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November 2004, Vol 94, No. 11 | American Journal of Public Health 1875-1883
© 2004 American Public Health Association

PUBLIC HEALTH THEN AND NOW

Uncertain Advances: A Review of the Final Phases of the Smallpox Eradication Program in India, 1960–1980

Sanjoy Bhattacharya, PhD

The author is with the Wellcome Trust Centre for the History of Medicine at University College London, England.

Correspondence: Requests for reprints should be sent to Sanjoy Bhattacharya, PhD, The Wellcome Trust Centre for the History of Medicine, University College London, 24 Eversholt St, London NW1 1AD, England (e-mail: sanjoy.bhattacharya{at}ucl.ac.uk).

In this article, I describe the complex nature of the final phases of the Indian smallpox eradication program. I examine the unfolding of policies at different levels of administration and the roles played by a wide range of national and international actors. A careful examination of unpublished official correspondence, on which this article is largely based, shows that the program’s managers were divided and that this division determined the timing of the achievement of eradication. This material also reveals that Indian health workers and bureaucrats were far more capable of reshaping policies in specific localities, often in response to local infrastructural and political concerns, than has been acknowledged in the historiography.




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T. M. Brown and E. Fee
A Role for Public Health History
Am J Public Health, November 1, 2004; 94(11): 1851 - 1853.
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