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Quadriennial Report of the Director of the Pan American Sanitary Bureau, Regional Office of the World Health Organization, 1954–1957, and the 1957 Annual Report

by FRED L. SOPER, M.D., Director, PASB. 238 pages, illustrated. Washington, D. C., Pan American Sanitary Bureau, 1958

This impressive exposition of the growth and activities of the Bureau over the past 4 years deserves more attention than is usually accorded to institutional reports. Growth bears a relation to success, and one notes a 24 per cent increase in budget (now about 4 million dollars) over 1956, and a 17 per cent increase in staff, now numbering over 600, two-thirds of whom are in the field. The novelty of the report is the concept of eradication versus control of certain communicable diseases. Most of the Director's introductory essay is devoted to an interesting and optimistic discussion of eradication, first proposed by Brazil in 1947 in the form of a hemispheral campaign for the elimination of Aedes aegypti, and soon extended to malaria, yaws, and smallpox, all four of which are in full retreat and may be on the way out.