1
?????????? ? ??????

• ????????? (??? ??? ??) ??????? ?? ???? ??

2
????(Hygeia) ??? ??? ??? ??. ??(Hygiene) ???? ?
????? ??? ????.
2003? 9? 19? ??????? ? (Hippocrates Day)
? ????? ??? ???? ???? ???????? ????. ? ??? ?? ??
???? ?? ???? ???? ?? ?? ???? ???? ??? ????. ?
???? ????? ??????? ??? ????.
3
????

• ????? ???? ?????? ? ???? ????.
• 2. ????? ?? ??? ??? ???? ???? ???? ???? ? ?????
  ??? ??? ????.
• 3. ??????? ??? ????? ???, ??, ?????? ????.

4
??? ??

• ?? ? ??? ??? ??, ??, ????? ??. ?????? ? ??, ?
  ??, ??, ????, ?? ?? ? ???? ? ? ??.
• ????-?4?-
• (A Dictionary of Epidemiology, Fourth Edition)
• John M. Last

5
????? ??

• 20??? ??
• ????? ??
• ??????? ?? (????)
• ?????? ??
• ????? ???

6
????? ??
Source United Nations (U.N.) Population
Division, Demographic Indicators, 1950-2050 (The
1996 Revision) (U.N., New York, 1996).
7
??? ??

• ???
• ?????? ??? ?? ?? ??, ? ?? ??? ??? ?? ?? ??.
• ? ???? ????, ??? ?? ?? ?? ?? ???? ?? ?? ??? ??
  ?? ??? ?? ? ??? ????.
• ? ???? ?? ?? ?? ?? ?? ???.

8
???? ?? ??? ???
????? ??
9
??? ????? (1860-1960) ?? US Bureau of the
Census, Historical Statistics of the United
States Colonial Times to 1970 (Washington, D.C
Government Printing Office, 1975), Part 1
pp58,63.  ?? 1860-1900 ??? Massachusetts? ? ???.

Koch identified tubercle bacillus
Streptomycin introduced
Vaccination available
10
????? ????? ??

• ????(sanitary revolution)?? ?? ????? ?? ??? ????
  ??? ??? ???? ???.

11
15? ?? ????? (England and Wales, 1850-1970)
?? Thomas McKeown, The Modern Rise of Population
(Academic Press, San Francisco, 1976), pp. 93,
96.
12
??? ??, ??????? ??, ????? ??
13
(No Transcript)
14
??? ????? ?? (??) ??????? ??
POLIO ELIMINATED SINCE
1962 DIPHTHERIA ELIMINATED SINCE 1969 NEWBORN
TETANUS ELIMINATED SINCE 1972 CONGENITAL
RUBELLA ELIMINATED SINCE 1989 MENINGITIS POST
MUMPS ELIMINATED SINCE 1989 MEASLES
ELIMINATED SINCE 1993 WHOOPING COUGH
TRANSMISSION INTERRUPTED SINCE 1994 RUBELLA
TRANSMISSION INTERRUPTED SINCE
1995 MUMPS TRANSMISSION
INTERRUPTED SINCE 1995 ??? MENINGOCOCCICAL
DISEASE REDUCTION 93 TYPHOID
FEVER REDUCTION 75 B
HEPATITIS REDUCTION 52
15
Introduction

• Cervical cancer is the 2nd most common cancer
  among women globally
• Higher cervical cancer mortality in developing
  countries due to lack of effective screening
  programs

16
???? ??? ??

• ??-?? 99,970/yr, ????? 3?4??? ????. (?? 0.03)
• ?? ???? (????) 25
• ??? ?? (strategic knowledge) 12
• ???? (??????) -60
• ????
• ??? 4.18 ? ??? 83 (10 ?? ?? 1/3rd ??, gt1/3rd
  ??? ??).
• ???? ????? 17

17
5? ?? ??? AIDS??? ???(????, 2010)
Source US Bureau of the Census
18
750
??? ??? ??? (35-74? ??, 1970? 1993 (Rate/100,000)
FIN
USA
AUST
SCOT
NZ
CAN
500
SING
USSR
250
ITY
SPN
FRAN
JPN
HK
CHN
0
19
??????
????? ?? ??? ????, ????? ?? ? ?? ???? ??? ?? ???
? ??.
Dr. Elliot Joslin
20
??????? ??? LDL-C? ?? (Statin Trials)
30
2 Prevention
25
20
with
15
1 Prevention
CHD event
10
5
0
90
110
130
150
170
190
210
Mean LDL-C level at follow-up (mg/dL)

21
(No Transcript)
22
????? ??? ???? ??
Number of Internet users (millions)
Year
23
?? ??????
24
Telepreventive Medicine
????? ???? ??? ??? ??????? ???? ??? ??? ??? ???? ?
Tele-Medicine
????? ???? ??? ??????? ???? ??? ????? ???? ?
25
Supercourse Lecture Growth
26
??

• ?? ???? ????? ??? ?? ? ??? ??? ?? ?????.
• ??? ??? ???? ???? ???? ??????? ???? ??? ?????
  ????.
• ?????? ????? ????? ??????.

27
????? ????

• ????? ???
• ??????? ?? ????
• ??, ??, ??? ??

? ????? ?? ??, ?? ? ??????? ???? ????.
28
? ???? ??

• ???? ??? ????? ?? ??? ?? ?????. ?? ??? ????? ????
  ?? ??? ????. ??? Submit??? ???? ???. ?? ????
  ??? ???? (super2_at_pitt.edu).