[Development of international health in 20th century].

The purpose of this paper is to discuss the historical evolution of the concept and activities that have come under the rubric of international health during its modern "formative" years in the 20th century. The analysis seeks to illuminate the changing objectives and key players, the achievements and failures, and the challenges that lie ahead. The emphasis is placed on its institutional component, particularly as it relates to the countries of the American continents.