The Royal Society in the eighteenth century cuts a poor figure in comparison with its robust parent of the seventeenth century. Contemporary satirists and modern historians alike have found little to recommend the weak and well-padded institution. After Newton's death in 1727, it was no longer the centre for natural philosophy, and even during his tenure as President the Society did not escape censure. Fascination with monstrous curiosities and antiquarian puzzles replaced serious scientific work, according to various detractors. Recently scholars have begun to re-evaluate this caricature and point to the myriad ways in which the Society cultivated natural philosophy and natural history during the eighteenth century. This essay focuses on one of the Society's frequently overlooked strengths: its extensive correspondence.

May 2016 marks the 220 anniversary of Edward Jenner's first experimental vaccination using cowpox to protect against smallpox. Jenner's discovery, and its rapid adoption around the world, launched a medical revolution that continues to shape how we approach disease prevention. The historical roots of vaccination are found in the popularization of smallpox inoculation during the 18 century, part of an Enlightenment culture that fostered scientific inquiry and the global circulation of knowledge. Jenner was part of that culture and his study of cowpox stemmed from his varied interests as a natural historian, his contacts with leading savants in London, and his medical practice in a flourishing dairy area of England. The amazingly quick spread of vaccination resulted from organized hospital trials in major cities, the severe smallpox epidemic at the turn of the century, disease environment, and policies of European colonial powers.

The introduction of smallpox vaccination after the publication of Edward Jenner's An Inquiry into the Causes and Effects of Variolae Vaccinae depended on the spread of cowpox, a relatively rare disease. How Europeans and their colonial allies transported and maintained cowpox in new environments is a social and technological story involving a broad range of individuals from physicians and surgeons to philanthropists, ministers, and colonial administrators. Putting cowpox in new places also meant developing new techniques and organizations. This essay focuses on the actual practices of vaccination and their environmental contexts in order to illuminate the dynamic exchanges of materials, images, and ideas that made the spread of vaccination possible.

Between 1799 and 1806, trials of vaccination to determine its safety and efficacy were undertaken in hospitals in London, Paris, Vienna, and Boston. These trials were among the first instances of formal hospital evaluations of a medical procedure and signal a growing acceptance of a relatively new approach to medical practice. These early evaluations of smallpox vaccination also relied on descriptive and quantitative accounts, as well as probabilistic analyses, and thus occupy a significant, yet hitherto unexamined, place in the history of medical statistics.

No abstract