Jamaica CLEN Series
- In the second of series of Lower and Middle Income Countries (LMIC) , Tulloch-Reid introduces how the clinical epidemiology methodologies have been applied and how they have been adapted to meet the health and healthcare evaluation challenges in the West Indies. This series reports on the work of the University of the West Indies Clinical Epidemiology Unit (UWI-CEU) in Jamaica, which is a member of the International Clinical Epidemiology Network (INCLEN)/CanUSAClen. This collaboration has increased capacity building in the conduct of clinical epidemiology within the UWI-CEU and their work is highlighted in these articles.
- Sackett  defined clinical epidemiology as the application, by a physician who provides direct patient care, of epidemiologic and biometric methods to the study of diagnostic and therapeutic processes to effect an improvement in health. Controversy has always surrounded this designation of clinical epidemiology—whether it creates artificial boundaries between the traditional survey/population epidemiologist and the clinical epidemiologist [2–4]. Although the debate about making clinical epidemiology a separate and distinct entity continues, the methods used in the practice of clinical and traditional epidemiology are the same and both aim to improve the health of the individual.
- To examine the impact of neighborhood disorder, perceived neighborhood safety, and availability of recreational facilities on prevalence of physical activity (PA), obesity, and diabetes mellitus (DM).
- To assess the validity and reliability of a screening questionnaire administered to parents/caregivers to detect behaviors suggestive of epileptic seizures in children.
- To investigate cost savings from and implications of replacing the single risk with a total cardiovascular risk approach in primary prevention of cardiovascular disease (CVD).
- To describe some contextual and methodological challenges to conduct systematic reviews (SR) in developing countries using experiences from Jamaica.
- In this study, we examined the effects of birth weight (BWT) and early life socioeconomic circumstances (SEC) on systolic blood pressure (SBP) and diastolic blood pressure (DBP) among Jamaican young adults.
- Describe the completeness and quality of Jamaica's 2008 vital registration mortality database.
- Simply put, epidemiology documents the burden of health-related states, identifies causal associations between health-related states and risk factors, and applies these insights to ameliorate disease. It requires a systematic approach to problem solving, involving measurement, generating and testing of hypotheses as well as alertness to new developments. Epidemiology follows rules that have to be learnt for proper and skilled practice. Some of its key activities include (1) characterizing populations/denominators, (2) defining cases/numerators, (3) selecting representative samples for study, (4) estimating burden of disease, (5) describing natural history of disease, (6) classifying diseases, (7) identifying causes and risk factors, (8) developing proposals for intervention, (9) evaluating interventions, (10) developing predictive models, and (11) synthesizing evidence for informed practice.