Anthrax vaccines known to result in far less scarring, and greatly reduced mortality, in comparison with the naturally acquired disease. The English physician Edward Jenner (1749–1823) had also discovered (1796) the process of vaccination by using cowpox to give cross-immunity to smallpox and by Pasteur's time this had generally replaced the use of actual smallpox material in inoculation. The difference between smallpox vaccination and anthrax or chicken cholera vaccination was that the weakened form of the latter two disease organisms had been "generated artificially", so a naturally weak form of the disease organism did not need to be found. This discovery revolutionized
Vaccination policy However, mandatory vaccination policies raise ethical issues regarding parental rights and informed consent. To eliminate the risk of disease outbreaks, at various times governments and other institutions established policies requiring vaccination. For example, an 1853 law required universal vaccination against smallpox in England and Wales, with fines levied on people who did not comply. In the United States, the Supreme Court ruled in "Jacobson v. Massachusetts" (1905) that states have the authority to require vaccination against smallpox during a smallpox epidemic. All U.S states require that children be vaccinated in order to attend school; only three states (Mississippi, West Virginia,