A milkmaid’s infection informs vaccination

Historical accounts date Boylston’s first group to 26 June: his son Thomas and the enslaved Jack and Jackey were inoculated against smallpox.

Jack and his young son Jackey were enslaved by Boylston; their participation in this experiment must not be portrayed as freely chosen.

Onesimus, enslaved by Cotton Mather, had earlier described an African inoculation method that shaped advocacy during the epidemic.

Boylston treated his own son and two people he enslaved, while Asian, African and Ottoman variolation practices long predated Boston’s experiment.

Jenner transferred material from milkmaid Sarah Nelmes’s cowpox lesion to the eight-year-old boy.

The date marks Phipps’s cowpox inoculation, not the later challenge that tested whether he was protected.

The experiment helped develop a distinct smallpox vaccine; variolation had already been practiced in Asia and parts of Africa.

Morton administered ether while Warren operated on Abbott at Massachusetts General Hospital.

Abbott was the patient in a highly publicized demonstration; earlier ether procedures also existed.

The public operation helped spread the use of inhaled anesthesia in surgery.