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Public-health milestone

The eradication of smallpox

Eliminating a human infectious disease through an international public-health campaign.

When
1967–1980
Where
Worldwide
A smallpox vaccination kit with vaccine vial and bifurcated needle.
A smallpox vaccination kit with vaccine vial and bifurcated needle.

Smallpox eradication combined vaccination with finding cases and interrupting transmission. Health workers, national programmes and international coordination ended naturally occurring smallpox, a disease that had killed and disfigured people for centuries.

01

Background

Beyond vaccine supply

A vaccine existed long before eradication. Reaching affected communities and responding rapidly to outbreaks were organisational challenges as well as medical ones.[1]

02

What happened

  1. 1967

    Intensified programme

    WHO's intensified eradication effort coordinated surveillance and vaccination.[1]

  2. 1980

    Eradication endorsed

    The World Health Assembly accepted the conclusion that smallpox had been eradicated worldwide.[1]

03

Impact & evidence

1967–1980

Finding the remaining chains of infection

Vaccination was combined with active surveillance: teams sought cases, investigated contacts and contained outbreaks. This became especially important as the remaining infections grew harder to find. The last known naturally occurring case was recorded in Somalia in 1977; certification followed after further investigation. The declaration in 1980 therefore recognised a checked interruption of transmission, rather than simply a large number of vaccinations.[2]

04

Aftermath & legacy

A lasting public-health lesson

The achievement demonstrated that coordinated action could interrupt a disease's transmission globally. Its methods influenced later campaigns, although other infections present different biological and practical obstacles.[1]

Sources & image credits (2)
  1. WHO — Smallpox
  2. who.int — historical account

Photo Credit: James Gathany Content Providers(s): CDC; Public domain; via Wikimedia Commons. Image source ↗

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