
Data sources: Fenner et al. 1988, "Smallpox and its Eradication"
Tools used: We started with our custom data visualization tool, the OWID-Grapher, and finished in Figma. You can view the interactive version of the chart here.
Some more info about the chart and what it shows:
William Foege, who sadly died last month, is one of the reasons why this map ends in the 1970s.
The physician and epidemiologist is best known for his pivotal role in the global strategy to eradicate smallpox, a horrific disease estimated to have killed 300 million people.
Despite the world having an effective vaccine for more than a century, smallpox was still widespread across many parts of Africa and Asia in the mid-20th century.
Foege played a crucial role in developing the “ring vaccination strategy”, which focused on vaccinating people around each identified case, rather than attempting a population-wide vaccination strategy, which was difficult in countries with limited resources.
This strategy, combined with increased global funding efforts and support for local health programs, paved the way: country after country declared itself free of smallpox. You can see this drop-off through the decades in the map.
The disease was declared globally eradicated in 1980.
William Foege and his colleagues’ contributions are credited with saving millions, if not tens of millions of lives.
Posted by ourworldindata
![[OC] Smallpox: when was it eliminated in each country? [OC] Smallpox: when was it eliminated in each country?](https://www.byteseu.com/wp-content/uploads/2026/02/klg283ysxuhg1-1229x1536.png)
6 Comments
I love vaccines! I love when horrible life threatening diseases get eliminated/down to more manageable levels!
What’s remarkable about smallpox eradication is the contrast with what may become the second disease ever eradicated: guinea worm.
Smallpox required a vaccine — a medical intervention. Guinea worm is being driven to extinction entirely through behavior change: water filters, community education, case reporting. No drug kills it. No vaccine prevents it. It’s pure public health infrastructure and persistence.
Guinea worm cases dropped from 3.5 million in 1986 to just 10 in 2025. Jimmy Carter, who made it his personal mission, died in December 2024 having watched the count reach single digits — but before seeing the final zero.
Both diseases show that eradication is possible. But they required very different approaches: one through medical technology, one through behavioral transformation. The fact that both strategies can work is genuinely hopeful.
Stop posting these, it just makes RFKjr want to make Smallpox “great again”
Btw. It’s 1949 for the US.
Isn’t smallpox at risk of coming back in the USA? Or was that something else that vaccines have eliminated?
Please put the tools and source in a top level comment thanks