What If … Public Health Had to Be Built From Scratch? Revisiting 19th-Century Debates

Join us on Wednesday, February 25th for the Department of Epidemiology seminar series featuring Dr. Alfredo Morabia discussing What If … Public Health Had to Be Built From Scratch? Revisiting 19th-Century Debates.
Abstract: What would public health look like if it had to be invented today, without assuming the institutions, divisions, and categories we inherited? This lecture revisits the formative debates of the 19th century, when scientific public health first took shape. By examining the tensions between competing visions, particularly between approaches centered on specific causes of disease and those focused on the broader conditions of life, I show that public health emerged not as a single, inevitable model but as the outcome of choices. Situating epidemiology and the early schools of public health within these debates, I argue that some options were abandoned rather than disproven. Revisiting these debates allows us to think more clearly about what public health could be today, not by returning to the past, but by recovering the range of possibilities that once existed.
Bio: Alfredo Morabia is a Professor of Epidemiology at the Barry Commoner Center for Health and the Environment, Queens College, CUNY and a Professor of Clinical Epidemiology at the Department of Epidemiology, Columbia Mailman School of Public Health. As Principal Investigator of the World Trade Center-Heart cohort study, funded by NIOSH, he examines the long-term cardiovascular effects of 9/11 on first responders. A historian of epidemiology, he explores the evolution of methods and concepts used to study and improve population health. His last book, The Public Health Approach: Population Thinking from the Black Death to COVID-19 (2023), traces the evolution of public health methods from past pandemics to modern crises. He has been Editor-in-Chief of the American Journal of Public Health from June 2015 to June 2025.
Speaker Information
Alfredo Morabia, MD, PhD, MPH
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