Geographic information systems (GIS) and related technologies like remote sensing are increasingly used to analyze the geography of disease, specifically the relationships between pathological factors (causative agents, vectors and hosts, people) and their geographical environments. GIS applications in the United States have described the sources and geographical distributions of disease agents, identified regions in time and space where people may be exposed to environmental and biological agents, and mapped and analyzed spatial and temporal patterns in health outcomes. Although GIS show great promise in the study of disease, their full potential will not be realized until environmental and disease surveillance systems are developed that distribute data on the geography of environmental conditions, disease agents, and health outcomes over time based on user-defined queries for user-selected geographical areas.
OVERVIEWThe geography of disease, an important component of medical geography, comprises the spatial analysis of pathological factors (causative agents, vectors, hosts, reservoirs, and people) and their relationships to geographical environments (physical, cultural, and biological) (35,46). The medical geographic approach to the study of disease has not been the dominant perspective in the United States. Nevertheless, efforts to map the spatial distribution of human cases of disease and the geography of environmental risk at local, regional, and even global scales have been made again and again throughout our history (45,47,62,66). The development of geographic information systems (GIS), computer-based systems for integrating and analyzing spatially referenced data, has provided new tools for medical geographic research on disease. GIS and related technologies such as remote sensing are enabling technologies (22,38), applicable in many academic disciplines and professions and adopted in some of these well before the earliest applications in public health. Recent books describing public health applications of GIS in the United States (21, 48) and the other contributions on GIS published in this volume suggest that the diffusion of GIS into health research and public health practice has moved beyond the early innovation phase.