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Pub date
2009-06-24

The Most Important Vaccines of Our Time

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The Most Important Vaccines of Our Time
Person with smallpox lesions (© CDC/PHIL/CORBIS)
One of the greatest triumphs of science, vaccinations have saved the lives of millions of people. Experts say widespread vaccination is a big part of why the average American lives more than 30 years longer today than he or she would have in 1900. All vaccines are important, but these have played special roles in the history of human health.
 
Smallpox

Pre-vaccine: Smallpox began its march against humans more than 12,000 years ago. In the 18th century, 400,000 Europeans died of smallpox every year and a third of the survivors went blind. Englishman Edward Jenner is credited with inventing the smallpox vaccine in 1796, but records show pioneers in China, India, Africa and the Middle East beat him to the idea. These older methods exposed healthy people to pus or scabs from live smallpox lesions. The inoculated often became sick, but usually less sick than if they’d contracted the virus naturally, and they gained immunity.
 
Jenner took a similar approach, but used cowpox—a safer relative of smallpox. The result was immunity for less risk.
 
Post-vaccine: Less than 200 years later, global vaccination campaigns succeeded in wiping out “wild” smallpox. Today, the virus exists only in laboratory vials. The vaccine hasn’t been given widely in the U.S. since 1972. It was the first vaccine to eradicate a disease.
Close-up of dog (© Steven Puetzer/Masterfile)
Rabies
Pre-vaccine: In the early 1900s, more than 100 Americans died every year from rabies. It can take as long as two years after infection for full-blown symptoms to develop, but once they do, death is imminent. Only six people ever have survived symptomatic rabies, according the Centers for Disease Control and Prevention.

The word “vaccine” derives from “vacca”, Latin for “cow” and a reference to Edward Jenner’s cowpox breakthrough.
 
For 100 years after Jenner, vaccines were thought of as only smallpox prevention. That changed in 1885, when Louis Pasteur developed a vaccine treatment for rabies.
 
Post-vaccine: Pasteur’s vaccine improved the safety of vaccine production. Instead of using live, unaltered virus—like Jenner did—Pasteur weakened the rabies virus by drying it for up to 10 days. Today, we know that weakened or dead organism vaccines are less likely to accidentally cause the infection they’re meant to prevent.
Poster for polio vaccine (© CDC/PHIL/Corbis)
Polio