After a chance introduction to the field of public health, Allison Brown caught the bug! She passed up medical school to become an epidemiologist and now travels the world to solve some of the world's biggest public health problems. Read on to see why Allison's interests are contagious!

What is your job?

I am an infectious disease epidemiologist who works on food-borne infections in people. Epidemiologists, in general, work on a variety of infections that are caused by food, water, or the air we breathe. When people get sick we are like detectives who investigate all aspects of the situation including who is getting sick, what they are sick with and the source of the illness. We also try to determine how these infectious diseases are transmitted, what the source of transmission is, how to stop the transmission and how to prevent further transmission in the future.

Why did you choose this career?

I was always interested in science and health. When I was in college I was a pre-med student because I was always interested in helping people. I knew, however, that I really wasn't interested in continuing to medical school because I wanted to make a contribution to the world by helping larger numbers of people. After I graduated with my bachelor's degree I became interested in public health because the goal of public health is to target helping populations of people rather than just individuals.

Explain what an average day at work is like for you.

My days are always different. Some days the team of epidemiologists that I work with may feverishly work at trying to solve an outbreak as we gather new numbers and coordinate with different people. On other days we may speak with epidemiologists in state health departments, the Food and Drug Agency (FDA) and the US Department of Agriculture (USDA) about food products, the Environmental Protection Agency (EPA) about water or soil samples, and scientists who may be conducting the local investigation. Some days we may find ourselves taking samples of food or the environment; or we may be collecting samples at a hospital. My job also entails a lot of computer work with numbers and data to track trends in infections to see if these trends are related to weather patterns or major events. For instance, if a major event like the World Series is coming up in an area that is experiencing an outbreak, we may urgently try to solve the outbreak before large numbers of people arrive to prevent them from getting sick and spreading the disease all over the country when they go back home I also write a lot of memos and papers, and I even write explanations and details about investigations and outbreaks that are placed in letters and reports to our United States Congress.

Epidemiology is all about collecting as much data as possible and knowing which data is needed and how it will be collected. We compare data on sick people to data on people who aren't sick to try to narrow down the specific factors that are causing illness. When people are getting sick we conduct long interviews with people who are ill and ask them about their symptoms, what they did in the days leading up to their symptoms and what they commonly do. We then ask these same questions of people who are not ill, then plug all this information into a database to compare them.

What do you like best about your job?

I like that my job is important and there are a ton of opportunities for people with many different skills. We work in big teams at the Center for Disease Control (CDC), and all of us have different areas that we're very good at. Some people are good at math and statistics, some are better at outreach and interviewing, some are good at getting data together and writing it up, some are good at figuring out how science translates into policy and then we have behavioral scientists who look at how and why people act in a certain way. It is a great opportunity to see many people with many talents and backgrounds come together for one important purpose.

We also do a lot of international work for outbreak and prevention purposes. For example, there is currently a big Ebola outbreak in Uganda and the Congo, and people in my position are being sent to these countries to try to find out where the Ebola is coming from and how it is spreading. I have also worked a lot on safe water projects in Kenya. Many developing countries don't have the same resources that we have when it comes to their water, and a lot of illness comes of the fact that they don't have safe drinking water. In Kenya we tested a variety of interventions to see if they could help decrease the risk of disease. For example, the group I worked with tested the difference between putting chlorine in the water collected in buckets versus water collected in a vessel that had a closed top to see if it decreased contamination. I also worked on a project that tested the use of anti-microbial hand towels to see if they could get rid of contaminants after people washed their hands in contaminated water. We wanted to know first of all if people would use it, secondly if it would work, and lastly if it would have the impact that we wanted which was to, to decrease illness.

When you were a kid, did you like science, engineering and/or math?

When I was growing up I liked everything. I loved science, math, English, theater, you name it. My brother used to tell me that someday I would have to choose one of these subjects and pursue it, but I didn't believe him, and I still don't. I still love to read and write, and I use these skills a lot in my job. My favorite subjects, however, were always science and math. Math was great because there were always answers and science was great because it explores the world around you. I thought gross things like parasites were so cool and I loved to dissect things. I always took both science and humanities classes, because I think it is important to keep a well-rounded brain.

Was there a moment when you knew that you wanted to become an epidemiologist? Tell us about it.

I had what I call an "aha moment." When I was pursuing my undergraduate degree I told my advisor that I was interested in health but I didn't want to go to medical school. I knew instead that I wanted to help a lot of people at one time. Since my university didn't have a school of public health at the time, my college advisor didn't know exactly what to tell me. He advised me to get an M.D. and a Ph. D. to make me qualified to do anything. That sounded like a lot of school, so I graduated from college still looking for what I wanted to do - I knew what it was in my head but I didn't know what it was called. Then, when I went to my brother's law school graduation I heard them make the announcement "will the school of public health please stand up," and I looked at my parents and said "Oh my gosh! Public health! I think that's it! That's what I've been trying to form into words!" The next day I went to the School of Public Health at my brother's university to look at their different tracks of learning and types of classes and knew that this was exactly what I wanted to do.

What was the biggest challenge you faced in your journey to becoming an epidemiologist?

When I was growing up, I never knew that this field existed. I thought you could be a doctor, a lawyer or businessperson and that's it. It was difficult for me in elementary and high school to love to read and write and to love science and math, because I was told I had to choose one or the other. When I got to college people told me that if I wanted to pursue health I had to go to medical school. I knew that medical school was not for me and I had to trust that I would find something that was right. I think it's difficult for a lot of people to trust in what they love enough to pursue whatever that is, whether they have a clear idea of their career path or not. I found out relatively quickly after college which career path I wanted to take, and each decision I made got me closer and closer to the job I have now that I love. It's difficult to trust your gut.

Do you have any suggestions for how students in high school can get practical experience in your field?

There are many clubs out there that allow students to work, volunteer or intern on many different public health projects. You can contact a local group that works on HIV AIDS, Diabetes, or really any health topic that interests you. Before I started pursuing my MPH I worked with the March of Dimes. I wanted to know what type of work they did and I got to work on many different programs including fundraising, which is sometimes a very important part of science these days. A lot of groups work extensively around the world and you can even be exposed to international projects.

The CDC has also put out a free iPad app called Solve the Outbreak.  Students can use this app to try their hand at solving an outbreak by figuring out how they started before they can spread.  Check it out here.

What majors in college would you recommend for a student who is interested in a similar career?

I took a very odd approach to epidemiology because I have a very scientific background for an epidemiologist. Some epidemiologists have a medical background and some have strictly epidemiology backgrounds. You can approach public health from a variety of directions, so try to pick a focus that capitalizes on your strengths, but also makes you more well-rounded. Be aware of what you want to be doing - anthropology and behavioral science degrees may be better if you are more interested in behavioral aspects, hard science degrees may be better if you like the scientific approach, statistics is a good degree if you like the math behind public health and communications degrees are also vital to what we do.

Are there exciting things happening in your field that could involve students who will enter the field within the next 5 years?

This is a growing field that can use many different people with many different skill sets. There are a lot of different outreach and communication opportunities that are available now that weren't available 10 years ago. This field also holds steady during bad economic times. There is always a need to improve health and respond to health emergencies. One of the most interesting things about my job is that it is always evolving. There are always new pathogens being discovered, changes in behavior that make things more risky, and new forms of old pathogens are always popping up.

Some of the more exciting things happening in my field are the vaccination efforts. Small pox was the first and only disease to be completely eradicated due to vaccinations, and now we are working to eradicate polio completely. There are also global scourges, such as malaria, that people are always trying to get a handle on. Because this is a rapidly growing field we are gaining a constantly evolving group of people who help bring new perspectives and new ideas to these problems.

Knowledge is contagious!

• The first epidemiologist was the ancient Greek physician Hippocrates, also known as "the father of medicine."

• Epidemiologists in the 1940's and 1950's helped linked cigarette smoking to lung cancer.

• The CDC celebrated its 60th birthday in 2006.

Key Terms

Ebola: A highly lethal virus that causes massive internal hemorrhaging. It is thought that the virus originated in central Africa and was passed to humans from primates.
Epidemiology: the branch of medicine dealing with the incidence and prevalence of disease in large populations and with detection of the source and cause of epidemics of infectious disease.
Infectious Disease: A disease resulting from the presence and activity of a pathogenic microbial agent.
Microbial: Having to do with a microorganism, especially a pathogenic bacterium, virus, or parasite.