sayovelTaod gavrcelebuli azris Tanaxmad ekonomiuri Zlierebis zrdasTan erTad ganviTarebadi qveynebi gaiziareben evropisa da CrdiloeT amerikis beds da gaivlian e.w. "epidemiologiur trasformacias". es termini gamoxatavs daavadebebis struqturul cvlilebebs, romelsac adgili hqonda ganviTarebul qveynebSi me-19 saukunis bolosa da me-20 saukunis dasawyisSi zogadad janmrTelobis gaumjobesebis fonze. sikvdilianobis Semcirebisa da sicocxlis xangrZlivobis zrdasTan erTad am qveynebSi Seicvala daavadebebis dominanturi jgufi – infeqciuri daavadebebis nacvlad pirvel adgilze aRmoCnda qronikuli daavadebebi (gul-sisxlZarRvTa da simsivnuri daavadebebi). qronikuli daavadebebis raodenobrivi zrda nawilobriv SeiZleba aixsnas im faqtiT, rom ufro meti adamiani aRwevda im asakobriv zRvars, romlis Semdegac ufro xSiria es daavadebebi. es transformacia moicavda ara mxolod daavadebis dominanturi jgufis Secvlas, e. i. erTi problemis meoreTi Canacvlebas, aramed zogadad janmrTelobis gaumjobesebas. faqtiurad am transformaciis elementebi sxvadasxva xarisxiT ukve SeimCneva mTel ganviTarebad samyaroSi. laTinuri amerikisa da aziis zogierT qveyanaSi, romelTac Semosavlis mixedviT Sualeduri mdgomareoba uWiravT, qronikul daavadebaze TiTqmis igive wili modis rac infeqciur daavadebebze, zogan ki pirvelma ukve gadaaWarba kidec meores [1]. ra Tqma unda, es transformacia dasrulebuli ar aris. mraval qveyanas, gansakuTrebiT uRaribes qveynebs, jer kidev awevT infeqciuri daavadebebis mZime tvirTi da amasTanave uxdebaT gamklaveba qronikuli daavadebebis mzard problemasTan. am qveynebma ver SeZles erTi saxis problemis Secvla meore problemiT. isini itanjebian orive jgufis daavadebebisagan, rac cnobilia daavadebaTa "ormagi tvirTis" saxeliT [2]. epidemiologiuri transformacia aucilebeli ar aris. sanitaruli revoluciis istoriidan gamomdinare rogorc ekologiuri mdgomareobis, aseve sazogadoebrivi jandacvis gaumjobesebisaTvis aucilebelia SeTanxmebuli politikis gatareba da saTanado kapitaldabandebebis arseboba.

1. Christopher J. L. Murray and Alan D. Lopez, eds., The Global Burden of Disease: Volume 1 (World Health Organization, Harvard School of Public Health, and The World Bank, Geneva, 1996), p. 18.

2. A. Rossi-Espagnet, G.B. Goldstein, and I. Tabibzadeh, "Urbanization and Health in Developing Countries: A Challenge for Health for All," World Health Statistics Quarterly, Vol. 44, No. 4 (1991), p. 208. http://wri.igc.org/wri/wr-98-99/001-ptn2.htm#life