The Biology Project: Immunology

Introduction to Immunology Tutorial

History of Vaccinations

The story of smallpox
Smallpox

Image courtesy of CDC

The Chinese are credited with making the observation that deliberately infecting people with mild forms of smallpox could prevent infection with more deadly forms and provide life long protection. Knowledge of the technique, known as variolation, worked its way west to Turkey by the 18th century.

Lady Mary Wortley Montagu, the wife of the British Ambassador to Turkey and who had once survived smallpox, had her children treated and brought the ideas back to Britain, where research began on how to reduce the inoculation's sometimes-awful side effects.

In 1798, the British physician Edward Jenner published his long-term observation that cowpox exposure protected milkmaids from smallpox. To see if this protection could be artificially induced, he exposed a "healthy boy" to cowpox virus from a milkmaid, and then attempted to infect the boy with smallpox. (Obviously, this experimental method is unethical by today's standards.) This method works because cowpox shares antigens with smallpox, but doesn't cause the disease.

Vaccination
comes from
the Latin word
for cow,
vacca

Fortunately, the vaccine worked. The boy had developed an immunity to smallpox from his exposure to cowpox. The technique of vaccination against smallpox quickly spread through the world. In 1980, the World Health Assembly officially declared "the world and its peoples" free from endemic smallpox.

Disease Max. cases (year) 1996 cases
Measles 894,000 (1941) 500
Diptheria 207,000 (1921) 1
Mumps 152,000 (1968) 600



Since the days of Jenner, scientists have made great progress in developing vaccinations for many diseases. The table to the left shows the effectiveness of three vaccines: measles, diptheria, and mumps.


The Biology Project
The University of Arizona
Thursday, January 15, 1998
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