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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;
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              <text>&lt;pre&gt;&lt;strong&gt;
 Interview Transcript
&lt;/strong&gt;
Interview
Mr. Peter Crippen | with two Interviewers [unnamed]
Transcribed from audio: January 29 2009 | Duration 0:22:41






Interviewer1:    This is an interview with Dr. Crippen,  April  2,  2008  at
           the CDC in Atlanta. I guess we will start where you'd just do an
           introduction. Who you are  and  how  you  became  involved  with
           Public Health and smallpox, and why you became involved with it?

Peter Crippen:   Okay. First of all, it's Mr. Crippen.

Interviewer1:          Mr. Crippen. Okay.

Peter Crippen:   And who I am is a Public Health Advisor, that's  for  those
           of us who are public health advisers, that  says  a  lot.  Right
           now, I'm still with CDC, I've been with them for  more  than  40
           years. I was in  the  Peace  Corps  in  Thailand  right  out  of
           college,  right  out  of  bachelor's  degree,  and  didn't  have
           anything to do with public health. I was a teacher, but when  it
           became time to come home, I needed a job and there were a lot of
           postings that came through for Peace Corps volunteers  who  were
           about to return. Most of them were teaching jobs  and  I  wasn't
           interested in a teaching job, and the only other one that seemed
           interesting was being what we used to call VD-a VD investigator.
           So that sounded interesting to me, and I applied for  it  and  I
           was interviewed and got the job. It was very easy at  that  time
           frankly. If you had  a  bachelor's  degree  in  almost  anything
           whatsoever, they would hire you and you could  walk,  you  know;
           you could get a job as, what became, Public Health Advisers.

           At that time, we were not public health advisers; we  were  what
           was then called, Cooperative Employees, which  meant  that  they
           could fire us at will for the first year  or  so.  But  after  a
           year, we became Public Health Advisers. I started out in Chicago
           and then went to Detroit; and when I was in Detroit  there  were
           opportunities to go to West  Africa  for  the  Smallpox  Program
           which interested me a great deal. From my Peace Corps experience
           I hadn't been to Africa, but I knew what it was like to work  in
           a third world country if you will, and it  sounded  fascinating.
           So I applied for that and I was selected and  went  to  Nigeria.
           What had just recently been Biafra, the war was over,  but  just
           recently over. That would've been in 1970, and we  stayed  there
           for two years in the Eastern part  of  Nigeria  in  Calabar  and
           Enugu. Enugu was the capital of Biafra at one time, and I saw  a
           lot of interesting things. I saw monkey pox for  instance  which
           was misdiagnosed as smallpox at the beginning, but  what  I  did
           not see in 1970 was  smallpox.  There  wasn't  any  in  1970  in
           Nigeria; and we looked very hard.  We  didn't  know  that  there
           wasn't any. Everybody assumed  that  it  was  mostly  gone,  but
           people wanted to be sure that it was really gone, so  we  looked
           very hard and we found monkey pox. We did some good  things,  it
           was combined with the measles control program and we did  a  lot
           of measles vaccination, saved I think a lot of children's  lives
           with measles vaccine.


           But I didn't see any smallpox which kind of nagged at me. So  we
           came back after a few years, 1972, went  back  to  Chicago  this
           time with the Immunization Program and  routines  went  on,  had
           children, things like that, like people do. Then heard about the
           opportunity to go to Bangladesh and so I threw my  name  in  the
           ring again for a temporary duty assignment to Bangladesh, and  I
           was selected. I think I was the first public health  adviser  to
           go to Bangladesh. Before that, I think it was all physicians who
           were there. Immediately following me was Jean Roy. I don't  know
           if you've interviewed him yet, but I'm sure  you  will,  if  you
           haven't. But he, I think was the second public health adviser in
           Bangladesh. So we flew over on the plane to New Delhi with  Mike
           Lane who, if you haven't interviewed, I'm sure you will, and  we
           stayed in New Delhi for a couple of days,  had  dinner  at  Bill
           Foege's house; and Mike Lane stayed in India. He was working  in
           India. I got on the plane to go to Dhaka and arrived sick  as  a
           dog in Dhaka, interviewed with  Nick  Ward  who  was  a  British
           epidemiologist who is very famous  in  smallpox  circles  and  I
           worked  with  him  again  in  WHO  in  Alexandria,  the  Eastern
           Mediterranean Regional Office a few years down the road. We were
           working on diarrhea and acute  respiratory  infections.  In  any
           case, Nick  Ward  was  there  in  Bangladesh.  Stan  Foster  was
           essentially - Nick and Stan; I'm not sure who was  on  top,  but
           Stan was certainly the American in charge although I think  Nick
           might have been overall in charge of the WHO project. The  other
           person of note was Stan Music who later on established  some  of
           the field epidemiology training programs at CDC; and Stan  Music
           gave me some medical advice which was basically, drink a lot  of
           water and get some sleep, it would feel better in  the  morning,
           here're some aspirin. Eventually I did feel better; a couple  of
           days later I was out in the field, and at that time we spent,  I
           think, 20 days in the field straight, and then five days back in
           Dhaka.


           So they just put me in a land rover, and off we went out  to  my
           station which was Faridpur. Nothing much to  recommend  Faridpur
           to anybody; by road, by land rover, it was about four hours from
           Dhaka. It was a long drive, not very far, but  it  took  a  long
           time to get there. Met the team, and I thought I knew what I was
           supposed to do. I'd been briefed. I knew what I was supposed  to
           do, I was supposed to find smallpox. You know, go out  with  the
           team and search and follow-up rumors and  vaccinate  around  the
           cases that we find. Do forward tracing, and  that  was  the  big
           thing that time. Not to look back to where it had come from  but
           to look forward as to where the disease might  have  gone.  Find
           the close contacts and see where they may have gone and then  go
           to that place and see if anything had happened there. It  didn't
           take long for me to see my first case of smallpox in Bangladesh.
           I think that first trip out, I saw my first  case  and  she  was
           dead. I remember the man - a woman about I don't know,  a  young
           woman 18, 19, something like that, and we said  we  heard  there
           were smallpox here and he said, "Yes," and I said,  "Is  anybody
           here with smallpox?" He  said,  "Yes  here."  He  pulls  back  a
           blanket and there is this corpse of this young woman  there  and
           it certainly looked like smallpox to me. Finally, I had seen  my
           first case. I was hoping it would not be a dead case  the  first
           one that I saw but there she was.


           That was the beginning; we saw many cases after that. Thankfully
           many of them were still alive. It became  clear  that  it's  not
           really easy to catch smallpox. You really have to be in the same
           house with somebody who has it. Close within the same  hut,  and
           sleeping in the same place, eating in the same place, living  in
           the same place, and then it's relatively easy to catch  it;  but
           outside of that kind of closed  environment,  we,  I  at  least,
           didn't see much transmission in market places or buses or things
           like that or casual contact. So I stayed there not  quite  three
           months, more than two  months,  less  than  three.  Others  were
           staying there from January 1974 to I think early March of  1974;
           then I came back to routine in Chicago. Going around to catholic
           schools and making sure everybody had their shots. That  was  my
           job. The way I got  into  it  was  a  fascination  with  working
           overseas, it just never left me; I've stayed in it  one  way  or
           another since  that  time,  and  the  public  health  aspect  is
           certainly rewarding. You see fewer bodies  when  you  left  than
           when you arrived, so that's one way of measuring success.

Interviewer2:          What was your  first  thought  when  you  arrived  in
      Bangladesh?

Peter Crippen:   Well, it is not really different from some things as I  had
           seen in Southeast Asia, but I guess my first thoughts were  that
           I was too sick to do anything. But I was glad that I  knew  Stan
           and so I felt things would probably be alright as long  as  Stan
           was around there giving me some advice. When I was back in Dakha
           out of the field, I stayed at Stan's house so it was kind of a -
           and of course he had his whole family there, had  all  his  kids
           and his wife so it was a nice  way  to  be  in  the  field  with
           essentially nothing, you know, and then to come back and be in a
           family atmosphere before you went out again.  I  was  trying  to
           think before coming, how - right  now  we  communicate  all  the
           time, people have Blackberries and  cell  phones;  and  I  can't
           remember that we communicated at all when we were in the  field.
           We were there, that's it, and nobody essentially knew  where  we
           were, and I don't remember getting instructions from anybody  or
           inquiries from anybody. We just did what we did; we kept records
           of things that we were suppose to keep  and  we  came  back  and
           during those five days, we shared  what  had  happened;  but  in
           between, there was nothing. There was no contact whatsoever that
           I can remember. Most of Bangladesh is water. Water with a little
           bit of ground in between and that's  the  why  the  people  make
           their living, is fishing and rice-But in any case, we would take
           the land rover to Faridpur town and then from there  we  usually
           go by speed boat some place, named or unnamed, and then get  out
           of the boat and walk. We would walk for hours to wherever it was
           you were going, to some small village where there was a rumor of
           something happening.

           So the boat was very important and the land rover less important
           and walking was extremely important because that  was  the  only
           way you got to know where you were  going.  But  I  remember  on
           time, we were in the boat and  our  driver  wasn't  the  best  I
           guess, a boat driver. Anyway he hit another  boat  and  we  all-
           myself and the team member that was with me anyway, fell out  of
           the boat from the crash. This is a Ganges, a  tributary  of  the
           Ganges. I lost my glasses and my wallet was  wet  and  all  that
           stuff; and the team member that was with me, he broke his arm. I
           didn't break anything but I lost my glasses.  I  had  sunglasses
           with me but that kind of thing, if it were to  happened  now  in
           some place, I mean, there would be  all  kinds  of  support  and
           running back and getting things repaired. There was  nothing,  I
           mean you'd just put on your sunglasses and keep on  going  until
           you are back in Dakha, where you can get  some  things  repaired
           and get something done. Now that I think about it,  it's  pretty
           amazing there weren't  more  injuries  than  there  were.  There
           weren't things happening that couldn't be retrieved, maybe there
           were, maybe you'll find out about them but I never  heard  about
           them and we just seemed to do it.

Interviewer2:          How old were you?

Peter Crippen:   Well that was 1972, no '74, I was born on 1942 so  what  is
           that, it's 34. Yeah-what's 42 from 74? Whatever that  is  that's
           how old I was. I wasn't a kid. My second son had just been  born
           in October or September of 1973. So he was less than six  months
           old when I went and  my  wife  was  not  thrilled  although  she
           understood, I mean, she had been with me in Nigeria and I  think
           she understood that, the call of the pox or  whatever,  I  don't
           know.

Interviewer1:    What would you say was the most frustrating  part  of  your
           job while you were there?

Peter Crippen:   My favorite what?

Interviewer1:          Most frustrating part.

Peter Crippen:    The  most  frustrating  part?  Ah  boy!  Part  of  it  was
           interference, there wasn't a lot of it but there were some.  The
           person in charge of that area under the British system is called
           a civil surgeon and he was a little unusual. Of course they were
           all Bengali, that was the ethnic group and  they  should've  all
           been Muslim because of the partition  in  1947  and  that's  why
           Bangladesh had been East  Pakistan,  and  then  in  1971  became
           Bangladesh. Well this is 1974 so it wasn't that long  that  they
           had been independent. They were still using the  British  system
           and the civil surgeon was a Hindu and everybody  I  worked  with
           was Muslim but he was a very high class kind  of  self-important
           person as some people tend to be, and there were of course goods
           that  came  in  to  support  the  program,  among   which   were
           motorcycles that came in to be  used  by  the  teams  for  going
           around searching and things. He sort of appropriated one for his
           son and I took it as part of my responsibility to disappropriate
           it, but it was clear that you can't offend this man  because  he
           controls everything. He controls the petrol I'd use in the  land
           rover. He controls all of the personnel that are on your team, I
           mean, you can't do anything without him so we just had a  little
           conversation and I just had to let him know that I was aware  of
           the fact that there should have been  20  and  there's  only  19
           motorcycles; you know, that his son just happens to have  a  new
           motorcycle. So this would be  embarrassing  if  it  became  well
           known and surely he understood that within a month or  so  after
           the newness had all worn off, we might be able to use his  son's
           motorcycle for what it  was  intended  for,  sort  of  a  veiled
           threat, if you  will,  of  embarrassment.  Nobody  likes  to  be
           embarrassed like that. So we got it  back  eventually  but  that
           kind of thing can be frustrating because you know - you can't be
           quite as upfront as you would like to be, or as  Americans  tend
           to be about some things, you have to work within the culture  as
           it stands and within the personalities  that  you're  confronted
           with, you know. I guess that not really frustrating,  it's  part
           of the job, it's what you learn how to do if  you  want  to  get
           things done.

Interviewer1:    So from between the time you left for  Bangladesh  and  the
           time you came back, how do you  think  that  you  changed  as  a
           person and as a public health worker?

Peter Crippen:   Well in terms of public health, I think I  learned  how  to
           get  along  in  another  environment.  I  had  been   in   other
           environments before but each new place you  go  to  teaches  you
           something specifically for Bangladesh, I'm not really  sure  but
           it  certainly  enforces,  or  reinforces  your  ability  to   be
           flexible, to take things as they come and  to  work  within  the
           constraints that you are given and to just try to  do  the  best
           you can with what you're given  and  keep  on  going.  So  those
           skills I think they are valuable wherever you happen to work. As
           a person, I'm not really sure how it changed  me.  I'm  sure  it
           must have and I guess I may be more resilient than I had been. I
           don't think I was any smarter but I think I knew how  to  bounce
           back better anywhere.

Interviewer2:          How many other assignments overseas did you have?

Peter Crippen:   Oh gee! A lot-in terms of temporary duties,  after  that  I
           was with yellow fever  in  Gambia  with  Tom  Monahaff[inaudible
           name0:19:36]  and others. I did something again with  Nick  Ward
           in Indonesia for WHO for looking at their  immunization  program
           in Indonesia and went both to Indonesia and to Bangkok  to  look
           at the - and then I was with WHO for six and  a  half  years  in
           Alexandria office which is now in Cairo, as I said for diarrheal
           disease and acute respiratory infections; and then I  went  from
           that office to Hanoi for HIV-AIDS and spent a year and a half in
           Hanoi. Then came back to CDC and went to the Western Pacific for
           three years. There were six  US  jurisdictions  in  the  Western
           Pacific: three countries and three  territories.  Came  back  to
           headquarters and there was a Global AIDS Program,  and  I  don't
           know how many countries in South  East  Asia  and  West  Africa,
           South Africa and Central America, Brazil, and now I'm  with  the
           Emerging Infections Program and with them I've been to China and
           to Kenya. So once you get the bug, you sort of keep it I  guess,
           and if you know of any other opportunities, I'm ready.

Interviewer2:          Any words of advice you'd like to give?

Peter Crippen:   I guess my only advice would be  that  CDC  needs  to  keep
           doing this sort of thing and needs to keep up its reputation  as
           a world leader in global health.  People around  the  world,  as
           you know, Dr. Sencer, I mean  you  came  to  -  when  I  was  in
           Alexandra, you came as a consultant to-was it Yemen or Qatar  or
           some place anyway because I don't remember why which country  it
           was-but they wanted somebody to come who could give them  advice
           about their public  health  system.  Well  that  sort  of  thing
           happens all the time; sometimes if it is high level advice  like
           that, or if it's very nitty-gritty: What do we do now? This is a
           disaster-and the world looks to CDC to be able to  provide  that
           kind of expertise and the only way  you  develop  that  kind  of
           expertise is by doing it, by continuing to do it and having your
           personnel used to performing the job in an odd place with little
           or no assistance.

Interviewer2:          Thank you Peter.

Peter Crippen:   You're very welcome.


[End of audio - 0:22:41]
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