1. Epidemiologic Transition Mortality Rates Infectious Diseases NCD

2. Death Rates for TB in England and Wales

3. TB Bacillus Identified Chemotherapy BCG Vaccination

4. Death Rates for Measles in Children in England and Wales

5. Immunization begun

6. Epidemiologic Transition Mortality Rates CA CHD NIDDM Trauma

13. CHD Death Rates Males, aged 45-54

14. Incidence of Stomach CA Males

15. Breast Cancer Incidence Females

16. Cirrhosis Death Rates, Males, aged 45-54

17. Death Rates for Stroke Males, aged 45-54

18. High Incidence of NCDs in Developed Countries ] Cardiovascular CHD CHD Deep Vein Thrombosis Deep Vein Thrombosis ] Respiratory Emphysems Emphysems Lung CA Lung CA ] Female Genital Endometriosis Endometriosis Endometrial CA Endometrial CA

19. High Incidence of NCDs in Developed Countries ] Breast Breast CA Breast CA Fibrocystic Disease Fibrocystic Disease ] Male Genital Prostrate CA Prostrate CA ] Metabolic NIDDM NIDDM

20. High Incidence of NCDs in Developing Countries ] Possible Infectious Etiology Macronodular Cirrhosis Macronodular Cirrhosis Hepatocellular Carcinoma Hepatocellular Carcinoma Rheumatic Heart Disease Rheumatic Heart Disease Iron deficiency anemia Iron deficiency anemia ] Related to Nutrition Deficiency Endemic Goiter Endemic Goiter Malnutrition Related Diabetes. Malnutrition Related Diabetes.

21. Back to Nature  Improved Physical activity  A Healthier Diet, less saturated fats, more fiber  Less Stress

22. Transition  Nomads  Farmers  Urban 45 yrs 60 yrs 70 yrs

23. 1960 Urban Rural USA Developing Countries ruralurban

24. 2003 Urban Rural USA Developing Countries rural urban

25. Life Expectancy in Developing Countries

26. Changing Life Expectancies

27. Causes of Death n Age 15-44 Accidents Accidents CA CA CHD CHD n Age 45-54 CHD CHD CA CA Accidents Accidents Age 15-44 Accidents CHD CA Age 45-54 CHD CA Accidents DevelopedDeveloping

28. Other Transitions  Agriculture  Forestry  Toxicity  Urbanization  Fossil Fuel  Nutrition

29. Systems Analysis Attempts to build a replica of the real world and experiment with it in order to obtain a better understanding of what is observed

30. Systems approach The Need for the Development of a systems approach to Epidemiology

31. EPI systems Interplay of factors that cause one disease to increase while another falls.