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Revista Cubana de Salud Pública

versión impresa ISSN 0864-3466versión On-line ISSN 1561-3127


RAMIS ANDALIA, Rina Milagros. Is complex causality a new causative paradigm in Epidemiology. Rev Cubana Salud Pública [online]. 2004, vol.30, n.3. ISSN 0864-3466.

One of the virtues of the complex approach is the integration of contemporary know-how; such developments are creating the set of knowledge coming from the contemporary development of Science that is changing the scientific picture of the world. Epidemiology, basic science of the public health care, has population health problems as object of study and one of the main purposes of this branch has been to identify causes or probable causes of health problems affecting human societies. In this way, “complexity” approach is set to deeply change the theoretical and conceptual framework of this science. One of the historical and most significant hallmarks in Epidemiology is the causality approach that, based on risk factor research works started at the middle of the last century, laid the foundations for the emergence of a new causal paradigm in Epidemiology, i,e. multiple causality, a paradigm that has not been overcome to date and is set within the bounds of the linear approach prevailing in Sciences. From the perspective of “complexity”, causality emerges and dilutes into a set of networks of non-linear distributed interactions where the new and old things combine and new orders of self-organizing complexity regulated from top to bottom emerge from bottom to top. In this new stage of the world, reductionist and linear thoughts have no place and self-organization and emergency from the internal local interactions of the network of networks are recognized. There are no answers for the work, new paths should be opened is necessary to start up


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