Vaccines are unequivocally the biggest success of a modern medicine. Thanks to vaccines, majority of childhood infections, such as chickenpox, measles or rubella are successfully controlled in the human populations.
Prevention of viral diseases began many years ago without knowledge of an agent. Smallpox, caused by the variola virus, haunted humanity for millennia. In 30% of cases, smallpox was lethal, while the survivors were protected from re-infection. Inoculation with smallpox pustules named variolation was practiced as a prevention measure despite carrying risk of severe infection. An observation was made that milkmaids seemed protected from smallpox and the hypothesis was postulated that an exposure to a similar virus, in this case cowpox, grants protection against smallpox. In a brave experiment, Edward Jenner, an 18th century British physician, inoculated an 8-year old with a cowpox, a closely related cow virus the milkmaids were exposed to. The boy was challenged 2 months later with a matter from a smallpox lesion and the boy did not develop any disease. The practice of cowpox inoculation led to a protection from smallpox in a safe manner. This was the first immunization conducted and because it involved a cow virus, a process was named vaccination, derived from Lattin word vacca, meaning cow [1, 2].
Fast forward to 2023, currently we have vaccines for 25 diseases, these are called vaccine preventable diseases: cholera, COVID-19, dengue, diphtheria, hepatitis, Haemophilus influenzae type b (Hib), human papillomavirus (HPV), influenza, Japanese encephalitis, malaria, measles, meningococcal meningitis, mumps, pertussis, pneumococcal disease, poliomyelitis, rabies, rotavirus, rubella, tetanus, tick-borne encephalitis, tuberculosis, typhoid, varicella, yellow fever [3].
Riedel, S., Edward Jenner and the history of smallpox and vaccination. Proc (Bayl Univ Med Cent), 2005. 18(1): p. 21-5.
2. WHO. A brief history of vaccination. 09-Dec-2023]; Available from: https://www.who.int/news-room/spotlight/history-of-vaccination/a brief-history-of-vaccination.
3.WHO. Vaccine-Preventable Diseases. [cited 2023; Available from: https://www.who.int/teams/immunization-vaccines-and-biologicals/diseases.