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Table 2 Time line of a number of key technological and scientific advances in infectious disease classification

From: Epidemiologic data and pathogen genome sequences: a powerful synergy for public health

Date

Advance

Applications

1670s

Microscope invented by Leeuwenhoek

Visualize bacteria, protozoa

1850s

Puerperal fever identified as infectious and interventions implemented by Semmelweis [23]

Hospital infection control motivated by growing understanding of microbial etiology

1864

Cholera transmission by water proven by Snow

Risk factor (mode of transmission) and prevention measure for specific infectious syndrome

1890s

Proof of parasitic origin (Grassi) and mosquito transmission (Ross) of malaria

Vector control

1890s

Identification of microbial etiologies for tuberculosis, anthrax, and so on; Koch’s postulates

Targeted diagnostics, therapeutics, and move from syndromic diagnosis to pathogen identification

1900-1930s

Discovery of filterable animal viruses [24]

Influenza etiology settled (previously thought bacterial) [25]

1910s-1950s

Phenotypic subspecies taxonomy: serotyping [26],[27], phage typing [28]

Association of particular types with prognosis [27],[29], drug resistance

1944

Discovery of DNA as the genetic material [30]

Basis for genotyping tools for molecular epidemiology

1970

Restriction enzymes [31]

Basis for restriction fragment length polymorphism approaches, including pulsed field gel electrophoresis

1975-1985

Sanger DNA sequencing [32], PCR [33]

Basis for variable number tandem repeat (VNTR) and multilocus sequence typing (MLST) approaches to characterize microbes and their genetic relatedness

2000s-now

High-throughput rapid sequencing technologies

Microbial genome sequencing