4.5 Review

Historical review: Towards the 50th anniversary of the last major smallpox outbreak (Yugoslavia, 1972)

Journal

TRAVEL MEDICINE AND INFECTIOUS DISEASE
Volume 48, Issue -, Pages -

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.tmaid.2022.102327

Keywords

Smallpox; Outbreak 1972; Yugoslavia; Historical

Funding

  1. Ministry of Education, Science and Technological development, Republic of Serbia [175042]

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In 1972, Yugoslavia faced the largest smallpox outbreak in Europe since World War II. The infection was believed to have originated from a pilgrim who visited the Middle East. The country implemented measures from the smallpox eradication program, including active surveillance, vaccination, and quarantine, leading to the successful elimination of smallpox.
In 1972, Yugoslavia experienced the largest outbreak of smallpox in the history of Europe following the Second World War and its first smallpox outbreak after 1930. The origin of the infection is believed to be a pilgrim who visited countries in the Middle East. In this epidemic in Yugoslavia, from 16th February to 11th April 1972, a total of 175 people fell ill, 35 (20%) of whom died. Measures against the outbreak were based on the strategy that was common in the final phase of the smallpox eradication program. It started with active surveillance and rapid identification of new cases. Measures, such as mass vaccination and quarantine of direct contacts, were promptly taken. In a few weeks, 18 million people had been vaccinated and approximately 15,000 had been quarantined. Yugoslavia was declared free of smallpox on 9th May 1972. The global community today is confronted with serious threats from infectious diseases, which can appear as outbreaks and pandemics.

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