The goal of this project is to provide a fundamentally new history of the birth of vaccination. The traditional story of vaccination has been told as a heroic account of Edward Jenner and his discovery of cowpox, and as a result, vaccination remains a triumphant narrative of a medical procedure that """"""""worked."""""""" Yet Jenner and other early advocates of vaccination encountered many obstacles when they tried to transplant cowpox into new places. My book emphasizes the material culture of vaccination by explaining how cowpox was identified, cultivated, transported, and maintained in various environments around the world -- from the dairies of rural Gloucestershire where cowpox first appeared, to the urban hospitals of London and Paris where the bodies of children and the poor were first used for clinical trials and for supplies of cowpox lymph, to colonial settlements where harsh climates changed the quality of the cowpox lymph. To understand how these many different environments shaped the early practices of vaccination, this book traces the many exchanges of information, illustrations, artifacts, and the cowpox lymph itself among entrepreneurial medical practitioners, clergy, military and colonial bureaucrats, and most significantly women (as mothers and vaccinators), who, up till now, have been excluded from the history of vaccination. Through a careful analysis of correspondence, pamphlets, illustrations, and the technologies for transferring cowpox lymph, this study places the material culture of vaccination at the center of its history. The result will be a definitive r-interpretation of the early history of smallpox vaccination and a new understanding of one of the major revolutions in medicine.

Public Health Relevance

This project is relevant to public health because vaccination remains one of the most important and effective means to control infectious disease. Understanding the birth of vaccination will provide an exemplary case study of how a new medical practice was adopted and spread globally, and in the process, how it overcame environmental and societal challenges. This study highlights three important factors in vaccination today: the influence of the environment, the use of clinical trials, and the role of women.

Agency
National Institute of Health (NIH)
Institute
National Library of Medicine (NLM)
Type
Health Sciences Publication Support Awards (NLM) (G13)
Project #
1G13LM011206-01A1
Application #
8430737
Study Section
Special Emphasis Panel (ZLM1-ZH-P (01))
Program Officer
Vanbiervliet, Alan
Project Start
2013-06-01
Project End
2015-05-31
Budget Start
2013-06-01
Budget End
2014-05-31
Support Year
1
Fiscal Year
2013
Total Cost
$48,500
Indirect Cost
Name
University of Rhode Island
Department
Miscellaneous
Type
Schools of Arts and Sciences
DUNS #
144017188
City
Kingston
State
RI
Country
United States
Zip Code
02881
Rusnock, Andrea A (2016) Historical context and the roots of Jenner's discovery. Hum Vaccin Immunother 12:2025-2028