A contagious disease is spread directly from person to person. When a high percentage of the population is vaccinated, it is difficult for infectious diseases to spread, because there are not many people who can be infected. For example, if someone with measles is surrounded by people who are vaccinated against measles, the disease cannot easily be passed on to anyone, and it will quickly disappear again. This is called ‘herd immunity’ or ‘community immunity’, and it gives protection to vulnerable people such as newborn babies, elderly people and those who are too sick to be vaccinated.
Herd immunity does not protect against all vaccine-preventable diseases. The best example of this is tetanus, which is infectious but not contagious. It is caught from bacteria in the environment, not from other people who have the disease. No matter how many people around you are vaccinated against tetanus, it will not protect you from tetanus.
Herd immunity only works if most people in the population are vaccinated (for example, 19 out of every 20 people need to be vaccinated against measles to protect people who are not vaccinated). If people are not vaccinated, herd immunity is not guaranteed to protect them.
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Credit: The History of Vaccines is an award-winning informational, educational website created by The College of Physicians of Philadelphia, one of the oldest medical societies in the United States. A group of prominent Philadelphia physicians, including Declaration of Independence signer Benjamin Rush, established the College in 1787 “to advance the science of medicine and to thereby lessen human misery.”