Battling Smallpox before Vaccination

Inoculation in Eighteenth-Century Germany

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When smallpox inoculation entered western medical practice in 1721 it aroused considerable controversy. A broad-based cohort of enlightened Germans such as publishers, poets, pastors and elite women attempted to dispel the doubts and encourage the innovative procedure. Yet many parents remained fearful, and the contagiousness of inoculation also necessitated a new approach. National pride in the past defeat of bubonic plague aroused optimism that smallpox could be banished using a similar strategy. The arrival in 1800 of Jenner’s vaccine ended the debates by offering yet another promising new approach.
Battling Smallpox before Vaccination explores the social and medical impacts of inoculation. It offers belated recognition for the valiant attempts of the many protagonists battling against the so-called ‘murdering angel’ before Edward Jenner’s discovery of vaccination. It provides a comprehensive description and penetrating analysis of the understanding and perception of smallpox, the propagation of pro-inoculation information, varied reactions to inoculation, and debates over the idealistic goal of eradicating smallpox.

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Jennifer D. Penschow (PhD Med. 1994 Melbourne; PhD His. 2016 Tasmania) has one international patent and 39 peer-reviewed collaborative publications, including two articles in Nature, mainly with research teams at the Walter and Eliza Hall Institute, Melbourne, the Howard Florey Institute, Melbourne, and the Department of Biochemistry, University of Tasmania. At present she is an independent scholar.
"das Werk [bietet] einen angenehm lesbaren Überblick über die literarische Auseinandersetzung mit der Inokulation."
[the work offers a pleasant readable overview of the literary debate of inoculation].
- Elena Taddei (Innsbruck), Francia recensio 2022-3, DOI:https://doi.org/10.11588/frrec.2022.3.90529
Author’s Note and Acknowledgements
List of Figures
Abbreviations

Introduction

1 Realities, Myths, and Perceptions
 1 Reality and Mythology of Smallpox
 2 Inoculation Offers a New Approach
 3 Perceptions of a Benevolent ‘Murdering Angel’

2 The Ruling Class and the Nobility
 1 Princes, and ‘Travelling Inoculators’
 2 High-Ranking Mothers
 3 Successive Prussian Kings’ Strategies
 4 The Rural Nobility

3 Academics and Medical Men
 1 University Medical Schools
 2 Physiki Lead the Way
 3 Social-Class Considerations – Doctors Versus Surgeons

4 The Discourse in the Print Media
 1 The Published Word Spreads News of the Innovation
 2 Intellectuals, Doctors, and the Public Have Their Say
 3 Regional Influences Come into Play

5 A Literary Focus on Women
 1 Changing Sentiments in Depictions of Disfigurement
 2 Poets and Writers Focus on Young Women
 3 Real and Fictional Women as Inoculation Promoters
 4 Women as Authors, and as Targets of Advice

6 Pastors and Peasants
 1 The Problem of Smallpox in Rural Areas
 2 Challenges for Country Pastors
 3 Inoculation Makes Inroads

7 To Inoculate, or Aim to Eradicate Smallpox
 1 Inoculation versus Containment Strategies
 2 Two Campaigns Aiming to Eradicate Smallpox
 3 Disputes over Prospects for Eradication

Conclusion

Appendix 1: German University Dissertations about Inoculation: 1720–1798
Appendix 2: Original German Publications about Inoculation: 1714–1800
Bibliography
Index
Historians of medicine and of eighteenth-century Germany and Europe, social historians, doctors interested in immunology and infectious diseases, advanced-level undergraduate students, post-graduate students, and perhaps general readers, medical research institutes, organisations marketing vaccines to resistant populations.
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