Parassitologia
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Historical Article
'No other logical choice': global malaria eradication and the politics of international health in the post-war era.
In 1955 the Eighth World Health Assembly voted to initiate a program for the global eradication of malaria. The global eradication of malaria represented a remarkable leap of faith. ⋯ This political context shaped decisions about the adoption of DDT as a primary tool in the fight against malaria, as well as the adoption of the Malaria Eradication Program. It is equally important to understand how the advocates of an eradication strategy shaped arguments and developed support for their cause in the years leading up to the Eighth World Health Assembly meeting.
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Historical Article
Failure-as-success: multiple meanings of eradication in the Rockefeller Foundation Sardinia project, 1946-1951.
In the history of malaria control programs there were important tensions between proponents of the concept of eradication and those of malaria control. In this debate the concept of eradication has had multiple meanings. This paper concerns the post-hoc interpretations of the outcomes of the Rockefeller International Health Foundation-sponsored project conducted in Sardinia between 1946 and 1951. ⋯ In the framework of the World Health Organization and the agreement for a global malaria eradication program, the "failure" of the Sardinia project was seldom recognized or mentioned. The technical, economic, and logistical problems faced by ERLAAS were very similar to the problems associated with the end of the WHO global malaria eradication policy in 1972. The Sardinia project is presented as a case of "failure-as-success"; an ideological transformation was made, not simply for local political expediency, but more importantly because of the predominance of the modernist cultural model of "progress through technology" that characterized international Public Health in the postwar era.
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Biography Historical Article
Cognition and the global Malaria Eradication Programme.
When making a decision involves the analysis of complex cause-effect relationships, experts are normally consulted to describe the best options available. The global Malaria Eradication Programme relied upon the advice of a small group of experienced malariologists; their counsel directed the most ambitious endeavour in the history of the World Health Organisation. ⋯ Alternative methods were ridiculed; and the epistemic community used their individual prestige to insert the DDT gospel into the technical forums of the WHO, and the power (and money) forums of the USA. Particular knowledge structures of the post-war decade nurtured a technical solution to malaria, and we shall explore how the WHO and the epistemic community could grow within this environment so compatible to their praxes.
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The documented history of malaria in parts of Asia goes back more than 2,000 years, during which the disease has been a major player on the socioeconomic stage in many nation states as they waxed and waned in power and prosperity. On a much shorter time scale, the last half century has seen in microcosm a history of large fluctuations in endemicity and impact of malaria across the spectrum of rice fields and rain forests, mountains and plains that reflect the vast ecological diversity inhabited by this majority aggregation of mankind. That period has seen some of the most dramatic changes in social and economic structure, in population size, density and mobility, and in political structure in history: all have played a part in the changing face of malaria in this extensive region of the world. ⋯ The task of malaria control or elimination needs to be clearly related to the basic macroeconomic process that preoccupies governments, not cloistered away in the health sector Historically malaria has had a severe, measurable, negative impact on the productivity of nations. Economic models need rehoning with political aplomb and integrating with technical and demographic strategies. Recent decades in Chinese malaria history carry some lessons that may be relevant in this context.