60 Years of Progress—CDC and Infectious Diseases

ensure that the areas around military bases in the southern United States remained malaria-free. Initial facilities were modest, a few rooms on the sixth floor of the Volunteer Building on Peachtree Street in Atlanta. Hardly anyone could have foreseen the future of this small organization. But Joseph W. Mountin, who was charged with setting it up, was not just anyone. An architect of modern public health, Mountin quickly realized that malaria control operations serving the needs of the states (response to state calls for help, laboratory and epidemiologic investigations , training) could become the foundation for improving the health of the nation. Indeed, in 1946 the Public Health Service established the Communicable Disease Center to work not only on malaria but on typhus and other infectious diseases. The following year, a token payment of $10 was made for a 15-acre area on Clifton Road to house the operations. In the next 60 years, minor changes were made to the name (Center for Disease Control, Centers for Disease Control, Centers for Disease Control and Prevention), but the initials , CDC, remained the same. The campus on Clifton Road grew to include 2 biosafety level 4 laboratories and other state-of-the-art facilities; operations were established in Morgantown, Cincinnati, Fort Collins, and overseas; and the work expanded to include all infectious diseases, as well as occupational health, toxic chemicals, injury, chronic diseases, health statistics, and birth defects. A magnet for gifted scientists and other professionals looking to serve in public health, CDC has attracted an exceptional cadre of talent over the years. Mountin was succeeded by leaders who pushed the agency to new levels of achievement, constantly probing new challenges and seeking new public health solutions. The thousands who work in laboratories and offices or trot the globe on epi-demiologic investigations; the physicians, veterinarians, microbiologists, statisticians, economists, social scientists, other scholars, and support personnel; the many volunteers who serve on institutional review and other boards and committees; and CDC's many partners in academia, industry , clinical practice, and state and local governments all share unequivocal dedication to public health. In this climate of idealism and dedication, the achievements have been many and span all areas. CDC scientists, typically working with like-minded colleagues, identified and characterized several infectious agents and emerging infectious diseases; invented devices, tools, and stains for diagnoses and systems for surveillance; demonstrated the value of combining laboratory practices and epidemiology ; and …