Working with health professionals, schools, and the public, to dispel myths about vaccination and make history of medicine relevant
Submitting InstitutionUniversity of Bristol
Unit of AssessmentPhilosophy
Summary Impact TypeSocietal
Research Subject Area(s)
Language, Communication and Culture: Literary Studies
History and Archaeology: Historical Studies
Philosophy and Religious Studies: History and Philosophy of Specific Fields
Summary of the impact
Professor Gareth Williams' research into the history of smallpox and
polio, and his associated work for the public understanding of vaccination
has influenced health professionals, teachers and educators, school
children, medical students, and the general public. His work has had four
sorts of impact:
- furthering the understanding of the history of medicine by health
professionals, medical and allied professions students, schoolchildren
and the general public;
- promoting the legacy of Edward Jenner, creator of the vaccine against
smallpox, thereby helping to preserve an important but neglected part of
the UK's intellectual heritage;
- advancing the public understanding of vaccination and helping to
dispel the myths which prevent full uptake of vaccines and informing
- raising awareness of the residual impact of polio and particularly of
In 2008 Gareth Williams (Professor of Medicine & Research Fellow in
Philosophy, University of Bristol; henceforth, GW) researched the history
of smallpox and vaccination. This work provided the basis for Angel of
Death , which describes the history of smallpox. This
110,000-word book is a comprehensive account of smallpox and its
eradication, from prehistory to the present day, covering the medical,
scientific, social and political aspects of the disease. The scientific
and medical basis of smallpox and vaccination are clearly explained and
the historical and current arguments for and against vaccination presented
in a balanced fashion. Primary sources included archives at the Edward
Jenner Museum (Berkeley), the Royal College of Physicians and the Wellcome
Library (London) and the Gladstone Library (Hawarden), and interviews with
British experts in smallpox, vaccines and germ warfare. The book has been
extremely well-received by medical professionals and historians (see
During 2011-2, GW researched and wrote Paralysed with Fear: the Story
of Polio  (128,000 words). This book is the first comprehensive
history of polio for over 40 years; the medical, scientific and social
aspects of the disease are covered comprehensively. The legacy of Polio is
also examined. The research was assisted by a grant from the Wellcome
Trust to visit the US to interview leading authorities on polio and
vaccination. Archives consulted included the Thackray Medical Museum
(Leeds), the British Polio Fellowship and the College of Physicians
(Philadelphia); there were also interviews of polio survivors in Britain
A central feature of GW's research has been to identify the sources of
opposition to vaccination. Since vaccination was first invented by Edward
Jenner, it has faced strong opposition from a variety of groups. GW has
also been invited to write articles for the Lancet and the British
Medical Journal about the history of vaccination, highlighting the
importance (and neglect) of Jenner and the Edward Jenner Museum [j, k]. He
supervised numerous medical student projects on the history of medicine,
including a project on the role of Benjamin Jesty in vaccination, which
was published as a full paper in the Maltese Medical Journal .
References to the research
1. Williams, G. (2010) Angel of Death: The Story of Smallpox
(Palgrave Macmillan) 448 pages. Listed in REF2.
2. Williams, G. (2013) Paralysed with Fear: the Story of Polio
(Palgrave Macmillan) 376 pages. Listed in REF2.
Grants: Travel grant from Wellcome Trust (2011); Appointed member
of the Wellcome Trust Expert Review Group in history of medicine and
Details of the impact
Publications. Both of GW's books recount the history of major
human scourges and the attempts to defeat them in a scientifically
rigorous fashion, while engaging the general reader as well as health
professionals. Angel of Death  has sold over 3,600 copies,
making this the second best-selling title in the Palgrave Academic History
series 2010-13, and the eighth bestselling history title for Palgrave
since 2000. It was shortlisted for the Wellcome Trust Book Prize 2010, the
BMA Medical Book Awards 2012 and for the Medical Journalists' Open Book
Awards 2011. Historian Michael Neve described the book as "medical history
at its absolute best". This book has led to over 60 invitations for GW to
speak at schools, health professional meetings, history societies and
literary festivals in Britain and abroad (see below). Paralysed with
Fear  has also garnered positive reviews from the general public,
professional publications and polio survivors in the short time since its
publication. The book was reviewed in the Lancet as "an incredible
story told by a great story-teller" [a]. Polio survivor and leader of the
Post-Polio News Service, Chris Salter, explains that `whilst bristling
with information [the book] manages to read like a novel'.
Presentations, lectures, webcasts and broadcasts. GW has given
numerous lectures to a variety of audiences in the UK and overseas, on the
history of smallpox, Jenner and vaccination, and the history of polio. The
same qualities of clarity, scholarship and accessibility praised in his
books have also been prominent in feedback from GW's lectures and
presentations, by both health professional and lay audiences (see below).
He has also appeared on national and international radio and TV to discuss
vaccination and smallpox, including the Today Programme (18/5/11), BBC
World Service, BBC World TV and BBC Parliament [b].
GW has recently given lectures on the history of polio at the Tavistock
Festival (29/04/13), the Edward Jenner Museum (where he was Writer in
Residence in June 2013), Gresham College (12/06/14), the Gladstone Library
(03/10/13), and the Heswall Festival (02/10/13). Future presentations
include the Thackray Medical Museum, Leeds (08/02/14). Dr Robert Spencer
of the Health Protection Agency comments that the audience for GW's
presentations is "very widespread — [including the] general public,
scientists, medical both junior and senior grades" [c].
GW's research has generated impact in several domains:
1) Engaging health professionals
GW has given numerous talks on the history of smallpox and polio
vaccination to physicians, nurses, and other health professionals.
Selected talks: Milroy Lecture to the Royal College of Physicians, London
(30/10/12); Anglo-French Medical Society (1/10/10); Royal College of
Physicians of Edinburgh (10/11/10); Anglo-Swiss Medical Society, Geneva
(16/2/11); Southmead Hospital, Bristol (5/9/11); Vaccine Development
Group, Merck Pharmaceuticals, Pennsylvania, US (11/11/11); Infection
Control Conference, South-West Region, Bristol (29/5/12); Rudolf Korec
Memorial Conference, Topolcianky, Slovakia (21/2/13); International Day
for Fighting Infection, Verona (23/4/13). Audience feedback from the 8th
Annual Infection Control Conference (29/5/2012), delivered to 184 NHS
professionals was very positive. 91% of delegates who responded thought
that GW's talk was `excellent' or `very good'. Several commented that the
talk was `very interesting' and GW was described as a `very knowledgeable
and inspiring speaker' [d].
GW has run seminars for the Health Protection Agency (29/11/10); Centre
Hospitalier Universitaire Vaudois, Lausanne (15/2/11); Research Summer
School, Faculté de Médecine, Angers (10/7/11, 3/7/12, 1/7/13); Bloomberg
School of Public Health, John Hopkins University, Baltimore (9/11/11). Dr
D.A. Henderson (University of Pittsburgh and Johns Hopkins University)
commented that in engaging medical professionals GW "is an especially
effective advocate" by his "open, friendly manner, and his internationally
respected knowledge of immunization" [e]. Dr Trevor Thompson (Reader in
Healthcare Education, University of Bristol) notes that GW "had a
considerable impact on the [medical] profession's awareness" of the
history of vaccination [g].
2) Promoting the history of medicine to medical and allied
GW speaks at the Research Summer School, Faculté de Médecine, Université
d'Angers (10/7/11, 3/7/12, 1/7/13). This annual EU-funded workshop brings
together 70 students in medicine and allied professions from across Europe
for a residential course. GW has given the introductory lecture at each
course since its inception. GW lectures students in the Faculty of
Medicine at the University of Bristol, their only formal lecture on the
history of medicine.
3) Engaging the public and schools
GW has spoken about vaccination in a wide variety of public fora, ranging
from schools to internationally renowned literary festivals. He has
addressed audiences of over 100 at the UK's two foremost literary
festivals, Hay Festival 2010 [g] and The Telegraph's Way with
Words festival 2011 [h]. Talks at schools include: St. George's School,
Montreux, Switzerland (14/2/11); Mockton Combe School, Bath (8/3/11);
Marlwood School, Thornbury (11/5/11); Redland Green, Bristol (13/9/11);
Clifton College, Bristol (4/5/12). Timna Lyons, Academic Mentor at Redland
Green School, notes that student feedback was "unanimously very positive",
citing the following student comments: "the explanation and stories made
[the workshop] very interesting"; "[the workshop] was very interactive";
"[GW] took real interest in everyone"; "use [GW] again". This evidences
the success of GW's approach in engaging young people in the history of
vaccination. He has also given other public lectures, including Thornbury
Arts Festival (29/4/10); University of Bristol Twilight Talks, Watershed,
Bristol (10/6/10); Cyder House Talks, Edward Jenner Museum (22/7/10);
Gladstone Festival, St. Deiniol's Library, Flintshire (9/9/10); Thornbury
Science Festival (7/7/11); Tavistock Music and Arts Festival, The Wharf
Arts Centre, Devon (23/4/12); Wellcome Trust series, `Matters of Life and
Death', Arnos Vale Cemetery, Bristol (4/413). GW addressed a public
audience of over 100 at Gresham College, London. His talk has been viewed
over 2,300 times [i]. Richard Taverner (firstname.lastname@example.org)
reports that numerous requests have been received for a full transcript of
the lecture. Widespread attention has also been given to GW's media work.
Public figures such as Clive Anderson (writer and television presenter)
have positively advocated his work. Dr Henderson noted that Angel of
Death was "widely reviewed and quoted" [e]. It has been warmly
reviewed in the Times Higher Education Supplement, the Lancet,
BBC History Magazine, The Times, New Scientist, Laboratory
News, The Week, and at www.historyextra.com.
4) Promoting Edward Jenner's legacy
GW has done much to promote the UK's intellectual heritage by campaigning
for greater recognition of Edward Jenner, the creator of the smallpox
vaccine. Unlike Alexander Fleming, who played an analogous role in the
history of bacterial disease, Jenner's achievement in the prevention of
viruses has not been sufficiently appreciated in this country. GW was a
Trustee at Dr Jenner's House, Berkeley (now the Edward Jenner Museum) from
2009-11 and was the Chair of the Trust from 2010-11 (http://www.jennermuseum.com/).
GW appears in the introductory video at the Jenner Museum and Angel of
Death is on sale. He is a regular speaker and fundraiser at the museum,
which receives the royalties from his book. He also speaks at the annual
Oxford Brookes infectious disease control nursing course held at the
museum. GW also helped lead the campaign to have Jenner's statue restored
from Kensington Gardens back to Trafalgar Square from where it was removed
by anti-vaccination groups soon after it was erected [k].
5) Patient advocacy
In May 2013, the British Polio Fellowship appointed GW one of their six
`Polio Ambassadors'. GW's role as Ambassador is to promote an
understanding of the historical importance of polio and the role of the
patient support groups in the UK and elsewhere, and to raise awareness
among health professionals and the general public of `post-polio
syndrome', which affects up to 120,000 polio survivors in the UK.
6) Promoting public health by helping to dispel myths about
GW helps to counter some of the myths surrounding vaccination and so
promote greater acceptance of its value. He explains the science and the
evidence base behind vaccination (especially against smallpox and polio),
and presents both sides of the debate over vaccination in an accessible
and lively way.
Sources to corroborate the impact
a. `Polio revisited'. Review of Paralysed with Fear by Paul
Offit. Lancet 381 2013, 1805-1806.
b. BBC World Service, Health Check, interview with Claudia Hammond
(17/5/10). Also interviewed on BBC World News on the same day. http://www.bbc.co.uk/programmes/p007k3xd
c. Dr Robert Spencer, Health Protection Agency.
d. Audience feedback from the 8th Annual Infection Control
e. Dr D.A. Henderson (University of Pittsburgh and Johns Hopkins
University Distinguished Service Professor), who led the WHO global
campaign to eradicate smallpox.
f. Dr Trevor Thompson (Reader in Healthcare Education, University of
g. `Angel of Death' Talk at Hay Festival 2010 (3/6/10) (http://www.hayfestival.com/p-2273-gareth-williams.aspx?skinid=16)
h. `The Great Vaccination Debate' Talk at The Telegraph's Ways With
Words Festival (17/7/11) (http://www.wayswithwords.co.uk/uploads/festivals/brochures/47.pdf)
(Audience figures provided by Kay Dunbar, Festival Director (email@example.com).
i. `From Jenner to Wakefield: The long shadow of the anti-vaccination
movement' Talk at Gresham College (29/9/11) (http://www.gresham.ac.uk/professors-and-speakers/professor-gareth-williams)
(Audience and download figures provided by Scott Morris, Gresham College (firstname.lastname@example.org).
j. Williams, G. (2011) `Dr Jenner's house: the birthplace of vaccination'
Lancet 378(9788): 307-308. 1.8 million registered online users.
Impact Factor 38.28 (source: www.thelancet.com/lancet-about).
k. `Put Jenner's statue back in Trafalgar Square' Editorial, British
Medical Journal 2010 340:665-6 (http://www.bmj.com/content/340/bmj.c1582.full).
Weekly print circulation 122,000 (65,000 overseas); 1,222,712 unique
browser downloads per month. Impact Factor 14.093 (source: www.bmj.com/about-bmj).