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Africa — Eastern & Southern

Summary & Regional Information


For more information, see:
Smallpox and Its Eradication (Fenner et al, WHO, 1988)

Summary of Smallpox Status

Country Last endemic case Importations during SEP Certification Method Document
Angola1 1959 None 16 Feb 1979 International Commission Afr/Smallpox/89
Botswana2 1964, 1973 1967, 1971; none post-1973 23 Mar 1979 International Commission AFR/Smallpox/90
Burundi 1970 None post-1970 30 Jun 1977 International Commission AFR/Smallpox/86
Congo, Dem Rep (Zaire)3 1971 None post-1971 30 Jun 1977 International Commission AFR/Smallpox/86
Eswatini (Swaziland)4 1966 None 23 Mar 1979 International Commission AFR/Smallpox/90
Kenya 1969 1971, 1973, 1976, 1977 19 Oct 1979 International Commission WHO/SE/79.149
Lesotho 1962 None 23 Mar 1979 International Commission AFR/Smallpox/90
Malawi 1971 None post-1971 29 Mar 1978 International Commission AFR/Smallpox/87
Mozambique1 1969 None post-1969 29 Mar 1978 International Commission AFR/Smallpox/87
Rwanda 1970 None post-1970 30 Jun 1977 International Commission AFR/Smallpox/86
Tanzania 1970 None post-1970 29 Mar 1978 International Commission AFR/Smallpox/87
Uganda 1968 1969, 1970, 1971, 1972 27 Oct 1978 International Commission AFR/Smallpox/88
Zambia 1968 1970 29 Mar 1978 International Commission AFR/Smallpox/87
Madagascar pre-1918 None Dec 1979 Detailed country report WHO/SE/79.152
Namibia (South-West Africa)5 pre-1955 None 7 Dec 1978 Visit and detailed country report WHO/SE/132 pp 3,21
South Africa5 1971 1972 Dec 1979 Visit and detailed country report WHO/SE/79.152
Zimbabwe (Southern Rhodesia)6 1970 None post-1970 7 Dec 1978 Visit and detailed country report WHO/SE/132 pp 3,21

  1. Angola and Mozambique were not independent states until 1975 — they were Overseas Protectorates of Portugal. Both had been engaged in engaged in civil wars for independence since the early 1960s. Contact had to be made through the health authorities in Lisbon, where smallpox eradication was of little significance.
  2. Botswana, which had last reported cases in 1964, experienced a major epidemic beginning in 1972 but interrupted transmission in 1973.
  3. The Democratic Republic of the Congo was renamed Zaire in 1971, and changed back to the Democratic Republic of the Congo in 1997.
  4. Swaziland was renamed Eswatini in 2018.
  5. South Africa, a WHO Member State, had been deprived of its WHO voting rights and services in 1964. It stopped its annual contribution and its attendance at the World Health Assembly. Communication between South Africa and WHO all but ceased. Because South Africa administered Namibia (South-West Africa until 1968), communication with that jurisdiction was also affected.
  6. Southern Rhodesia, administered by the United Kingdom, was an Associate Member of WHO represented by the UK until 1965, when its WHO rights were suspended on UK initiative. Official communication was conducted through London, but there was little official contact between the UK and Southern Rhodesia. Southern Rhodesia was renamed Zimbabwe when it became independent in 1980.

Regional Information

Year Title Authors Source URL
1973 Smallpox and traditional medicine in the developing countries of Africa and Asia Sery V Z Tropenmed Parasitol 1973 24(1): 105-18
*1975 Smallpox inoculation in Africa Herbert EW J Afr Hist 1975 16(4): 539-59 DOI: 10.1017/S0021853700014547
*1980 The last 50 years of smallpox in Africa Tulloch JL WHO Chron 1980 34(11): 407-12
1980 [Eradication of variola in Africa (author's transl)] Czech Zikmund V, Slonim D, Prikazsky V Cesk Epidemiol Mikrobiol Imunol 1980 29(5): 309-18
1981 Traditional African medicine and eradication of smallpox Singer P, Vann CR N Engl J Med 1981 304(15): 914-5 DOI: 10.1056/nejm198104093041520

WHO: Intensified Smallpox Eradication Programme

Year Title Authors Source URL
1968 Smallpox Surveillance Report #4, 19 Jul 1968
Eastern and Southern Africa
Smallpox unit, WHO Wkly Epidemol Rec 1968 43(29):362-3 WHO: 10665/216693
1968 Smallpox Surveillance Report #9, 27 Sep 1968
Eastern and Southern Africa. Epidemic: Sudan
Smallpox unit, WHO Wkly Epidemol Rec 1968 43(39):494-9 WHO: 10665/216813
1968 Smallpox Surveillance Report #12, 8 Nov 1968
Africa
Smallpox unit, WHO Wkly Epidemol Rec 1968 43(45):574-9 WHO: 10665/216887
1969 Smallpox Surveillance Report #18, 21 Feb 1969
Outbreaks in non-endemic countries: Cameroon, Ghana, Sudan, South Africa
Smallpox unit, WHO Wkly Epidemol Rec 1969 44(8):150-8 WHO: 10665/217064
1969 Smallpox Surveillance Report #19, 7 Mar 1969
Eastern and Southern Africa
Smallpox unit, WHO Wkly Epidemol Rec 1969 44(10):173-9 WHO: 10665/217087
1969 Smallpox Surveillance Report #24, 16 May 1969
Eastern and Southern Africa
Smallpox unit, WHO Wkly Epidemol Rec 1969 44(20):333-7 WHO: 10665/217211
1969 Smallpox Surveillance Report #28, 25 Jul 1969
Eastern Africa: Burundi, Kenya, Tanzania, Uganda 1966-69. Outbreak: Malawi
Smallpox unit, WHO Wkly Epidemol Rec 1969 44(30):469-74
Corr: Wkly Epidemol Rec 1969 44(31):485
WHO: 10665/217310
1969 Smallpox Surveillance Report #31, 26 Sep 1969
Democratic Republic of the Congo
Smallpox unit, WHO Wkly Epidemol Rec 1969 44(39):557-61 WHO: 10665/217401
1970 Smallpox Surveillance Report #40, 17 Apr 1970
Importations: Germany, Saudi Arabia, Uganda, Zambia
Smallpox unit, WHO Wkly Epidemol Rec 1970 45(16):177-85 WHO: 10665/217702
1970 Smallpox Surveillance Report #44, 17 Jul 1970
Eastern Africa. Tanzania
Smallpox unit, WHO Wkly Epidemol Rec 1970 45(29):305-9 WHO: 10665/217821
1971 Smallpox Surveillance Report #56, 16 Apr 1971
Kenya
Smallpox unit, WHO Wkly Epidemol Rec 1971 46(16):158-60 WHO: 10665/218277
1971 Smallpox Surveillance Report #61, 13 Aug 1971
Democratic Republic of the Congo
Smallpox unit, WHO Wkly Epidemol Rec 1971 46(33):348-52 WHO: 10665/218467
1972 Smallpox Surveillance Report #68, 11 Feb 1972
Southern Africa
Smallpox unit, WHO Wkly Epidemol Rec 1972 47(6):64-7 WHO: 10665/218728
1972 Smallpox Surveillance Report #69, 10 Mar 1972
Zaire
Smallpox unit, WHO Wkly Epidemol Rec 1972 47(10):109-13 WHO: 10665/218773
1972 Smallpox Surveillance Report #75, 28 Jul 1972
Botswana
Smallpox unit, WHO Wkly Epidemol Rec 1972 47(30):284-6 WHO: 10665/218995
1972 Smallpox Surveillance Report #81, 17 Nov 1972
Africa
Smallpox unit, WHO Wkly Epidemol Rec 1972 47(46):453-6 WHO: 10665/219155
1972 Smallpox Surveillance Report #83, 22 Dec 1972
Botswana
Smallpox unit, WHO Wkly Epidemol Rec 1972 47(51/52):494-6 WHO: 10665/219199
1973 Smallpox Surveillance Report #89, 13 Apr 1973
Asian sub-continent, Botswana, Uganda. Importation: Japan. Outbreak: UK [Birmingham]
Smallpox unit, WHO Wkly Epidemol Rec 1973 48(15):167-70 WHO: 10665/219341
1973 Smallpox Surveillance Report #93, 20 Jul 1973
Africa
Smallpox unit, WHO Wkly Epidemol Rec 1973 48(29):289-91 WHO: 10665/219466
1973 Smallpox Surveillance Report #97, 19 Oct 1973
Botswana
Smallpox unit, WHO Wkly Epidemol Rec 1973 48(42):402-5 WHO: 10665/219587
1973 Smallpox Surveillance Report #98, 16 Nov 1973
Botswana
Smallpox unit, WHO Wkly Epidemol Rec 1973 48(46):434-8 WHO: 10665/219623
1975 Smallpox Surveillance Report #120, 19 Sep 1975
Suspect cases: Mozambique
Smallpox unit, WHO Wkly Epidemol Rec 1975 50(38):325-9 WHO: 10665/220529
1977 Smallpox Surveillance Report #132, 4 Mar 1977
Ethiopia, Kenya, Somalia
Smallpox unit, WHO Wkly Epidemol Rec 1977 52(9):85-8 WHO: 10665/221260
1977 Smallpox Surveillance Report #134, 10 Jun 1977
Ethiopia, Kenya, Somalia
Smallpox unit, WHO Wkly Epidemol Rec 1977 52(23):193-5 WHO: 10665/221385
1977 Smallpox Surveillance Report #135, 22 Jul 1977
Ethiopia, Kenya, Somalia
Smallpox unit, WHO Wkly Epidemol Rec 1977 52(29):240-2 DAH: Chesney Med Arch
1977 Smallpox Surveillance Report #137, 7 Oct 1977
Meeting, Nairobi, Kenya, 26-28 Sep 1977: Djibouti, Ethiopia, Kenya, Somalia, Sudan
Smallpox unit, WHO Wkly Epidemol Rec 1977 52(40):371-21 WHO: 10665/221565
1977 Smallpox Surveillance Report #138, 9 Dec 1977
Djibouti, Ethiopia, Kenya, Somalia
Smallpox unit, WHO Wkly Epidemol Rec 1977 52(49):389-91 WHO: 10665/221645
1978 Smallpox Surveillance Report #140, 7 Apr 1978
Eastern Africa. Last known smallpox foci
Smallpox unit, WHO Wkly Epidemol Rec 1978 53(14):97-9 WHO: 10665/221829
1978 Smallpox Surveillance Report #142, 4 Aug 1978
Global certification of smallpox eradication. Progress towards certification: Ethiopia, Kenya, Somalia; Sudan, Uganda
Smallpox unit, WHO Wkly Epidemol Rec 1978 53(31):229-32 WHO: 10665/222009