Balmis arrived on February 9, 1804, in Puerto Rico, the beginning of the American stage of the Philanthropic Expedition of the vaccine that was to begin the campaign to spread the vaccine throughout Hispanic America, in the Philippines, in Macao and Canton and on the island of St. Helena. With this, the surgeon and the expeditionaries under his orders would go down in the annals for heading one of the most transcendental sanitary enterprises carried out in the history of mankind. However, in our historical research we reiterate that the arrival of the vaccine in Hispanic America did not occur exclusively at the hands of the Balmis Expedition. At the same time, in the approach and narrative, we vindicate the figure of Francisco Oller, a Spanish military surgeon, as the person responsible for the first vaccination campaign in a territory belonging to the Spanish overseas provinces. Thus, the surgeon deserves to be considered as a distinguished figure at the dawn of public health. The historical method used is based on unpublished primary sources from the 19th century, contemporary to the facts studied, documents from the 18th century corresponding to the history of the surgeons involved, and literature obtained from the main national and international databases. The results are presented in the form of an in-depth narrative of Oller's biography with new data on this relevant character. However, we do not propose its examination as a traditional biography, but as a synthesis work that highlights facts not yet sufficiently integrated as part of the universal medical and cultural heritage.
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http://dx.doi.org/10.1016/j.vaccine.2025.126875 | DOI Listing |
Vaccine
April 2025
Departamento de Anatomía Patológica, Histología, Historia de la Ciencia, Medicina Legal y Forense y Toxicología, Facultad de Medicina, Universidad de Cádiz, E-11003 Cádiz, Spain. Electronic address:
Balmis arrived on February 9, 1804, in Puerto Rico, the beginning of the American stage of the Philanthropic Expedition of the vaccine that was to begin the campaign to spread the vaccine throughout Hispanic America, in the Philippines, in Macao and Canton and on the island of St. Helena. With this, the surgeon and the expeditionaries under his orders would go down in the annals for heading one of the most transcendental sanitary enterprises carried out in the history of mankind.
View Article and Find Full Text PDFMicrobiome
January 2025
Instituto de Investigación de La Viña y El Vino, Escuela de Ingeniería Agraria, Universidad de León, Avenida de Portugal, 41, León, 24009, Spain.
Medicina (Kaunas)
June 2023
Departamento de Anatomía Patológica, Biología Celular, Histología, Historia de la Ciencia, Medicina Legal y Forense y Toxicología, Facultad de Medicina, Universidad de Cádiz, E-11003 Cádiz, Spain.
The Royal Philanthropic Vaccine Expedition is considered in the history of medicine as the first international health expedition aimed at the global elimination of a contagious disease: smallpox. However, the initiatives carried out in this way before the arrival of the Balmis Expedition, by surgeons from the Spanish Navy, are less well known. Thus, the main objective of this research work is to offer an overview of the different anti-variolic vaccination initiatives prior to the campaign financed by the Spanish crown from these health facilities.
View Article and Find Full Text PDFLancet Public Health
March 2022
Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA; Brown University School of Public Health, Providence, RI, USA. Electronic address:
Background: The US overdose crisis is driven by fentanyl, heroin, and prescription opioids. One evidence-based policy response has been to broaden naloxone distribution, but how much naloxone a community would need to reduce the incidence of fatal overdose is unclear. We aimed to estimate state-level US naloxone need in 2017 across three main naloxone access points (community-based programmes, provider prescription, and pharmacy-initiated distribution) and by dominant opioid epidemic type (fentanyl, heroin, and prescription opioid).
View Article and Find Full Text PDFAnaesthesia
January 2022
NIHR Global Health Research Unit on Global Surgery, Birmingham, UK.
SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk of venous thromboembolism. We conducted a planned sub-study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020.
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