http://www.pbs.org/wgbh/aso/databank/entries/dm79sp.html

World Health Organization declares smallpox eradicated
1980

Photo: Poster published by World Health Organization at Geneva, Switzerland,
after declaration of eradiction of smallpox on earth, May 8, 1980. AP/Wide
World Photos

One of the twentieth century's greatest victories in medicine began in 1796.
That year Edward Jenner discovered vaccination. It was known that if a
person had smallpox and survived, he or she would not get the disease again.
Sometimes people tried to innoculate themselves against smallpox by
purposefully contracting a mild case. But Jenner found that if he gave a
person serum from a cow (vacca in Latin) that had cowpox, a virus similar to
smallpox, then that person was protected from smallpox without having to be
exposed to the disease itself. Jenner immediately envisioned the vaccine
erasing smallpox from the earth. But it would take another 150 years.

At the turn of the twentieth century, smallpox was still a dangerous disease
worldwide. In spite of the proven effectiveness of Jenner's vaccine, other
methods of treatment and protection were tried. An especially popular one
was treating the disease with red objects and light. This therapy dated back
to tenth century Japan and was still in use in the United States in the
early twentieth century and in Europe through World War I.

The smallpox vaccine did spread, but slowly. It was initially in short
supply and hard to store, especially in hot climates. In the 1920s, French
and Dutch researchers developed a dried vaccine for use in their colonies.
It was hardier, but the quality was inconsistent. A virulent outbreak of
smallpox in New York City in 1947 surprised everyone and inspired a new
method to improve the vaccine. Freeze-drying was used successfully in 1949
and brought into commercial production by 1954. Freeze-dried vaccine could
last for months, even without refrigeration in tropical climates.

Some localized areas and even some nations had gotten rid of smallpox
entirely, but a plan for global eradication was slow to take hold. In 1948,
the World Health Organization (WHO) took over the health functions of the
League of Nations, at a time when smallpox was still a threat in at least 90
countries. In 1958, WHO adopted a resolution put forth by the Soviet Union
to attempt global eradication, but nothing much happened. Finally in 1966, a
resolution sponsored by several countries -- including the United States and
Soviet Union -- was adopted, and a specific goal set for wiping out smallpox
within ten years.

There were then 44 countries still reporting the disease. The Smallpox
Eradication Program (SEP) started by tackling some of the poorest countries,
determined to score a psychological victory by showing smallpox could be
eliminated even where health services were scant. This worked, and led to a
major discovery: the disease could be removed without vaccinating every
single person. Improved technology (needles that were easier to clean and
use, for example) also made delivering the vaccine more efficient. Wars and
political uprisings slowed progress, but year after year, new countries
announced they had seen their last case of smallpox.

The last naturally-occurring case of smallpox in the world was contracted in
October, 1977 by a young man in Merka Town, Somalia. He survived, and no new
cases were reported in Somalia or elsewhere. But ironically, in 1978 two
more cases popped up in Birmingham, England, from smallpox virus escaped
from a research lab. One of the patients died. The director of the
laboratory committed suicide. These were smallpox's last victims. In 1979, a
global commission certified that smallpox had been eradicated, and this
certification was officially accepted by the 33rd World Health Assembly in
1980.
 

-----Original Message-----
From: 
Sent: Tuesday, July 26, 2005 10:11 AM
To: 'Bruce Tefft'
Subject: RE: Four cases of smallpox in Brazil

I thought smallpox was eradicated???  So confused.....

-----Original Message-----
From: Bruce Tefft [mailto:[EMAIL PROTECTED]
Sent: Tuesday, July 26, 2005 09:46
To: Bruce Tefft
Subject: Four cases of smallpox in Brazil

 

http://internacional.radiobras.gov.br/ingles/materia_i_2004.php?materia=2333
46&q=1&editoria

Health Inspection rules out risk of smallpox epidemic in the country

14:14 


Rosamélia de Abreu
Reporter - Agência Brasil

Brasília - Brazil is not running the risk of a smallpox epidemic, according
to Jarbas Barbosa, secretary of Health Inspection in the Ministry of Health.


===> Four cases were reported recently in the states of ===> Santa Catarina
and São Paulo. According to the secretary, ===> the disease was transmitted
by a Brazilian surfer, who ===> caught smallpox in the Maldive Islands, in
Asia.

Barbosa informed that smallpox vaccine coverage in Brazil is high, which
eliminates the risk of an epidemic. "If we take preventive actions
immediately, such as vaccinating everyone who had contact with the surfer,
there is no risk of an epidemic. We have good vaccine coverage in Brazil,
and every five years we vaccinate all children five years old or under," he
affirms.

Barbosa guaranteed that the smallpox vaccine is effective and secure and is
provided free to the population at health posts. 

In 1997 Brazil suffered a smallpox epidemic involving over 60 thousand cases
and 53 deaths. Health officials took four months to detect the disease,
which was introduced by Italian tourists, and a year and a half to control
the epidemic, the secretary of Health Inspection informs. Since 2000 there
have been no cases of transmission in Brazilian territory, but, since
smallpox epidemics still exist in every continent except the Americas, it is
important to continue surveillance and vaccination campaigns, since there is
always the possibility of a foreign tourist or immigrant arriving in the
country with the infection.

Translation: David Silberstein

25/07/2005
------

© Agencia Brasil - All material may be reproduced as long as the source is
acknowledged  






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