It is essential that all groups periodically review their mandate, ach
ievements and direction in light of the changing needs of society. It
is suggested that greater use of the naturalistic paradigm in epidemio
logical research is warranted, as the scientific paradigm, while servi
ng the 'hard' sciences well may have shortcomings when it comes to und
erstanding multifactorial issues, particularly if one of these is huma
n behaviour. The challenge then is to ensure on an ongoing basis that
epidemiological research remains relevant to societal concerns, and to
seek and apply methods that lead to knowledge that will have a positi
ve impact. Epidemiology can contribute to societal need both through r
esearch and through the resultant practical application of its finding
s. The former necessitates that the scientific discipline of epidemiol
ogy be strong, and that its methods continue to advance. The latter is
more pragmatic and requires integration with other perspectives, for
example, economics and management science. There is danger that the la
tter harmonization of perspectives be considered synonymous with the d
iscipline of epidemiology. Preference here is to use the term populati
on medicine for this. Without this distinction we are in danger of bec
oming increasingly unfocused. With it we can evolve the discipline of
epidemiology and plan our research programs so that they remain releva
nt to society's changing needs.