseases, neither of both new. Much has been advanced in the understanding of the virulence and resistance mechanism of different strains, or improving the knowledge on transmission dynamics and dissemination pathways of infectious diseases. As to the non-communicable diseases, molecular epidemiology has enhanced the identification of endogenous risk factors link to alterations, molecular changes in genetic material, that will allow a more detail definition of risk and the identification of individual and groups at risk of several diseases. The potential impact of molecular epidemiology in other areas as environmental, lifestyles and nutritional areas are illustrated with several examples.
流行病学转变描述了人群健康状况的变化,即传染病被慢性或非传染性疾病所取代。即使在工业化国家,传染病也成为重要的公共卫生问题,并且与几种肿瘤类型有着非常重要的关联。分子流行病学通过发现作为疾病病因的传染因子为研究流行病学转变带来了新工具,这两者都不是新的。在理解不同菌株的毒力和耐药机制方面已经取得了很大进展,或者提高了对传染病传播动态和传播途径的认识。至于非传染性疾病,分子流行病学加强了与改变相关的内源性危险因素的识别,即遗传物质的分子变化,这将使对风险的定义更加详细,并识别出患几种疾病的个体和群体。分子流行病学在环境、生活方式和营养等其他领域的潜在影响通过几个例子进行了说明。