close confinement to an house, are, according to my estimation, no small matters." with this act, john adams set a precedent for many. at the time of his inoculation, the practice was still highly controversial and distrusted by most. this stemmed from the cases in which inoculation patients died as a result of the contracted disease. additionally, there was always the risk of inoculation patients unintentionally infecting others. however, adams understood that the benefits of inoculation far outweighed the potential risks. having a background in medicine, adams strove to educate others on his findings and beliefs. john adams was certainly a leading figure in the american revolution; he played many important roles and was known to many. adams was able to spread his progressive beliefs about public health programs such as inoculation by taking advantage of his status during this time. in july 1776, abigail and their four children, charles, nabby, thomas, and john quincy, were all inoculated. implications for public health many of the leading figures associated with the american revolution were also involved in the attempt to stop the disastrous spread of smallpox throughout the american colonies and beyond. such individuals included george washington, thomas jefferson, john adams, and benjamin franklin, among others. prior to the steps made by these parties, public health policies in the colonies were not well established; they were limited to emergency situations. this is to say that policies and programs sprung up around epidemics and quarantines, wherever they were needed in the moment. however, the scourge of smallpox prompted changes to be made that would impact the public health of america for years to come. at the time of its introduction, almost all colonists were extremely wary of this new medical procedure. it was difficult for them to understand how the infection of an otherwise healthy individual could have a positive outcome. however, inoculation saved many lives and may have protected the continental army from destruction. the smallpox inoculation program paved the way for the global public health system that is responsible for the control and eradication of many deadly diseases, including but not limited to polio, measles, and diphtheria.