History and prospects for viral disease eradication.
Edward Jenner first articulated the concept of eradication when he first inoculated the vaccinia. Before considering a disease for eradication some factors should be considered, such as the biological characteristics of the infectious agent: does the infectious agent infects only humans? Does it have a non-human reservoir and induce long-life immunity after infection? Is there a tool or intervention that effectively interrupts the chain of transmission from one individual to another? The first disease to be eradicated was smallpox. This extraordinary initiative set the example for any future disease eradication program. The eradication of polio from the Americas was launched in May 1985 and the Region of the Americas was certified polio-free in September 1994. At this same year, the Pan American Health Organization (PAHO) launched an initiative to eradicate measles from the Americas. Only 1,500 cases have been reported during the year 2000, and transmission was interrupted in most countries of the Region. Tremendous progress has been achieved in disease eradication efforts, which resulted in the global eradication of smallpox, the eradication of poliomyelitis from the Americas and its nearly global eradication, and the nearly complete eradication of measles from the Americas. The biotechnology revolution is providing us with many new vaccines and we have to continue the search for those diseases that could eventually be eradicated. Eradication of a disease brings the greatest health benefit, which is the absence of the health threat. It is also the quintessential example of health equity, as all mankind reaps the benefits, bringing eternal cost savings. As Louis Pasteur pointed out, "it is within the power of man to eradicate infection from the earth".
de Quadros
Ciro A
CA
Pan American Health Organization, 525, 23rd Street, NW, Washington, DC 20037, USA. quadrosc@paho.org
D000569:Americas / Q000453:epidemiology; D014943:Global Health; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D017589:Immunization Programs / Q000266:history; D008457:Measles / Q000453:epidemiology / Q000266:history* / Q000517:prevention & control; D010175:Pan American Health Organization / Q000266:history; D011051:Poliomyelitis / Q000453:epidemiology / Q000266:history* / Q000517:prevention & control; D011159:Population Surveillance; D014611:Vaccination / Q000266:history; D014777:Virus Diseases / Q000266:history / Q000517:prevention & control* / Q000635:transmission