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South America

Summary & Regional Information


The Pan American Health Organization (PAHO) has served as WHO's Regional Office for the Americas since 1949. Unlike other WHO Regional Offices, PAHO is a fully autonomous organization, acting under the directorship of the Pan American Sanitary Bureau (PASB), that acts for WHO.

In 1950, Dr Fred L. Soper, as Director of the PASB, strongly supported the concept of eradication, and began a program for the eradication of smallpox eradication from the Americas. By 1959, smallpox transmission had been interrupted in all but 5 countries. Four of these (Argentina, Bolivia, Colombia, and Ecuador) interrupted transmission by 1966.

Thus Brazil was the only South American country with endemic smallpox at the beginning of WHO's ISEP. However, it shared a border with all but 2 countries in the region and had large remote areas in the Amazon basin that had few, if any, health services.

For more information, see:
Smallpox and Its Eradication (Fenner et al, WHO, 1988), Chapter 12

Summary of Smallpox Status

Country Last endemic case Importations during SEP Country Last endemic case Importations during SEP
Argentina 1966 1967, 1970 Guatemala 1951 None
Bolivia 1960 None Guyana 1951 None
Brazil 1971 None post-1971 Paraguay 1960 None
Chile 1954 None Peru 1966 None
Colombia 1965 None Suriname 1920 None
Ecuador 1963 None Uruguay 1957 1968, 1969
French Guiana 1904 1968 Venezuela 1956 None

South America was certified as smallpox-free by an International Commission on 25 Aug 1973 (CD22/19, Annex III).


Regional Information

* Cited in Smallpox and its Eradication, Fenner et al, WHO 1988
    PAHO & WHO documents are in italics

Historical Smallpox & Its Control

Year Title Authors Source URL
*1974 The "Real Expedicion Maritima de la Vacuna" in New Spain and Guatemala Smith MM Trans Am Philos Soc 1974 64(1):1-74 DOI: 10.2307/1006158
1974 [Smallpox immunization expedition around the world, 170 years ago (Francisco Xavier de Balmis)] Hungarian Orv Hetil 1974 115(4): 213-6
*1976 Conquistador y pestilencia: the first new world pandemic and the fall of the great Indian empires Crosby AW Hisp Am Hist Rev 1976 47: 321-37
1979 [Smallpox in New Spain] Spanish de Micheli A Prensa Med Mex 1979 44(9-10): 201-7
1993 Disease eradication and control in the Americas de Quadros CA, Henderson DA Biologicals 1993 21(4): 335-43 DOI: 10.1006/biol.1993.1093
2004 Smallpox vaccination in the early 19th century using live carriers: the travels of Francisco Xavier de Balmis Aldrete JA South Med J 2004 97(4): 375-8 DOI: 10.1097/01.SMJ.0000072358.48095.65
2004 [The real philanthropic expedition of the smallpox vaccine: monarchy and modernity in 1803] Spanish Rigau-Perez JG P R Health Sci J 2004 23(3): 223-31
2004 [Balmis and the philanthropic expedition of the vaccine. Bicentennial of the Royal Philanthropic Expedition of Francisco Xavier Balmis to carry smallpox vaccine to America and Philippines] Spanish Sanchez Granjel L An R Acad Nac Med (Madr) 2004 121(2): 331-8; discussion 8-44
2005 The Spanish royal philanthropic expedition to bring smallpox vaccination to the New World and Asia in the 19th century Franco-Paredes C, Lammoglia L, Santos-Preciado JI Clin Infect Dis 2005 41(9): 1285-9 DOI: 10.1086/496930
2006 [Letter] Spanish royal philanthropic expedition and smallpox vaccination Christenson B Clin Infect Dis 2006 42(5): 731; author reply -2 DOI: 10.1086/500267
2015 [The journey of the vaccine against smallpox: one expedition, two oceans, three continents, and thousands of children] Spanish Tuells J, Duro-Torrijos JL Gac Med Mex 2015 151(3): 416-25

Regional Smallpox Eradication

1949 Proposal of the Director of the Pan American Sanitary Bbureau regarding a program for cooperation of the Bureau in the eradication of smallpox in the Americas Executive Committee, Pan American Sanitary Organization OSP.CE7.W-15 PAHO: 10665.2/23984
*1951 International health. 3. Some aspects of the WHO's programs in the Americas Soper FL Am J Public Health 1951 41(12): 1464-8 DOI: 10.2105/ajph.41.12.1464
PMC: PMC1525896
1955 Smallpox eradication in the Americas Bull Oficina Sanit Panam 1955 38(2):170-1 PAHO: 10665.2/14368
1958 Report on the status of smallpox eradication in the Americas Pan American Sanitary Conf/WHO Regional Committee meeting. San Juan PR, Sep-Oct 1958 CSP15/17 PAHO: 10665.2/29157
PAHO: 10665.2/47076
1958 Smallpox vaccination in Latin America WHO Chron 1958 12:3-7
1959 Status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Washington DC, Sep 1959 CD11/14 PAHO: 10665.2/25986
1959 Report on the status of smallpox eradication in the Americas (document presented by the Delegation of Mexico) PAHO Directing Council/WHO Regional Committee. Washington DC, Sep 1959 CD11/27 PAHO: 10665.2/26000
1960 Report on the status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Havana, Cuba, Aug 1960 CD12/8 PAHO: 10665.2/5304
1961 Report on the status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Washington DC, Oct 1961 CD13/18 PAHO: 10665.2/5393
1962 Report on the status of smallpox eradication in the Americas Pan American Sanitary Conf/WHO Regional Committee Meeting. Minneapolis MN, Aug-Sep 1962 CSP16/11 PAHO: 10665.2/46996
PAHO: 10665.2/29314
1964 Report on the status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Mexico DF, Aug-Sep 1964 CD15/22 PAHO: 10665.2/5489
1965 Report on the status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Washington DC, Sep-Oct 1965 CD16/29 PAHO: 10665.2/26162
1966 Estimated requirements for smallpox eradication in the Americas; estimate of the kind and amount of international assistance required for the smallpox eradication program in the Americas Exec Comm of the PAHO Directing Council/Working Party of the WHO Regional Comm. Washington DC, Apr 1966 CE54/3 PAHO: 10665.2/23313
1966 Report on the status of smallpox eradication in the Americas Pan American Sanitary Conf/WHO Regional Committee meeting. Washington DC, Sep-Oct 1966 CSP17/20 Rev.1 PAHO: 10665.2/29490
PAHO: 10665.2/46895

WHO: Intensified Smallpox Eradication

1967 Status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Port-of-Spain, Trinidad and Tobago, Oct 1967 CD17/11 PAHO: 10665.2/5754
1967 Resolution: Recommitment to smallpox eradication PAHO Directing Council/WHO Regional Committee. Port-of-Spain, Trinidad and Tobago, Oct 1967 CD17.R22 WHO: 10665/165716
1968 Smallpox Surveillance Report #5, 2 Aug 1968
South America
Smallpox unit, WHO Wkly Epidemol Rec 1968 43(31):388-9 WHO: 10665/216724
1968 Notes on smallpox vaccine production methods in South American laboratories
WHO Travelling Seminar on Vaccine Production, 19-30 Mar 1968
Fenje P WP/31
1967 [Laboratory diagnosis of smallpox in the Americas] Spanish Noble J, Sales Gomes JF, Rodrigues BA, Bica AN Bol Oficina Sanit Panam 1967 2(166-167):531-6 PAHO: 10665.2/14521
1970 Smallpox eradication Pan American Sanitary Conf/WHO Regional Committee Meeting. Washington DC, Sep-Oct 1970 CSP18/9
1971 Smallpox Surveillance Report #65, 26 Nov 1971
South America
Smallpox unit, WHO Wkly Epidemol Rec 1971 46(48):486-90 WHO: 10665/218615
1971 Smallpox eradication PAHO Directing Council/WHO Regional Committee. Washington DC, Sep-Oct 1971 CD20/6 PAHO: 10665.2/5875
1971 Resolution: Compulsory vaccination PAHO Directing Council/WHO Regional Committee. Washington DC, Sep-Oct 1971 CD20.R23 WHO: 10665/167467
1973 Report of the Commission for the Assessment of the Smallpox Eradication Program in the Americas CD22/19, Annex III PAHO: 10665.2/26301
1973 Report on the status of smallpox eradication in the Americas PAHO Directing Council/WHO Regional Committee. Washington DC, Oct 1973 CD22/19 PAHO: 10665.2/26301
1973 Resolution: Smallpox eradicated from the Americas PAHO Directing Council/WHO Regional Committee. Washington DC, Oct 1973 CD22.R17 WHO: 10665/165244
1974 [The cost of vaccination programs] Spanish Rodrigues BA, Huerta R Bol Oficina Sanit Panam 1974 76(2):125-34 PAHO: 10665.2/10796
*1975 [Smallpox eradication in the Americas] Spanish
Also published in English
Rodrigues BA Bol Oficina Sanit Panam 1975 78(4):358-83
Bull Pan Am Health Organ 1975 9(1): 53-68
PAHO: 10665.2/17606
PAHO: 10665.2/27699
1980 Smallpox eradication PAHO Epidemiol Bull 1980 1(4):4-5 PAHO: 10665.2/38396
1993 Disease eradication and control in the Americas de Quadros CA, Henderson DA Biologicals 1993 21(4):335-43 DOI: 10.1006/biol.1993.1093
2010 30th anniversary of smallpox eradication and establishment of the PAHO Revolving Fund for Vaccine Procurement PAHO Executive Committee, Washington DC, Jun 2010 CE146/INF-5 PAHO: 10665.2/5245