THE 1993 World Development Report (WDR) was subtitled ‘Investing in Health’ and advanced the argument that better health outcomes facilitate economic development.1 Even if one contests the direction of causation, correlation between better health outcomes and higher levels of economic development is not in doubt.

Interview with Satyen Gangaram Pitroda on technology mission on immunization.

The success of smallpox eradication in the mid-1970s drew attention to the immunization programme in India. The Expanded Programme on Immunization (EPI), developed for immunizing children during the first year of life was launched in 1978 mainly in the urban areas. Through the subsequent years, more vaccines were included in the programme, e.g. OPV in 1979 and the vaccine to immunize pregnant mothers with tetanus toxoid (TT) vaccine in 1983.

As both a doctor and a public health professional, I am transfixed by one compelling question: Why are public health issues and debates so often limited to just doctors and those with abbreviations like MBBS, MD, MS or MPH added to their names? Does the ambit of health not extend to other areas of specialization and expertise?

India has just won a landmark victory in the long-drawn-out war on polio. Fourteen months have gone since 13 January 2011 without a single case of polio caused by wild poliovirus (WPV). But how sure are we that in this vast country, with about 125 million under-five children and a poorly performing health management system, there is no case of wild virus polio? Rest assured, India’s polio eradication project is a shining example of how India can pull itself together, even without a robust infrastructure, and solve ad hoc, specific problems. India has really eliminated WPVs.

It has been 35 years since 1977, when the world observed the last recorded case of naturally occurring smallpox. We had finally defeated a disease that had devastated mankind for centuries. It was a critical victory for the many doctors, scientists and health workers who laboured tirelessly to eradicate this terrible disease. It clearly demonstrated what a resolute immunization campaign could accomplish with support from the global community and local governments. However, most of all, it was a validation of one of greatest advances in modern medicine – vaccines.

The report of the Hunger and Malnutrition Survey, which was conducted between October 2010 and February 2011 to assess the rate of under-nutrition among children under the age of fi ve in 100 focus districts of rural India, makes progress in measuring under-nutrition at the district level in some of the states. It also presents the important finding that there has been an overall reduction in underweight rates.