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When I started working in international alcohol and drug research cooperation, I noticed that the concept of “public health” was sometimes used as a conceptual plough to make questions arable. “We must frame it as a question of public health”, was often stated so as to invest questions with a natural importance. This especially concerned alcohol policy questions. Early on, I realised that in some systems and cultures, especially in the Anglophone world, the concept of public health encompasses an epistemic tool with no exact equivalence in the Nordic countries. In recent times, as the scientific modus operandi among Nordic scholars has become increasingly international, the Anglophone connotations of certain concepts have found their way into Nordic social science terminology. When a European project wanted to investigate the phenomenon of addiction, this was a natural object of research for countries with strong psychologist, public health and medical research traditions. For others the concept of addiction was in the year 2011 still somewhat alien. In the Nordic countries the epistemic concept of addiction has originally been rather unimportant socially and politically – phenomena of dependency or addiction used to be questions primarily for treatment method research. Today, the Anglophone uses of the terms addiction and public health have become common in Nordic research and policy. A manifestation of this trend is their appearance in institutional names. The Nordic Welfare Centre, publisher of Nordic Studies on Alcohol and Drugs, coordinates its social science research cooperation on alcohol and drugs under the heading of public health. The public alcohol and drugs research groups and institutions in Sweden, Norway and Finland have all in their own way been incorporated or merged with public health departments or organisations. The transformation of certain questions into mainstreamed international understandings can be seen as an opportunity for growth and increased relevance for a research field as a whole. It can also be seen as part of a gigantic isomorphic wheel that distances us from our

Should we watch out for the giant isomorphic wheel of public health?