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Intimidation, coercion and resistance in the final stages of the South Asian Smallpox Eradication Campaign, 1973-1975

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  • Greenough, Paul

Abstract

This paper reviews episodes during 1973-1975 when American physician-epidemiologists in South Asia, working under the auspices of the World Health Organization, intimidated local health officials and resorted to coercive methods in the final stages of the Smallpox Eradication Programme. While intimidation and coercion were successful in the short-run in ensuring disease containment, they evoked health-professional and popular resentments, and the long-term effect may have been to foster negative attitudes toward subsequent vaccination campaigns. At the very least these episodes suggest a need for paying attention to actual and perceived abuses when global health measures are introduced from 'above' into regional settings.

Suggested Citation

  • Greenough, Paul, 1995. "Intimidation, coercion and resistance in the final stages of the South Asian Smallpox Eradication Campaign, 1973-1975," Social Science & Medicine, Elsevier, vol. 41(5), pages 633-645, September.
    • Handle: RePEc:eee:socmed:v:41:y:1995:i:5:p:633-645
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    Cited by:

    1. Blume, Stuart S., 2005. "Lock in, the state and vaccine development: Lessons from the history of the polio vaccines," Research Policy, Elsevier, vol. 34(2), pages 159-173, March.
    2. Casiday, Rachel Elizabeth, 2007. "Children's health and the social theory of risk: Insights from the British measles, mumps and rubella (MMR) controversy," Social Science & Medicine, Elsevier, vol. 65(5), pages 1059-1070, September.
    3. Isaac Koomson & Moses Okumu & David Ansong, 2022. "Introducing the Disease Outbreak Resilience Index (DORI) Using the Demographic and Health Surveys Data from sub-Saharan Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(3), pages 1149-1175, August.
    4. Streefland, Pieter H., 2001. "Public doubts about vaccination safety and resistance against vaccination," Health Policy, Elsevier, vol. 55(3), pages 159-172, March.

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