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International Journal of Epidemiology, Volume 33, Number 2, pp. 387-388
IJE vol.33 no.2 © International Epidemiological Association 2004; all rights reserved.

Commentary

Commentary: Epidemiological transition, migration, and cardiovascular disease

Francesco P Cappuccio

Department of Community Health Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK. E-mail: f.cappuccio{at}sghms.ac.uk

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The study of change in patterns of health and disease across populations has been of interest since Thomas Malthus in 1798 argued that ‘population growth will always tend to outrun the food supply’ and that ‘betterment of the lot of mankind is impossible without stern limits on reproduction’.1 Since then, the theories on the health of populations in transition have developed2 with the groundbreaking contribution given to public health by Abdel Omran.3 In his essay of 1971 Omran conceptualizes with five propositions the theory of epidemiological transition in which degenerative and man-made diseases displace pandemics of infection as the primary causes of morbidity and mortality. The determinants of this transition, in his view, are ecobiological (interaction between . . . [Full Text of this Article]


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