Vaccination means giving a someone a substance that makes an immune system reaction. The immune system is the way a body fights infection. The immune system's reaction makes someone less likely to get that infection.
Immune or immunity means that you can not get an infectious disease because your immune system knows how to fight that disease. If you get exposed to the virus or bacteria that causes the disease you will fight it and not get sick.
Another word used for vaccination is immunization. These words mean things that are a little different. Vaccination is when a person is given something to make the immune system learn to fight an infectious disease. Immunization is when a persons immune system learns to fight an infection. Immunization can happen from vaccination. But immunization can also happen from getting the infection. For example, you can be immune to hepatitis B if you get sick with hepatitis B. After you get hepatitis B and then get well, you are immunized from getting it again. You can also immunized to hepatitis B by taking the hepatitis B vaccination.
So vaccination and immunization have meanings that are a little different. But when people say these words, they usually mean the same thing. People say immunization to mean the same thing as vaccination.
So Edward Jenner gave the boy cowpox in the same way people tried to give smallpox. Then six weeks later he scratched smallpox into the boy's skin. And the boy did not get sick from smallpox. This boy was the first person ever to get a vaccination.
It was not until almost 100 years after the smallpox vaccination that medicine discovered the next vaccination. In 1879 the vaccine for cholera was discovered. Since then we have discovered vaccinations for 28 different infectious diseases.
This is important in people too. If 95% of people in a place are immune from a disease, the other 5% are safer. There will just not be as much of that disease around to get.
The people who are in the 5% are there for many reasons. Some got the vaccine but did not react to it. Their immune system did not learn how to fight it well. Some of them are too sick to get the vaccine. It can be children who are too sick with other diseases to get vaccines. It can be a pregnant woman who cannot get the vaccine because it could hurt her baby. It can be a person with cancer who does not have a strong immune system. It can be an older person who has a weak immune system.
So if everyone in a place gets vaccinated, it protects these people too. If they are not protected by herd immunity, they can get more sick from an infection. They get the infection more easily and they get sicker from it. So it is important that people who are healthy get their vaccinations. It protects the healthy people. But it also is important to protect other people who are old, weak, or sick.
Vaccines also can make people very sick. Almost all people who get a vaccination do not get sick from it. Some people get a little sick. They may get fever or feel sick. This gets better in a few days. A very very small number of people can get very sick. So people see that vaccines can make people sick. But they do not see how sick more people would be if we did not vaccinate people. So they only think about the risks vaccines cause. They do not think as much about the risks of not giving vaccinations.
Some people chose not to get vaccinations because of the small risks. Parents may not give their children vaccines. These people also depend on herd immunity. If most children do not get mumps children who do not get the mumps vaccine are also safe. But if enough children do not get the mumps vaccine, or if the vaccine does not work as well as expected, mumps comes back, afflicting older people for whom the disease is more severe. That would be called an epidemiological shift. Then all people who are not immune may get sick. These might be healthy people who chose not to get the vaccine. They might get sick, but will usually get well. Sick people who depend on herd immunity will also get sick. Some may get very sick and even die.
All big medical organizations say that vaccines are safe. They say vaccines stop much more sickness than they make. The World Health Organization, the American Medical Association, the American Academy of Pediatrics, and the United States Centers for Disease Control all support vaccination.
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