| Genetic and molecular
science:
The results of the Human Genome Project are beginning to reveal
the identities and functions of some of the genetic determinants
of health. New technologies and applications for healthcare
are being developed. These include: better characterisation
of disease at the molecular and cellular level; genetic testing
for diagnosis of inherited disorders; therapeutic advances
such as pharmacogenetics; and new approaches to drug design
and development.
Population sciences:
Genetic determinants of health do not act alone. They combine
in complex ways with each other and with environmental factors
to determine if and when disease will develop, as well as
its severity and progression. In order to understand these
interactions, research is underway in epidemiology and the
other population sciences. For example: genetic elements are
being included in existing epidemiological studies on the
causes of disease; genetic factors are a key part of new cohort
studies such as the UK Biobank; and there are new international
initiatives in the systematic review and meta-analysis of
genetic association studies, in order to build a robust evidence
base.
Humanities and social sciences:
A scientific understanding of the roles of genetic and environmental
factors in health and disease is not sufficient, on its own,
to ensure benefits for population health. Many other issues
arise that must be taken into account in formulating public
policy for genetics. These include: legal and regulatory frameworks
for genetic testing; the funding of science and the prioritisation
of relevant research; consent, confidentiality, data protection
and the use of human tissue; attitudes to the pharmaceutical
and biotechnology industries; patenting of genes and genetic
sequences; and education and training of health professionals
and the public.
Public health genetics integrates knowledge
from all of these fields and applies it to promote the development
of public policies and programmes for the benefit of population
health.
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