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