Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda

Detalhes bibliográficos
Autor(a) principal: Hochman, Gilberto
Data de Publicação: 2009
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/37976
Resumo: Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Departamento de Pesquisa em História das Ciências e da Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Hochman, Gilberto2019-12-16T17:32:46Z2019-12-16T17:32:46Z2009HOCHMAN, Gilberto. Priority, Invisibility and Eradication: The History of Smallpox and the Brazilian Public Health Agenda. Medical History, v. 53, n. 2, p. 229-252, 2009.0025-7273https://www.arca.fiocruz.br/handle/icict/3797610.1017/s002572730000020xengPolítica de SaúdeVaríolaHistória do Século XXBrasilVaríola/prevenção & controleVaríola/históriaPolítica de SaúdeHistória do Século XXBrasilPriority, invisibility and eradication: the history of smallpox and the Brazilian public health agendainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Casa de Oswaldo Cruz. Departamento de Pesquisa em História das Ciências e da Saúde. Rio de Janeiro, RJ, Brasil.This article describes three periods in Brazil's modern history when governmental action was (or was not) taken against smallpox: first, when smallpox control became a priority in the Brazilian sanitary agenda from the nineteenth century to the beginning of the twentieth century; second, when it was rendered politically invisible during decades when greater attention was given to yellow fever and malaria control; third, when it reappeared at the centre of Brazilian health policy in the 1960s until its eventual eradication in 1973. Smallpox control in the latter two periods is suffused with paradox. For example, evidence suggests that the nearly fifty-year absence or lack of policies and agencies to deal with smallpox actually favoured the mobilization of local, national and international resources once the eradication programme was launched in 1966; these new approaches were accelerated from 1969 until the completion of eradication in 1973. Equally paradoxical, it was during the specific context of the military regime after 1964 that the Brazilian health system developed the capacity to mobilize existing but dispersed resources and flexibly to innovate, incorporate, and adapt new policies. Another important element in this period was institutional learning based on other vertical programmes such as the malaria eradication campaign. Although the Brazilian smallpox eradication programme was constrained by international agencies and by bilateral co-operation with the United States, the period after 1964 offered opportunities for the realization of a new and wide-ranging national health capacity including the creation of a national system of epidemiological surveillance and a national childhood immunization programme. It also saw the empowerment of young physicians who would later come to occupy key positions in Brazilian public health and in international health organizations.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83072https://www.arca.fiocruz.br/bitstream/icict/37976/1/license.txtbcccd18bfc5e3011ad9fdffbc9a443c7MD51ORIGINALhochman_mh_2_2009.pdfhochman_mh_2_2009.pdfapplication/pdf567397https://www.arca.fiocruz.br/bitstream/icict/37976/2/hochman_mh_2_2009.pdf8580a61d44b67a5254504a1011602919MD52TEXThochman_mh_2_2009.pdf.txthochman_mh_2_2009.pdf.txtExtracted texttext/plain85732https://www.arca.fiocruz.br/bitstream/icict/37976/3/hochman_mh_2_2009.pdf.txtba84ddbe7176e5935456664f246ef6bdMD53icict/379762020-05-06 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dc.title.pt_BR.fl_str_mv Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
title Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
spellingShingle Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
Hochman, Gilberto
Política de Saúde
Varíola
História do Século XX
Brasil
Varíola/prevenção & controle
Varíola/história
Política de Saúde
História do Século XX
Brasil
title_short Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
title_full Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
title_fullStr Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
title_full_unstemmed Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
title_sort Priority, invisibility and eradication: the history of smallpox and the Brazilian public health agenda
author Hochman, Gilberto
author_facet Hochman, Gilberto
author_role author
dc.contributor.author.fl_str_mv Hochman, Gilberto
dc.subject.other.pt_BR.fl_str_mv Política de Saúde
Varíola
História do Século XX
Brasil
topic Política de Saúde
Varíola
História do Século XX
Brasil
Varíola/prevenção & controle
Varíola/história
Política de Saúde
História do Século XX
Brasil
dc.subject.decs.pt_BR.fl_str_mv Varíola/prevenção & controle
Varíola/história
Política de Saúde
História do Século XX
Brasil
description Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Departamento de Pesquisa em História das Ciências e da Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2019-12-16T17:32:46Z
dc.date.available.fl_str_mv 2019-12-16T17:32:46Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv HOCHMAN, Gilberto. Priority, Invisibility and Eradication: The History of Smallpox and the Brazilian Public Health Agenda. Medical History, v. 53, n. 2, p. 229-252, 2009.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/37976
dc.identifier.issn.pt_BR.fl_str_mv 0025-7273
dc.identifier.doi.none.fl_str_mv 10.1017/s002572730000020x
identifier_str_mv HOCHMAN, Gilberto. Priority, Invisibility and Eradication: The History of Smallpox and the Brazilian Public Health Agenda. Medical History, v. 53, n. 2, p. 229-252, 2009.
0025-7273
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url https://www.arca.fiocruz.br/handle/icict/37976
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