Despite several studies on the social, cultural, and political histories of medicine and of public health in different parts of Latin America and the Caribbean, local and national focuses still predominate, and there are few panoramic studies that analyze the overarching tendencies in the development of health in the region. This comprehensive book summarizes the social history of medicine, medical education, and public health in Latin America and places it in dialogue with the international historiographical currents in medicine and health. Ultimately, this text provides a clear, broad, and provocative synthesis of the history of Latin American medical developments while illuminating the recent challenges of global health in the region and other developing countries.

Historians have long recognized epidemics to be a significant, though sometimes hidden, factor in the fortunes of societies and civilizations. The study of epidemics heightens our understanding of relationships between economic systems and living conditions. It illuminates the ideologies and religious beliefs of the affected community and illustrates the efforts and inadequacies of public health systems. This investigation of the history of epidemics in various parts of Peru during the twentieth century opens up a new field for Latin American studies to include health and disease. These are important areas of the past that enable us to understand better the living conditions of people, the role of state authority and the dynamics of social movement. Marcos Cueto examines five series of epidemics: the bubonic plague of 1903-1930; the fever epidemic of 1919-1922; the typhus and small pox epidemics in the Andes; attempts to control and eradicate malaria, and the cholera epidemics of 1991. In each case he studies the biological and ecological factors that caused the outbreak, and the techniques and policies applied to fight it, together with the response of the affected society. The experience of epidemics in Peru has been cyclical. Poverty breeds disease which in turn results in further poverty. One of the aims of this study is to highlight areas of success and failure in the fight against epidemics in the hope that such awareness may help break this vicious circle.

Historians have long recognized epidemics to be a significant, though sometimes hidden, factor in the fortunes of societies and civilizations. The study of epidemics heightens our understanding of relationships between economic systems and living conditions. It illuminates the ideologies and religious beliefs of the affected community and illustrates the efforts and inadequacies of public health systems. This investigation of the history of epidemics in various parts of Peru during the twentieth century opens up a new field for Latin American studies to include health and disease. These are important areas of the past that enable us to understand better the living conditions of people, the role of state authority and the dynamics of social movement. Marcos Cueto examines five series of epidemics: the bubonic plague of 1903-1930; the fever epidemic of 1919-1922; the typhus and small pox epidemics in the Andes; attempts to control and eradicate malaria, and the cholera epidemics of 1991. In each case he studies the biological and ecological factors that caused the outbreak, and the techniques and policies applied to fight it, together with the response of the affected society. The experience of epidemics in Peru has been cyclical. Poverty breeds disease which in turn results in further poverty. One of the aims of this study is to highlight areas of success and failure in the fight against epidemics in the hope that such awareness may help break this vicious circle.

According to its Constitution, the mission of the World Health Organization (WHO) was nothing less than the 'attainment by all peoples of the highest possible level of health' without distinction of race, religion, political belief, economic status, or social condition. But how consistently and how well has the WHO pursued this mission since 1946? This comprehensive and engaging new history explores these questions by looking at its origins and its institutional antecedents, while also considering its contemporary and future roles. It examines how the WHO was shaped by the particular environments of the postwar period and the Cold War, the relative influence of the US and other approaches to healthcare, and its place alongside sometimes competing international bodies such as UNICEF, the World Bank, and the Gates Foundation. The authors re-evaluate the relative success and failure of critical WHO campaigns, from early malaria and smallpox eradication programs to struggles with Ebola today.

In the mid-1950s, with planning and funding from the United States, Mexico embarked on an ambitious campaign to eradicate malaria, which was widespread and persistent. This new history explores the politics of that campaign. Marcos Cueto describes the international basis of the program, its national organization in Mexico, its local implementation by health practitioners and workers, and its reception among the population. Drawing on archives in the United States, Mexico, and Switzerland, he highlights the militant Cold War rhetoric of the founders and analyzes the mixed motives of participants at all levels. Following the story through the dwindling campaign in the late 1960s and early 1970s, Cueto raises questions relevant to today's international health campaigns against malaria, AIDS, and tuberculosis.

A multilayered analytical study that situates the Pan American Health Organization in a complex and shifting historical context and examines the internal dynamics of the organization in a probing critical fashion. Marcos Cueto, a widely published medical historian, presents an appealing and well-documented narrative that describes the origins of public health and the creation of PAHO and culminates with the Organization's response to globalization and its commitment to the Millennium Development Goals. The history of PAHO's institutional heritage, notes the author, is "a rich testimony to the depth and breadth of health's value . . . as an indispensable requirementfor peace, security, tolerance, and solidarity . . . and a means of achieving equity . . . in all social spheres." Marcos Cueto is Professor in the School of Public Health at the Universidad Peruana Cayetano Heredia inLima, Peru, and editor of Missionaries of Science: The Rockefeller Foundation and Latin America [Indiana University Press, 1994].

According to its Constitution, the mission of the World Health Organization (WHO) was nothing less than the 'attainment by all peoples of the highest possible level of health' without distinction of race, religion, political belief, economic status, or social condition. But how consistently and how well has the WHO pursued this mission since 1946? This comprehensive and engaging new history explores these questions by looking at its origins and its institutional antecedents, while also considering its contemporary and future roles. It examines how the WHO was shaped by the particular environments of the postwar period and the Cold War, the relative influence of the US and other approaches to healthcare, and its place alongside sometimes competing international bodies such as UNICEF, the World Bank, and the Gates Foundation. The authors re-evaluate the relative success and failure of critical WHO campaigns, from early malaria and smallpox eradication programs to struggles with Ebola today.

Despite several studies on the social, cultural, and political histories of medicine and of public health in different parts of Latin America and the Caribbean, local and national focuses still predominate, and there are few panoramic studies that analyze the overarching tendencies in the development of health in the region. This comprehensive book summarizes the social history of medicine, medical education, and public health in Latin America and places it in dialogue with the international historiographical currents in medicine and health. Ultimately, this text provides a clear, broad, and provocative synthesis of the history of Latin American medical developments while illuminating the recent challenges of global health in the region and other developing countries.