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Gareth Millward

how they were maintained. Successive British governments achieved this by responding to various challenges, including vaccine shortages, public scepticism over safety, scientific controversies and supply logistics. The schedule expanded from just two disease-prevention programmes in 1945 (smallpox and diphtheria) to around twenty routine and optional vaccines in 2018. 13 But this was not simply a government project to improve public health. The British public played a key role in shaping the priorities of the programme, in turn placing expectations on the British

in Vaccinating Britain
Open Access (free)
Gareth Millward

councils and MOHs. This caused great variation in the registration and uptake rates for vaccination across the country, as MOHs had different priorities and capacities within their local authorities (as was seen earlier with diphtheria and smallpox immunisation). In two cases, local scepticism even saw local authorities opt out of the scheme altogether. The health committee and MOH of Burton-on-Trent, Staffordshire believed that the national programme was in effect a giant experiment. They also objected to central government guidelines and control. Initially, therefore

in Vaccinating Britain