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PhD Thesis - ResearchSpace@Auckland - The University of Auckland

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developments were also taking place. In New Zealand, pertussis vaccine was<br />

introduced in 1941 and its combination, firstly with diphtheria vaccine (as the double<br />

vaccine) and then with tetanus (as the triple vaccine) by the early 1950s was the<br />

subject <strong>of</strong> much discussion between the doctors and the Health Department. By this<br />

time the influence <strong>of</strong> the World Health Organization (WHO) on departmental<br />

immunisation decisions were plainly visible and WHO was wholeheartedly in favour<br />

<strong>of</strong> immunisation. BCG was introduced into schools during this period, and Britain<br />

had commenced a similar scheme. Nevertheless, the position <strong>of</strong> the United States was<br />

in stark contrast to New Zealand, because, as Georgina Feldberg and Linda Bryder<br />

have both pointed out, BCG was never used as part <strong>of</strong> a national immunisation<br />

programme. 48 This chapter discusses New Zealand’s initial enthusiasm for BCG and<br />

has shows how, despite universal uptake in the 1950s, the usefulness <strong>of</strong> BCG was<br />

being hotly debated less than ten years later.<br />

Chapter Four considers parental responses to the Department’s immunisation<br />

programmes. Most parents in this period (1941-62) were favourable to their <strong>of</strong>fspring<br />

receiving immunisation and accepted the advice <strong>of</strong> the Department and doctors, <strong>of</strong>ten<br />

without question. <strong>The</strong> Health Department believed it was a mother’s duty to have her<br />

children immunised and failure to do so was perceived as negligence. Hammonds has<br />

argued that this was also an integral belief <strong>of</strong> the health authorities in the earlier New<br />

York City diphtheria immunisation campaign <strong>of</strong> 1929-32. 49 Opposition to the Health<br />

Department’s immunisation programmes in New Zealand came from the BUAV<br />

although its overall impact was negligible. <strong>The</strong> BUAV’s shift in focus from the mid-<br />

1950s to concentrate on vivisection meant there was no further organised anti-<br />

immunisation group in New Zealand until the 1980s.<br />

Some resistance to immunisation came from Maori, whose children had been<br />

receiving typhoid immunisations since the 1920s. From the 1940s Maori began to<br />

question the consent process as permission to immunise was only required from tribal<br />

committees as the Department thought it was too difficult to obtain parental<br />

48 L. Bryder, ‘We shall not find salvation in inoculation: BCG vaccination in Scandinavia, Britain and<br />

the USA, 1921-1960’, Social Science and Medicine, 49, 1999, pp.1157-67.<br />

G. Feldberg, Disease and Class. Tuberculosis and the shaping <strong>of</strong> modern North American society,<br />

New Jersey, 1995.<br />

49 E. M. Hammonds, Childhood’s Deadly Scourge: <strong>The</strong> Campaign to Control Diphtheria in New York<br />

City, 1880-1930, Baltimore, 1999.<br />

21

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