Paradigms and scientific revolutions in epidemiology
https://doi.org/10.29413/ABS.2025-10.4.25
Abstract
The article analyses the philosophical ideas of the American historian and philosopher of science Thomas Kuhn; who introduced such key concepts as “paradigm” and “paradigm shift” into scientific usage. These concepts underpin his approach to the development of science. Kuhn’s ideas and his work “The Structure of Scientific Revolutions” (1962); which outlines the main provisions of his doctrine; remain one of the most quoted in world science. However; in the Russian language literature; especially in the context of medical science; they are not sufficiently covered. According to Kuhn; the accumulation of knowledge occurs gradually only in periods of “normal science”; the main development of science occurs abruptly; through scientific revolutions; which are associated with the change of paradigms. Under the paradigm; Kuhn understands “recognized scientific achievements that for a time provide model problems and solutions to a community of practitioner”. At the same time; the term “scientific revolutions” used by Kuhn covers all transformations in science – from minor changes to large-scale transformations; which is not always logically justified. Russian philosopher V.S. Styopin identifies four major scientific revolutions; covering the period of formation of modern science from the 17th century to the present day. The article proposes to interpret global scientific changes through V.S. Styopin’s classification; considering the change of paradigms (according to Kuhn); occurring within these main stages; as “discrete transformations”. The article attempts to familiarize domestic specialists with the development of science as a process of paradigm shift; considered in the context of epidemiological studies.
About the Author
E. D. Savilov
Scientific Centre for Family Health and Human Reproduction Problems;
Irkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Evgeny D. Savilov – Dr. Sc. (Med.); professor; chief researcher at the Laboratory of epidemiologically and socially significant infections; Institute of Epidemiology and Microbiology; Scientific Center for Family Health and Human Reproduction Problems; head of the department of epidemiology and microbiology of the Irkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation
Timiryazev St.; 16; Irkutsk 664003,
Yubileyny Microdistrict; 100; Irkutsk; 664049
References
1. Vlasov VV. Epidemiology. M: GEOTAR-Media; 2021. (In Russ.).
2. Kuhn T. The Structure of Scientific Revolutions. Chicago: University of Chicago Press; 1962.
3. Kuhn T. The Structure of Scientific Revolutions. М.: АST; 2009. (In Russ.).
4. Briko NI, Savilov ED. Periodization of the history of epidemiology and the formation of an interdisciplinary stage in the development of this preventive discipline. Vestnik RAMN. 2024; (3): 281- 288. (In Russ.). doi:10.15690/vramn17190
5. Briko NI. The main postulates of the modern paradigm of epidemiology. Infectious diseases: news, opinions, training. 2017; 5(22): 28-33. (In Russ.). doi: 10.24411/2305-3496-2017-00081
6. Savilov ED, Briko NI, Krulikovskij AI. Formation of interdisciplinary interaction of epidemiology and pathological physiology in the period of post-classical development of science. Vestnik RAMN. 2022; 77(3): 230- 237. (In Russ.). doi: 10.15690/vramn2011
7. History of Epidemiology: Study Guide ed. Briko NI. M.: GEOTAR-Media; 2024. (In Russ.). doi: 10.33029/9704-8199-8-EYP-2024-1-112
8. Stepin VS, Gorohov VG, Rozov MA. Philosophy of Science and Technology: A Study Guide. M.: Gardarika; 1996. (In Russ.).
9. Stepin VS. Philosophy and methodology of science. Favourites. M.: Alma mater; 2015. (In Russ.).
10. Susser M, Susser E. Choosing a future for epidemiology: II. From Black Box to Chinese Boxes and EcoEpidemiology. Am. J. Public Health. 1996; 86(5): 674-677. doi: 10.2105/ajph.86.5.674
11. Susser M, Susser E. Choosing a future for epidemiology: I. Eras and Paradigms. Am. J. Public Health. 1996; 86(5): 668-673. doi: 10.2105/ajph.86.5.668
12. Bhopal R. Paradigms in Epidemiology. Textbooks: In the Footsteps of Thomas Kuhn. Am. J. Public Health. 1999; (89): 1162-1165. doi: 10.2105/ajph.89.8.1162
13. Cherkasski BL. General Epidemiology Guidelines. M.: Medicina; 2001. (In Russ.)
14. Belyakov VD, Golubev DB, Kaminski GD, Tec VV. Self-regulation of parasitic systems (molecular genetic studies). L.: Medicina; 1987. (In Russ.).
15. Ozhegov SI, Shvedova NU. Explanatory Dictionary of the Russian Language. M.: Az, 1994. (In Russ.).
16. Stepin VS, Stochik AM, Zatravkin SN. History and philosophy of medicine. Scientific revolutions in medicine of the XVIIXXI centuries. M.: Akademicheskij proekt, 2020. (In Russ.).
17. Stepin VS. Self-developing systems and post-classical rationality. Voprosy filosofii. 2003; (8): 5-17. (In Russ.).
18. Savilov ED. Technogenic environmental pollution is a new risk factor for infectious pathology. Epidemiology and infectious diseases. 2011; (2): 4-8. (In Russ.).
19. Savilov ED, Briko NI, Kolesnikov SI. Epidemiological aspects of environmental problems of the present. Hygiene and Sanitation. 2020;99(2):134-139. (In Russ.). doi: 10.33029//0016-9900-2019-99-2-134-139
20. Savilov ED, Kolesnikov SI, Briko NI. Comorbidity in epidemiology – new trend in public health research. Zh mikrobiol. 2016; (4): 66-75. (In Russ.).
21. Shkarin VV, Blagonravova AS. Epidemiological features of co-infections. N.: NGMA, 2017. (In Russ.).
22. Savilov ED. Infectious disease management based on the impact of preventive measures on the vulnerable period in the cyclical development of the epidemic process. Vestnik Rossijskoj akademii medicinskih nauk. 2021; 76(1): 20-27. (In Russ.). doi: 10.15690/vramn1349
23. Savilov ED, Astafev VA, Mamontova LM, Volodin YuF. Epidemiological features of dysentery in Eastern Siberia. N.: Nauka; 1994. (In Russ.).
24. Andrukov BG, Lapun IN. Laboratory strategies for the diagnosis of COVID-19: current technologies and development trends (literature review). Klinicheskaja laboratornaja diagnostika. 2020; 65(12): 757-766. (In Russ.). doi: 10.18821/0869-2084-2020-65-12-757-766
25. Harrison F, Allan RN, Maddocks SE. Editorial: Polymicrobial Biofilms in Chronic Infectious Disease. Front Cell Infect Microbiol. 2020; 10: 628584. doi: 10.3389/fcimb.2020.628584
26. Lamont RJ, Hajishengallis G, Koo H. Social networking at the microbiome-host interface. Infect Immun. 2023; 91(9): e0012423. doi: 10.1128/iai.00124-2
Review
For citations:
Savilov E.D. Paradigms and scientific revolutions in epidemiology. Acta Biomedica Scientifica. 2025;10(4):255-266. (In Russ.) https://doi.org/10.29413/ABS.2025-10.4.25
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