Variolation[ edit ] Campaigners in London for expanded vaccination in the developing world Early attempts to prevent smallpox involved deliberate inoculation with the disease in hopes that a mild case would confer immunity. Originally called inoculation, this technique was later called variolation to avoid confusion with cowpox inoculation vaccination when that was introduced by Edward Jenner.
Opponents question the effectiveness, safety, and necessity of recommended vaccines. They also argue that mandatory vaccinations violate individual rights to medical decisions and religious principles.
Safety concerns often follow a pattern: Public reaction has contributed to a significant increase in preventable diseases, notably measles. Early attempts to prevent smallpox involved deliberate inoculation of the disease in hopes that a mild result would confer immunity.
Originally called inoculation, this technique was later called variolation to avoid confusion with cowpox inoculation vaccination when that was introduced by Edward Jenner. Although variolation had a long history in China and India, it was first used in North America and England in Reverend Cotton Mather introduced variolation to Boston, Massachusetts, during the smallpox epidemic.
Zabdiel Boylston to try it. Boylston first experimented on his 6-year-old son, his slave, and his slave's son; each subject contracted the disease and was sick for several days, until the sickness vanished and they were "no longer gravely ill".
Lady Mary Wortley Montagu introduced variolation to England.
She had seen it used in Turkey and, inhad her son successfully variolated in Constantinople under the supervision of Dr.
When she returned to England inshe had her daughter variolated by Maitland.
This aroused considerable interest, and Sir Hans Sloane organized the variolation of some inmates in Newgate Prison. These were successful, and after a further short trial intwo daughters of Caroline of Ansbach Princess of Wales were variolated without mishap.
With this royal approval, the procedure became common when smallpox epidemics threatened. For example, in a sermon entitled "The Dangerous and Sinful Practice of Inoculation", the English theologian Reverend Edmund Massey argued that diseases are sent by God to punish sin and that any attempt to prevent smallpox via inoculation is a "diabolical operation".
This was the case with Massey, whose sermon reached North America, where there was early religious opposition, particularly by John Williams. A greater source of opposition there was Dr.
William Rowley published illustrations of deformities allegedly produced by vaccination, lampooned in James Gillray 's famous caricature depicted on this page, and Benjamin Moseley likened cowpox to syphilisstarting a controversy that would last into the 20th century.
The reason for this was that vaccination was introduced before laboratory methods were developed to control its production and account for its failures. Further, identification methods for potential pathogens were not available until the late 19th to early 20th century.
Diseases later shown to be caused by contaminated vaccine included erysipelastuberculosistetanusand syphilis. This last, though rare—estimated at cases in million vaccinations  —attracted particular attention.
Charles Creightona leading medical opponent of vaccination, claimed that the vaccine itself was a cause of syphilis and devoted a whole book to the subject.
In turn, opponents of vaccination pointed out that this contradicted Jenner's belief that vaccination conferred complete protection. Thereafter Parliament passed successive acts that imposed and enforced compulsory vaccination.
The act extended the age requirement to 14 years and introduced repeated fines for repeated refusal for the same child. Initially, vaccination regulations were organised by the local Poor Law Guardians, and in towns where there was strong opposition to vaccination, sympathetic Guardians were elected who did not pursue prosecutions.
This was changed by the act, which required Guardians to act. This significantly changed the relationship between the government and the public, and organized protests increased. The financial burden of fines fell hardest on the working class, who would provide the largest numbers at public demonstrations.
Vaccination was not made compulsory there untiland conscientious objection was allowed after vigorous protest only in There was particularly strong opposition to compulsory vaccination, and medical authorities had to work within this framework. They developed a system that did not use vaccination but was based on the notification of cases, the strict isolation of patients and contacts, and the provision of isolation hospitals.
Killick Millardinitially a supporter of compulsory vaccination, was appointed Medical Officer of Health in He moderated his views on compulsion but encouraged contacts and his staff to accept vaccination.
This approach, developed initially due to overwhelming opposition to government policy, became known as the Leicester Method.
The final stages of the campaign, generally referred to as "surveillance containment", owed much to the Leicester method. Waterhouse, chief physician at Boston.For example, finding and treating curable STDs like chlamydia can stop them from causing serious complications like infertility (the inability to get pregnant) in women.
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After arriving in Vietnam, the United States Military conducted the "Military Public Health Assistance Project."  This public health program was a joint United States Military and Government of Vietnam concept to create or expand public medical facilities throughout South Vietnam.
 Local villages in Vietnam were inoculated.
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