Between politics and prevention: A re-examination of China's schistosomiasis control campaign in the 1950s.

In the 1950s, China is widely regarded as having made great achievements in the control of schistosomiasis, also known as snail fever. Despite the success, efforts to prevent the disease did not fare well during the Reform period (1978-present). Given this, several key questions need to be addressed. Was the schistosomiasis control campaign a real success in the context of political fervor? Would a schistosomiasis control policy be successful only when it returns to the Maoist medical model, as Miriam Gross argues? Did schistosomiasis return as advertised, or was it never eliminated since the 1950s? In this article, I argue that (1) schistosomiasis control is widely regarded as a great success in an ecological sense, but as far as a long-term mechanism of control is concerned, an approach that relies exclusively on strong political intervention and mass participation may not be effective; (2) schistosomiasis control should first focus on the establishment of a sustainable, long-term mechanism, rather than a temporary, assault-style approach to the problem; and (3) from the 1950s to the present, the spread of schistosomiasis does not represent its return, but, rather, the failure of control efforts to eliminate it.