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International Journal of Epidemiology 2003;32:882-884
© International Epidemiological Association 2003

Letter to the Editor

Sidney Kark’s contributions to epidemiology and community medicine

JD Kark1 and JH Abramson2

1 Epidemiology Unit and
2 Professor Emeritus of Social Medicine, and Hebrew University-Hadassah School of Public Health and Community Medicine, POB 12272, Jerusalem 91120, Israel. E-mail: jeremy1@vms.huji.ac.il

The first 10% of the full text of this article appears below.

Sirs—It was gratifying to see recognition of the relevance of Sidney Kark’s 1949 paper on ‘The social pathology of syphilis in Africans’, republished in the International Journal of Epidemiology on the fifth anniversary of his death, to the ongoing AIDS epidemic.1 We would like to add some historical and biographical context that may be helpful as a background to his concepts and contribution.

South Africa in the 1940s had become a major conceptual leader in the development of what later became known as community-oriented primary care, or COPC (although Sidney Kark preferred to call it community-oriented primary health care, or COPHC) as an effective mode of delivery of health services to the population. This found expression in the establishment in 1940 by the Health Ministry, ably led by Eustace Cluver and Harry Gear, of a demonstration health centre in a rural Zulu community (the Pholela Health Centre which Sidney . . . [Full Text of this Article]


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