From the origins of smallpox inoculation in Constantinople to Edward Jenner's groundbreaking vaccination, the podcast explores the historical progression of immunisation. It discusses the diverse adoption of immunisation practices and the British government's introduction of compulsory vaccination in 1853, sparking public resistance. The episode also delves into the successful eradication of smallpox by the World Health Organization through mass vaccination campaigns.
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Quick takeaways
Inoculation with smallpox material in Constantinople amazed Lady Montague, contrasting the unfamiliarity of the practice in Britain.
Edward Jenner's introduction of vaccination in 1796 marked a significant success in creating immunity against smallpox.
Deep dives
Lady Montague's Observation of Smallpox Inoculation in Constantinople
In 1717, Lady Mary Montague witnessed smallpox inoculation in Constantinople where material from a smallpox postule was transferred into cuts made in a vein. This Middle Eastern practice amazed her as it rendered smallpox harmless, a concept unfamiliar in Britain where inoculation was unknown. Edward Jenner later introduced vaccination in 1796, which proved to be a significant success.
Development and Practice of Variolation
Variolation, known as inoculation with smallpox matter, involved making cuts on the skin and transferring smallpox material into them. Different techniques existed, such as using fresh smallpox matter or dried scabs to induce a mild infection. The practice of variolation spread across various countries before reaching Britain in the 18th century.
Social Acceptance of Inoculation and the Role of Variolation
Inoculation was practiced in various regions, with women engaging in these events willingly. Variolation was regulated in some societies like the Mughal empire in India, showing different techniques to ensure mild smallpox infections. The concerns of over-inoculation and the type of smallpox matter used emphasized the importance of creating controlled infections.
Edward Jenner's Contributions to Vaccination
Edward Jenner, a country surgeon, discovered vaccination by using cowpox to protect against smallpox in 1796. He successfully demonstrated the protective effects of cowpox on smallpox infection, leading to the term 'vaccination.' Jenner's work marked a significant advancement in immunization against diseases like smallpox, laying the foundation for future vaccine development.
Melvyn Bragg and guests discuss the search for immunisation. In 1717, Lady Mary Wortley Montagu, the wife of the British Ambassador to the Ottoman Empire, wrote a letter to her friend describing how she had witnessed the practice of smallpox inoculation in Constantinople. This involved the transfer of material from a smallpox postule into multiple cuts made in a vein. Lady Montagu had lost her brother to smallpox and was amazed that the Middle Eastern practice of inoculation rendered the fatal disease harmless. In Britain, the practice was unknown. Inoculation was an early attempt at creating immunity to disease, but was later dismissed when Edward Jenner pioneered immunisation through vaccination in 1796. Vaccination was hailed a huge success. Napoleon described it as the greatest gift to mankind, but when the British government introduced the compulsory Vaccination Act in 1853, targeted at the poor and the working class, it sparked a mass opposition movement.How did a Gloucestershire country surgeon become known as the father of vaccination? Why did the British government introduce compulsory smallpox vaccination in 1853? What were the consequences of those who opposed it? And how was the disease finally eradicated? With Nadja Durbach, Associate Professor of History at the University of Utah, Chris Dye, Co-ordinator of the World Health Organisation's work on tuberculosis epidemiology, Sanjoy Bhattacharya, Lecturer in the Wellcome Trust Centre for the History of Medicine at UCL
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