The behaviour of Homo sapiens, the forgotten factor in the transmission of tropical disease.

The behaviour of the pathogens responsible for tropical disease and the behaviour of the hosts other than man are both studied in great detail, but the behaviour of man, the third component in these cycles of transmission, is for the most part totally and inexplicably disregarded. Even when the pathogens are actively brought to us through the agency of an arthropod host, we too often ease the passage of the vectors either by unthinkingly providing facilities for their breeding or by neglecting the simple steps that can be taken to prevent their feeding on us. The problem resolves itself into two parts, (i) the collection and collation of relevant data on human behaviour, and (ii) the taking of steps to change this behaviour. Part two has recently been greatly facilitated by the development of radio transmission via artificial satellite. While WHO is now making a start on both these aspects it is doing so at a relatively low level. Instead, the two phases of this new approach should be given top priority even if it means large scale reorganization of relevant university departments and even of WHO itself. We have, after all, had almost 100 years to try out the old methods and, as far as the Third World is concerned, they have for the most part failed.