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The introduction of public vaccination was among the greatest of public health triumphs. By the end of the nineteenth century, legislation framed and implemented by medical experts in Britain's government brought smallpox under control for the first time. The Politics of Vaccination: Practice and Policy in England, Wales, Ireland, and Scotland, 1800-1874, by historian Deborah Brunton, reveals the conflict that accompanied this success, and highlights how power differentials among government officials, medical experts, and general practitioners influenced vaccination policy across Great...

During the nineteenth century, the provision of medical care underwent a radical transformation. In 1800, the body was still understood in terms of humours and fluids, and treatment was provided by a wide range of individuals, some of whom had little or no formal training. Institutions were marginal to the medical enterprise, and governments took almost no part in providing medical services. By 1930, however, a recognisably modern medicine had begun to emerge across Europe. New understandings of human physiology had resulted in the new science of surgical therapy; hospitals had become centres...