Smallpox in the Republic of Guinea, West Africa

II. Eradication Using Mobile Teams

J. G. Breman Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Atlanta, Georgia 30333

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A. B. Alécaut Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Atlanta, Georgia 30333

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D. R. Malberg Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Atlanta, Georgia 30333

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R. S. Charter Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Atlanta, Georgia 30333

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J. M. Lane Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Atlanta, Georgia 30333

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Smallpox transmission was interrupted in the Republic of Guinea in January 1969, 13 months after the beginning of the National Smallpox Eradication Program, and after approximately 60% of the population had been mass vaccinated. The eradication strategy was founded on the recent epidemiology of smallpox in Guinea and surrounding countries. Tactics were based on use of mobile teams specifically trained for mass vaccination, assessment, surveillance, and epidemic investigation. Guinea was one of 15 West African countries officially certified by the World Health Organization in 1976 as having eradicated smallpox. Continued vigilance to detect any possible imporation is needed and would best be part of a program to improve quarantinable disease surveillance. An acceptable immunity level to smallpox should be maintained in priority groups until worldwide smallpox eradication is achieved.

Author Notes

Medical Epidemiologist, Bureau of Smallpox Eradication, Center for Disease Control, Atlanta, Georgia; attached to Organisation de Coordination et de Coopération pour la lutte contre les Grandes Endémies, Bobo-Dioulasso, Upper Volta. Present address: Field Services Division, Bureau of Epidemiology, Center for Disease Control, assigned to Michigan Department of Public Health, Lansing, Michigan 48914.

Director, Service National des Grandes Endémies, Ministère de la Santé Publique et du Domaine Social, Conakry, Republic of Guinea.

Operations Officer, Bureau of Smallpox Eradication, Center for Disease Control, Atlanta, Georgia 30333.

Director, Bureau of Smallpox Eradication, Center for Disease Control, Atlanta, Georgia 30333.

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