Tuesday, December 19, 2006

Shoeleather Epidemiology

You cannot do epidemiology in a bubble. Or (entirely) in a lab. It is applied or it is nothing.

When the NYT lauds the detective work of the epidemiologists who traced down the Taco Bell E coli outbreak, are they praising the field or misunderstanding it? Yes, it was necessary to ask around to find the link between these cases. Yes it was well done. But how else were they supposed to do it? I can't see that the researchers did anything remarkable in this case. They followed the time-honored tradition of John Snow (review of The Ghost Map to come when I finish reading it). They weren't breaking ground.

And yet. They did a good job. They found the culprit. They got it shut down. Good for them. They deserve an article in their praise. Maybe such articles will lead more people to understand what it is we do!

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