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Much attention has been given on the internet to the "anti-vaccination" movement-using vaccination in its wider sense of "any immunisation"-and its possible harmful effects on uptake rates of immunisations. Many observers believe that the movement is something new and a consequence of concerns arising from the large number of immunisations now given, but concern over vaccination began shortly after the introduction of smallpox vaccination and has continued unabated ever since. Methods of disseminating information have changed since the 19th century, but the concerns and activities of anti-vaccination movements in the United Kingdom and their counterparts in the United States have changed little since then. The historian Martin Kaufman, writing about anti-vaccination movements in 19th and early 20th century America, concluded his paper with this comment, "With the improvements in medical practice and the popular acceptance of the state and federal governments' role in public health, the anti-vaccinationists slowly faded from view, and the movement collapsed." 1 We hope that a brief historical examination of anti-vaccination sentiments will give medical professionals a better sense of perspective about the groups opposing immunisations and their arguments.
Summary points
Edward Jenner was largely responsible for introducing vaccination to the medical community, and widespread vaccination began in the early 1800s
Vaccination acts passed between 1840 and 1853 made vaccination compulsory in Britain, and almost immediately anti-vaccination leagues challenged the law as a violation of civil liberty
In 1898 the vaccination law was amended to allow exemption for parents, based on conscience, which introduced the concept of "conscientious objector" into English law
Anti-vaccination groups have continued into the 21st century and are highly visible on the internet, presenting arguments remarkably similar to those of the 19th century
Widespread vaccination began in the early 1800s following Edward Jenner's presentation of an article to the Royal Society of London in 1796 detailing his success in preventing smallpox in 13 people by inoculation with live infectious material from the pustules or scabs of people infected with cowpox. The process induced cowpox, a mild viral disease that conferred immunity to smallpox. Jenner called the cowpox material "vaccine" (from vacca , the Latin for cow) and the process vaccination. Although Jenner did not discover vaccination, 2 he was the first person to confer scientific status...