Worldwide eradication of the devastating viral disease of smallpox was devised as a distant global policy, but success depended on implementing a global vaccination programme within nation states. How this was achieved remains relevant and topical for responding to today's global communicable disease challenges. The small and poor Himalayan kingdom of Nepal faced enormous geographical and infrastructure challenges if it was going to succeed in a nationwide vaccination programme. This book acknowledges the key role of the WHO but disrupts the top-down, centre-led standard narrative. Against a background of widespread internal political and social change, Nepal's programme was expanded, effectively decentralised and a vaccination strategy introduced that aligned with people's beliefs. Few foreign personnel were involved.
By:
Susan Heydon Imprint: Manchester University Press Country of Publication: United Kingdom Dimensions:
Height: 216mm,
Width: 138mm,
ISBN:9781526176660 ISBN 10: 1526176661 Series:Social Histories of Medicine Pages: 320 Publication Date:01 March 2025 Audience:
College/higher education
,
Professional and scholarly
,
General/trade
,
Further / Higher Education
,
Undergraduate
Format:Hardback Publisher's Status: Forthcoming
Introduction 1 Writing Nepal into global smallpox history 2 Smallpox in Nepal 3 Nepal - A nation state 4 1963–64: Epidemic smallpox 5 Engaging global policy - From control to eradication 6 Vaccination and global strategies 7 A time of transition 8 Expanding nationwide 9 Success Conclusion: Implementing a global health programme - and making it work -- .
Susan Heydon is an Associate Professor in Social Pharmacy at the University of Otago