Control of Transmissible Diseases in Health Care Organizations

  • Andrew Kucharski
  • Robert Mittendorf


Epidemiology as a discipline had as its historical focus the investigation of epidemics. In the United States, the period between 1800 and 1875 was characterized by a number of great epidemics, in particular cholera, yellow fever, smallpox, and typhoid fever (Smillie, 1952). The epidemiologic thinking of that time was that an epidemic was the result of uncontrollable conditions, not spread from person to person. Several authors linked poverty, overcrowding, and bad social conditions to the great excess in mortality that occurred during the epidemics. Between the period of 1900 and 1980, a large decline in mortality from transmissible disease was observed. Improved nutrition, sanitation, and less crowded housing coupled with the advent of the use of antibiotics in 1940 contributed to this decline. However, since 1980, the incidence and mortality from transmissible diseases have been increasing for several reasons.


Nosocomial Infection Health Care Worker Health Care Organization Protein Purify Derivative Health Care Manager 
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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Andrew Kucharski
    • 1
  • Robert Mittendorf
    • 2
  1. 1.Department of Clinical DevelopmentImmunex CorporationSeattleUSA
  2. 2.Department of Obstetrics and GynecologyUniversity of ChicagoChicagoUSA

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