These not only include economical exploitation and domination by force, but new subtle forms of hegemony and social subsumption - most effective and less obvious - that are reproduced in the cybernetic domain. Thus, although epidemiology has always studied the role of inequitable social patterns, in the last decade the cybernetic sphere has arisen as a new means for their multiplication in the 21 Century.
Entonces, si bien la epidemiología se ha visto confrontada siempre con la necesidad de incorporar la problemática de dichos mecanismos, los cuales reproducen patrones de vida malsanos y generadores de sufrimiento, en décadas recientes han surgido nuevas formas de dominación y condicionamiento de la vida que se expanden en la esfera cibernética.