Logistics in smallpox: The legacy
a b s t r a c t
Logistics, defined as “the time-related positioning of resources” was critical to the implementation of
the smallpox eradication strategy of surveillance and containment. Logistical challenges in the smallpox
programme included vaccine delivery, supplies, staffing, vehicle maintenance, and financing. Ensuring
mobility was essential as health workers had to travel to outbreaks to contain them. Three examples
illustrate a range of logistic challenges which required imagination and innovation. Standard price lists
were developed to expedite vehicle maintenance and repair in Bihar, India. Innovative staffing ensured an
adequate infrastructure for vehicle maintenance in Bangladesh. The use of disaster relief mechanisms in
Somalia provided airlifts, vehicles and funding within 27 days of their initiation. In contrast the Expanded
Programme on Immunization (EPI) faces more complex logistical challenges.
Logistics in smallpox: The legacya b s t r a c tLogistics, defined as “the time-related positioning of resources” was critical to the implementation ofthe smallpox eradication strategy of surveillance and containment. Logistical challenges in the smallpoxprogramme included vaccine delivery, supplies, staffing, vehicle maintenance, and financing. Ensuringmobility was essential as health workers had to travel to outbreaks to contain them. Three examplesillustrate a range of logistic challenges which required imagination and innovation. Standard price listswere developed to expedite vehicle maintenance and repair in Bihar, India. Innovative staffing ensured anadequate infrastructure for vehicle maintenance in Bangladesh. The use of disaster relief mechanisms inSomalia provided airlifts, vehicles and funding within 27 days of their initiation. In contrast the ExpandedProgramme on Immunization (EPI) faces more complex logistical challenges.
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