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Vaccine
 
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Vaccine (Hardcover)

by Arthur Allen (Author)
3.0 out of 5 stars  See all reviews (1 customer review)
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From Publishers Weekly

Vaccines are one of the most important and controversial achievements in public health. Washington-based journalist Allen explores in depth this dark horse of medicine from the first instances of doctors saving patients from smallpox by infecting them with it to the current controversy over vaccinating preteen girls against the sexually transmitted virus that causes cervical cancer. One thing becomes very clear: fear of vaccination is not a recent problem. In colonial America, inoculations against smallpox were seen by many as a means of deflecting the will of God. In the 20th century, the triumphs of the Salk polio vaccine and the eradication of smallpox may actually have led to current antivaccination movements: "as infectious diseases disappeared, in part thanks to vaccines, the risks of vaccination itself were thrown into relief." Allen's comprehensive, often unexpected and intelligently told history illuminates the complexity of a public health policy that may put the individual at risk but will save the community. This book leaves the reader with a sense of awe at all that vaccination has accomplished and trepidation over the future of the vaccine industry. 16 pages of illus. (Jan.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.


From Booklist

Pulling together years of accumulated research on a topic he has written about for several national publications, Allen recounts the 200-year history of vaccination, from its first employment to combat smallpox, "the first and only contagious disease ever eradicated" by a vaccine, to the present, in which decades of unanswered questions plus low profit margins for vaccine development threaten its future. Allen undertakes a ponderous mission indeed because there has been so much controversy, most recently regarding an alleged link between autism and a vaccine, and disagreement over the efficacy of various vaccines. A 2005 study found little difference in fatality rates between elderly flu shot recipients and those who didn't get the shots, and then there's the whole discussion about how much social responsibility the individual must bear when getting a vaccination that puts the recipient at risk of unwanted side effects but also helps protect the community from an epidemic. Thorny issues all, which Allen deftly maneuvers as he wrangles myriad aspects of a very complicated issue into a comprehensible text. Donna Chavez
Copyright © American Library Association. All rights reserved
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1 of 2 people found the following review helpful:
3.0 out of 5 stars Revealing the first 2 1/2 centuries of vaccinations, Nov 14 2007
By Stephen Pletko "Uncle Stevie" (London, Ontario, Canada) - See all my reviews
(TOP 50 REVIEWER)   
XXXXX

"In telling the story of vaccination, this book makes an assessment that is as fair as I can make it, based on the available evidence. I [the author] am neither a scientist nor someone with personal experience of a severe vaccine reaction [vaccines carry some measure of risk to the patient]...This book deals with preventive vaccines [that produce an artificial immunity] against infectious diseases [smallpox, polio, measles, whooping cough, etc.)...a vaccine's success as a public health measure relies on three legs of support: (1) the public, which must be confident of the safety and worth of the procedure; (2) manufactures, who seek to generate profits by making vaccines; and (3) government and public-health [workers] who...[help] further population-wide health goals. As [the reader] will see throughout this book, none of these legs is entirely stable."

The above is found in the introduction of this well-researched, easy-to-read book by writer Arthur Allen. Be aware that the author also says in the introduction the following: "I do...bring personal agendas to this book." The book itself is divided into three parts.

In the first two parts, Allen describes the history of the development of vaccines in a time when there were no clinical ethics boards or informed consent laws, the defeat of such infectious diseases as smallpox & polio, and public resistance to widespread vaccination. There's a lot here to disturb both proponents and opponents of mandatory vaccination.

The author devotes the third and last part of his book to the vaccine controversies of the last few decades. I found that this relatively brief analysis was not well connected to the first two parts. Actually, I can't understand why Allen added this third part except to "bring [his] personal agendas" to the "controversial story" of vaccination.

Allen does, in my opinion, highlight the crux of the vaccination issue by quoting somebody else:

"As in all wars, some soldiers are injured...At present, the draftees [mainly babies and small children] injured in the war on infectious diseases are in effect told by conscripting authorities, `Thank you for your contribution to the war effort, and best of success in coping with your [life-long] disability [caused by the vaccination].'"

There are two sets of black and white pictures or "plates" found in the book consisting of fourteen and sixteen pictures respectively. My favorite picture has the following caption:

"Six million New Yorkers were vaccinated within a few weeks after smallpox appeared in the city in 1947. Contemporaries were struck at the willingness of Americans to accept vaccination in this postwar period--even though the [smallpox] vaccine killed and maimed far more people that did smallpox itself."

Finally, those readers seeking a comprehensive treatment of the vaccine debate and history of vaccination outside the United States should look elsewhere.

In conclusion, readers seeking a solid history of the first 2 1/2 centuries of vaccination will find a lot to think about in this book!!

*** 1/2

(first published 2007; introduction; three parts or 10 chapters; epilogue; main narrative 440 pages; acknowledgements; notes; index)

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