Nicole L. Pacino
César Moscoso Carrasco (1904–1966), a central figure in Bolivia’s mid-20th-century public health system, wanted to liberate Bolivia from malaria. In a career that spanned three decades, he came close to achieving this goal, but ultimately did not live to see successful eradication. Moscoso was one of the first Bolivian public health specialists in malariology, and was recognized by the World Health Organization for his contributions to the field in 1963. At all stages of his career, he fortuitously aligned himself with the individual or organization that could help him accomplish his professional ambitions and his mission of eradicating malaria in Bolivia. He was the founder and director of the National Anti-Malaria Service in 1929, where he made a name for himself working to halt the spread of malaria in Mizque, in the Cochabamba region. In the 1940s, he secured a position with the Rockefeller Foundation, where he had access to resources beyond the scope of the Bolivian government and an international network of public health specialists. Finally, in the 1950s, he headed the newly formed National Service for Malaria Eradication, which was a Bolivian government initiative supported by international organizations, such as the World Health Organization and the Pan-American Sanitary Bureau. In the 1950s and 1960s, he came the closest to achieving his goal. Unfortunately, he died the same way he lived: fighting a disease, possibly malaria, which he contracted on a visit to Ceylon as a malaria expert and consultant.
Moscoso’s life is a window into many aspects of Bolivia’s 20th-century history. First, his life story illustrates both the potential and limitations of the Bolivian healthcare system. Indeed, Moscoso often had to work with international or binational organizations to accomplish the work that he saw as necessary and important. Second, his career shows how political changes in Bolivia impacted healthcare. Since his career spans the Chaco War of 1932–1935, the politically tumultuous 1940s, and the 1952 National Revolution, it provides a personal account of how these events changed healthcare in Bolivia. His story demonstrates the hardships that Bolivian doctors faced as they worked to improve their healthcare system, including low pay, few resources, and little respect from their foreign colleagues.
Reinaldo Funes Monzote
In the summer of 1981 the cow named Ubre Blanca (White Udder), born on Isla de la Juventud (formerly Isla de Pinos) in the southern Cuban archipelago, became headline news for her high milk production. After achieving a national record, in the following months she was the focus of the country’s attention for her fast-track to becoming a world record holder, first in four milkings and later, in January 1982, as highest producer in three milkings, collection of milk in one lactation period, and fat content. For the leader of the Cuban Revolution, Fidel Castro, and scientists from the cattle industry, it was important to emphasize that it was not only a matter of this incredible cow’s personal achievement but also the fruit of many years of effort to reach a radical transformation of the country’s cattle industry, from an emphasis on beef production toward the priority for milk production and diversification of animal protein sources.
These politics required major changes in bovine herds from a genetic perspective, starting with major cross-breeding of Holstein cattle, of Canadian origin, with the Cebú, formerly dominant in Cuba, along with the creation of new infrastructure and other changes toward an intensive model of cattle ranching. Therefore, the history of Ubre Blanca is tied to that of the politics aimed at increased production and consumption of dairy products, presented as an achievement of the socialist Cuban model and with aspirations to bring dairy development to tropical areas and Third World countries. Although the ambitious goals announced in the 1960s were never reached, there was an increase in milk production and a general modernization of cattle ranching that, nevertheless, began a prolonged decline starting with the deep economic crisis of the 1990s.