Gareth Millward
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advertisement (advert) 49, 52, 56–7, 130, 162, 165–6, 225
see also advertising
advertising 12, 34, 46, 50–3, 85, 89, 115, 129, 150, 165–6, 195, 199, 220, 223
AIDS see HIV/AIDS
anti-vaccination 1, 11, 13, 33, 86, 204, 230
Anti-Vaccination League 86
apathy 14–17, 31–2, 34, 36, 38–9, 41–6, 48–50, 52–61, 72, 87, 95, 97, 102, 116, 136, 149, 182, 188, 205, 221–3, 225, 227–9, 230–1
Australia 34, 80–3
autism 180–1, 183, 189–95, 198, 201–2
Bacillus Calmette-Guérin (BCG) see tuberculosis
Belfast 95–6, 133
Bevan, Aneurin (Nye), Minister of Health 35, 54, 82
Blair, Leo, son of Prime Minister Tony 191, 198
bovine spongiform-encephalopathy (BSE) 183, 192, 194–5, 222
boys
human papillomavirus (HPV) vaccine and 1
mumps and 187
rubella and 187
Bradford 91–6, 102
Bristol 50, 95
heart scandal 195
Burroughs Wellcome see Wellcome
Burton-on-Trent 121–2
campaign see advertising; publicity
Canada
polio vaccine and 133
smallpox and 101
Cardiff 91–2, 95
Castle, Barbara, Secretary of State for Social Services 159
Central Office of Information (COI) 1, 38, 44, 49, 60, 74, 84, 88
Charles, John, Chief Medical Officer 87–9
children
differentiation by age and 36–7, 50, 55–6, 75, 99, 114, 122
parental attitudes and 37–8, 43–5, 49, 53–4, 58, 74, 86–7, 95, 123, 133, 160, 163, 186, 189, 195, 201, 203–4
representation in health education 88–9
as target population 1–3, 31–2, 36–7, 47, 50–2, 74–5, 80, 92, 96, 120, 189, 225
vaccine damage and 33, 119–20, 154–8, 188, 190–1, 194–5
voluntary organisations and 115, 156–8, 164–5, 193–4
citizens 1
consumerism and 189
health citizenship and 6, 34–9, 45, 55, 101, 152, 184, 227
interactions with health authorities and 44, 54–5, 60, 80, 82, 93
nationality and 74
relationship with the state 3, 5–6, 9, 73, 150, 222
citizenship see citizens
civil service 73–4, 97, 124, 149, 223
Clarke, Kenneth, Secretary of State for Health 185
clinic 15, 37, 43, 47, 50, 54, 57–60, 84, 89, 122, 126, 151, 186, 197, 225
see also surgery
Cold War 4, 102, 116, 124
Committee on the Safety of Medicines (CSM) 160–3
Commonwealth 73–4, 90–1, 124
see also empire
compensation 151, 155–60, 163–4, 185, 196, 231
compulsion 1, 12, 77–8, 82, 85–8, 94, 221, 227, 231
compulsory vaccination 11, 33, 75, 82, 87, 101, 231
see also compulsion
confidence
see also trust
Congenital Rubella Syndrome (CRS) 164–5, 167–9, 187
see also rubella
Connaught 134
conscientious objection 75, 77–8, 231
Consumers’ Association 158
Coseley 53–4
Coventry 116, 125–7, 131
crisis 16, 83, 92, 159, 169, 226, 231
BSE 194
Ebola 2
HIV/AIDS 5
pertussis vaccine 16–17, 137, 150–6, 161, 165, 168–9, 180, 187, 193–4, 197, 204–5, 228, 231
rubella and lack of 164, 168
smallpox 92
vaccine supply 95, 134
see also scandal
CRS see Congenital Rubella Syndrome (CRS)
CSM see Committee on the Safety of Medicines (CSM)
Cutter Laboratories 119–20, 122, 126
damage
from disease 88, 160, 164, 166
to tourism 85
to trade 91
to vaccination programmes 16, 55, 149, 162, 182, 189
death
from disease 1, 33, 36, 39–41, 75, 81, 84–5, 90, 116–17, 130, 132, 153–4, 156, 186, 228
from vaccine 78
Deer, Brian, investigative journalist 189, 191, 202
demand
for compensation 150–1, 156, 158
for protection of health 35, 39, 45, 80, 82, 91–3, 114, 150–1, 182, 189
Department of Health 185–202
Department of Health and Social Security 100, 149, 152–3, 158, 160–9, 182, 185, 224
Derby 58
Dick, (Professor) George, epidemiologist 95–103, 133, 157
disability 45, 117, 153, 155–6, 158–9, 163, 167–9
Donaldson, Liam, Chief Medical Officer 198–9
Ebola 2
economy 15, 91, 124
Edinburgh 84–5
education 4, 53
compulsion, opposite of 12, 38, 78
emergency
health 2, 83
vaccination 15, 73, 83, 87, 94, 101, 114, 225
empire 73, 83
England 2, 8, 53, 72–3, 83–4, 95, 97, 117, 126, 130–1, 136, 150, 181, 201–2, 220
see also individual town names
Ennals, David, Secretary of State for Social Services 158, 161
epidemic
diphtheria 12, 46, 53
pertussis 16, 152–3, 156, 160–2, 228
rubella 163–5, 167
smallpox 72–4, 77, 80–1, 84–5, 90, 92, 96
see also outbreak
epidemiology 7, 94, 128, 134, 150
error of commission see error of omission
error of omission 152
faith
in government 42, 90, 169, 183
in medical authority 137, 183, 232
in vaccination 16, 94, 149, 161, 169, 191, 203, 222, 230
fathers 48–9, 89
see also mothers; parents
fear
of bioterrorism 102
of immigration 93
as irrational behaviour 42, 203
lack of 32, 44–5, 60
as motivation 45, 49, 53, 225
of reputational damage 13, 156
of socialised medicine 5
of specific diseases 16, 31–2, 36, 43, 45, 53, 114, 117, 128, 153
of vaccines 42–3, 54
Fletcher, Jackie, campaigner 193
foreigner 83, 89, 91, 93
Fox, Rosemary, campaigner 156, 158, 160
general practitioner (GP) 37, 88, 97, 134, 149, 166, 185–8, 192, 195–7, 201, 205, 228
German measles see rubella
girls
human papillomavirus (HPV) vaccine and 1
mumps and 187, 225
rubella and 164–7
Glasgow 8, 80, 83–5, 92, 94
Glaxo 120, 123–4
global public health 5, 103, 170, 184–5, 200, 225
Godber, George, Chief Medical Officer 92
H1N1 see swine flu
Halifax 93, 136
Hall, Jeff, professional footballer 116, 130–2, 162
Hamilton 83–4
hazard 78, 99, 150–2, 157, 159, 161, 193
see also risk
Health Education Council 165, 168
see also education
herd immunity see immunity
hesitancy 16–17, 170, 181, 183, 204–5, 222, 224, 228, 230–1
HIV/AIDS 5, 8, 180
Hornby-Smith, Patricia, Minister of Health 50
HPV see human papillomavirus
Hull, Kingston upon 135
human papillomavirus (HPV) 1, 8
hygiene thesis 118
immigrant 6, 90, 93, 99, 165, 224
immunity 10, 74, 82–3, 87, 92–3, 118–21, 126, 130, 132–3
herd 11, 80, 96–8, 150, 157, 186, 201, 204
inactivated poliomyelitis vaccine (IPV) 119–36, 224, 227, 230–1
injury 100, 154–9, 164, 231
see also damage
internet 1, 181, 189, 193, 199–202, 205
Ipswich 134
IPV see inactivated poliomyelitis vaccine (IPV)
Japan 170, 192, 194
Joint Committee on Poliomyelitis Vaccine (JCPV) 98, 120, 127, 129, 133, 223
Joint Committee on Vaccination and Immunisation (JCVI) 97–8, 100, 102, 149, 157, 160–1, 163, 165–7, 223
Joseph, (Sir) Keith, Secretary of State for Social Services 100
Justice Awareness and Basic Support (JABS) 193
Koprowski, Hilary, vaccinologist 132–3
laboratory accidents 72, 101, 116
Legal Services Commission 191
Lennon, Rene, campaigner 156
Liverpool 81, 134, 162
London 38–9, 41, 44, 47, 49–50, 52, 55–8, 80–2, 88, 90, 92, 101, 166, 191, 196, 202–3
Macleod, Iain, Minister of Health 119
mad cow disease see bovine spongiform–encephalopathy (BSE)
Manchester 52, 56
March of Dimes 119
media 1–2, 7, 10, 52, 94, 115–16, 119, 123, 125–6, 136, 154, 156–7, 162, 165, 180–1, 189–91, 193–4, 198, 227, 230, 232
Medical Officer of Health (MOH)
autonomy of 37, 53, 79, 121
clinics and 37, 84
education and 38, 46, 50, 56, 78–9, 85, 88–90, 223
epidemic control and 73, 81–5, 88, 93, 96, 125, 225
priorities of 13, 57–8, 97
public and 44, 50, 55–6, 58–60, 78–9, 82, 84, 93
role of 10, 13, 37–8, 41, 43–4, 60, 73
Medical Research Council (MRC) 13, 119–20, 122–5, 127, 129, 133–4, 153
meningitis 2, 194, 229
Ministry of Health 8, 12, 14, 31–2, 36, 39, 42, 46, 48, 52, 60, 72–4, 78, 80, 82, 88, 90–1, 94, 96, 100, 115, 119–20, 123–5, 127, 130, 135, 149, 220–1, 223
monitoring 7, 17, 35–6, 42, 52, 182, 184, 188, 205, 222, 228
mothers
activism and 155–6, 193
apathy and 31, 43, 47, 50–5, 87
as at-risk population 1, 165
as decision makers 42–3, 48–9, 87, 99, 120, 224
as targets of health education 47–9, 54
see also women
mumps 17, 180–1, 187, 190, 193–4, 196–7, 221
National Association for Deaf/Blind and Rubella Children (NADBRC) 164, 167–8
National Baby Welfare Council 89
National Health Service (NHS) 5, 10, 14, 32, 35, 37–9, 44, 81, 84, 130, 149, 184–5, 195, 197, 200
staff 86, 91, 93–4, 100, 201
North America
measles and 231
polio vaccine and 150
smallpox and 83, 101
Northern Ireland 97
see also Belfast
oral poliomyelitis vaccine (OPV) 95, 97, 115, 116, 132–6, 157, 205
outbreak 6, 8, 10, 224, 230
diphtheria 53, 55–60, 228
food poisoning 45
measles 1, 191, 203, 220
pertussis 150, 162–3
polio 41–2, 135, 159
Zika 1
see also epidemic
panic 56, 82, 92–3, 96, 232
parents
activism and 2, 121, 156–8, 191, 193, 231
apathy and 14, 16–17, 31–2, 41–6, 50, 54–8, 87, 116, 149, 188
choice and 36, 47, 54, 99, 128, 158, 163, 181, 184, 189, 195–201, 227, 230–2
demand and 2, 16, 34, 121–3, 128, 131, 133, 221, 229
education and 43–7, 50, 53–4, 78, 158, 180, 189, 195, 198–201
health citizenship and 2, 34, 45, 54–5, 152, 221
as target of public health 14–15, 32, 44–8, 52–8, 78–9, 86–9, 116, 121–3, 149–50, 162, 180–3, 188, 198–204
see also fathers; mothers
Parke-Davis 130
Pfizer 130, 132, 134
pharmaceutical
companies 15, 115, 119, 121, 127, 133, 185–6, 230
industry 3, 103, 124
see also individual firms
polio season 42, 114
Powell, Enoch, Minister of Health 92, 97, 134
publicity 2, 59, 89, 93, 119, 150, 160, 193, 198
campaign 31, 46, 56, 88, 90, 115, 130, 161, 165–6, 191, 197–9
see also advertising
randomised-control trials see trials
risk
communication and 17, 44, 47, 99, 121, 152, 162, 166, 168–9, 183, 197–202, 224
factors 5
infectious disease and 4, 7, 10, 16, 32, 36, 41, 52, 55, 57, 72, 74, 84, 87, 96, 100–1, 124, 152, 155, 162–5, 167–9, 184, 188, 194, 196, 200–1, 221, 226–8, 231
management and 6, 13, 15–16, 35, 38, 42, 57, 73, 91, 124, 152, 155, 162–3, 167–9, 182, 184, 225, 227–8
public understanding and 16–17, 45–6, 57, 80, 99, 121, 128, 131, 152, 155, 162–5, 168–9, 181, 193, 196, 199, 205, 221, 226, 228
reputation of authorities and 15–16, 33, 73, 99, 102, 120, 127, 135, 152, 162, 165
sociological definition 150–3, 181, 198–9, 202, 205
specific populations and 80–1, 91, 94, 100, 163–4, 199, 204, 226
vaccines and 39, 41, 54, 72, 74, 78, 80, 95–6, 99–101, 120, 128, 150, 152, 155–60, 162–3, 169, 196, 200–1, 221, 226
routine vaccination 1–2, 7, 11, 15–16, 72–102, 114, 126, 133, 150, 153, 164, 167, 185–6, 220–5
rubella 17, 137, 153, 163–9, 180–1, 187, 190, 193, 196–7, 225
Sabin, Albert, vaccinologist 132, 133
Salk (vaccine) 120, 124, 126–30, 134–6, 150, 221
Salk, Jonas, vaccinologist 119, 132, 221
scandal 6, 84, 90–1, 102, 190, 231–2
Alder Hey 195
Bristol Heart 195
BSE 192, 194
pertussis vaccine 4, 156–7, 189
thalidomide 155
see also crisis
schedule 3, 15, 36, 117, 153, 205, 220, 222, 229
Scope see Spastics Society
Scotland 2, 73, 75, 80–1, 84–7, 92, 97, 126, 130–1, 198, 201–2
see also Scottish Office and individual town names
Scottish Office 73, 84–5, 97, 100, 120
see also Scotland
screening 166, 184
Shipman, Harold, general practitioner/serial killer 197
shortage 2, 93–4, 115–16, 123–4, 127–8, 131, 134, 162
smallpox eradication programme 5, 74, 100
Social Survey 39, 42–4, 48–60
Soviet Union 124, 132
Spastics Society (renamed Scope) 164–8, 197
Standing Medical Advisory Committee (SMAC) 97–8
Stoke-on-Trent 55
surgery (doctor's) 37, 87, 125
see also clinic
surveillance 32, 36–7, 61, 74, 149, 183–4, 188
see also monitoring
swine flu (H1N1) 204
targets (statistical benchmarks) 7, 14, 37, 41, 44, 89, 95, 149, 182, 185–7, 224–5, 229
technology 3, 6, 78, 97, 114–16, 123–4, 126, 132, 134, 136, 160–1, 188, 202, 204
thalidomide 155, 158, 160–1, 164, 194, 222
traveller 7, 80, 83, 85–6, 90, 94, 102
trials 1, 36, 74, 86, 95, 115, 119–20, 132–3, 136, 188
randomised-control 78, 119
trust 60, 194–6, 198–200, 205, 229
tuberculosis 6, 11, 117
Bacillus Calmette-Guérin (BCG) and 5, 12–14, 33–4, 78, 100, 120, 161, 224
Turton, Robin, Minister of Health 120, 126
United States
attitudes to vaccination and 2, 5, 101, 137, 170, 196
internet usage and 199–200
polio vaccine and 115, 119–27, 132–4, 224
smallpox vaccination and 101
uptake 10, 15–16, 31–2, 37–8, 41–4, 50, 52, 79–80, 87, 90, 95–7, 101, 121, 129–31, 136, 149–50, 160, 167, 180–3, 185–8, 202, 204, 221, 223, 226, 229, 232
Vaccination Acts 11, 85
vaccine-sceptic 189, 200–1
Vaccine Damage Payments Act 1979 152
variant Creutzfeldt-Jackob disease see bovine spongiform-encephalopathy (BSE)
variolation 10
Vaughan-Morgan, John, acting Minister of Health 125–6
Wakefield (town, West Yorkshire) 121
Wakefield, Andrew, medical researcher 180, 189–94, 196–7, 201–2
Wales 8, 72, 75, 83, 91, 95, 117, 126, 130–1, 136, 150, 220
see also individual town names
Walker-Smith, Derek, Minister of Health 129–31
welfare state 3, 34–5, 55, 150–1, 157, 160, 168–9, 222, 226, 231
Wellcome 120–1, 124, 127, 133
West Bromwich 134
women
attitudes towards 61
as caregivers 48, 86–7
rubella and 163–7
as targets of health education 49–50, 52, 164–7, 225
voluntary organisations and 89–90, 165–7
see also girls; mothers
Women's Voluntary Service 89
World Health Organization (WHO) 16, 74–5, 96, 100, 181–2, 185–8, 200, 202, 204, 224–5, 228
World Wide Web see internet
yellow fever 7, 225
Yellowlees, (Sir) Henry, Chief Medical Officer 166–7
Zika 1
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Vaccinating Britain

Mass vaccination and the public since the Second World War

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