Thousand Families Study was a major

epidemiological Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...

study, that arose through observations made by Sir James Spence, one of the first ever full-time

paediatrician Pediatrics (American and British English differences, also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, Adolescence, adolescents, and young adults. In the United King ...

s in the

United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Europe, off the north-western coast of the continental mainland. It comprises England, Scotland, Wales and North ...

, and from 1942, the first holder of a University Chair of Child Health in

England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe b ...

. Prior to the Second World War,

Newcastle City Council Newcastle City Council is the local government authority for the city and metropolitan borough of Newcastle upon Tyne. The council consists of 78 councillors, three for each of the 26 wards in the city. It is currently controlled by the Labou ...

became increasingly concerned about the high

infant mortality Infant mortality is the death of young children under the age of 1. This death toll is measured by the infant mortality rate (IMR), which is the probability of deaths of children under one year of age per 1000 live births. The under-five morta ...

rate in the city (in 1939 the rate was 62 per 1000 live births) and asked Spence to undertake a review of all deaths of babies. Spence concluded that the excess infant mortality was due to death from acute infection. Further research was curtailed by the

Second World War World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...

The Start of the Newcastle Thousand Families Study

At the end of the war, the young doctors began to return to take up their former careers. One of those was Fred Miller and in 1946 Spence is reported to have said to him at a weekly departmental meeting "Well Freddie, what are we going to do about all these infections?". So began the Thousand Families Study. The study was initially planned for only one year and aimed to confirm the earlier finding that acute infection was the major cause of infant mortality in the city, and in particular identify which factors put infants at a higher risk of such infections. In addition, it also aimed to place the health of the infants within the context of the family. The study focused on all births in Newcastle in May and June 1947, an actual total of 1142 babies. The medical records of the participants were marked with a red sticker and the study is also popularly known as the Red Spot Study. Several publications document the study:-
''A Thousand Families in Newcastle upon Tyne'' by James Spence, W S Walton, F J W Miller and S D M Court, OUP, 1954 his covers the first year of life ''Growing up in Newcastle upon Tyne'' by F J W Miller, S D M Court, W S Walton and E G Knox, OUP, 1960 re-school years ''The School Years in Newcastle upon Tyne, 1952 - 1962'' by F J W Miller, S D M Cour, E G Knox and S Brandon, OUP, 1974.

Ongoing study

The study went on in detail until 1962. After this date follow-ups of some of the participants were conducted when they reached the age of 22 and 33. A major follow-up, with all participants invited, was conducted when the participants reached the age of 50. A range of health outcomes including

cardiovascular disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, h ...

osteoporosis Osteoporosis is a systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to bone fragility, and consequent increase in fracture risk. It is the most common reason for a broken bone ...

diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...

Helicobacter pylori ''Helicobacter pylori'', previously known as ''Campylobacter pylori'', is a gram-negative, microaerophilic, spiral (helical) bacterium usually found in the stomach. Its helical shape (from which the genus name, helicobacter, derives) is though ...

, depression,

telomere A telomere (; ) is a region of repetitive nucleotide sequences associated with specialized proteins at the ends of linear chromosomes. Although there are different architectures, telomeres, in a broad sense, are a widespread genetic feature mos ...

length,

lung The lungs are the primary organs of the respiratory system in humans and most other animals, including some snails and a small number of fish. In mammals and most other vertebrates, two lungs are located near the backbone on either side of t ...

function and

teeth A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tear ...

were assessed in relation to the data collected at that follow-up and also that collected in previous follow-ups. this resulted in the study being a study of lifecourse epidemiology. The 60th anniversary of the study was marked by an exhibition at Newcastle's Discovery Museum and a civic reception hosted by the

mayor In many countries, a mayor is the highest-ranking official in a municipal government such as that of a city or a town. Worldwide, there is a wide variance in local laws and customs regarding the powers and responsibilities of a mayor as well a ...

of Newcastle. A further follow-up of the study members is being planned. The records of the 1,000 Families Study are preserved at Tyne & Wear Archives Service.Tyne & Wear Archives Service
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Direction

The study is directed by Dr Mark Pearce of

Newcastle University Newcastle University (legally the University of Newcastle upon Tyne) is a UK public university, public research university based in Newcastle upon Tyne, North East England. It has overseas campuses in Singapore and Malaysia. The university is ...

References

{{Reflist Epidemiological study projects Newcastle upon Tyne Social statistics data