William H. Foege, one of the most respected leaders in global public health, takes readers on a tour of his time at the CDC. In its seventy years, the Centers for Disease Control and Prevention (CDC) has evolved from a malaria control program to an institution dedicated to improving health for all people across the world. The Fears of the Rich, The Needs of the Poor is a revealing account of the CDC’s development by its former director, public health luminary William H. Foege. Dr. Foege tells the stories of pivotal moments in public health, including the eradication of smallpox (made possible due in part to Foege’s research) and the discovery of Legionnaires’ disease, Reye syndrome, toxic shock syndrome, and HIV/AIDS. With good humor and optimism, he recounts the various crises he surmounted, from threats of terrorist attacks to contentious congressional hearings and funding cuts. Highlighting the people who made possible some of public health’s biggest successes, Foege outlines the work required behind the scenes and describes the occasional tensions between professionals in the field and the politicians in charge of oversight. In recent years, global public health initiatives have come from unanticipated sources. Giants in the field now include President Jimmy Carter and his wife, Rosalynn, who promote programs aimed at neglected diseases. Melinda and Bill Gates have invigorated the field through research and direct program support, especially in the area of vaccine-preventable diseases. And the Merck Mectizan program has dramatically reduced river blindness in Africa. Foege has been involved in all of these efforts, among others, and he brings to this book the knowledge and wisdom derived from a long and accomplished career. The Fears of the Rich, The Needs of the Poor is an inviting but unvarnished account of that career and offers a plethora of lessons for those interested in public health.
How did coalition-building give rise to the incredible achievements of the Task Force for Childhood Survival? Dr. Bill Foege, one of the best-known names in global health, brings readers to the table during the creation of one of the world’s most famous and successful global health efforts—the Task Force for Child Survival. In 1984, the US immunization program was so successful that many childhood diseases were at record lows—yet 40,000 children a day were dying around the world from preventable diseases. That year, Dr. Foege, former director of the Centers for Disease Control and Prevention, came together with Jonas Salk, Robert McNamara, and representatives from UNICEF, the World Health Organization, the World Bank, the United Nations Development Programme, and the Rockefeller Foundation to see how some of the lessons learned in America could be applied to global programs. The assembled participants recommended the formation of a small task force to help UN agencies improve immunization coverage. They dubbed it the Task Force for Child Survival and installed Foege as its first leader. In this book, Dr. Foege describes the task force from its conception through its landmark success. Over its first six years, as more resources were allocated to the task force, immunization coverage climbed from approximately 15 percent of the world’s children for some vaccines to 80 percent of the world’s children for at least one vaccine. UNICEF head Jim Grant called it the greatest peacetime endeavor the world had ever seen. How did this small, independent, low-profile group leverage change in the largest of global health agencies? Foege dissects each element for clues as to why the task force was able to accomplish so much so quickly, ultimately concluding that coalition-building played a major role and explaining how to strengthen coalitions by scrupulously avoiding the turf guarding and credit seeking that are so common to international endeavors. Inspiring and accessible, this brief book combines the distilled advice of one of global health's major leaders with the history of an iconic public health program.
“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
A story of courage and risk-taking, House on Fire tells how smallpox, a disease that killed, blinded, and scarred millions over centuries of human history, was completely eradicated in a spectacular triumph of medicine and public health. Part autobiography, part mystery, the story is told by a man who was one of the architects of a radical vaccination scheme that became a key strategy in ending the horrible disease when it was finally contained in India. In House on Fire, William H. Foege describes his own experiences in public health and details the remarkable program that involved people from countries around the world in pursuit of a single objective—eliminating smallpox forever. Rich with the details of everyday life, as well as a few adventures, House on Fire gives an intimate sense of what it is like to work on the ground in some of the world’s most impoverished countries—and tells what it is like to contribute to programs that really do change the world.
How did coalition-building give rise to the incredible achievements of the Task Force for Childhood Survival? Dr. Bill Foege, one of the best-known names in global health, brings readers to the table during the creation of one of the world’s most famous and successful global health efforts—the Task Force for Child Survival. In 1984, the US immunization program was so successful that many childhood diseases were at record lows—yet 40,000 children a day were dying around the world from preventable diseases. That year, Dr. Foege, former director of the Centers for Disease Control and Prevention, came together with Jonas Salk, Robert McNamara, and representatives from UNICEF, the World Health Organization, the World Bank, the United Nations Development Programme, and the Rockefeller Foundation to see how some of the lessons learned in America could be applied to global programs. The assembled participants recommended the formation of a small task force to help UN agencies improve immunization coverage. They dubbed it the Task Force for Child Survival and installed Foege as its first leader. In this book, Dr. Foege describes the task force from its conception through its landmark success. Over its first six years, as more resources were allocated to the task force, immunization coverage climbed from approximately 15 percent of the world’s children for some vaccines to 80 percent of the world’s children for at least one vaccine. UNICEF head Jim Grant called it the greatest peacetime endeavor the world had ever seen. How did this small, independent, low-profile group leverage change in the largest of global health agencies? Foege dissects each element for clues as to why the task force was able to accomplish so much so quickly, ultimately concluding that coalition-building played a major role and explaining how to strengthen coalitions by scrupulously avoiding the turf guarding and credit seeking that are so common to international endeavors. Inspiring and accessible, this brief book combines the distilled advice of one of global health's major leaders with the history of an iconic public health program.
William H. Foege, one of the most respected leaders in global public health, takes readers on a tour of his time at the CDC. In its seventy years, the Centers for Disease Control and Prevention (CDC) has evolved from a malaria control program to an institution dedicated to improving health for all people across the world. The Fears of the Rich, The Needs of the Poor is a revealing account of the CDC’s development by its former director, public health luminary William H. Foege. Dr. Foege tells the stories of pivotal moments in public health, including the eradication of smallpox (made possible due in part to Foege’s research) and the discovery of Legionnaires’ disease, Reye syndrome, toxic shock syndrome, and HIV/AIDS. With good humor and optimism, he recounts the various crises he surmounted, from threats of terrorist attacks to contentious congressional hearings and funding cuts. Highlighting the people who made possible some of public health’s biggest successes, Foege outlines the work required behind the scenes and describes the occasional tensions between professionals in the field and the politicians in charge of oversight. In recent years, global public health initiatives have come from unanticipated sources. Giants in the field now include President Jimmy Carter and his wife, Rosalynn, who promote programs aimed at neglected diseases. Melinda and Bill Gates have invigorated the field through research and direct program support, especially in the area of vaccine-preventable diseases. And the Merck Mectizan program has dramatically reduced river blindness in Africa. Foege has been involved in all of these efforts, among others, and he brings to this book the knowledge and wisdom derived from a long and accomplished career. The Fears of the Rich, The Needs of the Poor is an inviting but unvarnished account of that career and offers a plethora of lessons for those interested in public health.
Describes famine from a historical and spatial perspective and suggests that natural factors cause crop failures, but humans cause famines, famines are man-made. Case studies of famines in England, India, and Russia are included, as well as discussion of changing food procurement and production methods and the effects of technology and population growth on relative food supply.
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