DOCSLIB.ORG

Vital and Health Statistics; Series 4, No. 11

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Vital and Health Statistics; Series 4, No. 11 NATIONAL CENTER Series 4 For HEALTH STATISTICS I Number 11 VITAL amd HEALTH STATISTICS DOCUMENTS AND COMMITTEE REPORTS PROPERTYOF THE PUBLICATIONS8F?ANC~ EDITORIAL LIBMY use of hospital data for Epidemiologicand Medical-Care Research A Report of the United States National Committee on Vital and Health Statistics How hospital data may be used for epidemiologic and medical- care research is discussed with examples of past applications. U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Health Services and Mental Health Administration Washington, D. Cl. June 1969 Public Health Service Publication No. 1000-Series 4 -No. 11 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D. C., 20402- Price 25 cents NATIONAL CENTER FOR HEALTH STATISTICS THEODORE D. WOOLSEY, Director PHILIP S.LAWRENCE, SC.D., Associate Director OSWALD K. SAGEN, PH.D.>, Assistant Director for Health Statistics Development WALT R. SIMMONS, M.A., Assistant Director for Research and Scientific Development ALICE M. WATERHOUSE, M.D., Medical Consultant JAMES E. KELLY, D. D. S., Dental Advisor EDWARD E. MINTY, Executive O//icer MARGERY R. CUNNINGHAM, Information O//icer OFFICE OF HEALTH STATISTICS ANALYSIS IWAO M.MORIYAMA,Ph.D.,Di~ector DEAN E. KRUEGER, Deputy Directo~ Public Health Service Publication No. 1000-Series 4-No. 11 Library of Congress Catalog Card Number 70-600272 FOREWORD This report, prepared by a Subcommittee of the U.S. National Committee on Vital and Health Statistics, views the development of hospital data in the United States and discusses how they may be used for epidemiologic studies of chronic disease, for disease surveillance purposes, and for medical-care research. The full potential of mor­ bidity and other data in hospital records needs to be exploited for epidemiologic and medical-care research. Robert L. Berg, M. D., Chairman U.S. National Committee on Vital and Health Statistics ... Ill U.S. NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS Robert L. Berg, M. D., Chairman Charles E. Lewis, M.D. Professor and Chairman, Department of Professor and Chairman, Department of Preventive Medicine and Community Health Preventive Medicine and Community Health The Medical Center University of Kanaas Medical Center The University of Rochester Kansas City, Kansas Rochester, New York Forrest E. Linder, Ph.D. Department of Biostatistics Iwao M. Moriyama, Ph. D., Executive Secretary School of Public Health Director, Office of Health Statistics Analyais University of North Carolina National Center for Health Statistics Chapel Hill, North Carolina Public Heslth Service* Washington, D.C. Robert Parke, Jr. Program Planning Officer Bureau of the Census Donald J. Davids U.S. Department of Commerce Chief, Records and Statistics Section Washington, D.C. Colorado State Department of Public Health John R. Philp, M.D. Denver, Colorado Health Officer County of Orange Health Department Clyde V. Kiaer, Ph.D. Santa Ana, California Senior Member, Technical Staff Donovan J. Thompson, Ph.D. Milbank Memorial Fund Department of Preventive Medicine New York, New York School of Medicine University of Washington Herbert E. Klarman, Ph.D. Seattle, Washington Department of Public Health Administration Theodore D. Woolsey, ex officio School of Hygiene and Public Health Director, National Center for Health Statistics The Johns Hopkins University Public Health Service* Baltimore, Maryland Washington, D.C. SUBCOMMITTEE ON EPIDEMIOLOGIC USE OF HOSPITAL DATA Paul M. Denaen, SC.D., Chairman Alfonse T. Masi, M. D., Dr. P.H. Director, Center for Community Health Department of Medicine and Medical Care The University of Tennessee School of Public Health and Medical Memphis, Tennessee School Harvard University Robert W. Miller, M.D. Bostcm, Msssachuaetts “ Chief, Epidemiology Branch National Cancer Institute National Institutes of Health Warren Winkelstein, Jr., M. D., Secretary Public Health Service* Professor, Department of Epidemiology Bethesda, Maryland School of Public Health University of California Robert Ivf. Sigmond Berkeley, California Executive Director Hospital Planning Association of Allegheny County Jacob E. Bearman, Ph.D. Pittsburgh, Pennsylvania Professor, Biometry Division School of Public Health Vergil N. SIee, M.D. College of Medical Sciences Director, Commission on Professional and University of Minnesota Hospital Activities Minneapolis, Minnesota Ann Arbor, Michigan Alexander D. Langmuir, M.D, Paul F. Wehrle, M.D. Chief, Epidemiology Program Chief Physician National Communicable Disease Center Pediatrics and Communicable Disease Health Services and Mental Health Services Administration, Public Health Service* Los Angeles County General Hospital .4tlanta, Georgia Los Angeles, California *Depmtmentof Health, Education, nnd Welfare. iv CONTENTS ... Foreword ------------------------------------------------------------ m Introduction ---------------------------------------------------------- 1 Epidemiologic Research ----------------------------------------------- 1 Retrospective (case-control) Studies -------------------------------- --- 2 Prospective (cohort) Studies ------------------------------------------ 3 Epidemiologic Surveillance --------------------------------------------- 5 Medical-Care Research ----------------------------------------------- 6 Influence of Dia~oses Per Se----------------------------------------- 6 Influence of Organizational Structure for Providing Medical Care and of Type of Physician ------------------------------------------------ 7 Influence of the Physician's Characteristics ---------------------------- 7 Influence of Various Types of Case Management ------------------------- 7 Confidentiality -------------------------------------------------------- 8 References ----------------------------------------------------------- 8 v IN THIS REPORT a Subcommittee of the U.S. National Committee on Vital and Health Statistics considers the potential value, the available methods, and the problems of using hospital data fov epidemiolo~”c studies. Increasing standardization of diagnostic procedures improves the reli­ ability of hospital diagnoses. Increasing utilization of hospitals veduces the difference between the medical expedience of the hospitalized and the geneval populations. Both trends enhance the potential of hospital data fov epidemiolo~”c study. Hospitil vecovds provide access to large num km of cases of specific diseases which would be difficult to identify in general population suvveys. Techniques ave descvibed, pvoblems are identified, and examples ave given for several types of hospital studies: ~etvospective (usually case- control) studies of specific diseases or conditions; prospective (coho~t) studies with either analytical or clinical- tvial objectives; disease sur­ veillance intended to identify changes in levels of incidence; and med­ ical- care veseavch which is concerned with relationships between utilization and the chavacte-vistics of physicians, hospitals, and case management as well as the specific diagnosis. Opportunities fov hypothesis testing ave pointed out, along with ~equive­ ments, in terms of procedures for vecovding data and the selection of conhol groups. vi USE OF HOSPITAL DATA FOR EPIDEMIOLOGIC AND MEDICAL-CARE RESEARCH INTRODUCTION tional studies of data from chronic disease and psychiatric hospitals and from nursing homes At the suggestion of the Epidemiology Section will sometimes be necessary because short-term of the American Public Health Association made general hospitals are utilized primarily by pa­ during its 1964 meeting in New York City, the tients with acute illnesses and with surgical prob­ Subcommittee on Epidemiologic Use of Hospital lems. Data was constituted by the U.S. National Com­ The three areas in which the information in mittee on Vital and Health Statistics. The task of hospital records can contribute are epidemiologic this Subcommittee was to make a study of the uses research, disease surveillance, and medical-care of diagnostic and other data on hospital patients, research. Each of these areas will be briefly re- including statistics needed for epidemiologic and viewed with respect to the role of the hospital medical-care research, studies of current ther­ record. apeutic practices, and for health surveillance. With the increased standardization of diag­ EPIDEMIOLOGIC RESEARCH nostic tests and criteria, hospital data have be- come more reliable in recent years. The fact that While data on hospital patients have, in the the general hospital is being regarded more and past, provided a resource for testing hypotheses more as the hub of a complex of facilities provid­ on disease causation, it is anticipated that this ing medical care—inpatient and outpatient, pre­ resource will be increasingly useful in the future. ventive and curative—increases the possibility y This is due to the increasing availability of hos­ that hospital data will provide a useful indicator pital care through the extension of private and of the medical experience of the general popula­ governmental support as well as to the increased tion. This opens up the possibility of utilizing di­ recognition of the hospital as a technological agnostic information in hospital records for pur­ center. Masil has pointed out the potential uses poses other than the treatment of patients. Indeed of hospital data for epidemiologic research as the subcommittee believes that the full potential well as their limitations. While some problems of information in hospital records
Load more

Recommended publications
  • HIV-AIDS Assignments Grade 11
    Oral History Center HIV/AIDS in American History Assignments – Grade 11 September 2020 For more information on curriculum, see the Oral History Center website. Table of Contents OVERVIEW ......................................................................................................................................... 2 PODCAST EPISODE 1 ........................................................................................................................... 2 THEMES .......................................................................................................................................................... 2 ASSIGNMENT: WORKING WITH THEMES IN THE HIV/AIDS INTERVIEWS ..................................................................... 3 Preliminary sample assignment: AIDS campaign.................................................................................... 3 FOUR POSSIBLE ASSIGNMENT TOPICS ................................................................................................. 3 ASSIGNMENT 1: WOMEN ON THE FRONT LINES: GENDER, IDENTITY, AND VALUES ....................................................... 3 Sample curriculum ................................................................................................................................... 4 Sample assignment ................................................................................................................................. 7 ASSIGNMENT 2: VIRUS HUNTERS: THE SEARCH FOR HIV ........................................................................................
    [Show full text]
  • Local Health Departments and HIV Prevention
    May 14, 2018 USPSTF Senior Coordinator ATTN: USPSTF Nominations Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality 5600 Fishers Lane Mailstop 06E53A Rockville, MD 20857 Re: Nomination of Dr. Tomás Aragón for Membership to the U.S. Preventive Services Task Force On behalf of the National Association of County and City Health Officials (NACCHO), I write to nominate Dr. Tomás Aragón, Health Officer of the City and County of San Francisco, and Director of the Population Health Division for the San Francisco Department of Public Health (SFDPH), to serve as a member of the U.S. Preventive Services Task Force (USPSTF). NACCHO is the voice of nearly 3,000 local health departments across the country. These city, county, metropolitan, district, and tribal departments work every day to promote and protect the public’s health and safety in places where people work, play, travel, worship and live. Dr. Aragón is an experienced public health executive, leader, and medical epidemiologist with demonstrated expertise in prevention, clinical medicine, epidemiology, and academic research. Since 2011, Dr. Aragón has directed core public health services for San Francisco, including epidemiology; surveillance; disease and injury prevention and control; health promotion; environmental health; performance (quality) improvement; maternal, child and adolescent health; public health emergency preparedness; and emergency medical services. San Francisco is home to 850,000 residents and serves a population of 1.5 million during the day. SFDPH has 8000+ employees and includes acute medical and trauma care, primary care, long-term care and rehabilitation, mental health, substance use, and core public health.
    [Show full text]
  • Aidsepidemicinsf07chinrich.Pdf
    University of California Berkeley Regional Oral History Office University of California The Bancroft Library Berkeley, California The San Francisco AIDS Oral History Series THE AIDS EPIDEMIC IN SAN FRANCISCO: THE MEDICAL RESPONSE 1981-1984 Volume VII Warren Winkelstein, Jr., M.D., M.P.H. AIDS EPIDEMIOLOGY AT THE SCHOOL OF PUBLIC HEALTH, UNIVERSITY OF CALIFORNIA, BERKELEY With an Introduction by James Chin, M.D., M.P.H. Interviews Conducted by Sally Smith. Hughes, Ph.D. in 1994 and 1995 Copyright 1999 by The Regents of the University of California Since 1954 the Regional Oral History Office has been interviewing leading participants in or well-placed witnesses to major events in the development of Northern California, the West, and the Nation. Oral history is a method of collecting historical information through tape-recorded interviews between a narrator with firsthand knowledge of historically significant events and a well- informed interviewer, with the goal of preserving substantive additions to the historical record. The tape recording is transcribed, lightly edited for continuity and clarity, and reviewed by the interviewee. The corrected manuscript is indexed, bound with photographs and illustrative materials, and placed in The Bancroft Library at the University of California, Berkeley, and in other research collections for scholarly use. Because it is primary material, oral history is not intended to present the final, verified, or complete narrative of events. It is a spoken account, offered by the interviewee in response to questioning, and as such it is reflective, partisan, deeply involved, and irreplaceable. ************************************ This manuscript is made available for research purposes. All literary rights in the manuscript, including the right to publish, are reserved to The Bancroft Library of the University of California, Berkeley.
    [Show full text]
  • Background of the Field
    © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION PART I Background of the Field 78903_ch01_5807.indd 1 11/10/10 5:06:36 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 78903_ch01_5807.indd 2 11/10/10 5:06:36 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION CHAPTER 1 Introduction: The Environment at Risk content areas of environmental health such as air quality, LEARN I NG OBJECT I VES water quality, food safety, and waste disposal. By the end of this chapter the reader will be able to: Maintaining environmental quality is a pressing task for • Describe how environmental health problems influence our the 21st century. Improvement in environmental quality is an lives official goal of the US government, as articulated in Healthy • Describe the potential impacts of population growth upon the environment People 2010. This goal (number 8, Environmental Health) is • State a definition of the term environmental health formatted as follows: “Promote health for all through a healthy • List at least five major events in the history of environmental environment.”1(p55) A list of environmental objectives is shown health in Table 1-1. Note that Healthy People 2020, which will provide • Identify current issues in the environmental health field updated objectives, was not available as of this writing. • Describe employment opportunities in the environmental health field According to Healthy People 2010: Physical and social environments play major roles in the health of individuals and commu- INTRODUCTION nities. The physical environment includes the air, water, and soil through which exposure to This chapter will illustrate how environmental health relates chemical, biological, and physical agents may to our lives and delimit the scope of the environmental health occur.
    [Show full text]
  • Library Prize for Undergraduate Research
    UCLA Library Prize for Undergraduate Research Title Medical Denialism: Where Must Society Draw the Line? Permalink https://escholarship.org/uc/item/6vk348sc Author Mally, Alison H Publication Date 2015-04-01 Undergraduate eScholarship.org Powered by the California Digital Library University of California Alison Mally Honors Collegium 14 Medical Denialism: Where Must Society Draw the Line? Introduction From germ theory to modern physics, the continual questioning and challenging of the established norm has been the source of scientific progress and growth. In fact, science would not be where it is today without its history of opposition to the prevailing paradigm. However, not all challenges to established medical fact are productive, and in fact, can be very dangerous. In some cases, particularly in medicine, publicly and vocally opposing and challenging what has been well established and supported has dire consequences, costing innocent lives. Thus, the question is raised: At what point does it become unacceptable to deny well-established medical fact? This investigation seeks to answer this question through a series of case studies. To show when a challenge to the established norm is not only acceptable, but vitally important to the progress of medical science, the example of the establishment of germ theory is presented, particularly through the contributions of John Snow and Robert Koch. First, the prevailing medical theories of the time will be described, followed by a description of John Snow’s investigation of cholera during the epidemic in London in the mid-19th century. His investigation will be shown to have challenged those medical theories which dominated at the time, but that this was done with the support of meticulously gathered evidence.
    [Show full text]
  • Mobile Health Teams, Decolonization, and the Eradication Era in Cameroon, 1945-1970 Sarah Cook Runcie
    Mobile Health Teams, Decolonization, and the Eradication Era in Cameroon, 1945-1970 Sarah Cook Runcie Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Graduate School of Arts and Sciences Columbia University 2017 © 2017 Sarah Cook Runcie All rights reserved Abstract Mobile Health Teams, Decolonization, and the Eradication Era in Cameroon, 1945-1970 Sarah Cook Runcie This dissertation examines the intersecting changes of African decolonization and the post-World War II internationalization of public health by showing how Cameroonian and French health officials shaped global health programs on the ground in the 1950s and 60s. I approach this topic through the lens of two tightly interwoven developments in Cameroon: the history of colonial mobile health teams created by French military doctors and the advent of postwar global disease eradication campaigns. While colonial medicine and international health are typically treated as distinct historical subjects, I argue that global disease eradication programs in this period in Cameroon relied entirely on colonial mobile health teams and their reformulation after independence as a basis of infrastructure, personnel and knowledge. I specifically assert that Cameroonian and French health officials positioned mobile health teams as cornerstones of national health policy and regional health coordination in Central Africa and, in turn, as the basis for operations of attempted global disease eradication programs within Cameroon. As Cameroonian, French and international health officials negotiated the work of the mobile health teams through decolonization and the first decade of the independence, they were moreover charting new structures of authority and control over medicine and public health between the global and the local, and forging an international politics of public health rooted in the particular tensions of decolonization in the country.
    [Show full text]
  • Lives in Medicine
    LIVES IN MEDICINE John Scales Avery September 28, 2019 Introduction1 Cultural history We need to reform our educational systems, particularly the teaching of history. As it is taught today, history is a chronicle of power struggles and war, told from a biased national standpoint. We are taught that our own country is always heroic and in the right. We urgently need to replace this indoctrination in chauvinism by a re- formed view of history, where the slow development of human culture is described, giving credit to all who have contributed. When we teach his- tory, it should not be about power struggles. It should be about how human culture was gradually built up over thousands of years by the patient work of millions of hands and minds. Our common global culture, the music, sci- ence, literature and art that all of us share, should be presented as a precious heritage - far too precious to be risked in a thermonuclear war. Human nature has two sides: It has a dark side, to which nationalism and militarism appeal; but our species also has a genius for cooperation, which we can see in the growth of culture. Our modern civilization has been built up by means of a worldwide exchange of ideas and inventions. It is built on the achievements of many ancient cultures. China, Japan, India, Mesopotamia, Egypt, Greece, the Islamic world, Christian Europe, and the Jewish intellectual traditions all have contributed. Potatoes, corn, squash, vanilla, chocolate, chilli peppers, and quinine are gifts from the American Indians. Culture is cooperative, not competitive! Our modern civilization has been built on the achievements of all the peo- ples of the world throughout history.
    [Show full text]
  • Inventing the AIDS Virus Is a 1996 Book by Molecular Biologist Peter Duesberg, in Which the Author Argues That HIV Does Not Cause AIDS
    en.wikipedia.org 1996 book by Peter Duesberg Inventing the AIDS Virus is a 1996 book by molecular biologist Peter Duesberg, in which the author argues that HIV does not cause AIDS. Duesberg contends that HIV is a harmless passenger virus and that AIDS is caused by unrelated factors such as drug abuse, antiretroviral medication, chronic malnutrition, poor sanitation, and hemophilia. The unambiguous scientific consensus is that HIV causes AIDS and that Duesberg's claims are incorrect. Duesberg received a negative response from the scientific community for supporting AIDS denialism, misrepresenting and ignoring the scientific evidence that HIV causes AIDS, and for relying upon poor logic and manipulation. The book was also the subject of an authorship dispute with one of his graduate students. Summary[edit] Duesberg maintains that AIDS is not an infectious disease. He argues that the accepted theory that HIV causes AIDS fails Koch's postulates, that HIV is a passenger virus unrelated to AIDS, and that drugs such as AZT, ddI, and ddC induce AIDS-like symptoms. In his view, AIDS in developed countries is primarily caused by heavy recreational drug use, particularly among the primary risk-group of young male homosexuals, in combination with repeated bacterial, viral, and parasitic infections, whereas AIDS in developing countries is a manifestation of the long-established diseases of malnutrition and unsanitary living conditions. He criticizes the Centers for Disease Control, National Institutes of Health and the National Science Foundation,
    [Show full text]
  • Lives in Medicine
    LIVES IN MEDICINE John Scales Avery September 28, 2019 Introduction1 Cultural history We need to reform our educational systems, particularly the teaching of history. As it is taught today, history is a chronicle of power struggles and war, told from a biased national standpoint. We are taught that our own country is always heroic and in the right. We urgently need to replace this indoctrination in chauvinism by a re- formed view of history, where the slow development of human culture is described, giving credit to all who have contributed. When we teach his- tory, it should not be about power struggles. It should be about how human culture was gradually built up over thousands of years by the patient work of millions of hands and minds. Our common global culture, the music, sci- ence, literature and art that all of us share, should be presented as a precious heritage - far too precious to be risked in a thermonuclear war. Human nature has two sides: It has a dark side, to which nationalism and militarism appeal; but our species also has a genius for cooperation, which we can see in the growth of culture. Our modern civilization has been built up by means of a worldwide exchange of ideas and inventions. It is built on the achievements of many ancient cultures. China, Japan, India, Mesopotamia, Egypt, Greece, the Islamic world, Christian Europe, and the Jewish intellectual traditions all have contributed. Potatoes, corn, squash, vanilla, chocolate, chilli peppers, and quinine are gifts from the American Indians. Culture is cooperative, not competitive! Our modern civilization has been built on the achievements of all the peo- ples of the world throughout history.
    [Show full text]
  • Epidemiology Kept Simple an Introduction to Traditional and Modern Epidemiology
    Epidemiology Kept Simple An introduction to traditional and modern epidemiology Epidemiology Kept Simple An introduction to traditional and modern epidemiology B. Burt Gerstman Department of Health Science, San Jose´ State University, San Jose,´ CA, USA, www.wiley.com/go/gerstman and www.sjsu.edu/faculty/gerstman/eks THIRD EDITION A John Wiley & Sons, Ltd., Publication This edition first published 2013, © 2013 by John Wiley & Sons, Ltd. Previous editions: 2003 by Wiley-Liss, Inc. Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientific, Technical and Medical business with Blackwell Publishing. Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell. The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks.
    [Show full text]
  • Introduction from Germ Theory to Modern P
    Alison Mally Honors Collegium 14 Medical Denialism: Where Must Society Draw the Line? Introduction From germ theory to modern physics, the continual questioning and challenging of the established norm has been the source of scientific progress and growth. In fact, science would not be where it is today without its history of opposition to the prevailing paradigm. However, not all challenges to established medical fact are productive, and in fact, can be very dangerous. In some cases, particularly in medicine, publicly and vocally opposing and challenging what has been well established and supported has dire consequences, costing innocent lives. Thus, the question is raised: At what point does it become unacceptable to deny well-established medical fact? This investigation seeks to answer this question through a series of case studies. To show when a challenge to the established norm is not only acceptable, but vitally important to the progress of medical science, the example of the establishment of germ theory is presented, particularly through the contributions of John Snow and Robert Koch. First, the prevailing medical theories of the time will be described, followed by a description of John Snow’s investigation of cholera during the epidemic in London in the mid-19th century. His investigation will be shown to have challenged those medical theories which dominated at the time, but that this was done with the support of meticulously gathered evidence. The contributions of Robert Koch will also be illustrated to demonstrate how a positive challenge to a paradigm necessarily relies on a large body of evidence. To exemplify when a challenge to the norm is unacceptable, the cases presented are that of the denial of the link between HIV and AIDS by Peter Duesberg, and its consequences, as well as the current anti-vaccination movement, and its consequences.
    [Show full text]
  • Pdf Icon[PDF – 1.2
    flnnualreport of THE UNITED STATES t v NATIONAL COMMITTEE . v ON VITAL AND v HEALTH STATISTICS v “Fiscal Year 1965 Reproduced and distributed for the Committee by the NATIONAL CENTER FOR HEALTH STATISTICS U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service The U.S. National Committee on Vital and Health Statistics was created in 1949 by me Surgeon General of the Public ,Health Service at the recom- mendation of the First World Health Assembly. This Committee has been active since its inception as an advisory committee to the Surgeon General in securing technical developments in the field of vital and health statistics. Specifically, the functions of the U.S. National Committee on Vital and Health Statistics are to: (a) Delineate statistical problems of public health importance which are of national or international interest. (b) Stimulate studies of such problems by other organizations and agencies whenever possible, and make investigations of such problems through subcommittees appointed for the purpose. (c) Review findings submitted by other organizations and agencies, or by its subcommittees, and make recommendations for national and/or international adoption. (d) Cooperate with other committees or organizations concerned with public hedtb statistics problems in the United States. (e) Serve as a link between the organizations in the United States engaged in public health statistics and the statistical secretariat of the World Health Organization and other international agencies concerned with public health statistics. , (f) Cooperate with national committees of other countries in the study ’of problems of mutual interest. MEMBERS OF THE U.S. NATIONAL COMMI~E ON VITAL AND HEALTH STATISTICS Robert Dyar, M.
    [Show full text]