Prof Sheena Cruickshank (she/her) Profile picture
Mar 30, 2023 9 tweets 3 min read Read on X
Happy #VaccineConversations day today. A short 🧵 on evolution of vaccine development.. @britsocimm
We may not always appreciate those shots in the arm we get against disease such as flu and covid but the science behind them and the story of how vaccines developed is fascinating
The developments in vaccination came in answer to a terrible often lethal disease- smallpox. This disseminated country’s population and survivors were scarred and even blinded.
A practice called variolation was developed in countries such as China, Iran and African nations whereby smallpox pustules were pierced or scraped and the material used to inoculate another uninfected person- in essence trying to give someone a weaker form of the virus
It worked! But not always with around 1% risk of death. An African slave Onesimus introduced it to Americans in and Lady Mary Wortley Montagu, inspired after travels in Turkey introduced it to the UK in 1721
However it’s Edward Jenner that really developed this idea- observing cowpox (vaccinia) survivors were immune to the virus and he used variolation from cowpox pustules to inoculate a boy in 1796. He coined it vaccination (after vaccinia)
After this other vaccines were developed based on principles of weakening pathogens or looking for related less harmful pathogens by early pioneers such as Pasteur
But it wasn’t until we understood more about immunology and how immune cells see pathogens that we could develop more sophisticated vaccines- e.g selecting just the target(s) that the immune system recognises.
Vaccines have been a game changer in protecting us from a whole host of deadly diseases and they have resulted in the eradication of small pox, reduction in polio and even cervical cancer. education.nationalgeographic.org/resource/vacci…

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More from @sheencr

Jul 16, 2023
‘She started getting death threats and other abusive and obscene messages from anti-vaxxers accusing her of killing her own child.’ - this is a quote about a bereaved mum whose child died of anaphylaxis and was to young to have been considered for a vaccine anyway
We need to talk about the harms the people are doing who are seizing on people dying to claim they were killed by vax irrespective of whether vax or not.
Read 8 tweets
Jun 30, 2023
Sad to see the old myth of the immune system being a muscle that requires constant infection as a child to keep working. Its just not true and actually it can be risky too
If you look at mortality data from the 1800s our average lifespan was 40 and yes there was a big distribution and one factor was that many kids died of infection before the age of 5
Lots of reasons for that including malnutrition (which is dire for your immune system), poor hygiene and water supply and we didn’t have vaccines or antibiotics and once we had those things we did see lifespan increase 🎉
Read 9 tweets
May 23, 2023
Good review summarising areas of research focus needed to understand why some people get Long Covid elifesciences.org/articles/86015
This causes a wide range of symptoms affecting different organ systems, including heart, respiratory, and neurological.
There are two main theories which overlap - one is about viral persistence
- the virus enters cells via receptor called ACE 2 - this is not exclusive to the lungs. So might this cause issues elsewhere?Why an acute infection would cause these longer term issues is unclear though.
Or is it persistence of viral fragments or antigens- not an infection any more but enough to trigger that immune response? Studies have certainly shown some individuals with persistent antigen 4 months after disease.
Read 9 tweets
Mar 30, 2023
Another #VaccineConversation about the COVID vaccines - what we are using here in UK and where we might go next. First mRNA vaccines- many of us have had these now and @britsocimm made this brilliant infographic of how they work
They are super easy to adapt quickly and can be made using information for more than one variant- so last autumn they used info (mRNA) from a newer COVID variant and the original ancestral strain to evoke an immune response
They are not actually a new technology and have been tested in labs for years with, at the time of COVID human trials for a variety of infections nature.com/articles/d4158…
Read 6 tweets
Mar 28, 2023
For those who say disinformation about covid vaccines matters less now cos many are vaccinated (and that is a whole debate in of itself) this affects all vaccine trust
Just sitting in a research talk now showing massive drop off post covid in flu vaccine uptake in poorer deprivation areas
Also been data showing lower uptake of mmr etc e.g nuffieldtrust.org.uk/resource/vacci…
Read 4 tweets
Mar 15, 2023
Today is #LongCovidAwarenessDay
LongCovid is a condition comprising often severe symptoms that can affect many different organs. It occurs following infection with SARS-CoV-2. Symptoms include cardiovascular, respiratory, neurological as summarised by @EricTopol and colleagues
Its REALLY common. Estimates vary - it occurs in at least 10% of Covid 19 infections and around 65 million individuals worldwide are estimated to have Long Covid.
It can occur irrespective of severity of the initial disease and any person of any age can be affected. The highest percentage of diagnoses are between the ages of 36 and 50 years but even children are affected. longcovidkids.org
Read 8 tweets

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