East Coast fever (ECF) is the most important tick-borne disease in eastern,
central and southern Africa and caused an estimated loss of US $186 millio
n in 1989 in the 11 countries where it occurs. It was brought to southern A
frica with cattle from Tanzania in 1901 and, over the next 3 years, devasta
ted the cattle that had survived the rinderpest pandemic of the 1890s. Chem
ical control of ticks using arsenical compounds was introduced in the early
1900s and became the main control measure for both ticks and the diseases
they transmit. This method of control has become less reliable over the las
t 30 years for many reasons, including reduced government spending on lives
tock and extension, the cost of acaricides, acaricide resistance, poor mana
gement of dips and spray races, and poor application of cattle movement con
trol and quarantine. Significant advances in immunization and treatment hav
e been made in the last 30 years, and more robust integrated strategies com
bining immunization, reduced frequency of chemical control and treatment ar
e being adopted or considered. Throughout its history, ECF has been a sourc
e of great anxiety and cost to farmers, and of intense interest to research
workers. Many dogmas and misconceptions have become established, some of w
hich still flourish while others took years to demolish. This paper briefly
reviews these as well as the history of the disease and explores recent ep
idemiological findings and their relevance to applying effective control.