History of Medicine
15 October 1997

Smallpox: The Triumph over the Most Terrible of the Ministers of Death

Publication: Annals of Internal Medicine
Volume 127, Number 8_Part_1

Abstract

More than 200 years ago, Edward Jenner performed an experiment that laid the foundation for the eradication of smallpox and transformed humankind's fight against disease. Smallpox afflicted humankind as no other disease had done; its persistence and diffusion were without parallel. The disease brought down at least three empires. Generations watched helplessly as their children succumbed to the disease or were disfigured or blinded by it. Attempts were made to contain smallpox by isolating its sufferers and, later, by using variolation with varying degrees of success. However, the definitive solution was not found until Jenner's work was done at the end of the 18th century. Milkmaids who had developed cowpox from contact with cow udders informed Jenner that they were protected from the human form of the disease; he listened to their folk wisdom and raised it to the status of scientific fact. Jenner did not discover vaccination, but he was the first to demonstrate that this technique offered a reliable defense against smallpox. It was also a reliable defense against other illnesses, such as poliomyelitis, measles, and neonatal tetanus, although this was not known in Jenner's lifetime.

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Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 127Number 8_Part_115 October 1997
Pages: 635 - 642

History

Published in issue: 15 October 1997
Published online: 15 August 2000

Keywords

    Authors

    Affiliations

    Nicolau Barquet, MD
    From Centre d'Assistencia Primaria Gracia, Institut Catala de la Salut and Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
    Dr. Domingo: Department of Internal Medicine, Hospital de la Santa Creu i Sant Pau, Avinguda Sant Antoni Maria Claret 167, 08025 Barcelona, Spain.
    Pere Domingo, MD
    From Centre d'Assistencia Primaria Gracia, Institut Catala de la Salut and Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
    Dr. Domingo: Department of Internal Medicine, Hospital de la Santa Creu i Sant Pau, Avinguda Sant Antoni Maria Claret 167, 08025 Barcelona, Spain.
    Corresponding Author: Nicolau Barquet, MD, Calvet, 47-49, entresol A, 08021 Barcelona, Spain.
    Current Author Addresses: Dr. Barquet: Centre d'Assistencia Primaria Gracia, Institut Catala de la Salut, Sardenya 561, 08024 Barcelona, Spain.

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    Nicolau Barquet, Pere Domingo. Smallpox: The Triumph over the Most Terrible of the Ministers of Death. Ann Intern Med.1997;127:635-642. doi:10.7326/0003-4819-127-8_Part_1-199710150-00010

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