Are subarctic Indians undergoing the epidemiologic transition?
The applicability of A. R. Omran's 'epidemiologic transition' theory to subarctic Indians in Canada is examined in a historical review of health and demographic data. The major trends since the time of European contact include the rise-and-fall of infectious diseases, the emergence of chronic, degenerative diseases, and the preeminence of the social pathologies in the post-World War II era. The divergences of the Amerindian experience from the 3 models in the epidemiologic transition theory and their implications for health care delivery are discussed.
Young
T K
TK
Department of Social and Preventive Medicine, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
D000059:Accidents; D000428:Alcohol Drinking / Q000208:ethnology; D001110:Arctic Regions; D001723:Birth Rate; D002170:Canada; D002908:Chronic Disease / Q000208:ethnology; D003141:Communicable Diseases / Q000208:ethnology* / Q000266:history / Q000401:mortality; D004032:Diet; D005298:Fertility; D006291:Health Policy; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007198:Indians, North American / Q000266:history*; D009026:Mortality; D009752:Nutritional Status; D012922:Social Change