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              <text>&lt;pre&gt;&lt;strong&gt;
 Interview Transcript
&lt;/strong&gt;
Interview

Dr. David Adcock with Dr David Sencer
Transcribed: January 2009 | Duration: 0:23:51




Interviewer:     I am Dr. David Sencer,  I  am  interviewing  David  Adcock.
           It's the 3rd of March and we're in Studio-B at CDC.

           Welcome, David.

David Adcock:    It's good to be here, Sir.

Interviewer:           Tell me where you're from.

David Adcock:    I am from Kannapolis, North Carolina  and  went  to  school
           there, and it was interesting, I went  to  Pfeiffer  College,  a
           very small Methodist school, and graduated  on  a  Thursday  and
           started at CDC the following Monday. That was in 1965 -  May  of
           1965.

Interviewer:           Why did you call CDC?

David Adcock:    That's what was interesting. I didn't. That was a point  in
           time when Vietnam was heating up pretty good  and  everyone  was
           taking their single/senior[inaudible0:01:01]  trips  to  Vietnam
           and the interviewer who came in from CDC, no one was talking  to
           him; and the coordinator for the interviews asked me  to  simply
           go in and have somebody for him to talk to. I  thought  that  it
           was very interesting. I filled out the paper work, sent it in. I
           was sitting in Psychology class, got a note to come to the door,
           and that was to call Washington instantly. I had a job with CDC.

Interviewer:           And where was the job?

David Adcock:    It was in Shelby, North Carolina.  I  started  there  as  a
           Venereal  Disease  Investigator  and   went   from   Shelby   to
           Greensboro; Greensboro to  St.  Louis;  St.  Louis  to  Jackson,
           Mississippi, changed to the Immunization Program at that  point,
           went to  Oklahoma  and  stayed  there  for  seven  years  before
           returning to CDC.

Interviewer:           And when you came back to CDC-physically?

David Adcock:    That was in 1976 and I left the  immunization  program  and
           joined  the  Laboratory  Communications  Group   in   laboratory
           training and was a consultant in Laboratory  Methodologies,  and
           particularly, management.

Interviewer:           When did you go to Southeast Asia?

David  Adcock:     That  occurred  in  August  of  1974,  and  it  was  very
           interesting, I had wanted to go for some time. I  had  tried  to
           get to Africa and that didn't pan out for me and  the  call  did
           come, and I had just a number of days to get  my  act  together,
           get my clothing together and leave. I left  my  wife  and  three
           young kids in Oklahoma for almost  100  days  and  took  off  to
           India.

Interviewer:           And when you  got  to  India,  what  was  your  first
      impression?

David Adcock:    The smell of curry was overwhelming. I was fascinated  with
           the number of people, the clothing they were wearing, the  modes
           of  transportation,  and  the  job  at  hand,  I   thought   was
           overwhelming with that many people that close together.

Interviewer:           What was your job in Delhi?

David Adcock:    I was assigned to the State of Bihar,  India,  the  largest
           State in India-Northwest India, and I was a  Management  Officer
           for the Smallpox Program in Bihar.

Interviewer:           In Patna?

David Adcock:    In Patna.

Interviewer:           What did that entail?

David Adcock:    My responsibilities  included  getting  the  Docs  in,  the
           investigators in; 147 of them. I was over the entire motor pool,
           making sure the transportation was available for everyone,  that
           they had adequate housing, that they did in fact, get paid,  and
           setup the monthly meetings that occurred in Patna.  That's  when
           Bill Foege came out from Delhi to  hold  these  meetings  and  I
           think D.A. Henderson was at one of those meetings also.

Interviewer:           Who was the  Management  Officer  in  Delhi  at  that
      time?

David Adcock:    Interesting question. I frankly do not remember.

Interviewer:           Tony Scardachi[inaudible name0:04:36]?

David Adcock:    I think so.

Interviewer:           It was either Tony or Larry Sparks?

David Adcock:    Larry Sparks. It was Larry Sparks. This was between  August
           and January of '75.

Interviewer:            Were  you  in  charge  of  pay  rolling  the  Indian
      employees too?

David Adcock:    I was Sir, which got  to  be  very  interesting  because  I
           would have people lining up outside the hotel, looking for  jobs
           from the moment I came out. So I always had an entourage  around
           me, wanting to drive the vehicles, and quite frankly, to protect
           me. The payroll was always very interesting. On one occasion,  I
           was requested  to  fly  from  Patna  back  into  New  Delhi  and
           literally, picked up the payroll in Rupees in duffle bags, and I
           didn't think anything about it. I had  no  protection  from  the
           embassy back to the airport and flew back into  Rajgir  at  that
           point; and when the plane landed, there  was  a  large  military
           contingency on the ground. I had no idea what was going on. So I
           was very slow about getting off the plane and I came off with my
           two duffle bags, and they were there  to  protect  me  with  the
           amount of Rupees I had with  me,  and  I  did  not  consider  it
           dangerous at all. It tells you where my mind was at that point.

Interviewer:     I rode from Delhi to Patna with Dr. Foege one time  on  the
           train when he had his two duffle bags and I remember in  one  of
           the little stops that we made along the way, all  of  a  sudden,
           people on the outside  were  shaking  the  train,  there  was  a
           student unrest at the time, and I'll admit, I was frightened.

David Adcock:    I don't know why I didn't even think about  that,  but  the
           way I was traveling with the backpack and  the  duffle  bag,  it
           seemed to fit with the kids who were roaming  around  India  and
           going to Patna, so it kind of got my attention big time at  that
           point. What's really interesting to think back on it, the  Choki
           Guards, the guards who were with me all the time were being paid
           like Three Rupees a day, that  was  Twenty-four  Cents  at  that
           point in time and I had two duffle bags of Rupees. It could be a
           death defying issue if you were caught with them.

Interviewer:     Did you get out in the field much or were  you  limited  to
           Patna?

David Adcock:    Unfortunately, I did not. I did go out a  couple  of  times
           with Dr. Larry Bryant and saw several of the villages and got to
           see a number of active smallpox cases. I know in one  particular
           village I was in ...Sadat[inaudible name0:7:26], my interpreter,
           could find no one who  could  speak  a  dialect  that  he  could
           understand. So, I was just walking around the village and  found
           a guy with a water buffalo on the backside of the  village,  who
           had the most beautiful handlebar mustache I think I'd ever seen,
           it  was  waxed  perfectly,  and  he  spoke  the  King's  English
           perfectly. He had been in the British military and he became our
           interpreter. It was also in the very same village, there  was  a
           young lady who had died. She had very  aggressive  smallpox  and
           was asking for anything. I only had aspirin, and she  died  that
           afternoon [teary voice].

Interviewer:           Were you a part of the campaign that prevented  other
      people from dying?

David Adcock:    Yes. [Pause] I think  the  smallpox  effort  in  India  and
           worldwide is almost beyond comprehension that we  achieved  what
           we  achieved.  The  number  of  people  moving,  going  back  to
           religious events was almost uncontrollable. The fact  that  this
           team, this very small team of very dedicated people,  both  from
           U.S., Europe and other parts of the world  who  came  in,  lived
           under  unimaginable  conditions  in  some  cases  were  able  to
           literally pull it off; to make it happen, is something  I  don't
           think the world will ever forget.

Interviewer:     I think the inspiration of several of  the  leaders  had  a
           lot to do with it. That Dr. Foege's dedication, his  belief  and
           accomplishment, I think was one of the major parts of the  whole
           effort.

David Adcock:    Bill had a presence about him, about  the  smallpox.  There
           was no doubt in his mind whatsoever that we would accomplish our
           goal. The significant problems we  had,  transportation,  paying
           the people, certainly giving our own staff adequate medical care
           was a big issue. But it was an event that  I  think  the  public
           health advisers, the Docs at that time, it wasn't  the  job;  it
           was the mission which was all critical; and looking back on  it,
           I hate that I cannot remember everyone I worked with  then,  but
           the many events, the fact that in my position, they were  trying
           to keep the motor pool going, the equipment up to what it should
           be, we had like  125  Mahindra  &amp;amp;  Mahindra  Jeeps,  we  had  44
           motorcycles, and it got to be a real problem for us to  maintain
           this equipment. Some of the things we did to make the jeeps work
           for example: a World War II junkyard was in  Patna;  there  were
           hundreds of U.S. World War II variety relief  jeeps  there,  the
           Mahindra &amp;amp; Mahindra jeeps were the exact duplicate; in fact, the
           stamping equipment was transferred from Toledo[0:11:25], Ohio to
           Bombay, and that's where the jeeps were made.

           I would literally go to the  U.S.  jeep  junkyard,  and  it  was
           simply an open field, and take all starters,  springs,  and  put
           them on new Mahindra &amp;amp;  Mahindras,  and  they  worked.  We  were
           fortunate to establish a relationship with the Loyola Institute.
           It was a Catholic organization that was open to kids who had  no
           place to go and they were training these kids as machinists,  as
           mechanics, autobody repair people, and we could take a jeep in -
           because the monthly meetings occurred over  a  weekend  usually,
           two or three days, so all this equipment came in  very  quickly.
           These    kids    were    able    to    take     these     jeeps,
           recamber[inaudible0:12:12]  springs,  replace  parts,  get  them
           running again,  even  to  the  point  of  doing  body  work  and
           repainting in a period of three days and  getting  them  out  to
           keep our guys in the field and operational. It was truly amazing
           to see what these kids could do, and it was a good  relationship
           for us because they were able to take the money we gave them for
           the repair to support their institution.

Interviewer:           And learn a trade?

David Adcock:    And learn a trade. You  know,  it  was  interesting  to  go
           there and we always had hot tea. The sugar was always sitting on
           the table. It was always covered in ants. I grew a mustache so I
           could strain the ants out of my tea while I was drinking it.

Interviewer:           When you came back from India, was it a letdown?

David Adcock:    The  intensity  and  the  overpowering  dedication  to  the
           mission and the fact that you could see immediate  change  going
           on, it was a letdown. I returned to Oklahoma  where  I  was  the
           Director of Immunization Program there and to know that what  we
           were  doing  for  the  American  people,  the  young  people  in
           providing the immunizations, to have seen what I saw  in  India,
           the rampant disease, the fact that immunization was not in place
           there effectively, particularly for polio, and to know there are
           people who had this at their finger tips and it's actually taken
           for granted. It was just one of those almost mundane things  you
           do, but to know what the end result was, got to be a very strong
           mission for me and it continues today.

Interviewer:           You would do it again?

David Adcock:    In a heartbeat. There are several things that I would  like
           to do, to go back and see what Patna looks  like  today.  I  did
           have the advantage over many of the people who were assigned  to
           the field. I lived in a three-star hotel and  you  had  to  have
           been in Patna to see what that really means. But I  did  have  a
           bath. I was able to go down and have food in the  lounge  and  a
           number of people who I worked with very closely, Roy  Mason  who
           was from England who had been in India since World  War  II,  he
           had never returned home, got to be a very, very good friend  and
           he was the knowledgeable part of what I was doing in Patna as  a
           Management Officer because he had the insight and  knowledge  of
           working directly with the  country  that  I  did  not.  So  when
           particular issues came up, I would go to Roy and say, "Roy,  how
           do we solve this?" "Come on, Dave;" and we'd go do  it.  I  have
           lost touch with him. Jay Smith from CDC was there also, I  think
           he was assigned to Katmandu and he would come down  occasionally
           and we would work through -

Interviewer:           For free?

David Adcock:    Yes. But to bring all these KSAs together at that point  in
           time and see how it all fit, made the world a much smaller place
           for me, and it has continued to get smaller over time.

Interviewer:           Have you read the book E.M. Forster's  A  Passage  to
      India?

David Adcock:    Yes, Sir. I have.

Interviewer:     It was written in Patna and I think it was written in  that
           hotel that you stayed in.

David Adcock:    Ah!

Interviewer:           Did it have  balconies  that  looked  over  a  little
      river?

David Adcock:    No.  This  was  downtown  and  it  was  directly  over  the
           Mahindra &amp;amp; Mahindra Dealership and has only about  three  floors
           of it, and it was quite small. It was interesting  that  we  had
           the sounds of India, the music was 24/7 and it never stopped.  I
           was surprised one late night, I was awoken by the sound of large
           bells, it sounded like church bells, and got up and went to  the
           window, and a caravan of elephants were  coming  down  the  main
           street of Patna. In a straight line, the bells  were  tied  over
           their backs and they kept them in pace to step. Each  time  they
           stepped, the bells would swing from one side to the other and  I
           had never seen anything like that-this was a National Geographic
           moment and I had no camera.

Interviewer:           That time in India is something.

David Adcock:    With the way the average citizen in Patna had to work,  the
           difficulty in finding work, simply finding adequate food in many
           cases was a problem; and I never got  over  the  fact  that  the
           number of people who would stand around the front of the  hotel,
           begging when I came out. It was a situation that you  could  not
           encourage it because the crowds just got larger.  But  even  the
           vehicles we had, they held the World Health logo on the side  of
           them, got to be an issue because every time they were parked  or
           we went some place, the crowds would gather because they knew we
           had money and I suppose, we're  almost  easy  marks  because  of
           where we came from, our affluence there. It  was  hard  to  deal
           with over a period of time. I think it took me maybe two  months
           to realize that  I  had  gone  through  culture  shock  and  had
           actually started to assimilate somewhat there. At that point  in
           time, it was a  mind-boggling  experience,  you  might  say,  to
           realize that you have lived here this long and  you've  seen  so
           much change in such a short period of time, and so much could be
           done. It was truly a Third World involvement at that point and I
           would love to go back and see what has changed now.

Interviewer:     I haven't been in India since the mid-80s, but  even  then,
           you began to see the changes of billboards,  advertising,  spas,
           and fat farms, and -

David Adcock:    It was interesting, and upon my return from India,  I  went
           back  to  Oklahoma  in  the  Immunization   Program   and   then
           transferred to CDC in '76 with the  Laboratory  Program.  I  was
           able to go back to India in about 1984 and worked in  New  Delhi
           and  Bombay  and  taught  Laboratory  Management  to  the  State
           Laboratory personnel at that point. At that time we were working
           with the United States Public Health Laboratory Association  and
           several of the State Health Officers  and  Laboratory  Directors
           went with us. But the status  of  their  laboratories;  the  old
           buildings they found themselves  in,  the  equipment  they  were
           using, and to finally realize that much of their  glassware  was
           literally stacked out back in the open, the facility  we  taught
           in was an old British military barracks type room, the  lighting
           was extremely poor, no air-conditioning, and you wondered  about
           the quality of laboratory result they got; which were quite good
           by the way.

           Many of the laboratorians were trained in  Europe,  particularly
           England and came back, had all the current technology,  but  not
           the equipment in which to use  it.  So  it  was  interesting  to
           identify what their needs were, what we could help them with  in
           obtaining from our side, and yet, to work with them particularly
           on the State Public Health  laboratory  side,  guys  who'd  been
           there working in this country to help them expand their horizons
           as to how they could not only test, but manage  the  results  of
           their testing for the nation.

Interviewer:     In 1964 I believe, Dr. Roger Feldman was  assigned  to  the
           Christian Medical College in Vellore, his  major  responsibility
           was to  develop  a  Virology  Laboratory;  and  he  developed  a
           laboratory on the roof of  another  building  that  was  totally
           Indian. There was not a piece of equipment, not  a  supply  that
           could not be obtained in India and that was an accomplishment.

David Adcock:    It was amazing  to  see  what  the  Indians  could  do  for
           themselves. They are brilliant  people.  In  most  cases,  well-
           educated and they were always searching for education,  if  they
           simply had the place to work  and  to  do.  I  know  in  getting
           laboratory supplies, we worked with a glass blower  and  he  and
           his family had done this forever, and we  simply  told  the  guy
           what we wanted, how we wanted the design, and in some  cases  we
           had  the  exact  example  and  he  could  duplicate  it   almost
           perfectly, and it was all done by hand. It was amazing, and  the
           cost of it was in my  U.S.  thinking,  free  for  all  practical
           purposes. But yes, they do have the skills by which to  do  what
           needs to be done. As far as the equipment goes, it was  adequate
           for the job. It was not a Zeiss microscope and such, but it  was
           more than adequate for what they were doing  at  that  point  in
           time.

Interviewer:            Are  you  a  different  person   because   of   your
      experience in India?

David Adcock:    Absolutely. What India has done for me  as  an  individual,
           have been mind boggling to see what the other part of the  world
           looked like, to understand that we in this country take so  many
           things absolutely for granted, to say nothing of  public  health
           or what this institution does for them at CDC, and  to  see  how
           two aspirins, not much, but it did make  a  difference-could  do
           there. How such a little effort on our  part  would  be  such  a
           monumental result there is huge; and I think CDC has been on the
           forefront of this, particularly on the health side, for an awful
           long time and it cannot quit. It's got to move forward.

Interviewer:           Thank you, David.

David Adcock:    It's been my pleasure, Sir.

Interviewer:           It was a good interview.

David Adcock:    Thank you.


[End of Audio - 0:23:50]
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