During the twentieth century, more than 300 million deaths worldwide were due to smallpox, however, in 1980 after a global collaboration led by the World Health Organization, the first infectious disease to be eradicated was smallpox. On the other hand, during the 20th century tuberculosis which was once thought to have been declining in developed countries, is now according to WHO (2013) second only to HIV/AIDS as the greatest killer worldwide. This disease has been estimated by The World Health Organisation (2013) to kill 1.3 million people per year, the majority of those being in developed countries. Therefore, in this essay I will compare the prospects for control and eradication of tuberculosis to smallpox, with a reference to the interplay required between both biological and social factors. In 1798, Edward Jenner discovered that cowpox provided immunity from smallpox and this led the way for the biological approach for the eradication of smallpox via the development and implementation of an effective vaccine. Yet, whilst inoculation was successful in practically eradicating smallpox in the Western world, the disease continued to be endemic in areas of Africa and Asia. As Fenner (1980) argued this was due to the fact that whilst the use of the liquid vaccine was effective in cooler climates, it was ineffective in the poorer and tropical climates where the disease was endemic as the vaccine quickly destabilized. Therefore, as Fenner (1980) states the vaccine could be freeze-dried, and so as part of the campaign to eradicate smallpox, WHO established a rigorous quality check on all vaccines and when the vaccine met the accepted standard in 1970, countries in which smallpox was prevalent were producing their own vaccines for ... ... middle of paper ... ...gement approaches that solely concentrate on the biological aspect of tuberculosis. In conclusion, the prospects of controlling or eradicating Tuberculosis will be a difficult and lengthy task. In Social Science & Medicine, Jaramillo (1999) argued that the “current tuberculosis epidemic has persisted because current tuberculosis control programs focus exclusively on the biological cause and fail to take into account an integrated model of the causality of tuberculosis including biological, behavioural, and socioeconomic forces.” Therefore, control and eradication will only be possible with a more active worldwide public health policy with those most vulnerable, for example those who are HIV positive are given extra screening. As HIV keeps global TB infection rates high, only with more effective management of HIV patients will it be possible to control tuberculosis.
“Future nations will know by history only that the loathsome smallpox has existed and by you extirpated”. This quote comes from Thomas Jefferson to Edward Jenner, he founder of the smallpox vaccine. It would only be 100 years later that Jefferson would see his dream fulfilled, but not without struggle. In House on Fire, author William H. Foege shares his first hand view of the lengths that society needed to go through to rid the world of the disease that had plagued it for so long. The story of the fight against smallpox extends long before our efforts for global eradication and is a representation of how society deals with widespread disease. House on
The Demon in the Freezer by Richard Preston is an intriguing book that discusses the anthrax terrorist attacks after 9/11 and how smallpox might become a future bioterrorist threat to the world. The book provides a brief history of the smallpox disease including details of an outbreak in Germany in 1970. The disease was eradicated in 1979 due to the World Health Organization’s aggressive vaccine program. After the virus was no longer a treat the World Health Organization discontinued recommending the smallpox vaccination. In conjunction, inventory of the vaccine was decreased to save money. The virus was locked up in two labs, one in the United States and one in Russia. However, some feel the smallpox virus exists elsewhere. Dr. Peter Jahrling and a team of scientists at the U.S. Army Medical Research Institute of Infectious Diseases in Maryland became concerned terrorists had access to the smallpox virus and planed to alter the strain to become more resistant. These doctors conducted smallpox experiments to discover more effective vaccines in case the virus were released. Preparedness for a major epidemic is discussed as well as the ease with which smallpox can be bioengineered.
Plagues and Peoples written by William H. McNeill follows the patterns of epidemics and endemics within human history. It is within this history that McNeill finds parallels between diseases and humans in the forms of microparasitism and macroparasitism. Merely from the title, McNeill gives equal importance to viruses and humankind. In several instances, humans behave the same way viruses, bacteria, and parasites do in order to survive and to compete. Surprisingly enough, McNeill’s overarching theme can be summarized using his last sentence, asserting that “Infectious disease which antedated the emergence of humankind will last as long as humanity itself, and will surely remain, as it has been hitherto, one of the fundamental parameters and
Although populations in ancient societies suffered attacks, invasions, starvation, and persecution, there was a more efficient killer that exterminated countless people. The most dreaded killers in the ancient world were disease, infections and epidemics. In many major wars the main peril was not gunfire, nor assault, but the easily communicable diseases that rapidly wiped out whole divisions of closely quartered soldiers. Until the time of Hippocrates, in the struggle between life and death, it was, more often than not, death that prevailed when a malady was involved. In the modern world, although illness is still a concern, advances in thought and technique have led to the highest birth rates in recorded history. No longer is a fever a cause for distress; a quick trip to the store and a few days of rest is the current cure. An infection considered easily treatable today could have meant disablement, even death to an ancient Greek citizen.
Its epidemiological importance is illustrated by World Health Organization Prevention of Tuberculosis includes better living conditions, proper nutrition, and positive health practices” (Fogel, 2015, p.530). Positive health practices include covering nose and mouth when coughing and frequent hand washing. Bacille Calmette-Gurin (BCG) vaccine tends to be given in other countries. Tuberculosis is known as one of the main causes of mortality in the world. This communicable disease is a serious public health conundrum. “The disease still puts a strain on public health, being only second to HIV/AIDS in causing high mortality rates” (Matteelli, Roggi, & Carvalho, 2014, p.
Today the world is plagued with a similar deadly disease. The AIDS epidemic continues to be incurable. In an essay written by David Herlihy, entitled 'Bubonic Plague: Historical Epidemiology and the Medical Problems,' the historic bubonic plague is compared with
Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis (Infectious Disease – The Never-ending Threat). It is acquired by inhalation and is spreadable. The City of Toronto in accordance with Toronto Public Health have in place different specialty teams in regards to Tuberculosis (TB) who work together to provide support for individuals with TB as well as their families and to help prevent the spread of TB in Toronto (City of Toronto). Specifically, Toronto Public Health has a designated homeless and corrections team who manage TB disease and infection within the homeless/under-housed and corrections populations. Within this program, they use many environmental guidelines to access and diminish in the
The Bubonic Plague, or more commonly known as ‘The Black Death’ or ‘The Black Plague,’ was one of the most devastating and deadliest pandemics that humans have ever witnessed in the history of mankind. The disease spanned two continents in just a few years, marking every country between Western Europe all the way to China. During the reign of the plague, which is estimated to be the years between 1347-1352, it is estimated that “20 million people in Europe–almost one-third of the continent’s population” was killed off due to the plague. The Black Plague would change the course of European history since the plague knew no boundaries and inflicted its wrath upon the rich and the poor alike. As a result, not only did the plague have a devastating demographic impact which encountered a massive social disruption, but also, an economic and religious impact as well.
Vaccines have been used to prevent diseases for centuries, and have saved countless lives of children and adults. The smallpox vaccine was invented as early as 1796, and since then the use of vaccines has continued to protect us from countless life threatening diseases such as polio, measles, and pertussis. The Center for Disease Control and Prevention (2010) assures that vaccines are extensively tested by scientist to make sure they are effective and safe, and must receive the approval of the Food and Drug Administration before being used. “Perhaps the greatest success story in public health is the reduction of infectious diseases due to the use of vaccines” (CDC, 2010). Routine immunization has eliminated smallpox from the globe and led to the near removal of wild polio virus. Vaccines have reduced some preventable infectious diseases to an all-time low, and now few people experience the devastating effects of measles, pertussis, and other illnesses.
After diagnosing which form is in the body, treatment and therapy can begin. After the test, an infected person should inform the health-care provider with information about other people that might be infected. This will help control the spread of Tuberculosis (CDC, Morbidity and Mortality Weekly Reports). Treatment for the infected person means continual drug therapy.
During one of his earlier apprenticeships, Jenner noticed milkmaids with a disease called cowpox. Cowpox is a close relative to smallpox and is only mild in humans. Pustules appear on the hands and a basic cold is also brought on. At Jenner’s young age he was able to link these two viruses together and come up with a theory for immunization. In 1796, while still attending medical school, Jenner decided to test this theory between smallpox and cowpox. He used a dairymaid, who was a patient of his named Sarah Nelms, who had contracted cowpox and had ripe pustules on her hands. Jenner realized this was his opportunity to test someone who had not contracted smallpox yet. He picked an eight-year old boy named James Phipps to use as his test subject. He scraped open a spot of James' arm and rubbed in a dissected piece of Sarah Nelms pustule into the open wound. A couple days later James became ill with cowpox but was well again within a week. This test proved that cowpox could be spread between humans as well as cows. Jenner's next test would be if the cowpox virus gave James immunity against smallpox. On July 1st of 1796, Edward Jenner obtained an infected smallpox pustule and scratched the virus filled pus into James' arm. This technique of placing a virus into a patient is called variolation. James Phipps did not develop smallpox within the
Illness has been a major part of humankind’s lives almost since the beginning of time. Throughout history, illnesses caused fatal epidemics that caused deaths between young and old, and brought fear upon all for the absence of a cure. Having an illness throughout most of history was considered an inevitable death sentence, as the majority of causes of death (Offit). Vaccinations have been experimented in China and Turkey in the 15th century, with methods such as inhaling or rubbing grounded up smallpox scabs against open cuts (Clem). Then in 1700s, the first form of modern vaccination was invented by Edward Jenner with the cowpox virus acting against smallpox, giving immunity against it (Offit).
Goldfarb A, Kimerling ME. Public Health Research Institute/Soros Foundation Interim Report on the Russian TB program. New York: Public Health Research Institute; 1999.
For innumerable centuries, unrelenting strains of disease have ravaged society. From the polio epidemic in the twentieth century to the measles cases in the latter half of the century, such an adverse component of nature has taken the lives of many. In 1796, Edward Jenner discovered that exposure to cowpox could foster immunity against smallpox; through injecting the cowpox into another person’s arm, he founded the revolutionary concept known as a vaccination. While many attribute the eradication of various diseases to vaccines, many United States citizens are progressively beginning to oppose them. Many deludedly thought that measles had been completely terminated throughout the United States.
HIV does not only affect the well-being of individuals, it has large impacts on households, communities and even nations as a whole. Peer discussions and personal research has also made me realize that some of the countries suffering from this HIV epidemic also rather unfortunately suffer from other infectious diseases such as malaria and tuberculosis, relative poverty and economic stagnation. Despite these setbacks, new inte...