Mozart and smallpox the imperial family were successful, and led to greater public acceptance for the procedure. Smallpox struck the Mozart family again in the next generation: Nannerl's eldest son Leopold and two of her stepchildren caught the disease during an outbreak in the Salzburg area in 1787. All three children survived. In 1796, the discovery of vaccination—the use of the related cowpox virus to immunize against smallpox—by Edward Jenner revolutionized the ability of medicine to deal with smallpox. Vaccination reached Vienna around 1800, when yet another local epidemic created impetus for its adoption. One of the doctors trained in the Vienna campaign,
Mozart and smallpox increased crowding, making it easier for the disease to spread; yet effective protection from smallpox through a smallpox vaccine was discovered only at the end of the century (see below). The disease was a terrible one for its victims. Ian and Jenifer Glynn write: So what was it like? As children, we were told it was like chickenpox but worse. In fact it is not related to chickenpox, and it was unimaginably worse. In an unvaccinated population, something like 10–30 percent of all patients with smallpox would be expected to die. And dying was not easy; smallpox was, as Macaulay