English Abstract

Controlling Tuberculosis in Independent India 1948-78 – a Danish contribution to international public health

In 1947 Tuberculosis was one of the most deadly diseases in India. It was estimated that tuberculosis claimed 500,000 lives every year; a number only exceeded by malaria. The Scandinavian countries – and Denmark in particular – came to play a significant role in India's fight against tuberculosis, when the 'International Tuberculosis Campaign' (ITC) in 1948 to vaccinate with the BCG-vaccine. ITC was a collaboration between UNICEF, WHO and three Scandinavian relief organisations (among those were the Danish Red Cross) and was directed from Copenhagen. In 1951, when ITC withdrew from India, 1,6 million Indians had been vaccinated. Assisted by UNICEF and WHO the vaccination programme was continued by the Indian authorities, and today the BCG-vaccine is still part of the vaccination programme in India.

The BCG-vaccine was, however, controversial in both medical circles and the wider public and the campaign faced considerable resistance from the Indian population. Moreover, during the 1950s a number of effective anti-biotic drugs against tuberculosis were developed. Thus the Indian authorities and international organisations were faced with two complementary, but also partly competing, strategies against tuberculosis. A contested preventive strategy based on vaccinations and a more expensive curative strategy based on antibiotic drugs.

With special emphasis on the Danish Perspective, the project seeks to illuminate the medical, social and cultural processes imbedded in the attempts to control tuberculosis in independent India. At the same time the project is an analysis of an early example of Danish development assistance.

Side 1 af 2