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                <text>This photomicrograph reveals some of the histopathology of a section of gallbladder tissue in a case of cryptosporidiosis. You’re able to see numbers of Cryptosporidium sp. parasitic organisms lining the luminal surface of the epithelial cells. In this particular case, this patient had acquired immunodeficiency syndrome (AIDS).</text>
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                <text>Magnified 320X, this photomicrograph revealed the presence of many Gram-positive Micrococcus mucilaginosis bacteria. Commensal bacteria, Micrococcus spp. are normally found on the skin surface of humans, and can become the etiologic pathogens in the case of opportunistic infections involving immunocompromised individuals, which includes those with AIDS, or undergoing chemotherapeutic treatments.</text>
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&lt;p&gt;In 1942, when the U.S. was mobilizing for the Second World War, the U. S. Public Health Service set up a program to protect the personnel of military bases in the Southeastern states from malaria. This disease had long been rampant in the area, and posed serious threats to the health of the military and civilian populations. The program known as Malaria Control in War Areas (MCWA) was created to carry out the work. The lack of space in Washington due to the war effort allowed the program to base its headquarters in Atlanta, Georgia, and closer to the work at hand. During the war years, the program was expanded to include the control of other communicable diseases. Because its work was so successful, a new organization was created around the nucleus of MCWA, the Communicable Disease Center (CDC). The date was July 1, 1946. This archive chronicles the agency’s early history from 1941-1951, including the contributions of local businessmen and Emory University. The buttons to the right will connect you to a searchable database of documents, oral histories, photographs and media. To conduct an advanced search, use the link in the blue navigation bar above. Use of this information is free, but please see &lt;strong&gt;“About this Site”&lt;/strong&gt; for guidance on how to acknowledge the sources of the information used.&lt;/p&gt;
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&lt;p&gt;Smallpox disease was declared eradicated in 1980, the result of a collaborative global campaign. To date, it is the only disease affecting humans to be eradicated from the world. Global eradication of smallpox ranks among the great achievements of humankind. Gone, through determined human effort, is a disease which has brought death to millions, frequently altering the course of history, and traveling through the centuries to every part of the world.  &lt;/p&gt;
&lt;p&gt;The vital contributions made by the Centers for Disease Control and Prevention are highlighted. Official government correspondence, meeting transcripts, policy statements, surveillance reports and mortality statistics tell a part of that story. Adding depth to these traditional archives are the personal stories of the public health pioneers who worked tirelessly on the frontlines of the smallpox eradication campaign.&lt;/p&gt;
&lt;p&gt;The links above connect you to a database of oral histories, photographs, documents, and other media.&lt;/p&gt;
&lt;p&gt;Use of this information is free, but please see &lt;strong&gt;“About this Site”&lt;/strong&gt; for guidance on how to acknowledge the sources of the information used&lt;/p&gt;
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&lt;p&gt;In 1942, when the U.S. was mobilizing for the Second World War, the U. S. Public Health Service set up a program to protect the personnel of military bases in the Southeastern states from malaria. This disease had long been rampant in the area, and posed serious threats to the health of the military and civilian populations. The program known as Malaria Control in War Areas (MCWA) was created to carry out the work. The lack of space in Washington due to the war effort allowed the program to base its headquarters in Atlanta, Georgia, and closer to the work at hand. During the war years, the program was expanded to include the control of other communicable diseases. Because its work was so successful, a new organization was created around the nucleus of MCWA, the Communicable Disease Center (CDC). The date was July 1, 1946. This archive chronicles the agency’s early history from 1941-1951, including the contributions of local businessmen and Emory University. The buttons to the right will connect you to a searchable database of documents, oral histories, photographs and media. To conduct an advanced search, use the link in the blue navigation bar above. Use of this information is free, but please see &lt;strong&gt;“About this Site”&lt;/strong&gt; for guidance on how to acknowledge the sources of the information used.&lt;/p&gt;
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              <text>&lt;pre&gt;&lt;strong&gt;
 Interview Transcript
&lt;/strong&gt;
INTERVIEW
Audio File: Tim Miner Audio File
Transcribed: January 28, 2009

Interviewer:     My name is Ted Tolavoil.  I'm a senior undergraduate at
      Emory University.  We are at the CDC today interviewing Tim Miner and
      today's date is April 2nd, 2008 and the interviewee has given
      permission for this taping.  First of all Tim if I could have you
      introduce yourself.  Who are you and tell me a little bit about your
      background?

Interviewee:     Okay.  My name is Howard Gordon Miner but I go by the
      nickname Tim and I've had that nickname from birth because when I was
      born there were already two other Howards in the family and they
      needed something to differentiate me from the rest of the Howards so I
      got the moniker Tim.  I grew up in Detroit Michigan and left in
      nineteen seventy.  I taught for a couple of years in the inner city in
      Detroit.  I went to Swaziland in the peace corps in nineteen seventy
      and I'd just like to say [Foreign Dialect] which is Siswati for I'm
      very happy to see you now.  So, I do recall some of the languages that
      I picked up along the way.  I taught in Swaziland for a year until I
      discovered that we were taking jobs away from unemployed Swazi
      teachers so I mentioned to my peace corps director at the time I would
      like to go and do something else.  I wasn't real enamored with
      teaching anyway and I certainly didn't want to un-employ a Swazi
      teacher.

      So because I spoke French they sent me to Zaire with the smallpox
      eradication program but they almost sent me to Morocco as an
      agricultural photographer so I could be in a whole different career by
      now if had I not gone to Zaire.  In Zaire the smallpox program was
      headed by Dr. Pierre Ziegler and when I landed in Kinshasa I went
      first to the peace corps office and signed in and did all the
      paperwork and met all the people.  And then went over to the WHO
      office in Kinshasa and had this lengthy conversation in French with
      Dr. Ziegler and I realized that I really needed to get up to speed on
      my French rather quickly.  And so I did and he showed me how to give
      an immunization and he had a clinic there once a week.


      So there was a lady that came in and you know you have the bifurcated
      needle and you take the arm and kind of squeeze the flesh and rest
      your wrist on the arm and you just jab it a couple of times.  So he
      said, "Why are you doing that?  Tell me exactly what you're doing so
      that I know that you understand what I told you."  So, I'm giving her
      the immunization and you're supposed to just prick the skin a little
      bit until there is a trace of blood.  Well for those who speak French,
      the word for blood and the word for monkeys sound about the same.  So
      as I was explaining what I was doing I said, "You just prick the skin
      until you see a trace monkeys."  And everybody just broke out laughing
      because they couldn't understand why and the lady wondered what kind
      of vaccination I was giving here that she'd get a trace of monkeys on
      her skin.  So, that was my introduction to the immunization program
      there.


      I went to my field station which was then in northern Shaba, ex-
      Katanga Province and there was another peace corps volunteer there,
      Ken Bloom.  And so we did a [inaudible 03.39] in the field first and
      then came back and then he left and left me there but I'm getting a
      little bit ahead of myself.  While I was in Kinshasa with Dr. Ziegler
      he said, "All right you're peace corps volunteer but we don't want you
      to conduct yourself as a volunteer, tell anybody that you're a
      volunteer or live like a volunteer."  I don't know what his
      preconceptions of volunteers were but I listened intently.  And he
      said, "To make sure you don't live like a volunteer we're going to
      supplement your $75 a month income from the peace corps with an
      additional $400 from WHO."  I said, "Works for me," so went out there
      in the field and took my station.


      I had three Land Rovers, an office, a furnished two bedroom apartment
      and a staff of four.  So I was the [inaudible 04.35] to keep the team
      leader of a epidemiological investigation team and we were in the
      field about twenty eight days a month, back at the home base only two
      days a month because I like to travel and be in the field and there
      wasn't a lot to do at home base.  And my African staff liked to be
      gone more so that they could be making money and they wouldn't be home
      spending it and having relatives come around and so and so forth as it
      was explained to me.  So we were in town maybe two days to file a
      report and I had a two way radio so I could talk to Kinshasa.  And
      there was Mr. Ali an Egyptian that ran the radio and I was talking to
      him and I said needed this piece of equipment to repair a Land Rover.
      And he said, "But what is it?"  And I said, "Well I know what it is in
      French."  I'd been so immersed in French I forgot, even though I grew
      up in Detroit, what this particular part was.  And so I said, "Well
      I'll tell you in French and if you know what it is, you tell me what
      it is in English because I forgotten."  So, he did that and we got the
      parts and went on.


      I was in Zaire at a particularly historical moment when Mobutu Sese
      Seko wa za Banga, the president of Zaire at the time was just
      initiating his authenticité campaign.  So he renamed the Congo River
      the Zaire River, renamed the country Zaire, renamed the currency Zaire
      and told all Zairewa's, all citizens that they had to change their
      names from Christian names to African names.  So I talked to my team
      and I said well - after I learned all their names I said, "Well you're
      going to have to tell me what you're African name is and then tell me
      whether you - how you want me to address you."  And so that worked out
      fine.  That wasn't a problem.  When it came time for me to leave, when
      I went to Zaire I had to give another year to peace corps.  Normally
      it's two years but since I had done one in Swaziland I went to Zaire
      for two years and part of the way through that I got home leave and I
      went to Geneva.  And on a Sunday afternoon I went to the WHO
      headquarters and walked into D. A. Henderson's office and he was there
      on a Sunday afternoon. And I said, "Well D.A. I'd like - you know I've
      done this work in Zaire, I'd like to have a job.  I'm going to be
      leaving the peace corps, I'd like to have a job with WHO if you think
      that's possible in another country."  And he said, "Well, I'll look
      into it."


      Four weeks later I got back to Kinshasa and I was offered a job with
      WHO in Bangladesh but I had to go back to my post and turn over all
      the operations to the African staff at the time which I enjoyed doing
      because they were certainly capable of doing everything that I did.
      And it became a philosophy of mine in working in a host country to
      always whenever possible to have a host country counterpart working
      with me.  And try to - I would try to build as much infrastructure or
      leave more than what I came with and that has been one of my standards
      that I've had.  So I left the post, went to Kinshasa to visit peace
      corps and I couldn't find the office.  The office had changed
      locations.  So I found the office, walked into the office and they
      weren't the same people that were there.  So I said - introduced who I
      was and said I'm ready to check out and that time John McEnany who I
      think also has done some work in smallpox was there and he said, "Oh
      yes, Tim Miner.  I think I've seen your name somewhere.  Where have
      you been?  You've been gone for about two years."  So all the staff,
      the office, everything had changed, all the people so we signed out of
      there and I headed off to Zaire via Nairobi - to Bangladesh via
      Nairobi.


      In Bangladesh, let me see, I - let me back up a little bit and tell
      you a brief story in Zaire about an immunization campaign.  We used
      (pedajets) but we also used the bifurcated needles.  Because the city
      of Kalemie on Lake Tanganyika was bordered on a rebel occupied area
      and we had some reports of smallpox in there but we really couldn't go
      into that area to investigate, what we decided to do, Ken Bloom and I
      was to hold a mass immunization campaign in that town or a little bit
      outside of town with the hopes that the people from that area would
      come in and be immunized.  So that was my first mass vaccination
      campaign and we called Kinshasa and had them send us immunization
      certificates and some additional (pedajets) and vaccines and things
      and we held a mass campaign and that was really exciting because we
      had - the local person said everybody should come and you will get a
      certificate and they may be checking people to make sure that they had
      a certificate, that they had an immunization.


      So we had large crowds of people and we had to spread this out over
      about ten days to get everybody vaccinated but that was - that was a
      pretty exciting thing.  And there's another city we visited on Lake
      Tanganyika and it was a mission there and I tried to stay at the
      missions because they had the best food, the best accommodations and a
      variety of beverages and the best conversation that was available at
      that time and if I were to fall ill I'd been in pretty good hands
      because there's nurses nearby and so on.  At this one mission there
      was a Belgian Father, actually he was a German Father and he tanned
      hides.  So I said well can you make me some shoes because my store
      bought American shoes didn't last very long and were getting kind of
      threadbare.  He said sure.  So I had him make a pair of boots a year
      for me and that's about how long they lasted but there was also - he
      tanned some other hides.  I bought, and this was before
      environmentalists and so on and so forth so I had an alligator hide, a
      python skin that was probably about thirty feet long and a puff adder.
       And I sent those home to the States where my nieces and nephews used
      them as show and tell in schools and they were a big hit.


      So I'm back in - headed for Bangladesh now and I'm in Nairobi, through
      Nairobi to New Delhi and got an orientation in New Delhi and then went
      to Bangladesh.  When I arrived in Bangladesh Stan Foster was there,
      Stan Music was there, Neilton Arnt from - Stan Foster and Music are
      from CDC, Nielton was Brazilian with WHO.  Nick Ward, Dr. Ward is a
      physician from U.K. and then there was myself and I was the youngest,
      only non physician and I was the only one that wasn't married.  So
      guess where I ended up working in Bangladesh?  The most remote river
      line areas of the country.  I had Barisal, Patuakhali and Faridpur and
      there was a hospital ship that the Germans had donated to Bangladesh a
      couple of years before I arrived and Stan had arranged for a bunch of
      -- they were moped like or vespa like Honda -- motor scooters to be
      put on all over the deck.  And he said, "I want you to get on that
      boat and go down there and eradicate smallpox from those three
      provinces down there.  I said, "Is that all?  Any other instructions?"
      And so I did, got on the boat, introduced myself to the captain and I
      was able to supplement the pay of the crew nominally, nominally for
      the extra expenses I incurred and what they did.


      And so we towed a speedboat.  This was - this ship was probably forty
      five, fifty feet long and had a draught of about three feet,
      three/four feet. It was fairly shallow and I had a forward cabin.  And
      we had our immunization team on there and we went down to Barisal
      first and docked and stayed at a mission there for a couple of days.
      Met with the chief medical officers and then went on down to Faridpur.
       I taught my self Bengali, smallpox Bengali and to this day when I
      speak with Bengalis I meet in Atlanta and elsewhere I've been informed
      that I speak sort of like a villager or a fisher person not like a
      university professor which is fine because those are the people with
      whom I communicated all the time and didn't have any problems doing
      that.  I was able to conduct a smallpox investigation by using my
      Bengali.  All right an interesting - our team was made up of myself
      and we had a combination of Muslim and Hindu staff on the team.
      Vaccinators and interpreters and there was a chief and so on and
      everybody got along fine and it was just a wonderful experience.  We
      had a speedboat driver as well and so we would get down in the morning
      into the speedboat and go off and investigate the reports that we had.




      And one time we were coming back rather late at night and there was a
      full moon and we were in the Brahmaputra which is the main river in
      Bangladesh.  Then the river line areas there are a lot of channels and
      we were out in the main river and we were going rather fast.  And the
      next thing we knew we were out of the boat, head over heels in the
      river but we weren't in the water.  We had hit was is called a mud
      flab and in a mud - when the - you have a mud flab in the water and
      you can't tell because the water is just barely over the mud and the
      mud in the dark or in the moonlight reflects - seems to be water.  So
      we hit that and the motor went up and all of us were thrown out of the
      boat in the middle of the river on this mud flab, covered in mud and
      when we got - regained our senses we were just laughing hysterically
      at the absurdity of the situation.  We put our stuff back in the boat
      and pushed off and got back to the speed boat.


      One particular investigation that stands out to me is I went to a
      village and the villagers - this young man and some other people took
      me to this brand new hut.  I mean it was just brand new, it had just
      been built and they said the patient is in there.  And they led me
      inside and on the mat on the floor -- there was no furniture or
      anything else, there was just this mat on the floor in the middle of
      the hut -- was a person under a cover, a cloth, completely covered.
      And I was prepared to take the cover off and examine and see if it's
      smallpox and they just - they took the whole cover off themselves and
      there was this young woman covered with smallpox from head to toe of
      the confluent.  There wasn't a space on this person that there wasn't
      a pox and so I knew right away what it was and thanked them and
      stepped out.  And this young man starts explaining to me that this is
      his new wife, his new bride.  And I said, "Gosh I feel very badly
      about that.  I know that vaccinators had been in this village before
      would you - how come she wasn't vaccinated?"  Was she away or
      something?"  He said, "No."  He said, "I hid her from the vaccinators
      because I didn't want her to have a smallpox scar on  her skin."  I
      said, "Oh I see."  And you can't be judgmental or demonstrable,
      demonstrative or emotional at times like that.  You have to really
      kind of step back emotionally a little bit from that.  So I said "Well
      what would you do differently?"  He said, "Well, I'm looking for
      another wife and my next wife will be vaccinated."


      But what struck me was that it was preventable and here was this young
      person, a young woman in just the beginning of her life with so much
      in front of her to look forward to, to being a mother, a grandmother,
      a husband, a sister and so on.  And her life ended in such a tragic
      way.  So I had several of these reminders throughout Bangladesh.  I
      might add also that while working in Zaire I hadn't actually seen a
      real case of smallpox.  It had been eradicated but we were monitoring
      it at the time.  So Bangladesh was the first time that I had seen live
      smallpox and...


Interviewer:     What was your first impression when you arrived in
      Bangladesh?

Interviewee:     Well, when I arrived in Bangladesh and the subcontinent, I
      was impressed by the density of population.  I had never seen, apart
      from a market in Africa, I had never seen so many people.  I once did
      an experiment driving on the road trying to count ten seconds, just
      one and two and - up to the number ten, looking out the side of my
      window to see if there was ever any space where there wasn't evidence
      of human beings being there.  So the land was either occupied by a
      house or a structure of some kind or it was planted.  That was it.
      There was no vacant land, no land in Bangladesh that was not touched
      by human hands.  We also because of the density when I was there, we
      had confined a lot of the smallpox cases and isolated them and we were
      in the process of eradicating them when the government tore down the
      basties or the slums of Dhaka.  Just went in with bulldozers and it
      acted as a centrifuge spinning out cases of smallpox all over the
      country reintroducing smallpox into areas that had recently been freed
      of the cases.  So that - our numbers of cases went sky rocketing again
      so that it was little disheartening.

      Another time I was down in the river line areas and Stan Foster was
      up in Dhaka and I think I was at the furthest most remote place at the
      time on the ship and I got on the radio and talked to Stan.  And what
      we were trained to do was to investigate the cases of smallpox and
      find out who had been visiting and what were there names and where did
      they go and where did they live and so on and so forth.  So as a
      matter of routine I gave Stan this information about who this person
      was and the name and when they visited and so and so forth and not
      really expecting that you know all these millions and millions he's
      going to find him but he did.  He went to the address and he asked for
      the person and he found the person and immunized the person and was
      able to prevent the next generation of smallpox from that person
      having visited there.  So anything is possible.

      We lived with the people in the host country.  I lived on the ship, I
      lived with Bengalis all the time, I rarely saw another European.
      There was some care people that I would meet on occasion but I learned
      the language and the culture and they embraced me and I embraced them
      figuratively and it just worked very well.  And I can't imagine
      eradicating smallpox with a kind of a visit and come out and then
      visit and come out type of approach.  It didn't occur to me to do it
      any other way other than to go to a respective country and live there
      and work there and learn about the people and the culture and the
      religion and so on.  I worked for six months in the river line areas
      on the hospital ship and was fairly able to get smallpox under control
      there.  And then I was transferred to the north, Jamalpur and went
      from a boat to a motorcycle and that's when I met after I'd been
      working up there getting things organized, I met Steven Jones.  Dr.
      Jones was up there and Marty Litz and Peter Hargrove and these are
      people I met and known since then.  And we had people come from CDC, a
      lot of consultants as well, short term consultants for three months or
      six month stints.

      And I was having breakfast with one of the fellows and it usually
      consists of a chapatti and some eggs or something like that.  And he
      said, "Well how do you manage with all of these poor raggedy kids and
      poor people and people kind of on their last leg and they look very
      unhealthy."  And I said, "Yes I never know when I walk past someone
      coming back in the afternoon whether they'll be alive or dead," and
      that has happened many times.  And I said, "Well you know, it's not
      that I'm unsympathetic or that I don't care but I know well enough
      that I can do one of two things.  I can either devote my life to
      trying to alleviate the pain and the suffering and feeding and
      clothing of less fortunate people or I can do my job and eradicate -
      working to eradicate smallpox and that will benefit them.  At least
      they won't die of smallpox."  Well since then I've learned that
      Bangladesh has done quite well economically.  Many of the clothes that
      I buy today are made in Bangladesh that weren't made in Bangladesh at
      the time and I understand that they are doing much better than when I
      was there at the time.  So that's heartening to know.


Interviewer2:    In the book that's been written about smallpox in India,
      the author postulates that the only reason that smallpox was
      eradicated was by compulsion.

Interviewee:     Yeah.  Smallpox could not have been eradicated by
      compulsion.  People all over the world cannot be coerced for long to
      do something that they don't want to do themselves, that they don't
      want to do willingly.  And I relied on reason and understanding and
      cultural sensitivity when explaining the benefits of immunizations and
      if somebody that chose not to then so be it.  I felt very disappointed
      because I knew the preventive benefits of that but nobody was ever
      forced.  And I had people approach me afterwards as I was leaving and
      say, "Come we've decided we want you to do some immunizing."  We also
      out of respect for a variety of cultures engaged female vaccinators
      and that worked very well and so that we were able to honor the
      customs of the country and have ladies vaccinate ladies and so I think
      we did much better that way.  But in Zaire and in Bangladesh and in
      Somalia where I worked there was never any thought of coercing people.
       Governments may issue declarations that there's a smallpox
      vaccination day or you should immunized for smallpox and so on but
      even when we were doing the mass campaign and there were police
      officials organizing the lines of people, there was nobody - they were
      there voluntarily and they recognized the benefits of the immunization
      as opposed to having the disease.  So that's an important point to
      clarify.

      And by way of this tape I want to thank all of the host country
      nationals that have kept me safe over the years and to this day when I
      travel overseas.  They're very protective and solicitous and very good
      people to be working with and I did not eradicate smallpox.  I worked
      with hundreds, hundreds or thousands of Bengalis and Zairewa's and
      Somalis to do that and so it is - it's to their credit.  They're the
      ones that are responsible for our success because if you show
      sensitivity and you show honesty and a true spirit, they'll go with
      you anywhere, any time, day or night, seven days a week to carry out
      the work.  So this is something that I want the people that will view
      this tape in the future to know.  That this was truly a global effort
      of people all over the world coming together for this - for this one
      cause and I don't think there had - apart from World Wars and even in
      World Wars there wasn't all the countries coming together.  Some were
      in conflict but in this particular case to achieve the eradication of
      smallpox it's the first time in human history that a disease has been
      eradicated by human beings.  That human beings have rid themselves of
      this pest that goes back to recorded history.  And so I really would
      like to see something like that happen again because it's - they were
      really heady days and really wonderful, wonderful things to
      experience.

      After I finished in the northern in Bangladesh in the motorcycle,
      last six months I came down to Dhaka to be the finance officer and we
      had as many as seventy five or a hundred short term volunteers in
      Bangladesh at one time and everybody had to have money and everybody
      had to have a system of accounting for it.  So based on my year and a
      half and handling and accounting of money I developed a spreadsheet.
      Now, we call it a spreadsheet but we didn't have Excel at that time.
      You  had to draw something by hand and then had people look at it and
      review it and then it went to the printer and then they sent you a
      proof and then you looked at that to make sure it was all right
      because they were going to print a million copies of it so it better
      be right.  And so I developed this spreadsheet about yea big and
      people would put a carbon paper.  That's a - not too many people know
      what that is but anyway it allows you to write down one side of the
      paper and it will come through on the next page.  So that's what we
      used and I was in charge of training the volunteers, the short term
      consultants that come in to account for this system.  Very simple
      system.  You get a receipt, make sure it has the date, write down what
      it was and put the number in sequence of what it was and put that
      number on your spreadsheet and just write down what it was and your
      beginning balance and then you're ending balance.  That's all you have
      to do nothing more than that.  And we gave them a briefcase of money
      and - of taka and they went off.

      And while we had these people out there with their briefcases full of
      money containing smallpox and what not, the government decided to have
      a demonetization effort.  And they demonetized all the money and said
      all the money had to be returned to the bank and they'd give you a
      receipt for it because they're going to issue new currency.  Well
      needless to say that put our campaign in a bit of a bind because
      people then couldn't get paid and so on.  So our people had to go to
      the banks wherever they were in the field, turn in the money, get a
      receipt and we got a special dispensation from the president of the
      country and the head of the treasury that said we would be given -
      among the first ones to be given the new currency as soon as we turned
      in the old money so that we could keep the campaign going.  So there
      were little exciting moments like this that happened from time to time
      and we were working with nationalities.  All nationalities were
      involved and as you know the Americans and the Russians and I forget
      if it was originally the Russians idea and the Americans joined it or
      what it was but we got WHO to accept this program.  And so in
      Bangladesh we were working occasionally with Russians and they liked
      our cigarettes and we liked their vodka so we'd you know trade and
      that stuff but they thought that were working for the CIA and we knew
      they were working for the KGB.  I mean there just wasn't any way
      they'd be let out of the country if they weren't.  None of us were CIA
      but you know you couldn't change their mind on that.


      So we worked with a lot of different nationalities and one character
      in particular stands out, Dr. Larry Brilliant.   And he's a physician
      from Detroit and went to study with a guru in India and the guru said,
      "You're going to eradicate smallpox from India.  You're going to join
      the smallpox eradication program,." and he went to D.A. and said, "I
      need a job."  And the Nicole Grasset who's a French woman physician
      who headed the regional office of smallpox campaign in Delhi said, "No
      we really don't have anything for you."  Went back to the guru and the
      guru said go back.  Anyway he ended up working in the smallpox
      eradication program and was instrumental with others in getting Tata
      Industries to put in money and to organize their workers and have -
      support eradication efforts there.  Now Tata Industries as you know
      just bought Jaguar and Land Rover from Ford Motor Company so gives you
      an idea of how the world has changed.


      When I left Bangladesh I had decided that I needed - global public
      health was the love of my life.  It was what I felt I was born to do.
      I wasn't going back to teaching.  I really couldn't do anything else
      after having done something this exciting so I went back to Michigan
      via Asia and signed up at the University of Michigan School of Public
      Health to do an MPH.  Well, who should I find there but Larry
      Brilliant as my academic advisor and Steve Jones is a student there as
      well.  So I tell you, you just can't get away from these people.  But
      I had to delay my admission to the University of Michigan.  I had to
      call them up and said, "Well I have to go to the Cameroon."  Stan
      Foster wanted me to go to Cameroon to do an assessment of the whole
      country's health system for the program that was to follow on from
      smallpox campaign which was the expanded program on immunization.  So
      I designed a questionnaire, visited the whole country, every health
      facility in the whole country and left the report there and then went
      back to the University of Michigan to start my degree.


      While I was there I met Dave Hayman who was assigned there and he was
      taking over after Bernie Gayer that had left.  And so I talked a
      little bit with Dave and showed him the report and he thanked me and
      we went off.  And two years later, I forget what country I was in,
      maybe I was in the Philippines at the time, I got this note from David
      Hayman thanking me for this report.  That it was so comprehensive that
      it has been the principal reference document for them in establishing
      their expanded program on immunization.  And again that was made
      possible by traveling and working with and the support of the
      Cameroonians.  I had a small staff and a driver that we went around to
      do that.  That it's nothing I did by myself.  So it's good to know
      that what you do, do works out quite well.


      Okay.  A little bit about smallpox in Somalia.  I was at the
      University of Michigan and Michigan liked the idea of a student coming
      in with the experience that I had and in the summer times working as a
      consultant.  So I was invited to go and work in Somalia as a
      consultant for three year four months and I was assigned to a small
      town of Marka which is just south of Mogadishu.  And Somalia was very
      safe at the time and there wasn't any problems, anything like there is
      now and because of the lack of availability of food we were on sea
      rations.  So we had little Bunsen burner and we opened the cans and
      cooked our food.  In the town of Marka lived the world's last case of
      smallpox and I've forgotten his name but he - we were doing a scab
      survey so I needed to interview.  The word went out that I needed to
      interview anybody that had pox or of course scabs.  And he showed up
      and introduced himself and I knew who he was and he said, "You know
      I've been interviewed by The New York Times, The Washington Post, The
      London Times and The Straits Times and newspapers all over the world
      by these reporters and they pay me handsomely for the interviews.
      What do you have for me?"  And I said, "Well I don't work for a fancy
      newspaper, I'm not a reporter and all I have is you know a couple of
      cans of this sea rations that I have, a couple of aspirin and maybe
      some malaria tablets but to tell you the truth that's all I have."


      With a little bit of pause he said, "Okay.  We'll do it."  So I
      interviewed him and that was a telling moment.  Another instance Dave
      - not Dave - Peter Kraskow and I went -- he was working there as well
      -- went and lived with the nomads and their camels for about a week.
      And we did some blood sticks for antibody levels in neonates and I did
      a paper at the University of Michigan on those findings.  And it was
      really enjoyable.  Whenever I go to a country I really like to be with
      the people and learn of their customs and certainly their language
      which is a beginning to opening doors to their culture.  I always try
      and learn just a few words of a language and in Somalia there were no
      smallpox cases at the time but we almost lost a couple of people.  I
      remember one time coming back to a base camp that we had with some
      officers and things, finding Peter Kraskow on the floor of the
      lavatory.  He had passed out so I got him back up and we got him
      healthy again and that was all right but Steve Fitzgerald who was
      working in the north -- I forget the name of the districts, were way,
      way in the north there -- almost died of dehydration.  He had a bad
      case of diarrhea and all that he and his driver could do is pull off
      by the side of the road and underneath the tree and he had some re-
      hydration salts and some purified water and so the driver nursed Steve
      back to health enough so that he could get back to Mogadishu and
      continue his work.


Interviewer2:    I think we could go on all afternoon with this Howard.

Interviewee:     We could

Interviewer2:    [Inaudible 40.12] finish off with...

Interviewer:     What this means or how it has changed me or...

Interviewer:     Exactly, yeah.

Interviewee:     Okay.

Interviewer2:    I think you have pretty much told us what it's done for
      you.

Interviewee:     Right.  In fact it has changed my life.  Just a couple of
      sentences.  When I had dinner with Ken Bloom and his wife Lois who
      also helped with the eradication program in Bangladesh and we ran into
      them in Boston many years ago, they had children at the time, my wife
      and I didn't.  They said, "Well if you had children it's going to
      change your life forever," and I didn't quite know what they were
      talking about until we had children and it will change your life
      forever.  And it's how I would attribute my work and experience with
      the smallpox eradication program.  It has changed my life, changed my
      life forever. I wouldn't trade any of it, I wouldn't do any of it - I
      would do it all over again about the same way that I had in the past
      but it's just a rare opportunity.  And when I'm back and I meet with
      people and tell them a little bit about that I make an effort to thank
      them for their contributions to the programs because they're tax
      payers and it's rare that a taxpayer really has any kind of connection
      with what's going on overseas and how their tax dollars are being
      spent overseas.  So I try and make an effort to that to bring them
      into the activity of it themselves.  I'm grateful for the opportunity.

Interviwer2:     That was a great interview.  It truly was.
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