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This book is the first comprehensive history of the anti-diphtheria campaign and the factors which facilitated or hindered the rollout of the national childhood immunization programme in Ireland. It is easy to forget the context in which Irish society opted to embrace mass childhood immunization. Dwyer shows us how we got where we are. He restores Diphtheria’s reputation as one of the most prolific child-killers of nineteenth and early twentieth-century Ireland and explores the factors which allowed the disease to take a heavy toll on child health and life-expectancy. Public health officials in the fledgling Irish Free State set the eradication of diphtheria among their first national goals, and eschewing the reticence of their British counterparts, adopted anti-diphtheria immunization as their weapon of choice. An unofficial alliance between Irish medical officers and the British pharmaceutical company Burroughs Wellcome placed Ireland on the European frontline of the bacteriological revolution, however, Wellcome sponsored vaccine trials in Ireland side-lined the human rights of Ireland’s most vulnerable citizens: institutional children in state care. An immunization accident in County Waterford, and the death of a young girl, raised serious questions regarding the safety of the immunization process itself, resulting in a landmark High Court case and the Irish Medical Union’s twelve-year long withdrawal of immunization services. As childhood immunization is increasingly considered a lifestyle choice, rather than a lifesaving intervention, this book brings historical context to bear on current debate.

This book is the first comprehensive history of medical student culture and medical education in Ireland from the middle of the nineteenth century until the 1950s. Utilising a variety of rich sources, including novels, newspapers, student magazines, doctors’ memoirs, and oral history accounts, it examines Irish medical student life and culture, incorporating students’ educational and extra-curricular activities at all of the Irish medical schools. The book investigates students' experiences in the lecture theatre, hospital, dissecting room and outside their studies, such as in ‘digs’, sporting teams and in student societies, illustrating how representations of medical students changed in Ireland over the period and examines the importance of class, religious affiliation and the appropriate traits that students were expected to possess. It highlights religious divisions as well as the dominance of the middle classes in Irish medical schools while also exploring institutional differences, the students’ decisions to pursue medical education, emigration and the experiences of women medical students within a predominantly masculine sphere. Through an examination of the history of medical education in Ireland, this book builds on our understanding of the Irish medical profession while also contributing to the wider scholarship of student life and culture. It will appeal to those interested in the history of medicine, the history of education and social history in modern Ireland.

Smallpox was for several centuries one of the most deadly, most contagious, and most feared of diseases. This book charts the history of one of the most controversial techniques in medical history. Originating probably in Africa, smallpox progressed via the Middle and Near East, where it was studied around the end of the first millennium by Arab physicians. It arrived in Britain during Elizabethan times and was well established by the seventeenth century. During the closing years of the eighteenth century, a far-reaching and ultimately controversial development took place when Edward Jenner developed an inoculation for Smallpox based on a culture from Cowpox. The author examines the astonishing speed at which Jenner's technique of ‘vaccination’ was taken up, culminating in the ‘Compulsory Vaccination Act of 1853’. The Act made a painful and sometimes fatal medical practice for all children obligatory and as a result set an important precedent for governmental regulation of medical welfare. It remained in force until 1946 and was only ended after decades of intense pressure from the National Anti-vaccination League, but the issues raised by this book remain current today in debates about vaccination. The book highlights the social, political, and ethical consequences of compulsory vaccination and the repercussions that followed the ending of the policy through the most major medical resistance campaign in European medical history.