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Disease Dilemmas

Eradication campaigns, grassroots education and the role of women

  • 2 things to know
  • Component 03

Overview

Recall questions on eradication and elimination, smallpox and ring vaccination, the polio campaign and its difficulties, the strengths and weaknesses of top-down strategies, grassroots strategies and guinea worm, why women and girls' education are central to disease control, India's Accredited Social Health Activists, and combining top-down and bottom-up approaches.

What you need to know

Answer each one before you reveal it.

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Key term

Distinguish the eradication of a disease from its elimination.

Key term

What does it mean to eradicate a disease?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What does it mean to eradicate a disease?

    Model answer

    Eradication means reducing the worldwide incidence of a disease to zero permanently, so that control measures are no longer needed anywhere.

  2. 2

    Distinguish the eradication of a disease from its elimination.

    Model answer

    Elimination is the reduction of a disease to zero cases within a particular country or region, which still requires measures to keep it out, whereas eradication is its permanent removal across the whole world.

  3. 3

    Which human disease has been eradicated, and when was this certified?

    Model answer

    Smallpox, certified as eradicated in 1980, three years after the last naturally occurring case in Somalia in 1977.

  4. 4

    Give three features of smallpox that made eradication possible.

    Model answer

    It had no animal reservoir, its rash made every case easy to recognise, and a single heat-stable vaccine gave lasting immunity.

  5. 5

    What is ring vaccination?

    Model answer

    It is the strategy of finding each case and vaccinating everyone around it, including contacts and the contacts of those contacts, so that the outbreak is boxed in rather than vaccinating a whole population.

  6. 6

    When was the global campaign to eradicate polio launched, and how far has it got?

    Model answer

    It was launched in 1988, when polio paralysed hundreds of thousands of children a year in more than a hundred countries, and wild poliovirus now circulates in only a very small number of countries.

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