Acta Medica Iranica 2016. 54(1):4-8.

Challenges of Epidemiologists of Developing Countries in the 21st Century
Mohsen Rezaeian


There are many published articles which cover current and future challenges of epidemiology. However, up until now, most of them are written by developed world epidemiologists. Therefore, despite a common use of assumptions, they did not have the opportunity to discuss the different range of practical tasks and priorities away from developed countries. The topics covered are; facing poverty, non-democratic government that has links to developed countries, man-made and natural disasters, handling low-quality data and accessing it, and finally improving contribution to the world epidemiological knowledge for the 21st century.


Epidemiology; Challenges; Developing world; Developed world

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Foxman B, Epidemiology Society Leadership Group. Challenges of epidemiology in the 21st century: comments from the leaders of several epidemiology associations. Ann Epidemiol 2005;15(1):1-4.

Ness RB, Andrews EB, Gaudino JA Jr, et al. The future ofepidemiology. Acad Med 2009;84(11):1631-7.

Duell EJ. The future of epidemiology: methodological challenges and multilevel inference. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2006;49(7):622-7.

Toporowski A, Harper S, Fuhrer R, et al. Burden of disease, health indicators and challenges for epidemiologyin North America. Int J Epidemiol 2012;41(2):540-56.

McKee M. Epidemiology in the 21st century. The challenges ahead. Eur J Public Health 2001;11(3):241-2.

Schwartz S, Susser E, Susser M. A future forepidemiology? Annu Rev Public Health 1999;20(1):15-33.

Nasca PC. Current problems those are likely to affect thefuture of epidemiology. Am J Epidemiol1997;146(11):907-11.

Pearce N. Traditional epidemiology, modern epidemiology, and public health. Am J Public Health 1996; 86(5):678-83.

Susser M, Susser E. Choosing a future for epidemiology: I. Eras and paradigms. Am J Public Health. 1996;86(5):668-73.

Susser M, Susser E. Choosing a future for epidemiology: II. From black box to Chinese boxes and ecoepidemiology.MAm J Public Health 1996;86(5):674-7.

Blakely T, Pega F, Nakamura Y, et al. Health status and epidemiological capacity and prospects: WHO Western Pacific Region. Int J Epidemiol 2011;40(4):1109-21.

Barreto SM, Miranda JJ, Figueroa JP, et al. Epidemiology in Latin America and the Caribbean: current situation and challenges. Int J Epidemiol 2012;41(2):557-71.

Dhillon PK, Jeemon P, Arora NK, et al. Status of epidemiology in the WHO South-East Asia region: burden of disease, determinants of health and epidemiological research, workforce and training capacity. Int J Epidemiol 2012;41(3):847-60.

Mandil A, Chaaya M, Saab D. Health status, epidemiological profile and prospects: Eastern Mediterranean region. Int J Epidemiol 2013;42(2):616-26.

Rothman KJ, Adami HO, Trichopoulos D. Should the mission of epidemiology include the eradication of poverty? Lancet 1998;352(9130):810-3.

McMichael AJ. The role of epidemiologists in eradicability of poverty. Lancet 1998;352(9140):1627.

Kaplan GA. The role of epidemiologists in eradicability of poverty. Lancet. 1998; 352(9140):1627-8.

Krieger N. Why epidemiologists cannot afford to ignore poverty. Epidemiology 2007;18(6):658-63.

McCann MF. The Millennium Development Goals: a challenge to epidemiologists. Epidemiology 2007;18(6):653-7.

Satyanarayana K, Srivastava S. Poverty, health & intellectual property rights with special reference to India. Indian J Med Res 2007;126(4):390-406.

Blakely T, Hales S, Kieft C, et al. The global distribution of risk factors by poverty level. Bull World Health Organ 2005;83(2):118-26.

Sverdlik A. Ill-health and poverty: a literature review on health in informal settlements. Environment and Urbanization 2011;23(1):123-55.

Atinmo T, Mirmiran P, Oyewole OE, et al. Breaking the poverty/malnutrition cycle in Africa and the Middle East.Nutr Rev 2009;67(Suppl 1):S40-6.

Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World HealthOrgan 2003;81(8):609-15.

Resnik DB. The distribution of biomedical research resources and international justice. Dev World Bioeth 2004;4(1):42-57.

Lansang MA, Dennis R. Building capacity in health= research in the developing world. Bull World Health Organ 2004;82(10):764-70.

Sidel VW, Levy BS. War. In: Baslaugh S, editor. Encyclopedia of epidemiology. 2nd ed. California: SAGE Publications, Inc; 2008: p. 1091-1093.

Kiefer CW. Militarism and world health. Soc Sci Med 1992;34(7):719-24.

Zwi AB. Militarism, militarization, health and the Third World. Med War 1991;7(4):262-8.

Rezaeian M. Illustrating wars and armed conflicts from adifferent perspective: Who suffer and who invest the most?Middle East J Business 2011;6(1):12-4.

Rezaeian M. A review on the most importantconsequences of wars and armed conflicts. Middle East JBusiness 2009;4(1):7-9.

Rezaeian M. War is an unjustifiable man-made disasterwithin the Eastern Mediterranean Region. Middle East JFamily Med 2008;6(1):14-6.

Rezaeian M. Epidemiological approaches to disasters and emergencies within the Middle East region. Middle East J Emerg Med 2007;7(1):54-6.

World Health Organization. World health report on violence and Health. Geneva: WHO: 2002.

McMahon MM. Disasters and poverty. Disaster Manag Response 2007;5(4):95-7.

Kim N. How much more exposed are the poor to natural disasters? Global and regional measurement. Disasters2012;36(2):195-211.

Roberts L, Lafta R, Garfield R, et al. Mortality before and after the 2003 invasion of Iraq: cluster sample survey. Lancet 2004;364(9448):1857-64.

Burnham G, Lafta R, Doucy S, et al. Mortality after the 2003 invasion of Iraq: a cross-sectional cluster samplesurvey. Lancet 2006;368(9545):1421-8.

Rezaeian M. Epidemiology of suicide after naturaldisasters: A review on the literature and a methodological framework for future studies. Am J Disaster Med2008;3(1):52-6.

AbouZahr C, Boerma T. Health information systems: the foundations of public health. Bull World Health Organ2005;83(8):578-83.

Nolen LB, Braveman P, Dachs JN, et al. Strengthening health information systems to address health equity challenges. Bull World Health Organ 2005;83(8):597-603.

Rezaeian M. Suicide among young Middle Eastern Muslim females: The perspective of an Iranian epidemiologist. Crisis 2010; 31(1):36-42.

Rezaeian M. The Age and Sex Suicide Pattern in the Eastern Mediterranean Region Based on the GlobalBurden of Disease estimates for 2000. East MediterrHealth J 2007;13(4):10-7.

Soteriades ES, Falagas ME. A bibliometric analysis in the fields of preventive medicine, occupational andenvironmental medicine, epidemiology, and public health. BMC Public Health 2006;6:301.

Giles J. Islam and Science: oil rich, science poor. Nature 2006;444(7115):28

Nchinda TC. Research capacity strengthening in the South.Soc Sci Med 2002;54(11):1699-711.

Chandiwana S, Ornbjerg N. Review of North-South and South-South cooperation and conditions necessary tosustain research capability in developing countries. JHealth Popul Nutr 2003;21(3):288-97.

Lansang MA, Dennis R. Building capacity in healthresearch in the developing world. Bull World HealthOrgan 2004;82(10):764-70.

Macfarlane SB, Evans TG, Muli-Musiime FM, et al.Global health research and INCLEN. International ClinicalEpidemiology Network. Lancet 1999;353(9151):503.

Halstead SB, Tugwell P, Bennett K. The InternationalClinical Epidemiology Network (INCLEN): a progress report. J Clin Epidemiol 1991;44(6):579-89.

Arora NK, Dans AL, Lansang MD. The JCE-INCLENcollaboration: knowledge sharing in action. J Clin Epidemiol 2007;60:537e9.

Dans AM, Dans LF. India CLEN. J Clin Epidemiol 2013;66(1):3.

Medact. Collateral damage: the health and environmental costs of war on Iraq. London: Medact: 2002.

Clark J. War on Iraq could produce a humanitarian disaster, health professionals warn. BMJ 2002;325(7373):1134.

Beaglehole R, Bonita R, editors. Public health at the crossroads: achievements and prospects. 2nd ed. New York: Cambridge University Press; 1997: p. 120.


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