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This first comprehensive history of the social and political aspects of vaccination in the United States tells the story of how vaccination became a widely accepted public health measure over the course of the twentieth century. One hundred years ago, just a handful of vaccines existed, and only one, for smallpox, was widely used. Today more than two dozen vaccines are in use, fourteen of which are universally recommended for children. State of Immunity examines the strategies that health officials have used--ranging from advertising and public relations campaigns to laws requiring...

The role of public health services in America is generally considered to be the reduction of illness, suffering, and death. But what exactly does this mean in practice? At different points in history, professionals in the field have addressed housing reform, education about sex and illegal drugs, hospital and clinic care, gun violence, and even bioterrorism. But there is no agreement about how far public health efforts should go in attempting to modify behaviors seen as lifestyle choices, or whether the field's mandate extends to intervening in broader social and economic conditions.

The...