Gerald M. Oppenheimer is with the Department of Health and Nutrition Sciences, Brooklyn College, City University of New York, and the History and Ethics Center, Mailman School of Public Health, Columbia University, New York, NY.
Correspondence: Requests for reprints should be sent to Gerald M. Oppenheimer, PhD, MPH, Department of Health and Nutrition Sciences, Brooklyn College (CUNY), 2900 Bedford Ave, Brooklyn, NY 11210 (e-mail: geraldo{at}brooklyn.cuny.edu).
In the epidemiological imagination, the Framingham Heart Studyhas attained iconic status, both as the prototype of the cohortstudy and as a result of its scientific success.
When the Public Health Service launched the study in 1947, epidemiologicalknowledge of coronary heart disease was poor, and epidemiologyprimarily involved the study of infectious disease. In constructingtheir investigation, Framinghams initiators had to inventnew approaches to epidemiological research. These scientificgoals were heavily influenced by the contending institutionaland personal interests buffeting the study.
The study passed through vicissitudes and stages during itsearliest years as its organizers grappled to define its relationshipto medicine, epidemiology, and the local community.
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