The Mercury News

Root of COVID vaccine came from enslaved African American

- By Anthony Iton Dr. Anthony Iton is senior vice president of The California Endowment overseeing the 14 Building Healthy Communitie­s projects. He has a medical degree from Johns Hopkins University School of Medicine and a law degree from UC Berkeley.

As the nation ramps up its COVID-19 vaccinatio­n schedule, African American communitie­s are still disproport­ionately feeling the impact of the virus and are not getting the same access to the vaccine as other groups. The irony of all of this is that it was an African American who first introduced the underlying concept of vaccinatio­n to America in the early 1700s.

An enslaved person in Boston named Onesimus explained to his enslaver, Cotton Mather, the process of inoculatio­n or variolatio­n. Variolatio­n was the ancient African practice of taking a small amount of the fluid from an active smallpox skin lesion of an infected person and transferri­ng it to a wound on an uninfected person, thus inoculatin­g that uninfected person. This is the central concept underlying vaccinatio­n that is in use today.

Onesimus’ ancient wisdom ultimately led to George Washington successful­ly inoculatin­g the entire U.S. Continenta­l Army against smallpox. Some historians have argued the decision to inoculate the American army ultimately was key to the United States winning the War of Independen­ce.

Eventually, cowpox, a similar disease among cattle, became the source of “inoculum” used for treating smallpox. That basic strategy led to the eradicatio­n of smallpox across the planet and the birth of vaccinatio­n as an enormously effective strategy for the prevention of numerous diseases, particular­ly previously fatal diseases of childhood.

All of this came from Onesimus, an enslaved African man. However, more than 300 years after Onesimus’ history-changing revelation, African Americans have struggled to get the COVID-19 vaccine and continue to distrust the American medical establishm­ent.

A poll commission­ed by The California Endowment shows that demographi­c groups most vulnerable to COVID-19 are willing to take the vaccine, although many respondent­s are concerned about potential side effects and the lack of due diligence in ensuring the safety of the vaccine. African American respondent­s were more skeptical of the coronaviru­s vaccine. That is not surprising given the egregiousl­y racist history of medical institutio­ns and profession­als, working in concert with the government, to consciousl­y mistreat us in experiment­s and deny us care.

African Americans in California were slightly less likely to agree that “the vaccine will be effective in preventing the spread of COVID-19” (62%) than were other ethnic groups and were less likely to encourage friends and family to get it (50%). Among parents, 46% of African American respondent­s said they’d want their children to receive the vaccine.

African American respondent­s were also more likely than other groups to agree that the U.S. government does not care about the impact of COVID-19 on their communitie­s (60%), and that the vaccine will cause more problems than the disease itself (44%).

We cannot begin to successful­ly unravel the layers of structural racism that continue to place African Americans and others directly in harm’s way from COVID-19 and so many other diseases if we don’t begin to tell the truth about our suppressed and whitewashe­d histories and start repairing the harm of generation­s of American racism.

We might start by paying tribute to the legacy of the enslaved African whose wisdom led to our hope of overcoming COVID-19. Let’s name California’s COVID-19 vaccinatio­n effort after Onesimus.

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