Abstract
What is the present situation, what are the lessons to be learned and what strategies should be adopted in the field of communicable diseases? These are the issues now facing us, some 15 years past two milestones in the evolution of health care: the Alma Ata Declaration on primary health care and the discovery of the last case of smallpox worldwide. The present article will attempt to address these issues, on the basis of the experience of the Swiss Tropical Institute in Africa.
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