0:00:07.093,0:00:08.630 Ten thousand years ago, 0:00:08.630,0:00:12.018 a deadly virus arose in northeastern Africa. 0:00:12.018,0:00:13.905 The virus spread through the air, 0:00:13.905,0:00:15.365 attacking the skin cells, 0:00:15.365,0:00:16.298 bone marrow, 0:00:16.298,0:00:17.026 spleen, 0:00:17.026,0:00:19.211 and lymph nodes of its victims. 0:00:19.211,0:00:21.828 The unlucky infected developed fevers, 0:00:21.828,0:00:22.631 vomiting, 0:00:22.631,0:00:23.915 and rashes. 0:00:23.915,0:00:26.542 Thirty percent of infected people died 0:00:26.542,0:00:28.834 during the second week of infection. 0:00:28.834,0:00:31.046 Survivors bore scars and scabs 0:00:31.046,0:00:32.671 for the rest of their lives. 0:00:32.671,0:00:35.210 Smallpox had arrived. 0:00:35.210,0:00:39.006 In 1350 B.C., the first smallpox epidemics 0:00:39.006,0:00:41.466 hit during the Egypt-Hittite war. 0:00:41.466,0:00:43.882 Egyptian prisoners spread smallpox 0:00:43.882,0:00:44.962 to the Hittites, 0:00:44.962,0:00:46.336 which killed their king 0:00:46.336,0:00:48.563 and devastated his civilization. 0:00:48.563,0:00:51.816 Insidiously, smallpox made its way around the world 0:00:51.816,0:00:53.876 via Egyptian merchants, 0:00:53.876,0:00:56.153 then through the Arab world with the Crusades, 0:00:56.153,0:00:57.796 and all the way to the Americas 0:00:57.796,0:01:00.906 with the Spanish and Portuguese conquests. 0:01:00.906,0:01:03.661 Since then, it has killed billions of people 0:01:03.661,0:01:06.966 with an estimated 300 to 500 million people 0:01:06.966,0:01:09.521 killed in the 20th century alone. 0:01:09.521,0:01:12.048 But smallpox is not unbeatable. 0:01:12.048,0:01:14.548 In fact, the fall of smallpox started 0:01:14.548,0:01:16.376 long before modern medicine. 0:01:16.376,0:01:19.586 It began all the way back in 1022 A.D. 0:01:19.586,0:01:21.015 According to a small book, called 0:01:21.015,0:01:23.025 "The Correct Treatment of Small Pox", 0:01:23.025,0:01:25.121 a Buddhist nun living in a famous mountain 0:01:25.121,0:01:26.759 named O Mei Shan 0:01:26.759,0:01:28.559 in the southern providence of Sichuan 0:01:28.559,0:01:30.367 would grind up small pox scabs 0:01:30.367,0:01:33.096 and blow the powder into nostrils of healthy people. 0:01:33.096,0:01:34.605 She did this after noticing 0:01:34.605,0:01:36.949 that those who managed to survive smallpox 0:01:36.949,0:01:38.336 never got it again, 0:01:38.336,0:01:40.357 and her odd treatment worked. 0:01:40.357,0:01:42.171 The procedure, called variolation, 0:01:42.171,0:01:43.171 slowly evolved 0:01:43.171,0:01:44.612 and by the 1700's, 0:01:44.612,0:01:46.835 doctors were taking material from sores 0:01:46.835,0:01:48.871 and putting them into healthy people 0:01:48.871,0:01:51.717 through four or five scratches on the arm. 0:01:51.717,0:01:52.752 This worked pretty well 0:01:52.752,0:01:55.588 as inoculated people would not get reinfected, 0:01:55.588,0:01:57.171 but it wasn't foolproof. 0:01:57.171,0:01:58.754 Up to three percent of people 0:01:58.754,0:02:02.340 would still die after being exposed to the puss. 0:02:02.340,0:02:04.928 It wasn't until English physician Edward Jenner 0:02:04.928,0:02:07.253 noticed something interesting about dairy maids 0:02:07.253,0:02:09.380 that we got our modern solution. 0:02:09.380,0:02:11.727 At age 13, while Jenner was apprentice 0:02:11.727,0:02:13.410 to a country surgeon and apothecary 0:02:13.410,0:02:15.525 in Sodbury, near Bristol, 0:02:15.525,0:02:17.138 he heard a dairy maid say, 0:02:17.138,0:02:20.114 "I shall never have smallpox for I have had cowpox. 0:02:20.114,0:02:22.734 I shall never have an ugly, pockmarked face." 0:02:22.734,0:02:24.383 Cowpox is a skin disease 0:02:24.383,0:02:27.306 that resembles smallpox and infects cows. 0:02:27.306,0:02:28.719 Later on, as a physician, 0:02:28.719,0:02:30.438 he realized that she was right, 0:02:30.438,0:02:32.891 women who got cowpox didn't develop 0:02:32.891,0:02:34.391 the deadly smallpox. 0:02:34.391,0:02:37.793 Smallpox and cowpox viruses are from the same family. 0:02:37.793,0:02:40.345 But when a virus infects an unfamiliar host, 0:02:40.345,0:02:42.605 in this case cowpox infecting a human, 0:02:42.605,0:02:43.891 it is less virulent, 0:02:43.891,0:02:45.359 so Jenner decided to test 0:02:45.359,0:02:47.682 whether the cowpox virus could be used 0:02:47.682,0:02:50.105 to protect against smallpox. 0:02:50.105,0:02:53.379 In May 1796, Jenner found a young dairy maid, 0:02:53.379,0:02:54.597 Sarah Nelmes, 0:02:54.597,0:02:57.424 who had fresh cowpox lesions on her hand and arm 0:02:57.424,0:02:59.842 caught from the utters of a cow named Blossom. 0:02:59.842,0:03:01.519 Using matter from her pustules, 0:03:01.519,0:03:03.582 he inoculated James Phipps, 0:03:03.582,0:03:05.937 the eight-year-old son of his gardener. 0:03:05.937,0:03:08.105 After a few days of fever and discomfort, 0:03:08.105,0:03:09.932 the boy seemed to recover. 0:03:09.932,0:03:12.459 Two months later, Jenner inoculated the boy again, 0:03:12.459,0:03:16.340 this time with matter from a fresh smallpox lesion. 0:03:16.340,0:03:17.715 No disease developed, 0:03:17.715,0:03:20.397 and Jenner concluded that protection was complete. 0:03:20.397,0:03:22.129 His plan had worked. 0:03:22.129,0:03:24.426 Jenner later used the cowpox virus 0:03:24.426,0:03:25.723 in several other people 0:03:25.723,0:03:28.219 and challenge them repeatedly with smallpox, 0:03:28.219,0:03:30.688 proving that they were immune to the disease. 0:03:30.688,0:03:31.816 With this procedure, 0:03:31.816,0:03:34.441 Jenner invented the smallpox vaccination. 0:03:34.441,0:03:37.436 Unlike variolation, which used actual smallpox virus 0:03:37.436,0:03:38.942 to try to protect people, 0:03:38.942,0:03:42.569 vaccination used the far-less dangerous cowpox virus. 0:03:42.569,0:03:43.773 The medical establishment, 0:03:43.773,0:03:45.406 cautious then as now, 0:03:45.406,0:03:47.788 deliberated at length over his findings 0:03:47.788,0:03:49.160 before accepting them. 0:03:49.160,0:03:52.220 But eventually vaccination was gradually accepted 0:03:52.220,0:03:54.064 and variolation became prohibited 0:03:54.064,0:03:55.908 in England in 1840. 0:03:55.908,0:03:57.753 After large vaccination campaigns 0:03:57.753,0:04:00.053 throughout the 19th and 20th centuries, 0:04:00.053,0:04:02.228 the World Health Organization certified 0:04:02.228,0:04:05.712 smallpox's eradication in 1979. 0:04:05.712,0:04:07.083 Jenner is forever remembered 0:04:07.083,0:04:09.076 as the father of immunology, 0:04:09.076,0:04:11.352 but let's not forget the dairy maid Sarah Nelmes, 0:04:11.352,0:04:12.438 Blossom the cow, 0:04:12.438,0:04:13.640 and James Phipps, 0:04:13.640,0:04:16.359 all heroes in this great adventure of vaccination 0:04:16.359,0:04:18.236 who helped eradicate smallpox.