Susan Pedersen

Simply explaining the revolting details of mid-19th-century vaccination does much to render its critics understandable. Vaccination was hardly a matter of ‘clean needles’: at that time it did not involve needles at all. Instead, the infant’s skin was scored with a lancet in several places and viral material rubbed into the wound. Eight days later, the parent was required to bring the child back: those who had developed vesicles had the lymph harvested for direct application to another child. This ‘arm to arm’ method was cheaper than vaccination with calf lymph but was, unsurprisingly, much resented by the poor, who could neither prevent their children from being used as a sort of petri dish for the cultivation of vaccine material.

In January 1866, on a bitterly cold night, a man dressed in ragged clothes begged for a night’s lodging in the male casual ward of Lambeth workhouse. On entering, he was made to strip and plunge into bathwater so polluted with use that it looked ‘disgustingly like weak mutton broth’; he was then issued with a towel and a regulation striped cotton shirt, and shown into a...