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  • 10,000 years ago, a deadly virus arose in northeastern Africa.

  • The virus spread through the air, attacking the skin cells, bone marrow, spleen, and lymph nodes of its victims.

  • The unlucky infected developed fevers, vomiting, and rashes.

  • 30% of infected people died during the second week of infection.

  • Survivors bore scars and scabs for the rest of their lives.

  • Smallpox had arrived.

  • In 1350 B.C., the first smallpox epidemics hit during the Egypt-Hittite war.

  • Egyptian prisoners spread smallpox to the Hittites, which killed their king and devastated his civilization.

  • Insidiously, smallpox made its way around the world via Egyptian merchants,

  • then through the Arab world with the Crusades,

  • and all the way to the Americas with the Spanish and Portuguese conquests.

  • Since then, it has killed billions of people with an estimated 300 to 500 million people killed in the 20th century alone.

  • But smallpox is not unbeatable.

  • In fact, the fall of smallpox started long before modern medicine.

  • It began all the way back in 1022 A.D.

  • According to a small book, called "The Correct Treatment of Small Pox,"

  • a Buddhist nun living in a famous mountain named O Mei Shan, in the southern province of Sichuan,

  • would grind up smallpox scabs and blow the powder into nostrils of healthy people.

  • She did this after noticing that those who managed to survive smallpox never got it again,

  • and her treatment worked.

  • The procedure, called variolation, slowly evolved,

  • and by the 1700s, doctors were taking material from sores and putting them into healthy people through four or five scratches on the arm.

  • This worked pretty well as inoculated people would not get reinfected, but it wasn't foolproof.

  • Up to 3% of people would still die after being exposed to the pus.

  • It wasn't until English physician Edward Jenner noticed something interesting about dairy maids that we got our modern solution.

  • At age 13, while Jenner was apprentice to a country surgeon and apothecary in Sodbury, near Bristol,

  • he heard a dairy maid say, "I shall never have smallpox, for I have had cowpox."

  • "I shall never have an ugly, pockmarked face."

  • Cowpox is a skin disease that resembles smallpox and infects cows.

  • Later on, as a physician, he realized that she was right.

  • women who got cowpox didn't develop the deadly smallpox.

  • Smallpox and cowpox viruses are from the same family.

  • But when a virus infects an unfamiliar host, in this case cowpox infecting a human, it is less virulent,

  • so Jenner decided to test whether the cowpox virus could be used to protect against smallpox.

  • In May, 1796, Jenner found a young dairy maid, Sarah Nelmes,

  • who had fresh cowpox lesions on her hand and arm caught from the udders of a cow named Blossom.

  • Using matter from her pustules, he inoculated James Phipps, the 8-year-old son of his gardener.

  • After a few days of fever and discomfort, the boy seemed to recover.

  • 2 months later, Jenner inoculated the boy again, this time with matter from a fresh smallpox lesion.

  • No disease developed, and Jenner concluded that protection was complete.

  • His plan had worked.

  • Jenner later used the cowpox virus in several other people and challenged them repeatedly with smallpox,

  • proving that they were immune to the disease.

  • With this procedure, Jenner invented the smallpox vaccination.

  • Unlike variolation, which used actual smallpox virus to try to protect people,

  • vaccination used the far less dangerous cowpox virus.

  • The medical establishment, cautious then as now, deliberated at length over his findings before accepting them.

  • But eventually, vaccination was gradually accepted and variolation became prohibited in England in 1840.

  • After large vaccination campaigns throughout the 19th and 20th centuries,

  • the World Health Organization certified smallpox's eradication in 1979.

  • Jenner is forever remembered as the father of immunology,

  • but let's not forget the Buddhist nun, dairy maid Sarah Nelmes, and James Phipps,

  • all heroes in this great adventure of vaccination, who helped eradicate smallpox.

10,000 years ago, a deadly virus arose in northeastern Africa.

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