Preprint / Version 1

The Impacts of Smallpox Vaccination on British India

Analysis of the Ambivalent Impacts of Smallpox Vaccination Campaigns on the Population of British India (1858–1947)

##article.authors##

  • Pierre-Alexandre Comte Ecole Moser
  • Sandra Leporati Ecole Moser

DOI:

https://doi.org/10.58445/rars.2030

Keywords:

British India, Public health campaigns, Colonial medicine, Smallpox, Jennerian vaccination

Abstract

The eradication of smallpox in 1980 remains one of the most significant events in the history of global health. Indeed, to this day, it is the only human disease to have been successfully eradicated thanks to medical advances. However, an examination of the measures implemented in British India (1858–1947) to fight the variola virus reveals the ambivalent nature of colonial policies and their considerable impact on societal, cultural, and economic structures.  

This paper explores the dual impact of smallpox vaccination campaigns, by first providing a clear overview of the complex historical and medical background of the subject. Indeed, on one hand, it presents the significant benefits they had on the country’s public health. On the other hand, it also explores the devastating impacts of such measures on India’s cultural heritage and economic prosperity. This research reveals that colonial medical initiatives, which were often presented as acts of benevolence, were in fact frequently used as instruments of control, fostering resistance among the Indian population - resistance that ultimately became an important factor in the country's struggle for independence.  

By addressing all these aspects, this paper provides a thorough assessment of the various measures implemented during the vaccination campaigns in British India. This approach offers an understanding of the ambivalent legacy of colonialism, the ethical dilemmas of public health interventions, and the enduring importance of critical reflection on history to address contemporary global challenges.

Author Biography

Sandra Leporati, Ecole Moser

Master's degree in History and Philosophy, University of Geneva

Master's degree in History Education, University of Geneva

Master's degree in Philosophy Education, University of Geneva

Diploma in Teaching French as a Foreign Language, University of Geneva

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Minsky Lauren, op. cit. cit, p.176

Ira Klein, op. cit. cit., p.644

“India writes in many languages and speaks in many more voices” in Ministry of Education - Government of India, https://www.education.gov.in/hi/sites/upload_files/mhrd/files/upload_document/languagebr.pdf, accessed 6 September, 2024

V. P. S. Raghuvanshi, “Religious life in India at the advent of British rule” in Proceedings of the Indian History Congress, Vol. 23, Part – II, Indian History Congress, Calcuta, 1961, p. 103

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Shaun Walker, “The last of the Zoroastrians,” https://www.theguardian.com/world/2020/aug/06/last-of-the-zoroastrians-parsis-mumbai-india-ancient-religion, accessed September 7, 2024

DANNETT Scarlett Dennett, “Missionary activity in India in the 19th century”, https://medium.com/special-collections/missionary-activity-in-india-in-the-19th-century-b155d4965a3d, accessed 8 September, 2024

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Anne Marie Moulin, “La Médecine au prisme des civilisations”, in Civilisation: questionner l’identité et la diversité, Odile Jacob, Paris, 2022 Moulin, p.223

Thinley Kalsang Bhutia, “Sanctity of the Cow,” February 5, 2018, https://www.britannica.com/topic/sanctity-of-the-cow, accessed September 8, 2024

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

Marvin Harris, “India's sacred cow” in “Human Nature February 1978 – Vol.1 No.7 to 12”, Harcourt Brace Jovanovich, 1978, p.202

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

T.N. Madan, “India's Religions - Perspectives from Sociology and History”, Oxford University Press, London, 2011, p.2

Anne Marie Moulin, op. cit. cit., p.223

Minsky Lauren, op. cit. cit, p.167

“Punjabi Community Profile” in Ethnic Council of Shepparton and District, https://ethniccouncilshepparton.com.au/?p=296, accessed September 8, 2024

Minsky Lauren, op. cit. cit, p.167

Ibdi.

Aakanksha Gaur , “Shitala” in Encyclopedia Britannica, February 22, 2024, https://www.britannica.com/topic/Shitala, accessed September 8, 2024

Minsky Lauren, op. cit. cit, p.167

Minsky Lauren, op. cit. cit., p.170

Minsky Lauren, op. cit. cit, p.169

“Thandi (thandi) - Meaning in English”, in Shabdkosh - English and Indian Language Dictionaries, https://www.shabdkosh.com/dictionary/hindi-english/thandi/thandi-meaning-in-english, accessed 8 September, 2024

David Arnold, op. cit. cit., p.73

David Arnold, op. cit. cit., p.123

Anne Marie Moulin, op. cit. cit., p.234

David Arnold, op. cit. cit., p.71

“History of Indian Economy” in Consulate General of India Jeddah, https://cgijeddah.gov.in/web_files/267622636-History-of-Indian-Economy.pdf, accessed 20 August, 2024

Swaminathan S. Anklesaria Aiyar, “Indian Nationalism and the Historical Fantasy of a Golden Hindu Period”, https://www.cato.org/policy-analysis/indian-nationalism-historical-fantasy-golden-hindu-period#bjp-becomes-fan-angus-maddison , accessed 13 August, 2024

Ibid.

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

Minsky Lauren, op. cit. cit., p.170

“ Vaids “ in Rekhta Dictionary, https://www.rekhtadictionary.com/meaning-of-vaid, accessed July 5, 2024

“Ayurveda” in Better Health Channel, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ayurveda, accessed July 5, 2024

Emily Rodriguez “Unani medicine” in Encyclopedia Britannica, July 14, 2023, https://www.britannica.com/science/Unani-medicine, accessed July 5, 2024

Minsky Lauren, op. cit. cit., p.170

Sanat Pai Raikar, “Presidencies in British India: Bombay, Madras, and Bengal” in Encyclopedia Britannica, 18 March, 2024, https://www.britannica.com/topic/presidencies-in-British-India-Bombay-Madras-and-Bengal, accessed 14 July, 2024

“Annual report on vaccination in the Madras Presidency and on the work of the Vaccine Section of the King Institute of Preventive Medicine, Guindy for the year 1913-14. “, Superintendent Government Press., Madras, 1914 , https://digital.nls.uk/indiapapers/browse/archive/91178268, accessed September 18, 2024, pp.4 to 5

Author's note: The lack of data, as well as the lack of clarity in the reports as to whether or not inflation is taken into account, prevent the exact equivalence in terms of purchasing power from being determined.

Minsky Lauren, op. cit. cit., p.182

Ibid.

English by the author: “Tahsildar”, in Dictionary.com, https://www.dictionary.com/browse/tahsildar, accessed on 20 August, 2024

“About Us” in Kharar Municipal Council, http://mckharar.in/test/city_introduction.html, accessed August 20, 2024

Minsky Lauren, op. cit. cit., p.182

“ Economic Diversification Guidance Note “ in World Bank, https://ieg.worldbankgroup.org/sites/default/files/Data/reports/EconomicDiversification.pdf, accessed September 29, 2024

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

Minsky Lauren, op. cit. cit., p.174

Muhammad Umair Mushtaq, op. cit. Cit.

Graph realised by the author, based on data from : Mark Harrison, “Public Health in British India: Anglo-Indian Preventive Medicine 1859-1914”, Cambridge University Press, Cambridge, 1994, pp.243-245

Ibid.

Mark Harrison, “Public Health in British India: Anglo-Indian Preventive Medicine 1859-1914”, op.cit., p.173

Minsky Lauren, op. cit. cit., p.168

Muhammad Umair Mushtaq, op. cit. Cit.

Chandrakant Lahariya, op. cit. Cit.

Minsky Lauren, op. cit. cit., p.179

Minsky Lauren, op. cit. cit, p.180

Minsky Lauren, op. cit. cit, p.180

Ira Klein, “Death in India, 1871-1921,” in “The Journal of Asian Studies, Vol. 32, No. 4,” Duke University Press, Chicago, 1973, p.644

David Arnold, “Science, Technology and Medicine in Colonial India”, Cambridge University Press, Cambridge, 2000, p.89

Minsky Lauren, op. cit. cit, p.182

Minsky Lauren, op. cit. cit., p.178

Minsky Lauren, op. cit. cit., p.182

Minsky Lauren, op. cit. cit., p.176

Minsky Lauren, op. cit. cit., p.179

Hoskins E.J., “First Annual Report of the Ranchee Circle of Vaccination for 1867-68,” Office of Superintendent of Government Printing, Calcutta, 1868, https://digital.nls.uk/indiapapers/browse/archive/91534243, accessed September 29, 2024, p.2

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

“History of the smallpox vaccine” in World Health Organization, op. cit.

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

Translated from French by the author : “Lancette” in Le Robert, https://dictionnaire.lerobert.com/definition/lancette, accessed October 13, 2024

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

Martina Gosteli, “Smallpox vaccination – just a small cut in the skin”, https://www.uzh.ch/blog/hbz/2021/05/31/smallpox-vaccination-just-a-small-cut-in-the-skin/, accessed 13 October, 2024

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

David Arnold, op. cit. cit., p.74

Kenneth Pletcher, “Tilak” in Encyclopedia Britannica, February 24, 2010, https://www.britannica.com/topic/tilak, accessed February 29, 2024

David Arnold, op. cit. cit., p.74

Translated from French by the author : Françoise Salvadori, “La longue histoire des résistances à la vaccination”, https://planet-vie.ens.fr/thematiques/sante/prevention/la-longue-histoire-des-resistances-a-la-vaccination, accessed on 29 February, 2024

Ira Klein, “Death in India, 1871-1921,” in “The Journal of Asian Studies, Vol. 32, No. 4,” Duke University Press, Chicago, 1973, p. 650

Ira Klein, op. cit. cit., p.651

“Malaria” in Centers for Diseases Control and Prevention, https://www.cdc.gov/dpdx/malaria/index.html , accessed October 24, 2024

Muhammad Umair Mushtaq, op. cit. Cit.

Satheesh Palanki, “Smallpox Under the Raj: Resistance Policies and the Indigenous Response in Colonial Malabar, 1800–1900,” https://journals.sagepub.com/doi/full/10.1177/02576430231183518, accessed October 5, 2024.

Ramesh Mehta & Buddhdev Pandya & Soumit Dasgupta, “Colonial India: Health care and lessons,” https://sushrutajnl.net/index.php/sushruta/article/download/101/185, accessed October 5, 2024

David Arnold, op. cit. cit., p.123

Niels Brimnes, “Variolation, Vaccination and Popular Resistance in Early Colonial South India,” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC546339/, accessed October 5, 2024

“The British Impact on India, 1700–1900” in Association for Asian Studies, https://www.asianstudies.org/publications/eaa/archives/the-british-impact-on-india-1700-1900/, accessed 5 October, 2024

Niels Brimnes, op. cit. Cit.

Ibid.

David Arnold, op. cit. cit., p.122

“Medical History of British India - vaccination” in National Library of Scotland, op. cit.

David Arnold, op. cit. cit., p.65

KULIK Rebecca M., “Quit India Movement” in Encyclopedia Britannica, accessed 18 March, 2024

Cynthia Knable, “India's Independence,” op. cit.

“Smallpox” in Our World in Data, https://ourworldindata.org/smallpox, accessed October 6, 2024

Olga Krylova & David J. D. Earn, “Patterns of smallpox mortality in London, England, over three centuries,” https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000506, accessed October 6, 2024

“Records of the General Register Office, Government Social Survey Department, and Office of Population Censuses and Surveys,” in The National Archive, https://discovery.nationalarchives.gov.uk/details/r/C244, accessed October 6, 2024

Olga Krylova & David J. D. Earn, “Patterns of smallpox mortality in London, England, over three centuries,” op.cit.

“Share of total deaths due to smallpox in select age groups in various parts of Europe during the Great Pandemic of 1870 to 1875” in Statista, https://www.statista.com/statistics/1107867/smallpox-share-smallpox-total-deaths-by-age-great-pandemic-historical/, accessed on 6 October, 2024

Edward A. Belongia & Allison L. Naleway, “Smallpox Vaccine: The Good, the Bad, and the Ugly,” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1069029/, accessed October 6, 2024.

“Smallpox Eradication Programme - SEP (1966-1980)” in World Health Organization, https://www.who.int/news-room/feature-stories/detail/the-smallpox-eradication-programme---sep-(1966-1980), accessed October 6, 2024

Alberto Giubilini & Thomas Douglas & Julian Savulescu, “The moral obligation to be vaccinated: utilitarianism, contractualism, and collective easy rescue”, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267229/, accessed October 6, 2024

David Arnold, op. cit. cit., pp.205 to 206

David Arnold, op. cit. cit., p.71

Translated from French by the author : Anne Marie Moulin, op. cit. Cit.

Paul Greenough, “Intimidation, coercion and resistance in the final stages of the South Asian smallpox eradication campaign, 1973-1975” in Social Science & Medicine Vol.4 No.5, Pergamon Press, Great Britain, 1995, p.633

Paul Greenough, op. cit. cit., p.635

Paul Greenough, op. cit. cit., p.633

Ibid.

“ Joint press release from WHO and UNICEF: measles cases across Europe continue to surge, putting millions of children at risk “ in World Health Organization, https://www.who.int/europe/news/item/28-05-2024-joint-press-release-from-who-and-unicef--measles-cases-across-europe-continue-to-surge--putting-millions-of-children-at-risk, accessed October 15, 2024

M. Lelinneth B. Novilla & Michael C. Goates & Alisha H. Redelfs & Mallory Quenzer & Lynneth Kirsten B. Novilla & Tyler Leffler & Christian A. Holt & Russell B. Doria & Michael T. Dang & Melissa Hewitt & Emma Lind & Elizabeth Prickett & Katelyn Aldridge, “Why Parents Say No to Having Their Children Vaccinated against Measles: A Systematic Review of the Social Determinants of Parental Perceptions on MMR Vaccine Hesitancy”, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224336/, accessed October 15, 2024

Translated from French “Faut-il faire vacciner son enfant pour l'inscrire à l'école, en crèche ou garderie ? “, in République Française, https://www.service-public.fr/particuliers/vosdroits/F767, accessed on 18 October, 2024

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2024-12-02

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