1 00:00:07,293 --> 00:00:08,630 Ten thousand years ago, 2 00:00:08,630 --> 00:00:12,018 a deadly virus arose in northeastern Africa. 3 00:00:12,018 --> 00:00:13,905 The virus spread through the air, 4 00:00:13,905 --> 00:00:15,365 attacking the skin cells, 5 00:00:15,365 --> 00:00:16,298 bone marrow, 6 00:00:16,298 --> 00:00:17,026 spleen, 7 00:00:17,026 --> 00:00:19,211 and lymph nodes of its victims. 8 00:00:19,211 --> 00:00:21,828 The unlucky infected developed fevers, 9 00:00:21,828 --> 00:00:22,631 vomiting, 10 00:00:22,631 --> 00:00:23,915 and rashes. 11 00:00:23,915 --> 00:00:26,542 Thirty percent of infected people died 12 00:00:26,542 --> 00:00:28,834 during the second week of infection. 13 00:00:28,834 --> 00:00:31,046 Survivors bore scars and scabs 14 00:00:31,046 --> 00:00:32,671 for the rest of their lives. 15 00:00:32,671 --> 00:00:35,210 Smallpox had arrived. 16 00:00:35,210 --> 00:00:39,006 In 1350 B.C., the first smallpox epidemics 17 00:00:39,006 --> 00:00:41,466 hit during the Egypt-Hittite war. 18 00:00:41,466 --> 00:00:43,882 Egyptian prisoners spread smallpox 19 00:00:43,882 --> 00:00:44,962 to the Hittites, 20 00:00:44,962 --> 00:00:46,460 which killed their king 21 00:00:46,460 --> 00:00:48,563 and devastated his civilization. 22 00:00:48,563 --> 00:00:51,816 Insidiously, smallpox made its way around the world 23 00:00:51,816 --> 00:00:53,876 via Egyptian merchants, 24 00:00:53,876 --> 00:00:56,153 then through the Arab world with the Crusades, 25 00:00:56,153 --> 00:00:57,796 and all the way to the Americas 26 00:00:57,796 --> 00:01:00,906 with the Spanish and Portuguese conquests. 27 00:01:00,906 --> 00:01:03,661 Since then, it has killed billions of people 28 00:01:03,661 --> 00:01:06,966 with an estimated 300 to 500 million people 29 00:01:06,966 --> 00:01:09,906 killed in the 20th century alone. 30 00:01:09,906 --> 00:01:12,048 But smallpox is not unbeatable. 31 00:01:12,048 --> 00:01:14,548 In fact, the fall of smallpox started 32 00:01:14,548 --> 00:01:16,376 long before modern medicine. 33 00:01:16,376 --> 00:01:19,586 It began all the way back in 1022 A.D. 34 00:01:19,586 --> 00:01:21,200 According to a small book, called 35 00:01:21,200 --> 00:01:23,025 "The Correct Treatment of Small Pox", 36 00:01:23,025 --> 00:01:25,275 a Buddhist nun living in a famous mountain 37 00:01:25,275 --> 00:01:26,759 named O Mei Shan 38 00:01:26,759 --> 00:01:28,559 in the southern providence of Sichuan 39 00:01:28,559 --> 00:01:30,367 would grind up small pox scabs 40 00:01:30,367 --> 00:01:33,096 and blow the powder into nostrils of healthy people. 41 00:01:33,096 --> 00:01:34,605 She did this after noticing 42 00:01:34,605 --> 00:01:36,949 that those who managed to survive smallpox 43 00:01:36,949 --> 00:01:38,336 never got it again, 44 00:01:38,336 --> 00:01:40,357 and her odd treatment worked. 45 00:01:40,357 --> 00:01:42,171 The procedure, called variolation, 46 00:01:42,171 --> 00:01:43,171 slowly evolved 47 00:01:43,171 --> 00:01:44,612 and by the 1700's, 48 00:01:44,612 --> 00:01:46,835 doctors were taking material from sores 49 00:01:46,835 --> 00:01:48,871 and putting them into healthy people 50 00:01:48,871 --> 00:01:51,717 through four or five scratches on the arm. 51 00:01:51,717 --> 00:01:52,752 This worked pretty well 52 00:01:52,752 --> 00:01:55,588 as inoculated people would not get reinfected, 53 00:01:55,588 --> 00:01:57,171 but it wasn't foolproof. 54 00:01:57,171 --> 00:01:58,754 Up to three percent of people 55 00:01:58,754 --> 00:02:02,479 would still die after being exposed to the puss. 56 00:02:02,479 --> 00:02:04,928 It wasn't until English physician Edward Jenner 57 00:02:04,928 --> 00:02:07,253 noticed something interesting about dairy maids 58 00:02:07,253 --> 00:02:09,504 that we got our modern solution. 59 00:02:09,504 --> 00:02:11,727 At age 13, while Jenner was apprentice 60 00:02:11,727 --> 00:02:13,564 to a country surgeon and apothecary 61 00:02:13,564 --> 00:02:15,525 in Sodbury, near Bristol, 62 00:02:15,525 --> 00:02:17,138 he heard a dairy maid say, 63 00:02:17,138 --> 00:02:20,114 "I shall never have smallpox for I have had cowpox. 64 00:02:20,114 --> 00:02:22,734 I shall never have an ugly, pockmarked face." 65 00:02:22,734 --> 00:02:24,383 Cowpox is a skin disease 66 00:02:24,383 --> 00:02:27,306 that resembles smallpox and infects cows. 67 00:02:27,306 --> 00:02:28,719 Later on, as a physician, 68 00:02:28,719 --> 00:02:30,300 he realized she was right, 69 00:02:30,300 --> 00:02:32,891 women who got cowpox didn't develop 70 00:02:32,891 --> 00:02:34,391 the deadly smallpox. 71 00:02:34,391 --> 00:02:37,793 Smallpox and cowpox viruses are from the same family. 72 00:02:37,793 --> 00:02:40,345 But when a virus infects an unfamiliar host, 73 00:02:40,345 --> 00:02:42,605 in this case cowpox infecting a human, 74 00:02:42,605 --> 00:02:43,891 it is less virulent, 75 00:02:43,891 --> 00:02:45,359 so Jenner decided to test 76 00:02:45,359 --> 00:02:47,682 whether the cowpox virus could be used 77 00:02:47,682 --> 00:02:50,105 to protect against smallpox. 78 00:02:50,105 --> 00:02:53,379 In May 1796, Jenner found a young dairy maid, 79 00:02:53,379 --> 00:02:54,597 Sarah Nelmes, 80 00:02:54,597 --> 00:02:57,532 who had fresh cowpox lesions on her hand and arm 81 00:02:57,532 --> 00:03:00,027 caught from the utters of a cow named Blossom. 82 00:03:00,027 --> 00:03:01,519 Using matter from her pustules, 83 00:03:01,519 --> 00:03:03,582 he inoculated James Phipps, 84 00:03:03,582 --> 00:03:05,937 the eight-year-old son of his gardener. 85 00:03:05,937 --> 00:03:08,105 After a few days of fever and discomfort, 86 00:03:08,105 --> 00:03:09,932 the boy seemed to recover. 87 00:03:09,932 --> 00:03:12,459 Two months later, Jenner inoculated the boy again, 88 00:03:12,459 --> 00:03:16,433 this time with matter from a fresh smallpox lesion. 89 00:03:16,433 --> 99:59:59,999 No disease developed, 90 99:59:59,999 --> 99:59:59,999 and Jenner concluded that protection was complete. 91 99:59:59,999 --> 99:59:59,999 His plan had worked. 92 99:59:59,999 --> 99:59:59,999 Jenner later used the cowpox virus 93 99:59:59,999 --> 99:59:59,999 in several other people 94 99:59:59,999 --> 99:59:59,999 and challenge them repeatedly with smallpox, 95 99:59:59,999 --> 99:59:59,999 proving that they were immune to the disease. 96 99:59:59,999 --> 99:59:59,999 With this procedure, 97 99:59:59,999 --> 99:59:59,999 Jenner invented the smallpox vaccination. 98 99:59:59,999 --> 99:59:59,999 Unlike variolation, which used actual smallpox virus 99 99:59:59,999 --> 99:59:59,999 to try to protect people, 100 99:59:59,999 --> 99:59:59,999 vaccination used the far-less dangerous cowpox virus. 101 99:59:59,999 --> 99:59:59,999 The medical establishment, 102 99:59:59,999 --> 99:59:59,999 cautious then as now, 103 99:59:59,999 --> 99:59:59,999 deliberated at length over his findings 104 99:59:59,999 --> 99:59:59,999 before accepting them. 105 99:59:59,999 --> 99:59:59,999 But eventually vaccination was gradually accepted 106 99:59:59,999 --> 99:59:59,999 and variolation became prohibited in England in 1840. 107 99:59:59,999 --> 99:59:59,999 After large vaccination campaigns 108 99:59:59,999 --> 99:59:59,999 throughout the 19th and 20th centuries, 109 99:59:59,999 --> 99:59:59,999 the World Health Organization certified 110 99:59:59,999 --> 99:59:59,999 smallpox's eradication in 1979. 111 99:59:59,999 --> 99:59:59,999 Jenner is forever remembered 112 99:59:59,999 --> 99:59:59,999 as the father of immunology, 113 99:59:59,999 --> 99:59:59,999 but let's not forget the dairy maid Sarah Nelmes, 114 99:59:59,999 --> 99:59:59,999 Blossom the cow, 115 99:59:59,999 --> 99:59:59,999 and James Phipps, 116 99:59:59,999 --> 99:59:59,999 all heroes in this great adventure of vaccination 117 99:59:59,999 --> 99:59:59,999 who helped eradicate smallpox.