Are subarctic Indians undergoing the epidemiologic transition?

Soc Sci Med. 1988;26(6):659-71. doi: 10.1016/0277-9536(88)90031-7.


The applicability of A. R. Omran's 'epidemiologic transition' theory to subarctic Indians in Canada is examined in a historical review of health and demographic data. The major trends since the time of European contact include the rise-and-fall of infectious diseases, the emergence of chronic, degenerative diseases, and the preeminence of the social pathologies in the post-World War II era. The divergences of the Amerindian experience from the 3 models in the epidemiologic transition theory and their implications for health care delivery are discussed.

Publication types

  • Historical Article
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Accidents
  • Alcohol Drinking / ethnology
  • Arctic Regions
  • Birth Rate
  • Canada
  • Chronic Disease / ethnology
  • Communicable Diseases / ethnology*
  • Communicable Diseases / history
  • Communicable Diseases / mortality
  • Diet
  • Fertility
  • Health Policy
  • History, 17th Century
  • History, 18th Century
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Indians, North American / history*
  • Mortality
  • Nutritional Status
  • Social Change*