A Brief History of British Antivaccinationism and Vaccine Scepticism

Part 1, The Anti Inoculators

Introduction

This series hopes to explore the history of British Antivaccinationism and Vaccine Scepticism. It is divided into 7 main eras: the period of Inoculation, 1721-1798; the introduction of vaccination, 1798-1853; the imposition of mandates, 1853-1902; the remaining history of the National Antivaccination League, 1902-1972; DTP Vaccine Scepticism 1972-1998; Andrew Wakefield and vaccines cause autism, 1998-2019, and Covid 19, 2020 to present. This section forms part 1, looking at the inoculators and their critics.

The History of Inoculation

Inoculation was the practise of deliberately infecting someone with smallpox. The theory behind the practise was that a person could only get smallpox once, and would then get what we would call natural immunity. Although this concept was not understood, it was observed that smallpox was only contracted once. As such, by selecting the time and place of infection, and by carrying out additional practices such as the following of certain diets, smallpox could be rendered a milder disease with a greater chance of survival.

Lady Mary Wortley Montagu observed the practise of inoculation in Turkey and had one of her children inoculated while over there. She introduced the practise to her physician, Charles Maitland, who was taken with the idea and began to practise inoculation on willing members of the elite. There was a brief fad for this practise initially, but the first wave of enthusiasm died out quite quickly, and the number of inoculations performed was still very small. Some doctors tried to collect scientific data relaying to inoculation, such as Jurin, who attempted to figure out the death rate from inoculation versus the death rate from natural smallpox infection – he calculated it at about one in 50 for inoculation versus 1 in 6 for the natural disease. On this basis, he argued for the supremacy of inoculation but acknowledged that it had some risk.

Inoculation became more widely practised later on in the 18th century and particularly in the second half of that century, with the rise of the Suttonian method of inoculation, which was less harsh on the body. Daniel Sutton was able to widely promote his method among elites, and inoculation became more popular. The Suttonian method was that in practise before it was replaced by the cowpoxing method associated with Edward Jenner.

The Masseys – The Original Anti Vaccinationists

In response to the introduction of inoculation, two men, Isaac and Edward Massey, brought objections to the table against the new practise. They could be considered the original antivaccinationists. Each of the Masseys put forward a different approach to the issue.

Edmund Massey’s religious objections

Edmund Massey was a Christian clergyman at a church in London, and he objected to inoculation on religious grounds. He preached a notable sermon in 1722 against the new practise which was distributed in written format. The first argument he uses against inoculation is that it is forbidden for man to deliberately inflict disease. He states that while the Bible furnishes examples of men healing when given divine power, there are no examples of men directly inflicting disease. Instead, God inflicts disease to test people’s faith and to punish sin. He raised the book of Job as an example of this.

Isaac Massey’s scientific objections

Isaac Massey raised scientific objections to inoculation. He was an apocethary (which was quite vaguely defined but involved working in the medical profession). In his book, A Short and Plain Account of Inoculation, he raised several different scientific objections to the practise. For example, he claimed that those who were inoculated were not necessarily getting genuine smallpox. He pointed out that it was an uncertain procedure, despite the claims of the inoculators to the contrary that factors such as age and the time of year can be controlled.

He stated that inoculation was ‘a disease of their own making and procurement’. He argued that when true smallpox is spread by inoculation, it can also spread to other people, such as in the case of the inoculation of Mary Batt, which spread smallpox and led to the death of a servant. He argued for living a sober lifestyle as a means to reduce the risk from smallpox.

In his book addressing Jurin’s statistical claims, he argues that Jurin did not allow for factors such as age, disease and poverty when calculating comparative death rates. Most who would have been inoculated when Massey was writing would have been elites, who would have had a better rate of survival from natural smallpox due to more adequate nutrition and being less likely to live in complete squalor. He thus considered that Jurin was not comparing like with like. He also pointed out that inoculation may spread other diseases. He pointed out that the initial claims of the inoculators was that the procedure was harmlessly and that this had to be revised when deaths occurred.

Conclusion

The objections to inoculation did not prevent the practise from eventually becoming widespread in certain elite circles. Inoculation formed the ideological basis for Jenner’s much more well known vaccination practise.