Jump to ContentJump to Main Navigation
Divining without SeedsThe Case for Strengthening Laboratory Medicine in Africa$
Users without a subscription are not able to see the full content.

Iruka N. Okeke

Print publication date: 2011

Print ISBN-13: 9780801449413

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449413.001.0001

Show Summary Details
Page of

PRINTED FROM Cornell University Press SCHOLARSHIP ONLINE (www.cornell.universitypressscholarship.com). (c) Copyright University of Cornell University Press, 2019. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in Cornell for personal use (for details see www.cornell.universitypressscholarship.com/page/privacy-policy/privacy-policy-and-legal-notice).date: 26 April 2019

Diagnostic Certainty and Disease Control

Diagnostic Certainty and Disease Control

(p.106) 7 Diagnostic Certainty and Disease Control
Divining without Seeds

Iruka N. Okeke

Cornell University Press

This chapter demonstrates the importance of diagnostic certainty in disease eradication and control. It details the successful eradication of smallpox and the worldwide effort to eradicate polio. It then considers failure of the worldwide 1955–69 malaria eradication campaign. Transmission rates in parts of sub-Saharan Africa were so high that the interventions barely dented its incidence. This campaign relied entirely on chemical agents for which resistance rapidly emerged and spread. Within five years of its commencement, mosquitoes resistant to the insecticide DDT were widespread, and Plasmodium parasites resistant to the drug of choice, chloroquine, had become a menace. The failure to reevaluate the program's strategy, coupled with the insistence that it not extend beyond the original date for completion, left many countries to battle resurgent malaria alone.

Keywords:   diagnosis, disease eradication, disease control, smallpox, polio, infectious disease, malaria

Cornell Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.