From foe to friend: geographical and environmental factors and the control and eradication of smallpox in India.
Due to the highly visible nature of the disease, smallpox received a lot of attention from the colonial and independent Indian governments. An assessment of the changing official views about the impact of geographical and environmental factors on modes of variola causation and control presents insights into themes that are generally ignored in the existing historiography. Rather than being synchronised efforts, imposed top-down, provincial level officials in charge of running vaccination programmes were able to retain a great degree of autonomy and shape the nature of local immunisation drive. As a result, vaccination work in the country was often disjointed, marked by official disagreements about the usefulness of certain strategies and technological inputs, with these trends being most noticeable in rural areas. Thus, this study seeks to highlight the importance of recognising--and studying--the fractured nature of medical and public health administration in the South Asian sub-continent.
Bhattacharya
Sanjoy
S
The Welcome Trust Centre for the History of Medicine, University College London, Euston House, 24 Eversholt Street, London NW1 LAD, UK.
D003140:Communicable Disease Control / Q000266:history*; D004777:Environment; D005843:Geography / Q000266:history; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D017589:Immunization Programs; D007194:India; D012899:Smallpox / Q000453:epidemiology / Q000209:etiology / Q000266:history* / Q000517:prevention & control; D012900:Smallpox Vaccine; D019371:Topography, Medical / Q000266:history*
D012900:Smallpox Vaccine