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Jenner published
An Inquiry into the Causes and Effects of the Variolae Vaccinae in
1798 – perhaps the most influential public health treatise of all time. The
importance of Jenner’s work was immediately recognized and although there
were sceptics and vicious opponents, vaccination programs began at once. The
frequency and ferocity of smallpox epidemics began to decline early in the
19th century, but it remained a menace. In 1949, the American epidemiologist
Donald Soper worked out the strategy of containment, i.e. vaccinating all
known contacts of every diagnosed case. In 1966, WHO embarked on a campaign
to eradicate smallpox. The last naturally occurring case was a girl in
Somalia in 1977. In 1980, the World Health Assembly proclaimed that
smallpox, one of the most deadly scourges of mankind, had been eradicated.
At the beginning of the new millennium, samples of smallpox virus survive in
secure biological laboratories in several countries, but thanks to Edward
Jenner, this terrible disease need never again take a human life – unless it
is used in biological warfare.
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