The story of the rise and fall of smallpox, one of the most savage killers in the history of mankind, and the only disease ever to be successfully exterminated (30 years ago next year) by a public health campaign.

Simply, and with great humanity, The Eradication of Smallpox tells the story of smallpox - it's origins, the horror of the disease, and the millions of people killed or disfigured by it. During the 18th and 19th centuries, it is estimated that one out of every ten people died from the disease; some say one out of every seven. Smallpox attacked very young children in particular. The story progresses with the practice of variolation, the life of Edward Jenner who first proposed 'vaccination' with cow pox vaccine (little James Phipps was the first person ever vaccinated in this way), the years of debate about the efficacy of this novel method, and the later worldwide initiatives to rid the planet of this horrific disease. In 1979, the story culminates in the only total eradication of an infectious disease that mankind has ever accomplished. This year celebrates the 20th anniversary of this momentous achievement. In the intervening years, debate has raged about what we should do with the remaining smallpox viral stocks. Do we destroy them, so they can't fall into the hands of bioterrorists, or do we maintain them, in case they may be of use in some unexpected way, for therapeutic purposes? These questions are thoroughly discussed in the book. Covers the background, history and origin of smallpox, and brings the story up to the present day Gives full and interesting details of Jenner's life, and tells how this humble country doctor brought about a revolution in vaccination Includes many quotes from historical figures Features 120 high quality photographs, many originating from unique historical plates in the author's private collection Includes new research data Provides new views on the eradication and destruction of smallpox

Foreword by Richard Preston, author of The Hot Zone; Preface by David M. Oshinsky. The personal story of how Dr Henderson led the World Health Organization's campaign to eradicate smallpoxthe only disease in history to have been deliberately eliminated.

Though smallpox was eradicated from the planet two decades ago, recent terrorist acts have raised the horrific possibility that rogue states, laboratories, or terrorist groups are in possession of secret stockpiles of the virus that causes the disease, and may be preparing to unleash it on target populations. Because it is a far deadlier killer than other biological warfare agents such as anthrax, and because the universal vaccination against smallpox was halted decades ago, a smallpox attack today would be nothing short of catastrophic. This clear, authoritative study looks at the long and fascinating history of the virus, with an informative overview of the political, biological, environmental, medical, and legal issues surrounding the question of whether or not the virus should be exterminated. The only two known samples of the virus are currently stored in Atlanta and Russia. The World Health Organization has repeatedly scheduled their destruction—an action that would rid the planet of all publicly acknowledged smallpox strains forever. Opponents of this plan argue that by destroying these last samples we are denying the possibility that this unique virus could be turned to beneficial purposes in basic scientific research. Others see the stockpile as part of a deterrent against future germ attacks. Proponents of prompt eradication argue that scientists have already learned all they can from this particular virus, and that by destroying the stockpile we are preventing it from ever falling into the wrong hands. As a thirty-year veteran of arms control issues, David Koplow is uniquely suited to provide readers with an informed and well-considered understanding of the complexities involved in the handling of this deadly virus.

In 1980, the World Health Organization (WHO) officially declared that smallpox had been eradicated. In 1986, WHO's international Ad Hoc Committee on Orthopox Virus Infections unanimously recommended destruction of the two remaining official stocks of variola virus, one at the Centers for Disease Control and Prevention and the other at the VECTOR laboratory in Siberia. In June 1999, WHO decided to delay the destruction of these stocks. Informing that decision was Assessment of Future Scientific Needs for Variola Virus, which examines: -- Whether the sequenced variola genome, vaccinia, and monkey pox virus are adequate for future research or whether the live variola virus itself is needed to assist in the development of antiviral therapies. -- What further benefits, if any, would likely be gained through the use of variola in research and development efforts related to agent detection, diagnosis, prevention, and treatment. -- What unique potential benefits, if any, the study of variola would have in increasing our fundamental understanding of the biology, host-agent interactions, pathogenesis, and immune mechanisms of viral diseases.

A history of the global spread of vaccination during the Napoleonic Wars, when millions of children were saved from smallpox.

“Bill Foege takes us inside the world's greatest public health triumph: the eradication of smallpox. It's a story of true determination, passion and courage. The story of smallpox should encourage all of us to continue the critical work of worldwide disease eradication.”--Bill Gates, Co-Chair of the Bill & Melinda Gates Foundation “Bill Foege is one of the public health giants of our times. He was responsible for the design of the campaign that eradicated smallpox—the most important global health achievement in history and possibly the greatest feat in any field of international cooperation. His insights into the nature of this major event will undoubtedly help to meet the global health challenges of the 21st century.”—Julio Frenk, M.D, PhD, Dean, Harvard School of Public Health “The eradication of a disease has long been the holy grail of global health and Bill Foege found it: more than any other person, he was responsible for the eradication of smallpox from the face of the earth. This is a story told by a remarkably humble man, about the extraordinary coalition that he helped to build, and the most impressive global health accomplishment the world has ever seen.”—Mark Rosenberg, author of Real Collaboration: What It Takes for Global Health to Succeed “I am thrilled that Bill Foege, one of the great heroes of the smallpox eradication campaign, has written this important book. It tells a beautiful human story of an incredible public health triumph, and is full of lessons that could be applied to many of the global challenges we face today.”—Helene D. Gayle MD, President and CEO, CARE USA “Bill Foege’s House on Fire is the first-hand account of how a revised strategy to eradicate smallpox was tested, validated, and applied. Without the global adoption of this new surveillance strategy, the final deathblow to this longtime global menace might never have been dealt.”—Adetokunbo O. Lucas, MD, DSc, author of It Was The Best of Times: From Local to Global Health “Smallpox is the most devastating disease the world has known, as it destroyed lives and shaped history over the centuries. House on Fire provides a day-to-day account by my friend Dr. Bill Foege of the battle required to defeat this wily and diabolic virus."--President Jimmy Carter