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West African Variolation Knowledge Transmitted to the Americas via Onesimus

1721 (knowledge conveyed c. 1716; campaign 1721-1722)·Science, technology & invention·Boston, Massachusetts Bay Colony (British North America)·
1721 (knowledge conveyed c. 1716; campaign 1721-1722)Date
Science, technology & inventionCategory
31Empires active
Date
1721 (knowledge conveyed c. 1716; campaign 1721-1722)
Category
Science, technology & invention
Region
Boston, Massachusetts Bay Colony (British North America)
Era
Early Modern
Significance

Onesimus, a West African man (likely of Akan/Coromantee origin from the region of modern Ghana) enslaved in Boston in the household of Puritan minister Cotton Mather, described around 1716 a longstanding African practice of inoculation against smallpox, telling Mather that people would take matter from a smallpox sore, cut the skin, and introduce a drop to confer lifelong immunity; he showed Mather a scar from his own procedure.

This variolation technique had been practiced for generations across sub-Saharan Africa, the Middle East, and Asia but was largely unknown in the British American colonies. When a severe smallpox epidemic struck Boston in 1721, infecting roughly 5,759 of about 10,600 residents and killing about 844 (a natural-case fatality rate near 15 percent), Mather drew on Onesimus's account to urge the city's physicians to attempt inoculation. Only Zabdiel Boylston agreed, and he inoculated about 247 people, of whom only 6 died (roughly 2 percent), a dramatically lower mortality than among those who contracted the disease naturally. This episode marked the first organised use of inoculation in the Thirteen Colonies and helped lay the empirical groundwork for later vaccination, even as the African source of the knowledge was long minimised.

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Empires active in 1721 (knowledge conveyed c. 1716; campaign 1721-1722)

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