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Les diagrammes suivants illustrent la mAthode. 1 2 3 1 2 3 4 5 6 COMPARATIVE SKETCH Of THE EFFECTS OF VARIOLOUS AND VACCINE INCCUILATION', BEING AN ENUMERATION OF FACTS NOT GENERALLY KNOWN OR CONSIDERED, BUT WHICH WILL ENABLE THE PUBLIC TO FORM ITi OWN JUDGMENT ON THE PROBABLE IMPORTANCE OF THB JEMJVERI^J¥ IDUSC OVERT. » — §»••* BY THOMAS PRUEN. *' Nolo virum, facili redimit qui tanguine famam : Hunc volo, laudari ^ui sine morte potest. Mas- SRINTED FOR PHILLIPS, CROSBY, MURRAY, DWYER, AND OTHER BOOKSELLERS. 1807. PRINTED BY H. RUFF, CHELTENHAM. TO THE RIGHT HONORABLE JLABY CJREWE, WHOSE CHARACTERISTIC BENEVOLENCE HAS BEEN EMINENTLY DISPLAYED IN HER LADVSHIPS EXERTIONS TO PROMOTE THE GENERAL PRACTICE OF VACCINATION,— A PRACTICE FROM WHICH HUMANITY JUSTLY AUGURS THE MOST BENEFICL\L RESULTS, THIS LITTLE COMPOSITION IS RESPECTFULLY DEDICATED BY HER LADYSHIP'S MOST OBLIGED AND OBEDIENT HUMBLE SERVANT, THE COMPILER, ADVERTISEMENT. X HE Compiler of this little Work, havinp; ex- perienced in his own family some of the aHlict- ing evils attending the Small-pox Inoculation, and the striking contrast afforded by the Vac- cine, and having had frequent opportunities of knowing the widely-extended progress and suc- cess of the New Practice, is induced to lay be- fore the Public, the result of a search that has riveted his confidence in it. His original Plan embraced an Appendix of important documents, which, on consideration, he is induced to sacrifice to conciseness ; and he cannot but indulge a hope that the humble task he has undertaken will not be without its benefits, trusting, as he confiuencly docs, to those reflections, the aggregation of faces can- not fail to excite in every unprejudiced mind. WOODBINF-LODCE, ClfELTENUAM, March 13, 1SU7. VI CONTENTS I SECT. I. On the Mortality occasioned by the natural Small-pox, SECT. II. On the Ejects of Small-pox Inoculation, SECT. III. On the Discovery and Practice of the Cow-pox Inocula* tion, SECT. IV. On the Progress of Vaccination in Great Britain and Ireland. SECT. V. On the Comparative Merits of Variolous and Vaccine Inoculation, SECT. VI. Testimonies in favour of Vaccine Inoculation, SECT. VII. Conclusion, '.J »^.lff-l• f • i.*,• -K>v» ♦.«. f'»;iCT -.*'» ••./ ,,j..: ,'>^'. ., ... .1;. t., ',',r[ COMPARATIVE SKETCH, &c. '^ •' ' •• ' ■ ^K.mh ;u> . •:•< tM'l ,/ »;»,! l; ' , \i j,,;J '••'•! ' ' —»-««■»•*—«• . ••Jiii f;f; ;" ':'• '•'*'». M ' '•,(• 7f.i' \,' rr \',t i'< . , (• » •»■ Iti;*).. ' •■ ■ '. ■• ' » •• ;>•'> 'j *;o !:*•" ./. tui.'. .■ • _• t'l I»e«i. .11 % 1....0N THE MORTAMtV OCCASION!!) BY THE ' NATURAL SMALL-POX. HE Lover of 9cic!neo and the Friend of Humanity will equally re^^ret, that in the diMCuasion of a subject, confesiiedly of the highest importance to mankind, Pre* judke should to fur have infuaed itself, as to occaaion a neglect eyen of common sense and common experianot^ Thus there aro not wanting objectors to the Jennerijut practice, upon the grounds, that the Small-pox, under the present well-understood mode of treatment^ is mild and harmless — very rarely contagious — leaving nothing injurious to the constitution behind it — and requiring, therefore^ nothing further of improvement ; and the ear- liest opposer of Vaccination in this country, referring to the numbere inoculated by the Jennerian Society, viz. 19,471, does not scruple to say, *' If these 19/411 persons had been inoculated for the Small-pox by proper people, I believe that not one of them would have di9d*,"-^Connnen(arief0nCbW'pox, 942. ' ^o advance authorities in denial of these assertions may, periiaps, appear perfectly unnecessary, since these are few families who cannot, in themselves, produoe fatal proofs of the fallacy of such assertions. The ai*- t^orities, about? to be quoted, are iKicontrovertible j and B the most modcratt computation m, that on«? inocuIatt»d patient (ijt;H out ui' !25(), aud that the mortality occa- Rionrd by Small-pox, uiilrr evi-ry ailvantaj^i' oi' treat- ment, was, helore tlio iiirrodiicli»n of vaci'inution, in tbc Oritish isles alone, abov mained three years without inhabitants^ who had fled from it, and did not return till it was supposed to be purged from the pestilence. ^ .. ! -.1. > ' Percival, in his History of the Island of Ceylon, says, the Small-pox is a disease which particularly excites apprehension among the natives ; for they look upon it as the immediate instrument of God's vengeance, and therefore do not venture to use any charms against it, as they are accustomed to dp in other disorders. If any one dies of it, he is looked upon as accursed, and his body is even depied tl^e utc4 of t^uriaJ^ it is carriod • --. -If....... . ^4 , I _; B 2 1 Out to Mate unfrequented place, and there left, with brai)clieg of trees scattered over it. Mr. Christie, the Chief of tlie Medical Staff at Ceylon, in a letter to Sir Walter lurquliar, dated Columbo, November 19, )S02, (0 A/ed. Journal f 45T) says, that oven its very appear- ance was often sufficient to depopulate whole villages, as it was not uncommon, in the remote parts of the country, for the whole of the inhabitants of a village to desert their houses on its breaking out, leaving their unfortunate friends either to perish by the disorder, by famine, or by wild beasts ; aad of one melancholy in- stance of tlijs sort, in Sept. 1800, Mr. Christie was him- self a wiri>ess. Inoculation for the Small -pox was in- troduced there in 1 800, and these dreadful evils some- what assuaged ; but Mr. Christie says, that even then, notwithstanding the utmost care of the medical men, they lost somewhat above the proportion of one in one hundnd, from the inoculated Small-pox ; while of those ttho caught it naturally, almost one third died. It was, therefore, with the greatest gratitude that vaccination was received, when introduced under the auspices of the Governor, the Hon. Mr. North; and through th« successful exertions of Mr. Christie, and other medical gentlemen, it was practised with such enthusiasm, that upwards of 7,000 persons were vaccinated in less than ^hree months, and between Aug. 1S02, and April, 1804, HO less than 21,000.-13 Med. Journal ^ 122. The mortality "^casioned by the natural Small-pox in India has been immense ; it has been said, that no less than one out of three die of it. The Bramins who practise inoculation aver, that they do not lose above one in two hundred by inoculation ; but this statement is obviously partial, and there are abundant reasons for disbelieving it. It seepis that the inoculated Small- pox is more se- verely felt in India, among^^ cti*' •!«» bofi* there of £»- rapean parentif, tlMn iu Europe, since it is fatal to ona in sixty or sevtntj/ ; atnl thu terror and anxiety feit^ during tlie luoiitlki in wiucli.tiio disease prevails, arc in- expressible. — Slioulbnd's Riport of the Progress qf yac^ eiiuition in JBen£. I'l V .-i; At Kamschatka, 5»368 were carried ofF by it in tha year 1768. And Dr. Rchmann, in a letter to Dr. Jcn- tier, announcing the progress of vaccine inoculation in Knssia, Tartary, &c. dated Siberia, the 25tii Nor, 1S05, asserts, thr " in no part has the Small-pox naadf inore horrible ravages than among the wandering inha- )L)itants of these countries, viz. the Bi)cattese, the Ton« gusians, the Ostiacks, &,c. 'Tis a fact well known, tiiat the Kamschadale nation has been almost entirely de- stroyed by this disease, the number of individuals re- fnaining at present not e:(ceeding 600." .. : The Rev. Mr. Stansen, missionary at Halifax, in Nova Scotia, says, that in the course of the year 1801, he buried 181 persons, of whom 92 died of the Sniall-pox, viz. 71 in the natural way, and 21 by inoculation* • In the year 1749, 6,000, out of 32,000 inhabitants of JVIontpellier, died of the 8uiali-pox. — 14 Medical Jvur^ 9ialf 142. : .. . ' . About the year 1757, the Small-pox broke out ia Burford, Oxfordshire, occasioned, as was generally sup^ posed ( by some infected clothes being snt there from London. It raged with aU the fury of a plague, from a ^horttitme after Michaelmas till near Midsummer follow, ing ; during which time it was computed to bave carried off upwards of 900 of tha inhabitants. In consequence of tiie infection, the market was suspended, no one daring to attend it. Tiie pro?isj.ons were |df't at some d^aace firom the town, with tlic prices affixed, and the towns- pCDple fetched them, leaving the money, which wat suffered to remain some time exposed to the air, to pre- vent the extension of the disease. It earned off, in many instances, whoJe famiUes; so that, on a moderate calculation, considerably more than one half of the po- pulation was sacrificed to its destructive ravages. • Dr. Willan notices a strong instance of t!ie fatality of this dreadful disease: — A child was inoculutod in April, I /98, whose parents kept a siiop, in a court consisting of about twenty houses. As the poor daily resorted thither, seventeen persons caught the Small-pox in the natural way, and no fewer than eight of' them died. — Dr. Sims conceives that the natural Small-pox is fatal to above one in si\r. — JRep, of Com. of the 11. of C. 2S, .:-,/ '. I Hi (i k \ J.. .ON THE EFFECTS OF SMALL-POX INOCULATION. IT is not to be wondered at, that, labouring under sO grievou^ a pestilence, mankind should eagerly em- brace the opportunity of mitigating its fury by hiocu- lation; but, notwithstanding tlie sanguine hopes and expectations Avhich this practice excited, and notwith- standing its apparent good effect in ameliorating what it could not eradicate, experience has proved that it has in reality rather increased than diminished the evil. Although it is indisputably true, that the number of in- dividuals who perish by Small-pox, out of a certain number infectedy is less than before the adoption of the remedy, yet it is also true, that the aggregate number destroyediis greater, since a.greaternumber is iofected ; fild, paradoxical at this maj at (\rk sight appear, the reason is simple and natural. While die 'SfnaiUfiox was more fatal in appearance, caution was alive, and whenev*er the disorder appeared, it carried such t(irrori with it^ that communication was cut oflfas much acv was practicable, and every Itouse, where its banst'ul eflfccts were visible, ivad shunned as a pesit^houtte. It wsM.mUiu- ral to fly from a pJague that carried off one third or oixie fourth of those it attacked. Wheiif however, by the iiHro^ duction of inocWation and an impreve of York, speaks:— ** The very means that save the lives of many who have this disease, increase the number of those who receive it; and it is now annually fatal to a greater numbef of persons than before the improvement in the treatment of it ; and the increase of deaths is not merely in pro. portion to the increase of population. Free admiuion to the open air, though necessary for the sick, exposes those who have not had the disease, not merely to the chance, but almost to the certainty of taking the infec. '■) I tlon. Very faW d (he inbak'^AtiU of this Mbntd tmr cscfpo h."— ♦ iVirrf.//. 433* 'ntt J. ; t.M.! < .: -y'- • • * The fact is iiubf^tintiated by evidence* Dr. Lettsom dt>fiv«red in to the Commincs of the Houie of Commons {Ntfortf 85, !47) & statument fVom the yegrly fiiilsof Mertality, by which it dppe&rS) that in 4a yoars, be- IHvcen 1667 ahtl 1122, the average number of deaths, cyc^asioned by the Smallpox, was, to the whole number i/rhb died, as 72 to' 1000; btit that in 42 3rears after inoculation \\as in full u^e, viz. from M^l to 177^2, the ^^portion wad no less than S9 in iOOO| being an t/t« €rease of nearfi/ one fourth. ••« \r. n I'.! -iwr- '1 to .< •I'ii Dr. Blane also mentioned {Report, 32) a calculation of Dr. Heberden, making the numbers who dl6d of it, in the last thirty years of the late century, 95 in 1000; while in the first thirty years the proportion' was only ^0 in 1000. Dr. Blarte adds, that this is, pelrhftps', much more strongly exteroplified in the country thah m Lon- dbn; for there were certain districts into which the Small-poT, previously to the introduction of inocula- tion, was unknown for 20, 30, or 40 years, so that great numbers passed through life without ever having it; but now, from the reasons enumerated, and froav the extended communication between the most distant parts of the' kingdom, an ^ult who has not undergone the Small-pox is hardly to be founds Dr. Biane stated j in evidence before the Committee (Jbid) that the deaths from SmalUpox were, on an aver- age, nearly one taith of the vrhoie mortality; and that it appears by the Bills of Mortality, about 2,000 die atu- •mially oi it in London. But the number must in fact be much greater, as these Bills do not comprehend the whole of the metropolis. One parish, not included in l?Mm» ^i. Mary-ld-bonc, contaitis itself not IcSs ttiati 63)000 iiihaUitants. Pancras, another parish, is not in^^ eluded ; and in these two aru the Small-pox and Found- ling Hospitals; it is estimated, theret'orc, that the whole number not reckoned is 117,802. Rgport, 33, lie, — In addition to which rtiay be mentioned ^ that C^OOO of •7,000 persons are annually interred ih the burying grounds of the Dissenters ; so that at least otie seventh of the deaths is excluded from the Bills. /An/, Ring^ €05. — The total nunibei^ in the United Kingdom, nt* cording to Df. Blane's calculation, would be about 34,260; but he confesses that be thinks this is under the truth. It is supposed that the real numbeif is not less than 45,000. — 4 Med, Jtmmalj 430. Dr. Cappe observes (4 Medical Journal, 432) that the annual number of burials for ten years, ending iil 1742, in Pancras and Mary-le-bone, were 1041. But he conceives, that great as the number of deaths has been in London, it is much exceeded in the country; for it appears, that One fourth (or even one third) of th« deaths in London is of strangers, who do not settle in the metropolis till the age of 18 or 20, and have there- fore, probably^ already gone throagh the Small-pox. So likewise mafty children, born in London, are inoculated in the country. He also says, it appears by the London Bills of Mortality, tliat for 75 years, ending in the year 1777, more thati 2,020 have been swept off by the Small- pox anniuillif. The total imount, in that period, was 151,570^. 4f Med* Joiirnal, 432. — ^Supposing the popu- lation withiPf the Bills to be 1 ,000,000, the proportion of deaths from Small-pox is mie out of every 500 inhabit- ants, and, ds he conceives, not less through thfe whole island. The inhabitants of Manchester, Liverpool, and Cliester, wei:e enumerated, in the year 1773, at 78,271, C 10 and the annual deaths from Small-pox, on an average, 38 1 ; so that one person died of it every year, out of 205.— /^/rf, 436. It appears, that when the number of births in London Was, on an average, about 16,291, the number of those who died of the SmalUpox v/as about 2,444, so timt there were two deaths by this disease alone for every thirteen births. In Liverpool the mortality has been still greater ; for there the proportion has been 2 to 11, liingj 361, 4 Med. Journal, 437, — and about ilie same proportion in Manchester, according to Dr. Percival. But if from the number born be subtracted all who have been inoculated, and all who die of other diseases be- fore they are exposed to the casual contagion, it will seem that not less than one fifth die, of those who are at- tacked.— 14 ili/tf > > ..•»•_, ^. ; it is calculated that one in fourtsen is the proportion in France, between the number oi* deaths by the Small- pox and the total number. lb. 700. — According to Dr. Colon, from 60,OOOto72,000/fl//a7mttfl//j/by this disease. Jkid, 928.— So lately as the year 1199, 15,000 perished Vf 2 I in Paru alone. Ibid, 92d.'^Dr. Moroau uyi, thai m one particul«r ycar> iiQ leia than 20,Q00 ciieci of it.-^ Ibid, IS 5. By a report of tho Central Comauttee at Paris, made Nov. 94, I80?y it appearn, that ip thci four preceding months* out of 5,463> who 4ied, 1,411, or upwartii of anefourthy died by the Small-pox ; and tliat, ia thvse parts of the city where principally raged, no few^r than 923 deaths, out of 9jo31| or above one third^ weri). occasioned by it. 'V\ \ In Rome, 6,000 persons poiislicd by the SomU-poii in ^r months. Hing, 931.— ^in Naples, 16,00Q in one year, Jlhidi 185— and 8,000 died at Palemio, in Sicily > Ud9 year only before Pr. Marshal visited it, — Report, 66, y, . ' "^C)'- , At the small town, of Qomo, in the Milanese, in tji9 two latter months of 1803, nearly 300 children, whose parents had obstinately refused their being^ vaceinat^i died of the So^Upox; while all who had undergono. vaccination mi^^^r^Dr, De Carro, 1,9 Med, JL 123« w •"sm;-' Dr. Faust says, the Smal^poy destroys, i^ Germany alone, 10^000 annually, or wearly 300 a 4ay»--l ^ed*. Journal, S3, '- . . . .- . i • il) 1 •%*.■< .,N Br. Odier, of Geneva, calculates, that, from the y te»mpei: were exterminated, die of other diaee^es. The. allowance, I am sensible, is too gr^, and the extent of life supposed too short ; upon both which accounts, the njumhors given below are less than tliey ought to be, but surely sufficient to show, our Eulecs the amazing iii^iortimce of «U(;h a raeasure.''^ .,::.. 4 i 14 Period of Trs. 10 20 30 40 f io r «0 Incr. tif Inhabts. if 30,000 die. 231,922 627,694 157,322 910,800 1,048,146 1,149,342 Incr. of Tnhahtt, if 35,000 die, 32l},90i) 615,643 '. 860,209 I - 1,062,600 ..\\ ' 1,222,837 ^\ - 1,340,8*3 •» i . u ,j., i ,i.i. t r ;:r 4S....0N THE DISCOVERY Of COW.POJt INOCULATIOK. NEARLY twelvo centuries had Small-pox exercised a despotic dominion over mankind, extending its ravages universally, and maiming or disfiguring whero it did not destroy. The barriers tliat were opposed to it^ progress were, as we have seen, incfTcctual : while care« lessness was destruction, caution was usdess.-^In such * situation," say^ the Editors of the Edinburgh Review,' No. XVII. 35, " it will be allowed that there was a suf- ficient motive to seek for some further improvement, snd that it was natural to prosecute with enthusia:sm' evefy suggestion which held out a prospect of finally disarming this cruel depredator on the lives and happii ness of the coilnmnnity.'' ;•*«.• • V/ j;':K».I'Om f ;;Ut i>> . This prospect is now clearly laid open to us by our fel- low-countryman, Dr. Jenner; and it would be doing in* justice to him to give the account of his discovery other- wise than in an abstract of his own *^ simple and inte- resting narrative." — Ibid, l)r. Jenner*s inquiry into the nature of the Cow-pox coipmenccd, it appears, about 1 777. Hep, p, 1 ,-^His aU ,\ 15 tention to this singular discaM! was, as he tells us, finl exciteil by observing, tlwt many of thoM; Ik* was culled upon to inoculate rcsi«tmt uvcry olTort to f^ivc tlieni tho biuull-pox— -havinpr ufiviergoiiv, as he fouiKl, a diseamt they called the CW-par, contracted by milking cowa atTccted with a peculiar eruption on their teat;*. Tlii« disorder, it ap|)ears, had been known among the daU rics, time immemorial; and a vague opinion prevailed, that it was a preventive of the SmalUpox; liut this opi- nion seemH to have been comparatively Wiw, as tlie older farmers declared they had no such idea in their early days, — a circumstance which Dr. Jenner accounts for by the comparative rareness of the SmalUpox inociila-i tion at that time; in consequence of which the preven- tive powers of tho Cow-pox could be but little called into action. [el- lin* Ite- kox at- In the course of his inquiries a difficulty presented itself, which required all his industry and fortitude to overcome. Some of those who seemed to have under- gone the Cow-pox, ** nevertheless felt the influence of the Sinall-pox, on being subjected to it." This occur- rence led him to inquire auvong the practitioners in tha country, few of whom were unacciuaintcd with tho disease; but ** all" agreed in sentiment, that it could not be relied on as a preventive. " This," says he, " for a while damped, but did not extinguish, my ardour; for, as I proceeded, I had the satisfaction to leurn that the Cow was subject to some varieties of spon- taneous eruptions upon her teats ; that they were ail ca- pable of communicating sores to the hands of the milk- ers, and that whatever sore was derived from the ani- mal was called, in the Dairy, the Cozv-pox.** In sur- mounting this obstacle, he was induced to distinguish! these diseases into //'Uc, and spurious Cow-pox. Great aa tliis impediment was, another and more importaut \6 .1' em followed :—-ln«uncr» w^-re not traming to provp, that wlion the tntf Cow-pox broke out among tliccattki pirsoiiH w ho had milked nn infcc'ted animal, and had, ap- parently, j?nnc thro' thi5 di>M2aii*, were itiii Ibhlo to th« (small-pox. ** This, like the former obstacle/* continuri Dr. J. •* pave a |minful check to my fond and aspirtn(^ hop(>«t; hut, reflecting that the operations of Nature are generally uniform, and that it wan not probable the humun constitution, having undergone the Cow-jwx, should, in some instances, be fierfectly shielded from tiie Smull.])ox, and in many others remain unprotected^ I ri'sumed my labours with redoubled ardour. The re- sult was fortunate; for I now discovered that the vi* rus of Cow-pox was liable to undergo progretsivc changes from the same canses, precisely as tiiat of Small- pox, and that when it was applied to tite human skin in its degenerated statt*, it would produce the ulcerative effects in us great a degree, as when it was not decom- posed, and sometinicH far greater ; but, hating lost it^ specific properties, it was incapable of producing ^hatJ change upon the human frame wliich is requisite to render it unsusceptible of the variolous contagion : so tlut it became evident, a ptMson miglit milk a cow one day, and, having caught the disease, be for ever se- cure, while another person, milking the same cow the next day, inigiit feel the influence of the tirus in such a way as to produce a sore or sores, and, in conse- quence of this, might experience an indisposition to a considerable extent ; yet, as has been observed, the spe- cific quality being lost, the constitution would receive no peculiar impression." In this particalar he found a close analogy between the virus of Cow-pox and that of Small-pox, which, if taken at an adv^aneed stage of the disease, or, thongh taken early, if exposed to such agenti M cause its decompositioir, is equally rneflfectual. The uot atteiuiing to tluti curcumstaiice wiU, he coitceive»> \1 ^tpln'rn tlw •'mircc of thour errata whicfi hnvr Hern com- mittiti l>y many itiut^ulatora. • '" • - * " M ; 1 **. r«' " Diirinit the invrntigation of th«* casHnI Con-pox, I waj* Htritck," he obsorvcH, " with tlw iHca, tluit it mi^hc he pructicahlu to propa^^uU; tho (iiHCHHO by Inoci'LA* Tioii, tirstC, from the cotr, nml thrn from otu* human Aob;|ect to »i)oth(!r. I anxiousily waitorl nn\ne timo fof an apporttinily of putting thin theory to the toHt." Hit fimt experiment was made in the •ipring of I7'.M), on a lad, of the name of Fhipps, with virus taken from the hand of u young woman who had b^ien accidentally infected by a cow. A» the indispOHition that attended it wan barely p«rcoptible, lie could scarcely Hatter hinv- self that seciH-»ty from SinalUpox would follow ; but, on the lad's being inoculated sonic ntuntii:» afterwardi^i hu proved to be perfectly secure.'* Inspired with confidence^ he proceeded, '^ 'not only witli great attention/* he says, ** but painful solicitude,** and published his discovery and experiments in June| ns>?. ...... Thus then was made, and liberally communicated to the public, by the ingenuous author of it (who, bv inte- rested management, might have reulisid a princely for- tUQcf ) a discovery termed, by car neighbours and rivals, f ']' 1 1 * He wat again inocvlated with SmalUpoi matter, in iti most active state, nearly five yeart afterwards, Rep. 5; — again in the spring of 1804, Mhg'T Ansvirr to GaiJtoH ,——itgi\D, for the 4th time, and equally *Uhotit •ffect, in May, 1805. - - v ,. : ♦ See the opinion! of Sir Waher Farquhar, Repert,\3\ Dr. Bradley, a. 90; Dr. Sims, iA. S9; Mr. Ring, i6. 48; Dr. Saunders, ii. (S; Dr. Lcttsom, M. Mi Dr. Frampton, iS. 91; Dr. Ba\ttie, /*. 92; AJm. Berke- ley, a. 184 J Sir Henry Mildmay, iS. 185; Mr. Windham, A. 187 j Sir Jamct Bioclair Erakiae^ t^ 189 1 Mr. Courtenay, {^. 196; — who theoglit i h 18 *' tli(^ pjo** brillianV?HHl most important of the ciglitccnti* century," 5 Med,Jl. 357; — a Uiscovery, whicli we owe not to uccicient or any fortuitous circumstances, but (under Huaven) to tlic acutencss, the philosophical aiid persevering investigation of our feilow-countrymun.* II It i ( >, : Dr. Jonner was not unknown among tire scicmific, pre- vious to his promulgating to the worj,j ".i\ that the fortune Dr. Jenncr might have realised, had Gain been his object, would have been '♦ immense" — " incalculable"'—** l'6,'0O6l.perinnum" — ••20,0001. per ann."— •• 100,0001."— that*' he might htvtf died thxj richest .inaninthfc«Uou»inlons,"-&c. &c. , .: ^ ^^^_ .. - v.aiU.-.j (..u. * Interesting as this part of the subject is, it has been gone' rather more fully into, than the plan proposed allows, in order to refute the in- vidious calumnies of some,^ who, having early adopted the practice, en- deavoured to impose themselves on the world as those to whom aloue u. was to be indebted for the extensive, and consequently universal, benefits of Vaccination,— most strangely asserting, that Dr. Jenner was only " the 'Ge:itleman who first set on foot the inquiry into the advantages of Vaccine Inoculation; but that the practice first promulgated by him had been estab- lished almost entirely by other practitioners ; tuat the new facts had been disproved by subsequent observers ; and that in consequence of these facti t>eing disproved, together with the very extensive experience of other pcr- sons,> we owe the present csttblishment of the Vaccine Inoculation.'/ Rep. 128. — Posterity will do ample justice to Dr. Jenner; they will see that his facts have not been disproved, and they will Jso see that the prac- ,»ice 01 these very " other persons" retarded, rather than promoted, the success of Vaccination. — Sec Observations on a late Publication of Dr. P. by Henry l^icks, and Observations on Dr. P.'s Examination, by Thomas ^xtAitXtpatiim, See 4lio 3 Med, Jl, ^7, /. 9 ; Ringt 223, 7ti8j. B^ei. .210. 19 The surprise this curious and important discovery created was soon followed by almost un versal convic- tion. P:xperinients, made and repeated under every disadvantajre, served bt»t ♦o prove the certainty of wliat was predicted of it. Its progress has been equally great and rapid, and it is supposed that as many persons liavo already been vaccinated as were ever inoculated i'ur the SmalUpox. Dr. Bradley estimated the number up to March, 1802, ordy, at not less than t-x'o millions, — Jiep. 20. Vaccination was quickly adopted, and dilTused over the continent of Europe. France, in particular, disre- garding national jealousy and individual c:\vy, accepted tiie important benefit witii ingenuous alacrity. Insti- tutions and Societies were formed for its extension throughout ail the Departments, and plans for the com- plete extermination of the Small-pox were drawn up and issued under the sanction and authority of the Mi- nister of the Interior. The practice began in June, 1 800 ; and so early as Feb. 1801, they declared it to be the most brilliant and the most important discovery of the eighteenth century ; to which Franco, Europe, and tho Avhole world, ivill be indebted for the annihilation of that most destructive scourge, which has ravaged and desolated it for so many centuries. — 5 Med.Jl. 337, The Central Committee, in a Report of Nov. 1 802, says, ** There are scarcely any of the Departments, which, during the last two or three years, have not seen the Small-pox reign epidemically in a great number of towns, or in the country. There has not been one ex- ample to prove, that amongst 10,000 individuals, ino- culated with the Cow-pox, u single one has been in- fected with the Small-pox, thou^^h living in the niidsl of the contagion," D2 V;^ 30 k\ In an address of the Minister, preBxed to the Report of the following year, he says, *' Your Report, and that >vhich has just been made to the National institute, re- fitit great hght, and, it appears to ine, ought irrcvo-' cabiy to tix the general opinion in its favour. In conse- quence of this, I invite you, in the name of the public welfare, to continue your experiments, and for this pur- pose I will afford you all the assistance of which you have occasion, by submitting to your disposal a place for Vaccination, whenever you desire it, and, if neces- sary, by appropriating certain funds for the Institu- tion." Ho approves of the idea of a new subscription for the extermination of the Small-pox by means of Vac- cination, and rc(]uests his name to be set down, with the sum of 2000 francs. Tiie Committee declares, *' that all which has been asserted of Vaccination is now con- firmed, and that they are perfectly convinced of the reality of the advantages ascribed to it " They also de- clare, they cannot conclude without returning " a just tribute of acknowledgement to Dr. Jenner, being fully persuaded that he will hereafter be remembered among those wlio have reflected tlie greatest honour on Science, and rendered the most important service to mankind.'* 15 Med. JL 314. if l;t. Iljii fil ^)) In a letter fom the Minister of the Interior to the Pre- fects (14 Germ. Ann. 12) he notices the wish of the Central Committee of Vaccination, that a new society should be established ** for the purpose of accomplish- ing the extermination of the Small-pox in France :" — *' an object," says he, " of the highest concern; the practicability of which, already self-evident, was (thanks to their zeal) still further confirmed by striking exam- ples and undeniable proofs," He expresses himself anxious to gratify this wish, and addresses a plan to the Prefects for that purpose. " If errors present them- 21 telvcs, or ignorance presume to make false allegfa- tions," he observes, ** the t'ornier should be carct'ulljr corrected, the latter speedily and forcibly refuted." — " In order to obtain the object in view, we must dispute," says he, ^* every inch of ground with tiic enemy, whom we wish to exterminate, l»y a wise combination of ef- forts, and by an union of measures wiiich embrace ever j part of France." — " No object calls more loudly for your attention ; it is one ^i the dearest interests of the State, and a certain mode of augmcntitig our population." — ** On my part," he adds, " I will second your eftbrts with all the power of Government, and, conAdent of your zeal, and that of the Society which devotes itself to the accomplishment of this good work in which we are all engaged, I doubt not but we shall, in a few yearn, annihilate the Small-pox in France." — 13 Mcd.JL^[9, 're- tlie icty ish- the anks cam- iself the lem- A Central Society of Vaccination was, in consequence, formed at Paris, near the residence of tlie Minister of the Interior, of which he was President, and others of the great Officers of State, and the most respectable Physicians anu Members of the National Institute, &c. its members; with whom the Prefects of the Departments were to maintain a regular correspondence ; and testimonials wciw to be granted, and rewards given to those persons who should display the greatest zeal in propagating the new prac- tice. Jbidf 423. — The Society sets out by observing, that in the four preceding years the success of Vaccina- tion was established by more than 1 00,000 facts, veritied by the Central Committee ; and that it had been proved *' that all which had been written to the contrary had been the result of ignorance or of falsehood." Ibid. — • It appears that, under such intluence, no fewer than 60,000 persons were vaccinated in the space of three montlis. — Jbidf 'i 19, . r' I These /ealons i\nd pncrj^etic measures have been con- tinued without intcnuissioii ; lor it aj)[)ears, by their lust lieport, that in forty-two Departments only, no ffwer tlwn 125, 9.92 had been vaeeinated in the preeedin;^ twelve months, making, in the whole of Francis, 40(^,000 in the year; so tliat, supposing the births to be 1 ,()8S, 1 57, the number vaccinated amounted to above one third of the whole number born. It also aj)pears, that from all the experiments which had been instituted, no cases of subsecjuent Siiiall-pox had t»ccurrcd. Dr. Colladon, of Lyons, in a Lner to Dr. Marcet, says, " Since Vaccination has become general at Lyons, we no longer see any Small -pox whatever, and I be- lieve that none could be found in this town, even if it were sought for. I saw many cases of Small-pox, when I first settled here, five years ago ; but since the first year 1 have not met with a single instance of the disease. The population of Lyons must, no doubt, be much in-, fluenced by this circumstance; but, as there are no Bills of Mortality kept here, nothing positive can be said as to that point.' * In the Italian Republic, upwards of 70,000 had been vaccinated by Dr. Sacco and others, previous to the year 1803. By the order of Government, a proclama- tion was read by' the Clergy, from tjje pulpit, inviting the people to adopt this salutary practice ; and at Milan Vaccine Inocuhition was practised in every parish and in every church. — Jiing, lOil. In the summer of 1 800, Dr. !VIarshal and Dr. Walker (7?6/>. /). 64) left England, with letters of recommenda- ticn from the Duke of York, to Gen. O'Hara, and the Honourable Arthur Paget, his Majesty's Minister at 23 the Court of Sicily, for tiic express purpose if in- trocUicin}^- tlie Cow-pox into t\ve Mcdilerruuean. They began by inoculation on hoard the Kntlyniion, and pro- ceeded to Gibraltar, where tlie practice underwent a st . vere trial, the garrison being then su!)si.>tiug on s>alt pin- visions and new wines, in consequence ol the plaguo preventing tlie supplies from Barbafy, and S|Hiin l>cing shut against tlieni by the war; and the thonnometer ire-* quently stood at above 90^. Notwithstanding this, tho soldiers jrfonned tlieir re«xiniental duties as usual : nu one single case occurred where medicine was retpured^ nor was any application recpiisitu to tl>c inocidated part< Thence they conveyed it to Minorca, where it was in- troduced and practised with similar success; sncli bcanien in tlie fieet, under Admiral Lord Keith, as had not undergone the Small-pox, were inoculated, and so extremely mild were the symptoms, that the Captain of tlie Beet (Philip Beaver, Esq.) declared he should have no objection to meet the enemy with the whole of the crew of each ship under inoculation: — a most important consideration at all times to these islands, since it is caU culated, that no less than 10,000 of our seamen are un- conscious of having had the Small-pox. — 5 Med.JL 433. nn t '>.'• cer da- tho at Proceeding along the Mediterranean, tire practice was introduced at Malta, both amongst the troops and the inhabitants ; and an hospital, called the * Jenneriau Institution f was established by the Governor, Sir Alex- ander Ball, for the gratuitous inoculation of the poor. He also ordered a translation of Dr. Jenner's work into the Maltese language. The ravages of Small-pox had always been dreadful in this island, and at this time the inhabitants were under the greatest apprehensions of it, as some of the men of war in the harbour liad the disease on board, and had buried several of their men. Lord Kcitii and Sii* liulph Abcicrouibie participated in 'I ^ 14 these apprehennio'H, and issued orders for those soldim and sailors, who had not iindert^one the Small-pox, to bo vaccir.ated ; and the more etVectimllv to perform thij, Dr. Walker sailed with the licet. — Heport^ m; 5 Med.JL 317. At the time Dr. Marshal was at Malta, the armament there consisted of 10() Kini>'s ships, and about the same number of transports, on board of which a large army >vas embarked. Mr. Ring justly exclaims (p. SfiT) " Should the Small-pox happcii to rage through such a a fleet, in such a latitude, what havoc must ensue !** The practice was received with enthusiasm in Sicily, ln'herc the Small-pox had been, if possible, more fatnl than at Malta; in Palermo alone, 8,000 had died of it the year before Dr. Marshal's arrival. In this latter place an hospital was established, as was also one at Naples; and Vaccination was speedily adopted throughout the whole kingdom; his Majesty having commanded that some children should be sent from every province to thi^. Hospital at Naples, to be vaccinated, attended by sur- geons to be instructed in the practice. On Dr. Mar- shal's quitting Naples, the King presented him with a Gold Medal, and appointed him his Physician Extraor- dinary. Dr. Marshal then introduced it with similar suc- cess at Rome, Leghorn, and Greneva ; and the Dey of Algiers desired its introduction into his dominions. — Hingj 595. The number inoculated under Dr. Marshal's imme. diate direction was upwards of 10,000, about 2,000 of whom were afterwards subjected to every possible means of infection by Small-pox, bwt without effect. — Report, p.68i5Med,Jl,3l5, Q5 Dr. Oilier, of Geneva, in a letter to Dr. Marcct, saySi *' During the last six years. Vaccine inoculation lius gra* tiiKilly spread at Geneva, so as to bccouiu almost gene- ral, tit least in tiie town itsi'll^ where vacentations have Hucceeded each other without interruption ; and from that period the Sniall^pox, which, on an average of more than 100 years, used to destroy annually at Geneva about 56 individuals, and to rage epidemically every five years, has gradually disiippeared from our city, in which it is now almost totally unknown. During the last three years we have only seen two or three cases of Small-pox, which had been imported from the neigh- bouring Departments, but did not spread, l)ecause, no doubt, all those within reach were secured against its effects." This period was greatly accelerated by the physicians of Geneva, who drew up a strong address to parents, in favour of the practice ; which was delivered by every clergyman to the godfathers, &c. on the chris- tening of a child. — 6 Med, Jl. 23 1 , Ringy 43 1 . . > In the beginning of the year 1804, the Small-pox was very prevalent at Lausanne, and proved fatal to several persons ; but not one of those who had been vaccinated was infected by it, notwithstanding many of them lived in the same rooms, and even sle|>t in the same beds, ■with those labouring under the Small-pox. At Berne, Neufchatel, Basle, i^c. the Cow-ppx has superseded the Small-pox ; ** and it is only in the accounts from Eng- land," says Dr. Reeve, " that I hear of the ravages of this terrible malady." — Letter from Dr, Reevc^ dated Oct. 10///, 1805. Edinburgh Med. and Surg. J I. for Jan. 1806. : . ;- , ; /j-.;J' ■liiri, . ■i H. I :..^» Dr. Sacco, of Milan, Director-General of Vaccination in the kingdom of Italy, liaving been sent for, in Sept, I m n \> ', 25 L805, to Florence, where tiic Small-pox was epidemic, ill order to vuccinate a child of M. Tassoni, Charg^ d\\f« faircs of the French Govennnent at the Coutt of Hetru* ria, vaccinated a considerable number of peihons, in the presence of the principal physicians and surgeons of that city; aiid afterwards put to the test of variolous inocu- Jation, not only those whom he had recently vaccinated, but also those who had been vaccinated two, three, and four years before, by the medical practitioners of that city. All tiiese experiments were crowned with com- plete success. Tlie Queen of Iletruria, to whom Dr. Sacco was introduced, presented him with a Gold Medal: ou one side of wtrich are the figures of her Majesty and the young King; and on the other the following inscription — ' Maria Lfinisay 2uten Rcgenty to lh\ Sacco,^ . : , ' ♦ I .' '.- 1 . t' I I I ' i From Florence he went to Parma, where he remained only four days ; nevertheless, being seconded by the zeal and influence of M. Moreau St. Mery, he vaccinated 400 persons. On his return to Milan, from whence the Small- pox had been banislied for three years, by means of Vaccination, he found that it liad been introduced there once more, by a person from Florence. It quickly be- gan to spread in the neighbourhood ; but as there is a ^w, ordaining, that information should be given of any persons attacked with the disorder, only seven had it in the c ity; the rest, amounting to 26, were carried to a lazaretto, and kept in a state of seclusion. In the mean time a general inoculation of the Cow-pox was com- menced, in town and country. The number vaccinated, on this occasion, amounted to nearly 5000, and was daily increasing, at the rate of from 130 to 160 a day. By these means the Small. pox was again speedily ex- terminated. — n Med. Jl. 63. : 27 Vaccination xtm introduced into the Austrian domi« nions in 1799, by Urs. l)c ('arro, For ro, and Carena, of Vienna. The latter translated Dr. .lenner's first two publications into Latin, which caused them to spread with inconceivable rapidity through Germany, France, Spain, Portugal, and Italy. Careno sxtv la faccinet 7.— Dr. Dc (.'arro's exertions in particular have been ecjually indefatigable and successful. In the year 1804, the Small-pox might almost be said to be extinct in Vi- enna, the deaths by it being only tu'Oy and those even of persons not belonging to the place. From 1191 to 1 800, the mortality by this disease was, on an average, about 835. In 1801, it was 164only;in I802,61;in 1803, 27; and in 1804, two: — an absolute demonstration of the power and beneticial ettects of the Vaccine ; and it is highly worthy of remark, that these effects were pro- duced in the face of a strong opposition ; for Dr. De Carro, in a letter to Dr. Marcet, dated June 18, 1803, speaking of the successful state of Vaccination at that period, emphatically exclaims, ** What a difference be« tween this and the time when I was compelled to ap- pear before the Police, — when Vaccination was prohibited within the walls of Vienna, and confounded with the inoculation for the Small.pox, — when I was prohibited giving public notice of my intention of vaccinating the poor gratis, — when they had nearly turned out of the city a lady, come from Hungary to have her three chil- dren vaccinated, — when I was prohibited publishing in the Gazette the satisfactory result of twenty-one va- riolic inoculations, tried after Vaccination, — when the Court, the Ministry, the Police, all conspired against it ! It is under such auspices that I have at last succeeded in introducing the Vaccine into this capital, and from hence into all the provinces. At Vienna we no longer hear of the Small-pox. For these two years and a half E2 Iti I'J 28 I hnvc not met with a siiit^le iiistuncc ot' it, uiid inuny other pli)hiciaiis will 2>uy tiic ^aiiic." — lu Med, J I. 243. The Knipcror gave silver nieclals to sixty parents it) Alsace, who corisc.ited tu have their ehildreii iiioculuted for the Cow-pox {liififf^ 14^) and subnutted two of hiti own children to be vaccinated. — y Mtd.Jl. G4, Dr. Portcn chlap, of Vienna, had his infant daughter inoculated by Dr. Do Carro, four hours and a half after her birth, and she was immediately christened * J/ary Elizabt'tli raccini'aJ' Dr. Do Carro suggests, that the thus including christening and vaccination in one cere- mony would soon eradicate the Sniall-pox. 8 Med, Jl. 195. — i'his excellent idea also struck the celebrated Dr. Darwin, who, from opposing tlic practice at its commencemout, became, before the year 180U, one of its warmest supporters. Count Francon Hugucs de Salm greatly distinguished himself in encouraging the practice at Brunn, the capi- tal of Moravia, having made a journey to Vienna, to Jearn it. lie oil'ered two prizes to the two Moravian physicians who should inoculate the greatest number of children during the year, and wrote a history of the dis- covery, which he distributed amongst the clergy and schoolmasters.— 5 Med, J I. 351. It was |)ractised in Croatia, &c. in 1802 and 1803, and spread nito Hungary, &c. witli the greatest success. A highly Hatternig report was made to tiie Royal Jen- nerian Institution, and to Dr. Jcnner, by Dr. Kraskovitz, Feb. 1, 180.5 13 Med.JL 419. Vaccination was introduced into Hanover early in 1800, by Drs. Bailiorn, Stromcver, and others; the 29 former of whom firnt tramlatcd Dr. Jenner** ** Ob^crri- tiuitit*' into the Oeriiiuii liiii;^iia((e; — mto ('u.h<(cI, bv Dr. lIuiioKl ; into Luiii'iibur^, by Dr. Klbchii^; into Hum- bur^h, by Dr. Miicdonald ; into HrutHwick, by Profes- sor Wicdcman, ami others; into llreshiw, by Dr. Friese; and into Bi-rhn, by Dr. Sybel, iStc. — Careno, 1, 8. Dr. Davidn adopted it in Holland (where, he «ay% ** the name of .leniier is adored") at a moment when the Smull-[)ox was making its ravai^cs on every side; yet not one of those w'lo had undergone the inoculation of the C'ow.[)ox received irdection. Dr. Davids also traasdatcd Dr. Jenner's 'I'reatise.— /^//*!^, 675. The Medical Fjiculty at Keil proposed a prize of 20(1 dollars, for the best Dissertation on the true and spu« rious Cow-pox. — Letter from Dr. Gumpmcht to Dr. Jenncr^^thScpt, \m\, ' It is a curious coincidanre, that inoculation for the Small-pox should have been first introduced into Ger- many through Hanover, and through Hanover likewise the Vaccine V irus. — Ringj S\5, ■.^ ll and 803, :ess. Jen- vitz. ' in tllQ The King of Prussia was the first Crowned Head wh« had the Vaccine inoculation performed on his own chil- dren, fie established a Vaccine Institution in the capital of each part of his dominions, and appointed Dr. Bre- mer, of Berlin, Physician to the institution of that city, with a salary suitable to the situation. Binges /insrurr to MoscUy^ 156. — In the year 1803, Dr. Brenier caused an appropriate medal to be struck, which he distributed, graiiSf to those who were vaccmatetl by the Royal Ino- culation Institute, and who returned on the seventh day, in order to afford matter to others. — TIk> King ordered all those of his army to be vaccinated, who hud not uu- der«jone the Small-pox. — Jiingf 595. I ao Dr. Friosr, the nimlor-Cn'ncral of Varcinaiion ia Silesia, reiMirtH (Aii'^. 14, IfMUt) tkit nntwitliHtaiuling Uif. unr ill Gcriiiuiiy, uitli tliu uviU uttciuinnt tlirrroii, haii in sonu* di>i;i'i'c arrc^tfii tlio practice*, n,'tl6 had been vaccinatid in the yt'ar IH03 — a Iohm niiiiilior than that of tlic iurnici' year hy 7()0'J ; thnt the SiimlUpox h.itl hiokoii out early in tho sprinij, ami provaili'd, more or less, during the whole year ; but that those who had been vaccinated escaped its' infection. Dr. Friese was charged by the Medical Department to propose to Governiiu*nt a plan for prosecuting Vac- cination on a lari;e scale ; which was agreed to, and certain regulations were, in consc(|ucnce, published by the Royal Chamber at Breslaw ( sec Appendix ) . In atl- dition to this plan, and in order to excite the greater emulation, Government granted the same premiums, as in the year 1804, to several clergymen, physicians, and surgeons, who had distinguished themselves in the prac- lice.— n Mtd.Jl. 57. The King of Denmark ordered an Institute of Vac- cination to be founded for Sleswig and Holstein, for the purpose of inoculating .jf/v///.?, and instructing cUrgy- men and schoolmasters, who are directed to make an annual return of the numbe»>. ihey vaccinate, to the College of Health, in order to convince the King of its progress ; and governors of public schools and orphan- houses are directed to send to the Institute all children who are to be inoculated. In the first two j'ears of its introduction into the Da* nish dominions, the numbers vaccinated were 20,891. In 1804, 6730; of whom 616 were in Greenland, whi- ther were sent, from the Institute of Copenhagen, four 31 •ItfriiTtf and Mfcfil clor^yiDcn, well irk^Uuciod in ilM The King of Swetlcn had liiit tluii^htcr inoculiUeii wiili the Cow-pox, aii^l CHtahliHlied a Vaccine InstitiiUuu at Stockholm.— 9 Med.JL 6*. According? to Dr. Gumprccht, the Elector of Sujibia ay Jknner himself!'* i That part of the expedition wbicfi was destined tot Peru, was unfortunately shipwrecked in one of the mouths of the River de la IVl.igdalcna. But theSubdirec- tor,the ♦^hree Members of tlie Faculty who accompanied him, and the children, were saved, with the virus in good preservation, which they disseminated in that port, and its province, with great ac Ivlty and success. Thence it was conveyed to the isthmus of Panama, and F "J ppvai n iv\ 34 persons, properly provided, undertook tlic long and painful navigation of the River de la Magdalena : sepa- rating, when they reached the interior, in order to dis- charge their eomiiiission in the towns of TenerilVe, Mompox, Ocana, Socorro, San Gil y Medellin, in the valley of Cueuta, and in the cities of Pani})lona, Giron, Tunja, Velez, and other places in the neigiibourhood, until they met at Santa Fe: leaving every where suit- able instructions for the Members of the Faculty, and, in the more considerable towns, regulations coi'formablo to those rules which the Director had prescribed for the preservation of the virus ; which the Viceroy affirms to have been communicated to 50,000 persons, without one uujavourable result. In March, 1805, they conti- ime'u their journey in separate tracks, for the purpose of extending themselves, with greater facility and dis- patch, over the remaining districts of the Vice-royalty, situated in the road of Popayan, Cuen^a, and Quito, as far as Lima ', and in the August following they readied Guayaquil. On Sunday, the 7th of September, 1806, Dr. Balmis had the honour of kissing the King's hand, on occasion of his return. His Majesty inquired, with the liveliest interest, into all that materially related to the expedi- tion, aiKi learned, with the utmost satisfaction, that its result had exceeded the most sanguine expectations that had been entertained of it ; and the particulars were published in a Supplement to the Madrid Gazette, dated 14th October, 1806. ** The losult of this expedition has been," says the Gazette, " not merely to spread the Vaccine among ail people, whether friends or enemies; among Moors, among Visayans, and among Chinese ; but also to se- cure to ppsterity, in the dominions of his Majesty, the 35 porpctuity of so j^rcat a benefit, as well by meant of the Central Conunitti-es that have been establislied, ashy the discovery which Bahnis made of an indigenous matter in tlie eows of the valli:y of Atlixco, near the city of l*ucbla de los Angeles ; in the neighbouniood of that of ValI;i(loIid de Mechoacan, where the Adjutant An- tonio Gutierrez met with it ; and in tlic district of Ca- labozo, in the province of Caracas, where Don Carlos de Pozo, Pl'y>ician of the residence, found it." The number vaccinated, during this expedition, was no less than t'j:o hundred and ihirfj/ thousand. (I \l ^% If i' It is seriously to be regr-^ "^ed, that this important do- cument, so highly honourable to our Neighbours, should contain reflections on our own countrymen, which must every where be read with surprise.. Britain has ge- nerally had a proud pre-eminence in introducing be- nefits amongst other nations ; but, it must be confessed, we have here received a lesson from the noble, the ge- nerous Spaniard. m\ ';M'I In the year 1801, Vaccination was introduced into T?i' ,sia. The Court was at Moscow, on account of the ' jr nation of the Emperor ; and the child who was first iijoc'dated by Mr. Lindstrohm, Surgeon to his Imperial Majesty, was patronised by that exalted and philajithro- pic personage, the Empress Dowager Mary, who gave her the additional name of * Vaccinoff;^ sent her in one of her own coaches to Petersburgh, to be placed in the Foundling Hospital, as a source of future inoculations, and settled on her a pension for life. Her Majesty like- wise transmitted, through the hands of Lord St. Helen's, a valuable diamond ring to Dr. Jenner, accompanied by a very flattering letter, written with her own hand j F2 I yi„ mm \'^ 36 l^lso a letter and a ring; to Dr. Fiicse, of Brcslaw, from uiioui the virui was received. — i) Med.JL 4 30. The Emperor cominlssioned Dr. Bouttatz, who had visited Loiido ', to travel throu-h the empire, for the |)urpo->e of extending tlie benefits of Vaccination (9 MciL Jl. 581) and who, it appears fro.n the Report of Dr. Uelimann, vaccinated upwards of 20,000 persons. Dr. Rehmann, being appointed Physician to the Em- bassy from the ('onrt of St. Petersburgli to China, made his '^bsorvat'^^ps on the progrciis of Vaccination in the conritries tru i. by it ; a Repo! t of which he trans- ttji^cd to Dr. Jc. er, Ironi Kiachta, iii Siberia, on the frontiers of China, 2oth Nov. l«05. By this Report it appears that Vaccination has been extended tlirough all the districts of European Russia ; that it particularly flourishes at Moscow, under Dr. Fe- nisch, who is continually transmitting virus to the phy- sicians and urgeons in the most distant quarters of the (Mupire. At Njgny-Novgorod, it had been greatly and successfully pr;iciised. Rchbiiider, the Counsellor of State, had even vaccinated somecinldren himself, Tho ]*rince of Georgia also assisted in extending tlie practice. At Casiin, Mr. Walkott had greatly distinguished him- self, and had taken pains to dispose the minds of the most enlightened Tartar merchants towards the practice : having causi d to be translated into the Tartar language a work, compiled by the Mcdico-Plnlanthropic Society at Pctersburgh, which spread itseif tnrough every part of the empire. Dr. llehniann remarks, that Vaccina- tion is in these countries of even superior importance, as the population is thin, and the lives, therefore, more 'Valuable. Through his means the virus was transmitted $7 to Kaiiischalkii, ^vl^erc (;is has l)ccn seon) tlio desolation by SnKilI-pf)x liad been so great, and also to tlio isluiidt situuLcd between A>ia and America; so that it .woiilJ soon be exUMiled throughout the immense Kussian em- j)irL', iVom Kngland to the eastern extremities of Aiiia, }Ie concliuL'.-> liis Report with a determination to exert his utmost ability to hasten the approachinjr cxtermina- tinn of tlie Small-jiox, '' that scourge oi the human 5' race. >> The benefits of Vaccination liave been more widely difTused through the Russian dominions, in consequenco of the Nobles having tiiemsclves inoculated many thou- sands of their peasants with their own hand^t — ^i'^^t 10P9; 8 Med. Jl, 48Pi i) lb, 29G, irt la- k, ire 4 The Vaccine inoculation was introduced, at Constan- tinople, into the family of the Earl of Elgin, the British Ambassador, by virus transmitted from Vienna, by Dr. De Carro, and was practised by Drs. Hesse, Scott, and Pezzoni. Ld. Elgin had two infants of his own inoculated. The Turks, who had refused Inoculation for tlie Small- pox, s ibmit their children to this mild process, and pre- destination itself begins to give way. Some of the most distinguished famihes of the Ottoman empire have been vaccinated, and, in 1801, an infant of the Favourite of the Grand Signior. 7 Med. Jl. 292. — All who have uur dergone it have escaped tlie fury of the Small-pox, which, it is said, raged with uncommon violence the whole of the succeeding winter. — liingf 443, 903, 910, 1011 ; 8 Med. Jl. 95. The Hospodar of Moldavia has, with unremitting^ zeal, spread the practice through his province, and loaded Dr. De Carro with presents. 1,, 3S Dr. La Font, a French physician, practiscil Vaccina- tion at Salonica, in Macedonia, anil hud vaccinated 1 ri2 persons, up to Jnne, 1802. It was inij)artc'd to him by Lord F,l<;in and Dr. Soot, when travelling; in Circccc, who introduced it in March, 1802, at the once- •elcbratedcity of Athens.— 7?///^, 1011; 12 i1/tY/.y/..l-48. In March, 1801, the lion. Jonathan Duncan, Gover- nor of Honii>ay, wrote to Lord KIgin, recpu'stin^ him to direct a supply of mattirr to be forwarded thither, by way of Bagdad and Bussorah ; but it was not till after repeated failure, that the effective virus reached Bom- bay. On the 14th June, Dr. Hclenus Scott inoculated Anna Dusthall, a healthy child, of three years old, from vhom emanated the virus which has since pervaded the whole of India, , » .. • ••■ . From Bombay, supplies were afforded to Poona, Surat, llydrabad, Ceylon, Madras, and other places on the coast, and in the Decan. From Madras it was transmitted to Cal- cutta, by succes^'ve inoculations on board the Hunter, other methods of transporting the virus having failed. It was received there with the greatest satisfaction, Nov. n, 1802; and a professional man of eminence was im- mediately appointed by the Governor-General, for the purpose of preserving a supply of genuine matter for the metropolis and subordinate stations, of vaccinating the children of such natives as should apply to him, and of instructing such of the Hindoo and Maliomedan phy- sicians as wished to practise Vaccine inoculation. By him it was communicated to different parts of the coun- try, and even extended as far as Prince of Wales's Island. Subordinate superintendants were appointed at eight iim- the for ting land By )un- g^t different stations, so distributed as best to diffuse tlie practice ; mid the nuiubor vaccinated, up to Dec. 'il^, 1803, was 11,166. Fourteen cbildrcn wefc embarked on board the Com- pany's ship Cannart/un, in order to convey the vaccina, virus to Fort IMarlborougli, as the Small-pox, whenever it broke out in Sumatra, among the Malays, ** raged ^ith such devastating fatality, as often to depupulat« whole tracts of country." The Govcrnor-Gencraf, in Cpnncil, signified his high approbation of the conduct of the diiferent professional Rien concerned in disseminating the Vaccine inocv.la- tion, and ordered that a History of *' the valuable and important discovery of Dr. Jennerj" of its essential ad-- vantages over the Smali-pox inoculation, together uitb. an earnest exhortation to the natives, — sliould be draw i^^ up, and published in tlie Persian, Hindoo, Bengalese,, and Shanscrit languages. — ShoQlbrtiTs Ji(;port of the Progress of Vaccine Inoculation in Bengj[il»\ , iv.no/r The Hajahs of Chintapilly and Tanjore adopted tlie practice in their dominions ; and the Dew'an of Travan- core was himself vaccinatcsd, Aug. 30, ISO*. 13 Med. Jl. 383.— Dowlut Row Scindia, the* Chief ol^'the Mah-' ratta empire, had one of his children vaccinated.— lb. 569, / .;[/ .' ','iS!..> ;u ^v,'"ir;/1'mi;'' biiTi 'jmJ ,u. vi.a The numbers vaccinated at Madras, and slibordinate stations, alone, between Sept. 1802, and April, 1804, were i45ySiO,--Govemmt. j^dvt. /bid, 283.'"""" ■'' ;'| , ,. ,,. , . .,; .ji^.ij , Ti, ; iWii s-.^-K i^url Mr. White, the Superintendant at Mysore, vaccinated upwards of 42,000 in the year 1804 (15 A/ed. .//. ''AS) and Mr. Reid, the Supevintendant at Delhi, vacciu&ted' i -am i 46 a pranrt-son and [rMiKiilaughtcr of Shah AUrnn, .Tunc (?^ l«(>3,-jmd attcnvaids four moic of the Ilo^bc of Tiutur«, Mr. Pimll, in his speech in the House of Commoa"<» Ju4y 2, 1806, iiient'mned, that in conseciucnce of Vac- cine inocitlntion, only 7.5 persons had been carried olT nimually, by the Smnft-pox, in the town of Lucknow, dnr'mp!' the Ijisf three years he resided tliere ; while the average nurtib^r, before, hed been from 670 to 800. The extension of the practice has been so great a«d rtpid erterthc whtflicpctiinsiila, that the total number of riw ■Vacdnatcd is estimated at no less than 880,000. Wiflan an Vacc. tnoc. p. ii. — It has even triumpljcd over t4ife reWgious ptirieipl6s bf the natives ; for, contrary to e^tfietitatiop, the Braflitiiins objected to it, tiiough pro- deed^ing frort' tht ^cr'ed Cou>; and a practitioner, of EiTodti, «*rts, for a trinie, iWipedea in his progress by an old woih?(rt, \VHo attertifited to persuade the people that thnt \Vas to be a mean^ 6f enslaving them, and that they ivould be kntoAvn By the mark in the arm, which she termed * The Covipanjj's Chop,^ ) ''• The Chinese, like the Turks, liave, with respect to Vaccination, cpnjsented to forego their prejudices^— thus affording One of the strongest proofs of this beneficial effects of it. At the request of Mr. DrARi- mond, the Chief Supercargo at Canton, Mr. Peai^on, 8 medical man there, drew up an account of Dr. Jenner^s discoTery; of'itS;adoptidd in all the countries elf Europe ; and of the very great benefit likely to result therefrom to mankind in general^ and the Chinee in particular. Thii was -tfanslatcd into their language by Sir George Stailntbn, and has passed through three editrotis ; to the last of which is addt^ an account of the expedition fitted out by the King of Spain, to propagate VacciAB'* 41 tion in Sojith America and tin; PhilippiiM's, as Iwforr* noticed. 'ViuH treatJM^ lias obtaiiieii m\c\\ celebritv, ami hai been su uiiivirsally roa 1 by thf Ciiinene, that tliey Uiivc Uikun the practice into tlicir own hands. It ap- pears tliey have a particular avi-rsion to tlic u«h; (><" th«i lancet ; l)ut Mr. I'ear^on havinnr introduced an ivory point, they adopted it without scrn[>le. , t : to The vaccine viru«», transmitted by Mr. Rintr, Oct. 14, 1803, reaclK'd New Sontli Wales in tfu; sprin*^ of 1804, where it wab used, as well as at Norfolk I>l ind, and all the other settlements, with the u .ual Huccess. It is to be rennarked, that tliesc islands are twice the distance of India from hence, and that the virus preserved its active power (though in such a climaie) seven months, viz. from Oct. 14, 1803, till May 8, 1804.— 15 Med, Jl. 523. ' » 1. Vaccination was introduced at the Cape of Good Hope, by means of a Portuguese siiip from Mozam- bique. The inhabitants univcrsidly adopted it, and caused the whole of their slaves to undergo the opera- tion. — \5Med,JL52i, It was conveyed into the Isle of France in March, 1804, byCapt. Deglos, of the ship Philippine , who car- ried several children there, infected with the Vaccine, which he had kept up, by successive inoculations, during the voyage. U^^wards of 3000 of the inliabitants were vaccinated, under the direction of the Government. — lb. 523. fl m X rge the ion Dr. Milne has inspired the Portuguese, in the settle- ment of Goa, with such confidence in t!ie practice, that nothing can surpass the eagerness with which they adopt it. His excursions can be compared to none but those K 42 of Dr. Sarro, who pjrx ■* fn)ni omr town or vtilagc, iii Loiiil>.irdy, to aiiutluT, and the children are aNHcnibled, in order to he vact inutud, en massCy by the ringni^ ok' the church hell.— /^r. l)c Cuno to J)i\ liuxCf dated yi- etijiOf Oii.Of I80j. Mr. Christie, in a Report to the Ciovcrnnient of Cey- lon, dated Sept. 4, IHOJ {[) A/td.Jl. h'iH) recomniendsi that the Small-pox IlospitaU l>e shut up, as no longer necessary, and the Governor, the Honorable Frederick North, in a report made to Lord Mobart, dated Co- lombo, Sept. 10, declares, '* tliat the most important acquisition, which Humanity has gained in that inland, was the introduction of the Cow-pox.'* Early in the year 1199, Dr. Waterliousc, wlio (from his exertions in the cause) has been honoured with the title of * The Jennev of America y received a copy of Dr. Jenner's Treatise. Struck with the importance of the subject, and the incalculable benefit which might accrue to his country, from its adoption, he immedi- ately communicated to the public a sketch of the disco- very, which was most favourably received by the then l*resident, Mr. Adams. Dr. Waterhouse first inocu- lated four of his own children. The succeeding Pre- sident, Mr. JeiTerson, gave the practice his utmost as- sistance. Hospitals were founded ; and it has been widely extended, not only through the United States, but amongst the Indians, who have received it as u blessing from Heaven. — Waterhouse'' s Hist, of the Pros~ pect of exterminating the Small-par, in Hist, of the Kine-Pocky Ut Pt. 1800, 2d Pt. 1802. The Small-pox had always been greatly dreaded ia America, and rigid means adopted to prevent the ex- ending of the infection. When a person was seized 48 with it, lie w.iH immcv!i;i»clv nont, l»v tlio Munit-ipal Au- thority, to a sci-hi(li*il hnspital ; hut it' the disciusc hud proro(>c where the intectiuii prcvaded. — Jiingt TA5. I ) i' Tlie Canadian Indians can»e down the country, many hundred miles, to procure the mutter; and their wliolc tribe UiK;a[)ed the SmulJ-pox. — 1 1 AJijd, Jl, 5*72. In the island of Jamaica 10,000 persons had been suc- cessfully vaccinated up to March, 1801. Mr. Chester, a surgeon there, conceived the discovery to be of such importance, as to intend rominp; himself to Kngland, for virus, and conveying it by successive inoculations durinjT the voyage; hut was prevented, by otherwise obtaining eft'ective matter, with which he vaccinated near 1000 persons. — liingy T46, 7. About the year 1802, vaccine matter was transmitted to Demarara by Mr. Skerret, where it was used with the greatest success in the garrison, which almost entirely consisted of black people. It was also adopted in so- veral plantations in Essequibo. — 9 Med, Jl, 65. I i^ h The practice has been eagerly adopted in the Brazils, where the Small-pox was particularly fatal. The virus, first transmitted thither from Lisbon, failing, some boys were sent to that place, who, being inoculated with the Cow-pox matter in succession, imported it efi'ectually. Between Dec. 30, 1804, and Jan. 26, 1805, 700 persons were vaccinated in the pa!ace of the Governor, Mr. Menezes, who greatly exerted himself in extending tho practice, and proposed sending matter to Uio Janeiro G2 % nnd to Anfrol.1. Thr \'iM:ourit nf Anadit, t)m Miniiir^r (>(' tliu Murine uiid C'olonltrff, hud i^^tiicil iKtlert to ull llir (^ovrrnor^ cii lira/il on tlit; ^ulijtxt. — J)r. Burboza to J)i . Jcnnrr, Jan. Jo, 1805. TIm^ \accino virus wnsalso convcywl ♦o niirnm-AvrM froni l,iAl>'>n ant) Ui*i Janeiro, |M'c in(K:ul:ition of hlavca, and vrau rr. ceivcd tlicro abotit tliu month of July, ISC'). 'I'ho practiiv! wus tMConragcd hy tlie Ciovcrnmcnt, and dis- scininat jd ovor thi; country, ami upwards of lOOO wi*ro vacrinutid in tlic (onrse of three iiKMiths, with e(|iial slicccsM as in Murope. Dr. (jornian piibh^ihi'd a Trouo- tisc in Spanish, which Ik; had compiled from .he Kng. Jish books srnt to hini, and by wiiich a knowledtx \uu bi**'!! iiiiknowii ntuoiii^«t ih. We Imivo how n« ib»bclM:vcr» — uli arc Mttt.slicU." I \ ^» m ^ 4. ...ON THE IMUKiRKSS OK VACCINATION IN CREAT BRITAIN AND IKI LAND. THIS practice, tlioiij^h bent;ficiul to all countric!*, since by ull liavu tiie evils ot' tlic Sniull-pox ln*cn cxpe- rienccil, li:is takon mure time to attain its height in this country than in others: a circumstance which, without attributing^ it to envy or jealousy, may probably be accouiitecl tor l)y that ile^reo of liberty which every in- dividual leels hiinscit' aiithuriKCil to exercise. How tVr tliis ou^lit to be under uiodirK-ation or ostruint, it ^vill not here be argued ; but it surely can admit of no doubt, tliut it' such liberty exist, it ought to be rtf- ciprocalf and that wliiie any one has a right to introducHS or propagate a plague in his own family, his nciglibour ought to have an e<[ually strong and equally maintained riglit of declining it. As the mode of Sm.dl-pox ino- culation has l)een carried on for some years past, in this countryi all choice is taken away. The insidious iniecti vui lurks in every corner, and the embracing the coiuiKuaiively lesier evil of inoculation becomes fre- quently a matter of necessity, when infancy, dentition, pregnancy, or other causes, would desire its procras- tination. The Americans, whose practical know- ledge of lib/rty is so often quoted by us, have not hesi- tatod to place inoculation for the Smali-pox under very considei.ible restraints, enforcing a submission to them by pecuniary penalties, Whetlier tlieir example i^ worthy of b^iing -dopted, and whether a restraint, per- fectly consistent with rational liberty, cannot be framed, it seems well worthy the Legislature to determine. ^ 46 It must not, however, be supposed, be ause the pro- gr(!ss of Vaccination lias been slower, comparative/ 1/, in these realms, that the practice has therefore been tri- Hing, oris now much less universal than on the Continent. The opposition t'lat has been excited ajj^ainst it, by pre- judice operating apon ignorance and parental fears, has but little rctanlcd its career, altliouirh, as a perusal of the few pamphlets, hostile to it, will evince, the means of aJarm liave been neither sparingly ner delicately used. n Vaccine inoculation was adopted by the Small-pox and Inoculation Hospitals as early as Jan. 1799. Between that • time and Dec. 1 , 1 802, 1 1 ,800 patients were vaccinated ; of whom 1^500 were afterwards submitted to variolous inoculation, but without effect; and nothir.g adverse has beeii heard of amongst the remainder, though crowded in places where the ^^mall-pox was prevalent.— 9 Med, Jl. 194. .. . i * . : r . , . The various establish'^.ients that have been formed, to disseminate it, and the societies that have adopted it, wilJ appear in the list of Testimonies in favour of the practice. Dr. Willasi, who i*« much looked up to, by his brethren, on the subject of cutaneous diseases, in his work on Vaccine Inoculation, published at the close of the year 1 806, gives the following numbers, returned to him from the North of England, &c. In Liverpool, and its vicinity - Prescot - - . _ Vv'^arriugton - - _ Manchester ., - _ - 7280 - 3000 " 4000 - 7724 St. Helen's (of which number 3000 were vaccinated by the Rev. Wm. Finch, . mentioned before, p. 11 ) - - 6000 in )se II 47 Wigan - - - - - Ortiiskirk - - - - - Preston - - - - , Lancaster - - . - . NcM castle-upon.Tync Vaccine Institution, Edinburgh - 1600 500 3000 i;)oo 3266 3311 Dr. Willan calculates (p. 13) that the nunil)er of per- sons vaccinateci at Charitable Establishments irj London, cannot be less than 50,000. And of those vaccinated by eighty-six professional men, named by him, more than 18,000. Among these are nut included that indefati- gable and successful Champion of Vaccination, Mr. Ring, whose practice alone exte^'idi to nearly one fourth of this number. In the country the practice of many professional men has been still greater. Dr. Jenner himself must not be forgotten ; he and his nephews have vaccinated up- 20,000 •- 3600 - 2000 . 3500 - 2000 - 20f)0 - 1000 -- ' •wards of - - - Mr. Mainwriglit, of Dudley Mr. Lawrence, of Cirencester - - IVIr. Collins, of Swansea - ' - Mr. Jennings, of Chepstow - - Mr. Taylor, of Wootton-under-Edge - Mr. Fewster, of rhornbury Three professional men at Derby (up to 1802) mentioned with ^approbation by Dr. Darwin, who (as before observed, p. 28) was at first an opposer of what he considered a visionary spe- culation, but who soon y elded to the force of successful exjKjriment, and ommunicpted to Dr. Jenner himself his most decidetl satisfaction - 1000 HI \ \ k: I n;. I w l\i In addition to these there might be enumerated very many private iodividuals, female as well as male. 48 amountlnir, acconlinjif to Dr. Willan, to 10 or 12,000, who, tiikinp ii|i the LancH, hare cxh ntlod the bciiciits» of the prHCtico to almost cvorr corner of the ibland. Among tlicse stuiid oon.ipitriious,— - ., • The Kev. RowkiUl Hill •' * . • • ^ -• 5000 W. IJramston, of Oakley Hall, Hants, Esq. - 2100 Miss Bayloy, of Hope, near Manchester,* (np to Nov. 1805) - • Jli" ' - - 2600 A female friend of Miss Baylny - -"■ m 2000 Mrs. Kingscote, of Hinton House, Hants ■ • - 2000 T. Westfaling, of Kudhall, Herefordshire, Esq. 900 The Rev. I.T. A. Reed, of Leckhamstead (in two ' • years) - - '*. . *. 1573 The Rev. W. Finch, of St. Helen's, Lancashire, (up to 1803) - - - - 3000 TheRev. Robert Ferryman (to 1803) ' - 1000 W. Fermor, of Tusmore, Oxon, &c. &c. ^ very comidcrablo practice in our oM'ii Kmpiic, of uhicii hut a tritiing portion lias \k\'.u enuineratdi. It must uUo be remarked, tliut la many of the countries noticed, the numbers are only ftated of a particular year, or up to a cotnparHtiv«:ly early period. Dr. Bradley (as has been before observed, p, 19) es- timated ttiut not less tiian tzi'o millions had been vacci- nated up to March, 1802, only* Since which time the uxti>nsi\c praciici; in Fratice, Denmark, Kussia, the Mediterranean, Itahan Kopublic, India, the Spanisii and Kussian Expeditions, &c. and the greater part of thu practice of public societies and individuals in these islands, have taken place ; so that the numbers vacci* nated up to the present period must be vast indeed — perhaps, not fewer tlian tenviillions:— ^n amazing proof, surely itself, of the general opinion entertained of it, and the satisfactory results that have every where been the consequence of its adoption, ,1 • • ' 1 ^ 5.. .ON THE COMPARATIVE MERITS OF VARIOLOUS AND VACCINE INOCULATION. ; . . .. .' ;. THAT the Small-pox, whether natural or inoculated, is A fatal disease, has been sufficiently proved. That ^t is loathiotne, infcciiouSf and painful, requires no fur- ther proof thfin individual experience. That it often- times excites Scrojula, and other maladies, is asserted by the niost emini^nt and most experienced in the pro- fession. Tiie authorities might be collected without difficulty ; but as every writer on Vaccination has, more or ie^s^ ililated on this part of the subject, and as ther^ 5a is scurcely a faniily wiiicli Ims not had orcasinn, an4 thai at uu rcmotu |x:ri(><.l, to bewail a too-intiniatc uo- fjintiitiuicc with it, huic uocd here be rccapituUtutl. -^^ • .' .\\\ ' ■"'*•• Mr. ■Moore, in his excellent pamphlet ^^4 Reply to the ^nti vaccinistSy li^Ob, p. Hit J after renwrkiniT, that the numoers who siwler bhuchiess tVotn it are very consider- abli;, leters to the Institution in the Borouirh for in- structin^r the indigent Bhnd, ** 710 less than threefourthi ofwhomy' adds he, *' have lost their sight by the Small- po.vf" Ho says (p. 64) tliat wiien a human being it once alVected witii it, the poison cannot bo destroyed ; but the disease, in spite of all medical aid, must go through its stated course ; and (p. 6(i) that aotwithiitanci- ing the niitigution of the disease by inoculation, and the prebcnt improved state of medicine, it very consim derably diminishes population ^ ajlicts a portion of the re^ viainder with blindness y a7id rouses Scrqfula into action.-^ See also 1 1 Med. J I. 512. ■f '... -• . -^ -,••'; !• ' ' '■ ■/•■:)': '•: ■■ -v: - ") • Of this dreadful disorder, Dr. Beddoes has drawn an animated but horrible picture, in ** The Rules of tha extended Medical Institution for the Henclit of the sick, and drooping Poor." » ;-. it;. n' » 'I 'il '.". A 2d o- ut re le Dr. Cappe says, the Small-pox are severe and dan- gerous, in proportion to the number of pustules ; and of 1000 persons, inoculated for that disitase, generally more than 800 have pustuies. The Smalt-pox are pecu- liarly dangerous to infants and very yOung childi"en, and women in pregnancy, who very rarely escape abortion when they receive this disease casually. — " The natural Small-pox in pregnant women is fatal, in at least nineteen out of twenty cases, to the foetus in the womb, and to three fourths or four fifths 9f thp women," Medical Comm. 17D4; and of those m 64 |)roRnont women, whom personal safety has compelled to Hubmit to inoculation, many have lost their own lives, and very few have home livinj^ children." 4 Mrd. JL 433. — See some strontf cascs^ 5 Mcd.Jt. 563; 6 Jb. 3. See also Jiing^ 772, kc. :m 111 V Even the Grave itself destroys not the contn»Tioni< principles of the SmalUpox, of which many welUau- iheiiticated proofs could be adduced. /.v'.i \ Not only are '\i% depredation;) universal, hut its ap-^ proach is so insidious, as to render it almost impox has bcc» imported more tlian one hundred times in ieveji year^f into t!ie Channel ; and twenty times in about SIT 7tuynthSj in the year 1800, by the grand fleet alone. — Address of the Physicians and Surgeons of the Mivy, Ringy 687. " ' \ ; Observations lately made, and which formerly, when no alternative existed, Avore disregarded, prove, too, that inoculation for this disease, equivocal as it has been at the best in its benefits to mankind, did not always se- cure against a recurrence of it. This important cir- cumstance was at first disbelieved by many very re- spectable practitiotiers ; but a i^apidly-increasing mass of evidence, called into existence by opposition and in- quiry, seems now fully to establish the position. '• " ' ,fK' Mr, Trye, the Sienior Surgeon to the Gloucester In- firmary, and a man well known to deal little in hypo- tiiesis, — one, too, who does not scruple honestly to avoW his dislike to Vaccination, ** till such a mass of clear, undisputed, decisive evidence came forward in support of the newly, discovered preservaitive, as to be irresistible to a imnd not hardened beyond the susceptibility of 65 eoDviction/' — a«crU,//o\) iiu iloclaiX'H has been ample, *' iliul uliHtuvur luiii been liiiid against tlie huihci).*ticv of C'ow« puck matter as u ti>^:curitv a^aiiisi vuriotoiH iiit'octioii, niuy be al:»o Miid with truth agtiiiist Siirdll-pox mutter u« a similar security." In .su[)|)ort of this he ri'luteii in* sUnccg of tiitecjiiivocal Sinall-pox ucciirriiif; a gecoiid time, — one in i)articular, in a case of hiii own operating. —12 Mcd.JL 395. This letter, and one in the 15th vol. Med. Jl. 301, pf Nil*. Trye, are so replete with sound and liberal ur-* giiment, and gtj so decisively to the superiority of Vac* cine over Variolous inoculation, that they are touched on thus slightly with regret, but cannot bu entirely left, without being strongly recommended to every one'f perusal. . . > . > A ehild of Dr. Croft was inoculated with variolous matter, by Dr. Steigerthal, Physician to Geo. I. Ho had a severe confluent Small-pox, in conseciuence : and yet had it very full, in the natural way, 12 n^onths after. " A striking fact," says Dr. VVoodville, " which ha» never been contradicted.'* Woodvilky 217; liing's/insw* to Moselej/j 43. In which latter work, at p. 208, are col- lected several cases of a similar nature. — See also Hingis Treatise, 56, 58, 222, 681,684, 1034; and Ring'sAns, to Goldson, ., ., I 'r Mr. Kite, in his * Essays and Ol>servatiotis, Physio' logical and Medical,^ p, 253, pubhshed in 1795, previou» to Vaccine inoculation, and without having the subject in view, — enumerates no less than nine cases falling ivithiii his own experience. . t-. i I HM of Mr. Dunning, in his * Minutes, p, 62, 66, has some 56 •iiiiilnr cnu»i«. So al.o Mr. Mi-rriman, in \n**Ob.frna* tioin OH some late Jltrmpls^ iic. noticoi ninnv ; nmnuff others, Olio of l.onl Wismn-atirs son, p. 14 — '■! j/rd, Ji. '25Ct; uikI the ras« of the Duciic&s of HouflliTs, ino- culated in 1763, hy M. (>utti, Phvsiiian to the Kiit^ of Kraniv, an Inoculator of groat ex|H!ri('n.e, and who pronounced licr secure ; p. 18, — Utt also p, 19, 30; and 15 jWed.JL 218, Dr. Lottsoni mentioned in his cvidcnco [Report^ S!>) that ho had two relations inoculated lor the Small-pox, botii of whom afterwards took it in the natural way, and one of thuni died. The celebrated Tissot had a favourite child inocu- lated, and was sutisHed with the appearances ; but the child afterwards cnnirlit the disease, and died. It i.ccto(l oi Siii.ili-|MX nc- curiii»i; aft^T Cow-pox, tluit tlic ap|KMr.inrfs of Cow- pox liavi Ih;i;ii iiol ncU iriUi-rHionci, atiil tli.it t.ic p.ituiit has iicvor uti hypotliesis, that this seems only to require to be universally known, in order to be universally received. His sentiments were first published to the world (tho' communicated to some friends about four year-; before) hi the MtdicalJounial for Au«r. isot, Vol. XII. p. l»7. Conceiving tiie iitformation it conlamed to be of con- siderable importance, and that it had not been vcrv ge- nerally circulated, he reprinted it in Alarcli, 180(), — de- claring, that his inquiries into the subject had become much more extensive, and that the most am[)le testi- monies had been given him, in support of his opinion, that tlie herpetic and so)ne other irritative eruptions are ca- pabie of rendering Fariolons Inoculation imperfect ^a^ well as the Vaccine. — " I do not mean to say," he obser\es, *' that the pustule is always imperfect, and not effective, when the inoculated patient has this malady : on the contrary, it sometimes goes ihrouL^h its course cor- rectly, and, I think, more frequently so when this aifec- lion of the skin has been of long standing, than when of short duration; but what is remarkable, in cither ^ ,Vj' •fi \ •St 58 fflse, the (liM*aie ii often quickly subdueil by the (ine iiillucticu on the cuuktitutioii.'* He tliun ro|M!(Us iiis inttructionH ivxpixting the spu- hoiiii INiHtuk'i and nicniionH a case that occurred in hi« own |)ructico, to nhew the uHlcucy of the mode of pro- ceeding pointed out by him. Ho aliU) notiecH another euiic, in wliich tlH! Vaccine inoculation effected a com- plete aaniliilatiun of thi^ d>M)rdcr in itn niost serious torn). He conchides thU paper, by ohsorvinp^, " tiiat altho* Vaccine inoculation iUk'H not inflict a severe diseaiie, but) on the contrary, produces a mild aifection, scarcely meriting the term * Jiiscase^^ yet, nevertlieless, the Ino- culator should bo extremely careful to obtain a jutit and clour conception of this im|)ortant branch of medical science. He should not only be acquainted with the Jaws and agencies of the vaccine virus on the constitu- tion, but with those of the variolous also, as they often interfere with each other. A general knowledge of the subject is not sufHcient to citable or to warrant a per» son to practise Vaccine inoculation ; he should possess a particular knowledge.** And he wishes strongly ta inculcate, ai the great foundation of the whole, '^ an intimate acquaintance with the cliaractcr of the true iuid genuine Vaccine Pustule. The spurious Pustule would then be readily detected, whatever form it might assume, and errors known no more." — On the Varieties und Modifications of the Vaccine Pustuley occasioned by tin herpetic Stale of the Skin ; bj/Edw.Jen7ter, M.D. He. Mr. Conrtcnay, in the debate on Dr. Jenner's remu- Jieration, noticed, that as it appeared 40,000 lives were preserved annually to tliese kingdoms, by Dr. Jenner's discovery, it might be said that no less than. 200,0001. 69 • irtaalty Mtrd to the Slate, calcuttting on etery man ix'iiig wurOi to tlu; Hevctiuc 5l. a ycAt.—liep. 196. It has been before noticed (p. 10) that the annual number of births in lA>ii(iuti ua.H about 16,291 — now, •uppoiiing the {lopulation d' the im*tro|M)hs to be (as liai been calculatctl) one fifteenth of the \« \\q\v. of the United Kingdom, it follows, that tlie totid number born wdl be 244,366; out of which, probably, .24,436, or one tenth, would die before tlie a^e of seven yt^rs, when they would become u<«eful, both in agriculture and our ma. nufactorics. The Mirvivors would be 2l*J,929. Accord- ing to Daron DimsdaleVs mode of treatment, including iieccssiary preparation, not loss than twelve or fourteen days arc occu|Med in going through inoculation, the wliole of which is lost to the labcuiing man; and, cal- culating at only one shilling a day for twelve days, no less a sinri than 131,9571. 8s. may be said to have been Iv>st in labour to the State, annually, ' Dr. Denman, bearing testimony to the merits of Vaccine inoculation {i 3fed. JL 292) and exerting bin influence, which is very considerable, in removing pre- judice, says, it appears to him that none of the facts or dbscrvatioiis, inculcated by Dr. Jenncr, have been dis- proved or refuted, and that no new information has been gained on any material point, by all that has been ^vritten on the subject, since the publication of his first Ticatise. I Dr. Willan (p. U, 12, 13) gives lists of professional men of the firrt celebrity, and distinguisiied persons, who have patronised the Vaccine inoculation. The Report of the Committee of the House, of Com- Boons affords a very strong body of evidence in favour la I r* I 60 of Vaccination, All that could he hronght forward a<;ainst it, i»r airainsi l)i. Jcai.cr's claim to reward, was received and exumnicd; and yet t'lis, says the Chairman of tlic C'onn:iittee {Admiral Berkeley) ** has proved a matter of fresh trinmph to Dr. Jenner: for, although wc desccnd'^d to sdl, ( ut informatio i from every arioiiymous letter — though we rak'd the very kennels for information against the j)ractice, — all that wc are enabled to get is ponitcd out at iull length in the Report. And such were the explanations ontho-ic very cases — such were the res- timonies airuinst that ev'dence, that if Dr. Jenncr's dis- covery c(fuid receive additional lustre from this sort of inquiry, it certainly has done so." — Report^ 182. Dr. Baillie declares the fliscivery to be " the most hn- portant ever made in Meilicine^' {Rep. 9?*) and Dr. Saun- ders, " the "nost important ever made for the benefit of the IJumati Race^^Ib, 63. Mr. Neyle, of Piddh'ton, Dorsetshire, proves the su.. periority of Vaccination, by a set of experiments well worthy the attention of medical practitioners. — See his account, 16 Med,Jl. 138, Of the objections to Vaccine Inoculation, it is now almost unnecessary to speak. The Compiler of this little work cannot but believe that the Facts and Testi- inonials contained in it render Argument against such objections unnecesiary. He does not, however, feel any inelin-ition to depreciate it ; on the contrary, he earnestly recommends a perusal of the keen and clas- sical pages of RfNG— the refined satire of Moore — the ingenious imagery of Blair — the acute reasoning of Jones — the indignant severity of Hill, &c. &c. Two objcclionG, iiuwevci, have been made, which, 61 A8 they are, on the first blush, imposing, be UuiiwiiiiM^ to pass entirely over. One is, that the Cpw-p^x, thoU)}ii allowed to be a preservative against ijmalUpox, is so for A li|[nitecl time only ; anU tlie other, tiut whethev vucci' natcd subjects are or are not preserved against tlic at- tacks of Sinall-poX) cannot be decided till tliat disorder* rages epidemically f when, as it is implied, the security u'iil be Ibunu insufficient. h i\ S' a Both ^hese objections appear to take their stations on ground that they may occupy, for a time, without n possibility of being dislodged, since time and experience alone can effect it ; but fortunately for the supporters of Vaccination, and surely now it may be permitted to say, for the sake of Humanity herself, this experience is no longer wanting. , ,, , ,. ,, .., r, ^ . .1 , < . . .( ' Mr. Ring, in his * Answer to Goldaon,^ p. 35, iCt'. ^| ad(!uced cases that effectually destroy the force of the first objection. On which head also see.Dunning, p. 28, Edinburgh Review , No. XVII. p. Sl-rrW^i/Zaw, Xjixvii. — 1 2 Med, JL 1 2— /A. 348-T-/?in^, 809, &Ccj. fiCc > , . , Tc the second objection a satisfiEictory answer is given in the returns made to a question put by Dr. Willan, p. xxvii. " Has the Smallrpox been epidemic, so as to put to the test many of thoi>e who have been vaccinated V* its frequent recurrence in Liverpool afforded sufficient proof to establish, " in the minds of all the most respects able practitioiiers, a firm conviction that Vaccination secures the human < nstitution from the infection of the Small-pox, as completely as Variolous Inoculation." — In Prescot, and its neighbourhood, a most malignant Small-pox prev'uled, two years after the adoption of Vaccination. It carried off great numbers of persons, «nd spread a general paaic ; but, in every instance, the yacciqated (oAtients escaped the infection, p. xxviii.«— i li ,r 62 Jn Wnrrirtgton, Ashton, St. Heleii*s, Prenton, &c. the '•tame has been «jxperienced. — See also p. xxvii. xlii. xlv. One circumstance more deserves to be noticed. A pustule may be excited by inoculation with Small- pox matter on a person who has before undergone this disease, whicJi, though thera be no constitutional affec- lion, may aBbrd a matter that will produce pustules in others. The same thing may happen after Vaccination ; and it is to he feared that occurrences of this kind have been adduced as proofs (sufficiently convincing to /»a- 'rents) of the persons, on whom such primary pustules •>vere excited, actually having the disease^ — (See the ^Report of the Jennerian Society given hereafter. Articles !XII. and XIIIO-^The most pnident part of the Pro- fession now deprecate the practice of inoculating with Small-pox matter subsequent to Vaccination, as tend- 4fl|^to no gOod> after all the satisfactory experiments th&t have been' made, but being likely sometimes to ex- icite so much inflammation ih' the inoculated part, that the constitution may, in some degree, participate in the effects. 'If iuy doubt of security exist, it may be effectually satisfied by exposing the vaccinated person to the contagious influence of the SmalUpox* ' Any one, who has gone through the leading publica- tions of tlie Anti-vaccinists— has examined the CaseSy and observed ithe industry with which every thing has been coUected.diat could militate against the new Prac- tice, will only be astonished tliat so few apparently " adverse cases" have been met with, particularly if he consider the diseases to which Infants are subject, and that eruptive appearances', &c. occur at an age when the practitioner would not adventure to perform inoculation or the Small-pox (though he would for the Cow-pox) — when even dentition has not coicmeuced ; so tiiat ail the common disorders a child h«4 6a to untkrgo may follow the Cow-poir, whilo they would actually have preceded the Siiiall-pox. Post hoCf erg^ propter hoc. An aniplo fiulu tUiS| for Ignorancu or Mtt> levolence to glean in ! it i. 11 The Physicians, Surgeons, and Apothecaries, of the Medical Hospitals at Manchester, in an Address to tlm Poor, (6 Med,JL 116) declare, — 1. luoculation for the Cow-pox has been practised for 8c« Teral years, with constant success, in various parts of tha kingdom. 2. It has never failed to prevent the infection of the na. tural Small-pox. 3. It may be communicated with safety io persons of every age and sex, and at all times and seasons of the year^ with equal advantage. . 4. The Cow-pox is much preferable to the inocniatcd Small.pox, as being a milder and safer disease, and not ca* pable of infecting the persons living in the same family, or even sleeping in the same bed. 5. It does not produce eruptions, which scar and disfigur(y the face, and is seldom, if ever, attended with any other marks of the disease, than what appear on the arms from inoculation. 6. Neither swellings, blindness, lameness, nor any other complaints, which are known frequently to be the conse. qucnc.i of the natural Small-pox, and sometimes (though but. seldom) of the inoculated Small-po^, have been observed to follow the Cow-pox. 7. Alarming fits frequently seize children when sickening of the Small.pox; and while cutting their teeth, this disorder often proves dangerous; but no such objections lie against the Cow-pox. 8. So far from proving hurtful, delicafe and sickly ehil. dren are often improved id health by having passed through this complaintr . < . m f, ^1' 64 0. Srarccly any remedies or attendance are required far the Cow-pox. ' ■ ] • r • 10. There is no noressity for a eoursc of physic cither be- fore or after iiiorulatioii. • i* ^ « 1 1 . The time of the parcuto t:ill not be taken up in affend- ancc upon the sick^ to the injury of the support of the rest of the family; and, to poor families, this is an object of no imall importance. , ' . ^ The Finsbury Dispensary also published the follow- ing, Feb. 16, 1803, (9 Med. Jl. 214):— The power of the Cow-pox, as a preventive of the Small- pox, seeming now fully established, the following well-au- thenticated facts are presented to the public, to encourage persons to embrace this favourable opportunity of avoiding the baneful efl'ects of the Small-pox in their families, one of the most dreadful maladies that afllict the human race. * 1. The Cow-pox, properly conducted, has not failed, in a single instance, of proving a certain preventive of thcSmaU* pox. ' " ^ 2. The Cow-pox is a disease unattended by fever, and perfectly free from danger. 3. The Cow-pox is seldom attended with eruptions, and, therefore, cannot disfigure the skin. 4. As the Cow-pox is not infectious, it cannot be commu- nicated in any other way than by inoculacion : the mother, therefore, is not liable to disease from suckling her child. 5. The Cow-pox is never productive of other diseases, or any blemish whatsoever. 6. The inoculation for the Cow-pox may be performed at any age, or under any state of the constitution; even iu children during tht time of teething. JOHN REID, M.D. THOS. JAMESON, M. D. . JASP. RICARDS. MICH. BARTLETT. 65 ^'> at O o i < C4 a: < Oh o u o O s > «r3 o as ir' is ^ - C ;l ■'■ '' 2 .2 - r .z ^ /I 5 fi ^ i^ x a >- £ ^ •- § i ^ • ^ --S 5i O n i) CS i 3 jc "C -a 5 2 i« - I " ■" -J -n 2. fi - > i< V ^ •= 5 -^ o - o - = 2 = C J2 u -5 1?. -z ^ a o ra «t: a. = >^ X .=: o .t: a ^ = '-• ■::; ^ - _I S 5 c ••-I rS "— ' ^^ rs '^ '^ ^ •- rS ^' rt ° ;i i '- - = = s -s - o • - ^ S u 2 o -3 s ■»^ S frt J5 rt r/l C .2 .= ^ O e3 -3 O .2 3" I J. .- = ^ ^ > 2 5 I *1 - - ~tj rt .2 "^ '' -3 ^ *j ^ ^ ra cs — ^ "^ o 3 J3 c ^^ '*' -^^ ^^ « C u "? :^ <'-i ?5 » o •■" -c o s — ' JJ '- Bj •- E rt ^ •::.■£::= 2 o o u c ^^"^ ° c ^ S »- jz -i O if u ±^ •- S IS .- ^ •? t^ ,^ •- rt •-> ij "^ *« O u c --> • « ? - ^ -^ bO - -- 2 •» ■« w en r *-> - .*> c -s e > ^' ^ .;; I* « -5 it s ^ A V 7. ^ ♦- ■/! i) t» •"* i» u. u -3 -r rt « ij -» 3 '*^> CJ -'^'^ S ."^ — js • -J- 3 11 -* *■' ~ ^^ =-3 d - «-^ ci ® — I ■" -ir 3 3 = ":^ _2 -S J= ;::? or- ;: U Mr, Ring vaccinated a child immediately after its protect it against the Sniall-pox, iiriuer which another laboured. It proved siucesifiil, r.nil the- child was cfciu to the SrrialUpox with nnpunit\ .— JJ Mid. Jl. 63. •J- U -— — • birth, in order to child of the faniiiy atcerwards expo!>ed t ■ P I 66 The Med'cal Committee of Norwich, in their Ad- dress to the Iii!ial)itiint<4, inukc use ot the tolluwing scn- hihle and liberal arguments :— That tills rcconiniciulatioii may rorclvc crcry assistanco that a candid and impartial inquiry can give it, wi; shall brit'lly cxamiiic ihe force of the objections brought against Cow )\ inoculation, and draw a parallel be(weeii its ellects and the ellects of inocuUter! Sni.'«fl-po\ upon (he liuinaii body. It is admitted, on all hands, (hat the Cow-pox is never fatal ; whereas, in the inoculated SmalUpox, one in 300 perishes, —a cireums(ancc of no trillinc; consideration. It is asserted that Cow-pox is not, universally, a security against Small-pox, there beiii;; instaiiees alleged of persons taking the Small-pox, after having been inorulated for the Cow-i)Ox. To give this argument its full force, let us ad- mit all the alleged cases to be true, and then proceed to as- certain the proportion they bear to the whole number of persons who have been inoculated for the Cow-pox. From this inquiry it appears, that of 250,000 persons, who have been inoculated for the Cow-pox, only 50 persons have been alleged to have suifercd from subsequent Small-pox. Thus, even in this view, the Cow-pox is highly to be preferred to the Small-pox ; as, from this estimate, ow/y owe person in 5000 is liable to Small-pox ; zchercas, in inoculated Small- pox, it is admitted that one person in 300 perishes. But a more minute investigation has shewn, that of these fifty al- leged cases, only ten have been substantiated by evidence admissible and adequate; and that it is probable, among these ten cases, some deception or mistake may have taken place, on the same grounds as in some of the asserted cases of Small-pox, subsequent to Small-pox, and in which the Chicken-pox has been taken for Small-pox. Admitting, however, these ten cases to be established, the conclusion from such admission strongly proves the superior advantages of Cow-pox inoculation ; as, in that case, instead of one person in 5000, only one oerson in 25,000 would be liable to Small-pox. And further supposing, in the 250,000 per- Aons '''oculated for the Cow-pox, that tea of them (as as. 61 trrtcfl) shohld be liable to Sm.ill-pox, and should artually take it, and in the ca.sual way, and that of thiso ten, onv iii five should die (which is a greater proportion than nally ohUins) it would then appear, that of '25().(K)() perMnii ino. culatod for the Cow.pov, only two perkons would have died, and those from subsecjuent Small. |io\; whereas the dcattis from (lie same number of persons ('i50,0(XJ) inocu- lated for Ninall.pox (taking the received proportion of one iu JOG) would, be about K31. Thus it is proved, that the fatality of Suiall-pox inoculation, com|ured with that of pcsons takin;; the Small-pox in the casual way, subsequent to the Cow-pox, is, as near as may be, 834 to 2: — a fact, at once ktrongly exhibiting the superior advantages and mild- ness of the Cow-pox, when compared with Small-pox. Memorial of the Med. Committee of Nomichy p, 9. i ^ 6.. ..TESTIMONIES IN FAVOUR OF VACCINE INOCULATION. THE Testimony, of all others the least equivocal and most satisfactory, has already been given in the enumeration of the Countries wherein tlie .leiinerian discovery has been adopted, and the manner and degree in which it has been practised. The celerity with which it has made its way, in regions and amongst men, so opposite in manners and customs, could be the conse- quence of success only. Failures, in a few instances, would have been sufficient to have checked, if not en- tirely prevented, its extension ; and professional pride would have combined with national pr^-judiee and ri- valry, to consign it to eternal oblivion. But weighty as the argument is, which this general extension of the practice affords, there arc positive tes- K2 68 titnonials rxisiin;^, which (aiinof hut hnvc prrat inflti- ciicc. on thi" piihlic opinion. Thn^c tnr.y, for pci'spi- cuitv sake, be arrati^cii utKL-rtlie followin}; heads: — I. Pirect Testimonies of Societies, 6(,c, iiiufeNi.iuaal as well as otherwise. II. Diplomas, and other honours, conferred on the JJiscoverer. III. Miscellaneous tokens of approbation, presents, &c. Ike, To whieli niiglit bo added, thccncrp^etic, t)ic grateful tcstinijuies of individual writers, as well foreign as do- mestic. 1.... Direct Tcs/imom'alSj SCc. Among these, the following stand cons))icuous : — Testimonial of the College of Physicians. April 13, 1802.— licputt, 162. Testimonial of the Medical Society of London. March 22, 1802. Tcstimnnial of the London Practitioners — 4 AfeJ. jfl. 187; 5, 103; 6, 239. Testimonial of the Physical Society of Guy's Hospital. Report of the Medical Council of the Royal Jennerian Society. Jan. 2, 1806. Directions of (he Governor of the Mary-le-bone Infirmary (of zihich Dr. RouIpj/ zcas Phys/'ciati) to discontinue Va- riolous, and adopt Vaccine, inoculation. Feb. 1806.— 15 Med. jL 232. Edinburgh Testimonial. June 9, 1804.— 12 Med, Jl.ll* Ditto. Jan. 25, 1805.— 13 Jb. 286. 69 Fin««hury Dlsprniiry Adilrc»» to tlie l*oor. Fcbruftry \(J, 180.;.— y Med. J I. '27 1. Address of the Royal Somerset Jcunoriaii Society. 1 I Med. Jl. 3 IH. Address of (lie Sussex Jennoriaii Society. — 12 Med. JL 19. A Te»^^timotiial of rlieir approbafion of Vaccine innctilatiotif by fiv;* Fliysicisus :mu1 seveiiJeeii Surgeons, al Leeds. At C'hestor, by foui- rii^sicians aiul twelve Surgeons; and at Diuhaui, by one I*hy iiei«ii and seven S ir^cons. Meetings of the Faeul'y wcrr al>o held at Y'oik, Jliill, IVirmiiighum, and other plaees, where similar resolutions were adopted. — 4 Med. J L 570. Addro's of the FaruKy at Manchester, to ^^rLiii>rpool ditto. April '2'J, IMX!. /6. iJCt. Dr. Bt'JdopsN letter to Dr. J«'mur — lb. 43. TfHtimuny of tlu' CSovcritor in Council of Madran. Julj ?8, IHOI.- 13 Med.Jt.'iHS. Cuinpliniontary Addrchses fruin the Frrnch National Insti. tiitv to Dr. Jcnncr. Letter addressed hy the Medirul Committee for the niflTii- •lon of the Vaccine Tiiociilation at Paris, to the Ma}«>rH of the twelve districts. — 5 Mat, J I. 35(J. Testimony of the Vaccine Central ('ommittoe atPartx, on Mr. Goldvon'tt Book. 8 Mess. ann. 12.— IS Mid. JL 3^8. Address of the Jury of Iloalth at Araieni, to Lord Corn- irallis.— /l<7). 171. Address from the Medical Society of the Department dc I'Indro et Loire. April 19, 1802. Address, and Testimony of the efllcacy of Vaccine inociu lation, from the IMiysicians, &o. of Ureslaw, Nov. 10, 1802. Letter from Mr. Adams, President of the United States, to Dr. Waterhousc.— ii//i^, 868. \,i; . ,,4< , .,^,w.> Letter from Mr. .leflTcrson, the President, to ditto. Dec, 25, 1800.— 6 Med. J I. 6». Letter from ditto, to Dr. Jenner. May 14, 1806. •■ '. '^Ut t>. e i \\.., . Diplomas y fife. ...'. vi • Diploma from the Physical Society of- Guy'a Hospital. Feb. 20, 1802. ."-'■^' /'* Diploma from the Royal College of Physicians of £diii« burgh. 1802. ' *"' ' ■•'* •»•■''-'.* •■r' 1. .u.'»o. Tl Diploma from the Koytl MrUical Socioly of EdiDbnrith. March 7, 1M09. niploina from the ITnlvcrtily of Gottiniifn : — *' K. J. Im- morUiis numinis Modiium, do oiiiiii huuiaaitatr luoritukU mum." Sept.LM, 1801." Diploma from the UnUonUy of Wilna. Nor. 10, 1801. — U Med. J I. t'JH. Diploni.t from the Uo^al Medical College of Stockhulin* March 31, 180G. Diploma from the Medical Society of Parb. 25 Vciit. tun. 10. . Diploma from the Medical Society of Tours. 2 Mes!«, ann. 10. Diploma from the Medical Society of the Department du Card. Dec. 1802. Diploma from the Medical Society of Avignoa. May 25, 1803. Diploma from L'Agogna, in the Italian Republic. Diploma from the Royal Society of Economy at Madrid, Oct. 10, 1801. Diploma from the American Academy of Arts and Sci- ences ; signed *-' John Adams, President." May 25, 1802. Diploma from the Philosophical Society of Philadelphia; signed " Th. Jeflerson, President." April 27, 180 1. Diploma from the University of Cambridge, in Massachu- cett's, North America. Aug. 31, 1803. The Freedom of the City of London presented in an elegant gold enamelled Box, with appropriate devices, and the fol- (! I f 79 lowin({ iiiirrifition :— ♦* Prricntci! to KiIm(|. Ji'tmrr, M. D. f.L. D. F. U.S. I)| lh«' ('orporadoii of l<()iii|oii, Ilili Aii|(. I8(»3, in fhi- MavoraU) of tlu* III. lion. ( Im.. I'ria, .M. I'. a<« A tukvn of till ir « . * * A MtnUil WM struck, with the hrad of Dr Sarco, of hfl« Ian, and thin imcriptiun : — '' Alo^tiun Sacro. Mrdiol. Mrd. H (Jhir. I*rur.-~.lonnn'ii iKinulu, Ainici Uutiunicni^, A.J. A. B. l(al. Hep. Coiu." ^ ., . II.. . ^ .. f I . < .. .1 ., . .. •. I • . ■ 1*1 >' I Inntructionfl fo Ui>f (mental SursconK, pnbli«hrd under (ho authority of tba Commander in Chief. Jan. 1) 1S06. • • » • ■ 'j'he Testimonial of the London Medical Societj/t b^ore , . n ,. , noticed. ... At a Meeting of the Medical Society of London,* March ■^ 22d 1802 — , ol'i ' ' In'i!.'' I fu; I. ii:: /'' j'JAul'ii'U'.V .I'v \U. // Resolved auauimously, '. .nuoi'i Ji.yv .lu. \ ,\ • :;iu^ '. ..<.• That the Members of the Medical Society of London, • taking into consideratiou the very important discovery made by Dr. £dward Jennrr, are of opiuion, that great benefit will accrue to the inhabitants of these islands, and to man- kind in gencrad, from the introduction of Vaccine inocula- tion ; and that, from their own experience, as well as from tke extensive and succcHnful trials made in various parts of •the world, it will, in all probability, ultimately eradicate the ,11 I* The Medical Society of London consit'tc of nbove l50 memberi ^- ll4eot in the Jidctropolis, and more than double that number residing in oiher placet. Qf the whole body, more than •oe half are PhyticiaiWret the highest reij)ect»bility> and io exteoiivt practice. ji'! ..... . . .... - .C . .1. ) i - ' Iti ^^ - . ;'. '. I V i i I % i ntsmjm 74 SoMll'pox, one of the most fatal diseases to which the ha< nan 6peci«s is liable. Signiil, b) order of Ihr Mcctinp» JAiMES SIMS, President. Testhudnial of the London Prac/ifioficrs, before noticed. Many unfoundi'd reports having been circulated, vfhich have a tendency to prejudice the public against the inocula- tion of the Cow-pox, — We, the under.fii^ned I'hjsiciarts and Surgeons, think i* our duty to declare our opinion, that those persons, who have had the Cow-pox, arc perfectly se- cure from the future infection of the Small-pox. We also declare, that the inoculated Cow-pox is a much milder and safer disease than the inoculated Small-poxy faigncd by Drs. Babington, Baillie, Bancroft, Baity, Blackburne, Blanc, Boys, Bradley.^ Clarke, Cooke, Crichton, Croft, Dcnnian^ Dcnnison, EHiot, Farquhar (Bart.), Fearon, Frampton, Fryer, Garnctt, Garthshore, Gibson, Haighton, Hamilton, Hawcs, Hayes (Bart,), Hooper, Hulme, Hunter, Latham, Lettsom, Lister, Maton, Mayo, Pcmberton, Pinc- kard, Pitcairn, Poignand, Saunders, Sims ( Jas.), Sims (Jn.), Squire, Stanger, Thornton, Thynne, Vaughan, Underwood, Walker, Walshman, V/illan, and Yelloly ; Mess. Ahernethy, Addington, Aikin, Anderson, Andree, Blair, BHss, Brick, enden; Brown, Bureau, Burrowes, Burrows, Cairncross, Chambcrlaine, Charlton, Cbilver, Cline, Clutterbnck, Cole- man, Cooper, Cribb, Curtis (Jn.), Cortis (L. L), Curtis (W.) Dale, Davis, Douglas, Dowers, Dunn, Dundas, Dy- son, Farquhar, Fearon, Foof, Forbes (M.), Forbes i W.) Ford, Foster, Gaitskell, Gardner, Gib, Gilder, Good, Good- win, Grenville, Griffiths, Gristock, Harris, Hayes, Higgins, Hill, Hogben, HoUe, Hollings, Holt, Home, Horsford, Hur- lock, Jeaffreson, Johnson, Jordan, Key, Knight, Leesc (L.) Leese(E.), Leighton, Lewis, Lewthwaite, Luxmore, Lynn, Mackinder, Maiden, Massie, Maule, Messiter, Millington, Moore, Morris, Moss, O'Conner, Owen, Parkinson, Pa- tfcinosicr, Pa>thcrus, Pearson, Perfect, Phillips, Phipps, 75 Pktt, Pole, Portrr, Ramsdcn, Rrid, Ricardo, Rmg, Roloh, Rush, Stajjram, Scares, Sharp, ShfMon, Shirley, Simh.unds, Siinpsun, Smith, Steel (Jos.), Steol (R. H. II.) Strong, Thomas, Tarnbiill, Tuson, \V arc, Warnt-r, Wathen, Whately, Witham, WootI, Woodward, Woolriche, Wye, Young (G. W.), Young (J.) -i • The Testimoniai of the Physical Society of Gui/s llou piial, before noticed. The Original, signed by the indiviJt'al Members, was presented to Dr. Jenner: — We, the Presidents and Members of the Physical Society of Guy's Hospital, deeply impressed with the importance of the discovery of Vaccine inoculation, arc anxious to express our opinion of its efficacy, and our profound veneration for its Author, We entertain a perfect conviction that this inoculation !:> A certain preventive of the SmalUpox, and trust, the period is not remote, when that dreadful scourge of the human I'^ctt ■will become totally extinct. We arc fully persuaded, that when Vaccination has been properly conducted, no instance has occurred of its having Ojccasioned any dangerous consequence, or faiJod to produce those elTects which lis Discoverer has set forth. We further state our belief that the Vaccine inoculation, from its superior mildaess, will call forth those latent seeds of diseast .vhich occasionally arise from the Small-pox, even under the best mantigoment, and which wight otherwiio never have happened. We feel the warmest sensations of gratitude and respect for the liberal manner in which the Author has commuui- catod his discovery to the world, uninfluenced by any mo- tive of self-consideration, We contemplate the di-scovery itself as a memoiable epoch in tho Annals of Medicine. The Society presumes to hope, that the Author of i\\\% happy discovery will meet with that reward from his grateful L 9 76 rouutfy, wfiicli he jnsily di^erves, for havin;^ tliiw reiuUrfd Iiiimdf riio B^ncfat tKr of Maiikiud. ' '< it ts ' Signed by Dm. ITakjutov, WAi.siiwAff, fi: TinRrT: and MfRisn. CooPT.a, Saum akkz, & Hahdy, Prcsidoiitu, Amd b) one hundred and six other Mcmbci's. ^ '• " Jxtport of the ^fe(Ucal Council of the Roxjal JeuneviaH- Society, on the Subject of f'accinc lnocukitio)( The Medical Coimcil of the Royal JeniioriaiT ipe:irance, and lutherto unknovvn ; and judging suc'.i opinions to be connected with the question, as to the efficacy of the practice, they thought it incumbent upon them to examine also into the vaUdity of these injurious statements respecting Vaccination. After a very minute investigation of these subjects, tjie result of their inquiries lias been submitted to the 77 McJical ( oiuicil y and fiuui ibc Report of the CuiupiiUe* it aji|j«' II ., — i .> / . I I,i.4'v DiMSt of ihe cases which have been hmuglit for* wurcl IS nistanfss ui' the failuie of Vaccination to preveni the S'lial.-p x, a«Kl which have been the subjects of public atte'u.'.m and conversation, are enlu-r whohy uufoundeJ, or ^ jssIv .T.i^ifpiescnted. II. Ihit sorue of the cjses ar« now allowed, by the very. pcisoiis who first related them, to have beeji erroneously stated. III. That the statements of such of those cases as aro pub- lished have, for lire most pari, been carefully investigatedj ably discussed, uhJ fully refuted, by didcrent writers on the subject. IV. That notwithstanding the most incontestible proof* of such rulsiepvcseiitations, a f^'W medical men have persisted in repeatculy bringing th^ same unfounded and refuted re- ports, and misre])rescntations, before the public ; thus peri ver$ely and disingenuously labouring to excite pRjudices against Vaccination. , ' ; V. That in some printed accounts, adverse to Vaccina- tion, in which the writers had no authenticated facts ta support the opinions tliey advanced, nor any reasonable ar- guments lo maintain them, the subject has been treated with indecent and disgusting levity, as if the good or evil of w-, ciety were fit objects for sarcasm and ridicule. VI. That when the practice of V^accination was first in- troduced and recommended by Dr. Jenner, many persons^ who had never seen the effects of the vaccine fluid on the human system — who were almost wholly unacquainted with the history of Vaccination, the characteristic marks of the genuine vesicle, and the cautions necessary to be observed in the management of it, and were, therefore, incompetent to decide whether patients were vaccinated or not — never- thelf-ss ventured to inoculate for the Cow-pox. VII. That many persons have been declared duly vacci- nated, wlan the operation was performed in a very negligent and unskilful manner, and when the Inoculator did not af- {' 9 i t I 78 ^nvnrji see the patients, and therefore could noi ascertaia whether infection had taken place or not ; and that to thit cause are certainly to be attributed many of the cases ad. (iuced in proof of the ineflicacy of Cow-pox. VIII. That some cases have been brought before the Committee, on which they cou'd form no decisive opinion, from the want of necessary information a to the regularity of the precedinij Vaccination, or the reality of the subse- quent appearance of the Small-pox. IX. That it is admitted by the Committee, that a few eases have been brought before them, of persons having the SmalUpox, who had apparently passed through the Cow- pox in a regular way. X. That cases, supported by evidence equally strong, have been also brought before them, cf persons who, after having once regularly passed through the f.nall-pox, either by ino- culation or natural infcctipn, have had th^t disease a se(on4 time. •' ' • • ;:.;-.. .."■■. XI. That in many cases, in which Small-pox has oc- curred a second time, after inoculation or the natural disi> ease, such recurrence has been particularly severe, and often fatal ; whereas, when it has appeared to occur after VaccU nation, the disease has generally been so mild, as to lose some of its characteristic marks, and even sometimes to ren-f der its existence doubtful. XII. That it is a fact well .. certained, that In some par- ticular states of certain constitutions, whether vaccine or variolous matter be employed, a local disease only will be excited by inoculation, the constitution remaining unaf- fected; yet that matter, taken from such local vaccine or variolous pustule, is capable of producing a general and perfect disease. XII I. That if a person, bearing the strongest and most indubitable marks of having had the Small-pox, be repeat- edly inoculated for that disease, a pustule may be produced, the matter of which will communicate the disease to those who have not I ^^en previously infected. XIV. That, allhuiigh it is difficult to determine pre. 79 fisely the number of exceptions to the practice, the \fecli- cal Council are fully cotn-uKe4 tlut the failure of VaccU nation, at a preventive of Snull-pox, is a very rare oc curence. XV. That of t}»e immense number who have been vac- cinated in the Army and Navy, in different parts of the United Kingdom, and in every quarter of the globe, scarcely any instances of such failure have been reported to the Com- mittee, but those which are said to have occurred in the Metropolis, or its vicinity. XVI. That the Medical Council are fully assured, that in very many places, in which the Smail-pox raged with great violence, the disease lias beeii speedily and efleclually arrested in its progress, and in some populous cities wholly exterminated, by the practice of Vaccination. XVII. That the practice of inoculation for the Small- pox, on its first introductiou into this country, was opposed and very much retarded, in consequence of misrepresenta- tions and arguments drawn from assumed facts, and ot mis- carriages arising from the want of correct information, si- milar to those now brought forward against Vaccination, so that nearly fifty years elapsed before Small-pox inocula- tion was fully established. XVIII. Thatj'by a reference to the Bills of Mortality, it will appear, that to the unfortunate neglect of Vaccination, and to the prejudices raised against it, we may, in a great measure, attribute the loss of nearly 2000 lives by the Small- pox, in this Metropolis alone, within ♦he present year, XIX. That the few instances of failure, either in the inoculation of the Cow-pox, or of the Small-pox, ought not to be considered as objections to either practice, bii merelv as deviations from the ordinary course of nature. XX. That if a comparison be made between the preserva- tive efixvts of Vaccination, and those of inoculation for the Srr ail-r>ox, it ^N-ould be necessary to take iiito account the gne-itet number of prrsons who have bt^n vaccinated within a jjiven time, as it is probable, ~hzt within the last uvan ytarsj nearly as many persons LiVc been inoculated so ■for the Cow-pox, an wcrr ever inoculalrd for the Strall-po* since tl)c prnrtirt: was intrcHurfd into this kin|i;'l<heJ) their objections. The motives, the temper and disposition, of these opposers and riva/s of a Bailiie, a V:u-t]uyiar, a Vaughan, &c. — an Abernethy, a Cline, a Cooper, a Hinif, &c. — will best be learned from their works: a few specimens of wiiich are therefore here added. Dr. Moseley, the first opposer of the new practice, •tarts tluis : — *' Th^ CouC'poT has lately appeared in England, This is a new star in the ^^scuiapean system. It was first observed from the Provinces. It is so luminous there, that the greasy-heeled hind feet of Pegasus are visible to the naked eye. The hidden parts of that constellation, which have puzzled astronomers, as to the sex o4 Pegasus ; and which Hippart}ias, Tycho, Hevelius, Flan'.stead, and Herschel, could never discover. The reason now is evident, " The medical Pythonissas are divided in their opinion respecting this phenomenon. '♦ Great events are foreboded. — Some pretend that a res- tive greasy-heeled horse will kick down all the old gally- pots of Galen. — Others, that the people of England are becoming like the inhabitants of a wilderness, be)ond the land of Cuthay, seen in 1333, by the rare and inimitable Sir M S'2 Joliu Mandcvillc, — who, he say% were " wild, with horn* vn their heads, very hideous, and iipcak not ; but rout as swine." *• Can any person say what may be the consequences of introducing a iics/ial humour — into ih- human frame, after a long lapse uf years ? •♦ Who knows, besides, what ideas may rise, in the course of time, from a brutal fever having excited its incongruous impressions on the brain ? •* Who knows, also, but that the human character may undergo strange mutations from quadnipcdan sympathy; and that some modern Pasiphati may rival the fables of old ?" " I flattered myself that either my ridicule, or my rea- soning, in the preceding: publication, had some effect for a while ; but I deceived myself. The indecorous became more so. Reason was dethroned, and trampled under foot. The tempest raged. The press groaned dreadfully; and the English language expired under the load of Cow-pox Parnns! " *' It is a lamentable reflection, that men of learning should hzvc joined in this diabulkai conspiraci/. But much more lamentable is the reflection, (hat such mc7i should persevere in it.*' ** From this Cow-pox medley of tseak Philosophers, and strong Fools, the world will form some estimate of the state t)f Physic in England. " The Medical tribe in London, must be viewed in-, an extraordinary light by people of understanding; when they see zchai huvock Dr. JenxlRj and his COfV, have made in their itilellects.'^ " One bewildered soul, starting in his phrenzy, vows that ' the sweet influence of the Pleiades, and the bands of Orion,* are nothing but Jennerian pustules; then decorates Vac c I N A with moons and stars, — worships the divine Beast in Pythagorean relationship, — sends her to the Heavens as a Constellation, — and swears he will have a Cow, instead of a Bull, in the Zodiac. 83 " AnotliT cnt.thma/, Smithfuld nvlcraty hou$e; and, in cnrmvoroun hijmn^^ *>ngt the praises of her tlivisibility on the shambles, in ticef^sicaks, Rounds, and SurloinSf-— like a savage of New Zealand. *' But these ravera are not the men, who alone have car« xied the Cow-pox disastrous practice, into its widely-ex- tended effect. " The cuipriit, nho keep out of $i^hiy and prompt the mis» chiefy and have not Ltonour enough to renounce, nor cou- rage enough openly to defend, their conduct, will not be forgotten. They mny skulk behind the curtain, and keep the stage occupied, by bringing forward one silly Bufloon after another, • Tofttd conttntlon In a lingtring act,' and blind the publick, — but they will not escape. ** It will be remembered," the Edinburgh Reviewers remark, (No. XVII. p. 14,) that Dr. Benj. Moselcy is here speaking of such men ab Baillic, Vaughan, Farquhar, &c, &c. — in fact, of the whole practising Physician! of London, with the exception of his facetious friend Dr. Squirrel." Again, he says, ** It is certain I should have been more flattered in this victory over the Cow-poxers, had the Flock- tons themselves, the Chiefs of the puntoiiiimic zsar^ attackod me in propriA persona; and not to have had their parti undertaken by their Buffoons, who know nothing of the Farce but what they are taught from day to day, by their prompters," In one of tlie dreadful cases, introduced by Dr. Moseley, he says, — " On all the places where the ulcers have been, after they were dried up, patches of hair appeared ; some as large as a six-pence or a shilling. On the parts where the first scabs were, the hair is longest ; and some of it is very much like Coxa's hair. If the ulcerations continue to come out as others dry up, and the hair continue to grow in proportion as it has done, this poor child must be, in a few years, in* slosed in a sort of Cozens hide." . ..^ M 2 J< ^ •4 •' r'»»/if;»rn/.— Ro'.vi ANft Id t i. m»y ffll p«r<|)1f, ih^rc it no tnrtn in ai hjg»*fts. Arinio* monc.^ W.IK an Athenian (iftirral ; this poor child is not an- Atlioniiin (icnrr.Tl," — A:. &c. '. . •' A mind »h.it ha« had tho ^rnvfwp Cow-pox, if fittrd to fcrpetrat' the deeds of n Ci*ment^ or u Hupftiilur. It Ims ma yon pnf.r the wrll-liil h«»«, to the wr!l-fid horw i or to a ruu«tcd puppy: or to :i AUv of a dcul man." *' Hf no nu'uiis tln'o quarrel with tliP Cow." " Mailam, 1 t' II yoti Inr ^c^y Dims? is a line poultli.ano; and you will never e*t Dtirliani Mustard a^ain. i will give you the Uuccipt for luakint? it, from a work of the highest authority. — Mind, RowLANo. — * I'ake the finest part of the lilfh in the guts of the tow, and season it with salt and pepper. Mix the iiu grcdieiifs woli to^i ther. . '* I kiK. \v my credit has Ions; stood very low Mith Coir« poxertt ; but 1 hope this will raise it; and, as a further con. firmation of your corrertness, I refer scrupulous readers to the learn A work itself; w' c they will not only find tho ftbore Rec^'ptjbuf the followiu;. interestinran. " Suppose this same in»prrtinent letter e should escape from ^•^ Hiotographic Sciences Corporation 23 WEST MAIK STREET WEBSTER, N.Y. 14580 (716)872-4503 ^'^^ fV ^\ 'V 5 86 pel,— -wonld you apply the birch ? No, Rowland, rcrlainly not.— That would be Uellishf 1 mean Iliiltsh^ severe indeed.'* ii.i ■A /««> ** Vaccinators now, of every clasR, — from Cow.pox Apollo himself, down (o Cow-pox Men-midwivcs, and Methodist Parsons, — have had a fair and impartial trial ; and after ai) obstinate perseverance in pro].agating a new disease, among their fe'low-creaturcs, are Jully convicted of having failed^ in the presumptuous enterprise^ to perforin ichat no earthly poKer can atchfeve" Hi. . ► I It " It was natural for all sober, Tcflcctinc; people to suspect a caase, where, Dr. Pearson excepted, there has not up» peared one man famed for experience, or renozsned for scim ence, in Medicine^ —either in England, France^ or Germany^ that has given it uny practical support. In every country the Subject has seized the ' heat-opprcssed brain,' of e:^trcmisti only." ' >'* ' .i^i - * i- ■,< ■ ■ 'i ^.. The Reader is recommended to compare this * refuU gent shield of wir with * the feeble darts of his weak as-, sailantSf of which a quiver full may be found iu Ring'i Answer to Mosi'eyy^c, ♦- Thus much for Dr. Moseley.* Of those who follow him in his labours, less may suffice, Dr, Howley be» gins by remarking, that ,. ^*' To investigate and expose imposition^ to refute niany medical errors, and to establish demonstrative truths in the theory and practice of the art, have occupied the attentioii of the author through a long life, incessantly dedicated to the study and practice of physic." * " I smile when 1 read that the pompous Dr. Mosely has iaoculate4 thousands of people in the West Indies, with the SmalUpox, without Io»e- ing a patient. Dr. Moseley practised at Kingston, in this island ; and U is a well-known fact, that his practice was extremely limited, and that he was much more devoted to Music than Medicine." — Lttttr from Mr, U'esten, St. Anne's Bay, Jamaica. 17 AftJ. Ji. 61. ., . The nature of his investigations may be judged of by tSj following sentence :— " Indeed, no other questions arc admissihU' in Vacriuation than, Ifave the partiis brcn inoculated for thf Cozcpox? Haw Ihcy hcon vaccinated? Icy. Have thcv had the Small- pox aftcrwar'ls? K'?. As to now, wiiex, where, whether the Cow-pox tnukf was genuine or .spurious, or any argu- ments, however sppcious, as pretexts for doubt or failure, they arc evasive and irrelative to the question. They may confound fools, but not illustrate the credit o/ Vaccination. " After such a declaration," say the Edinburgh Reviewers, " it certainly cannot be worth while to refute Dr. Rowley's rases. It wonld be little less absurd to tell a jury, in a trial fop murder, that the only question was, whether a pistol had been fired or not, and that it was of no consequence to in- quire, whether it was loaded with ball, or whether the suf- ferer had died by a pistol-shot ! " The compliment he pays to his friQnd''s penetration may, fairly, be added : — ** Dr. Mosclcy, who sensibly first exposed the errors of Vaccination, saw this case of the ox-faced boy by my desire, lie observed to me, that the boy's face seemed to be in a state of transforming, and assuming the visage of a Cow 1" * M ''•ii I • Dr. Rowley's public advertisement is worth preserving. — ** Four Hun- dred and Forty Proofs of the Inutility of Vaccination. The Second Edition. This Day is published, priceSs. COW-POX INOCULATION NO SE- CURITY AGAINST SMALL-POX INFECTION. By WILLIAM ROWLEY, M. D. Member of the University of Oxford, the Royal Col- lege of Physicians in London, Physician to the St. Mary-le-bonne In- firmary, Author of Schola Mediclnae Universalis Nova, (the Rational and Improved Practice of Physic), and Public Lecturer on the Theory and Practice of Medicine, excluding false Systems, &c. &c. — To which are added, the Modes of treating the Beastly New Diseases produced from Cow- Pox, explained by two Coloured Copper-plate Engravings, — Cow- pox Mange — Cow-pox Ulcers — Cow-pox Evil or Abscess — Cow-pox Mortification, &c. With the Author's certain, experienced, and succesi- 88 •. '< Dr. Sqairrers book, howcrer/* the Edinburgh Review. trn remihrk, ^' is the must entertaining uf the whole. We will venture to say, though we know it to be a bold asscr- tion, that there never wa.s any thing so ill written, or so vul. gar and absurd, produced before, by a person entitling him« •elf a Doctor of Medicine. Thcro is a certain ninibiencss and agility about hiiu, however, Mhich keeps us in good hu- mour, and he whisks about with such a self-satisfied springi. ness and activity, that it is really enlivening to look on him.'* Dr. Squirrel dedicates his work to tiic King, assuring his Majesty, that ** Although but a few years have elapsed since the Small- pox Inoculation has been so unnecessarily and unjustly for- saken, and Vaccination adopted in its &t«ad ; yet, in the short period of seven years, this practice has, in numberless instances, proved ineffectual, and undermined the health, and destroyed more lives of the most innocent and inJantiU part of his majesty's dominions than can be imagined. " The Cow-pox is unnatural to the human frame ; and whatever operates contrary to the law of nature, can seldom boast of long inheritance ; for nature detests an enemy at well as abhors a vacuum, and she endeavours with as strong efforts to destroy the one as to fill up the other. Providence never intended that the Vaccine Disease should affect the hu- man race, else why had it not, before this time, visited the in- habitants of the globe ? Notwithstanding this, the Vaccina Virus has been forced into the blood by the manufacturing hand of man, and supported not by science or reason, but by conjecture and folly only, with a pretence of its extermi- nating the Small-pox from the face of the earth, and pro- ducing a much milder disease than the Variolus Inocu- lation ; yet, after these bold and unqualified assertions, the ful mode of Inoculating for the Small-pox, which now becomes necessary from Cow-pox Failure, &c. — * Audi candiJe alteram partem.' — Sold by J. Harris, corner of Ludgate-street ; Ebers, Old Bond-street; Grace, Smithfield; and by all Booksellers and Newsmen in Town and Country. — Information of Cow-pox Disasters is received by Mr. Tinkler, Pricce's- street, Lcicester-iquare. 89 natural infection has exerted its own riglit, and the Small- pox, subsequent to Vaccination, has n.ddc its appearance; for * nature will be nature still :' hence the puerility and the impropriety of such a conduct, vix. of introducing Vac- cination with a boasted intention not only to supplant, but also to change and alter, and, in short, to pervert the esta- blished law of nature. The law of God pro,' Hits the prac- tice ; the law of many and the law oj nature^ loudly exclaim against it." I > Tlic Doctor has drawn up the following comparative statement : 2. " The Cow-pox Inoculation produces malignant ef- fects, vitiates the blood and other juices. " The Small-pox Inoculation produces no ill consequences whatever. 3. " The Cow-pox produces very ill health to children, which is mentioned under the third class of consequences, page 18 and 19. " The Small-pox Inoculation improves the health and con- stitution, and carries off many complaints which are very un- comfortable, both to the parents and children, Thi^ circum- stance I have experienced many hundreds of times. 4. " The Cow-pox matter is taken from an animal dis- eased, and is of a specific scrophulous kind, as is proved from its effects. ** The Small-pox matter is taken from a healthy subject, and produces no disease whatever but the one for which it was in- tended, 5. " The Cow-pox was introduced into this country in the year 1798, since which time experience has proved that it produced many bad consequences. *« The Small-pox Inoculation has been practised nearly a hundred years in this country, and no ill effects can with truth, be attributed to it !!! 6. " The Cow-pox is a disease unnatural to the human constitution. Providence never intended that it should N m 90 aflccf or pcstrr the human race ; consequently^ Vacciuatiolu>vcN tiial natural Cow-poi is an infallible preventive of Small. pox. There are more than one hundred thousand cases of inocu- lated Cow.pox, in which the patients have equally resisted all subsequent infection ; and yet he rufuscs to bolievi; that the inoculated Covr-pox can b<' depended upon as a preven- tive ! This is almost as absurd, as it is in Mr. Uirch first to (ell us that Cow-pox is nothing but SmalUpox transmitted through a cow, and then to maintain that it is in the highest degroc hazardous and improper to substitute the Cow-pox Inoculation for that of SmalUpox. Yet these arc the two most rational antagonists of Vaccination." " It would, however," say they, " be injustice to Messrs. Goldson and Birch to confound them with this triad of Doc- tors, whom they have submitted to follow in this contest. They both write, especially the former, like men of some s/snse and moderation ; and we entertain good hopes of sec- ing them converted from their present heresy to the faith of the majority of their brethren. They neither of them join in the ab?urd clamours of the genuine Anti-vaccinists ; but, admitting the greater part of what the advocates for the new practice have asserted, they think it necessary to enlarge upon difdculties and discouragements to which wc shall pro. ceed to say something immediately. In the mean time, we may surely be permitted to observe, that from the specimens we have already seen of the talents and disposition of the Anti-vaccinists, there would be some reason to wonder if it should turn out that they had discovered a truth which had escaped the researches of the rest of the medical world." • Mr. Lipscombe declares himself to be " an open, con- stant, and consistent enemy to so unnecessary, so injurious, so dangerous, so unwarrantable, so destructive, a practice :— in direct opposition to all the mighty names of those replen. dent constellations in the medical hemisphere, whose ma. lignant aspect has been so greatly dreaded, and so awfully (described : — in direct opposition to all the flimsy and all th^ N2 , lit I 92 fulmlnatini:; efforts of sycophanry on the one hand, and ar- rogance on the other: — in direct Opposition to *^ all iho laughable, and all the loathsome/' «trusion«i ofdiNtempered brains : — in direct opposition to all the (loinp of declamatory eloquence, and all the paj^eantry of profctfiional dignity ; all the menaces of impotent dinappointmcnt, infuriate rage, or infatuated enthuHiasm : — in a word, in direct opposition to the opinions, arguments, and clamour, of all the multt. tudinons host of Vaccinators, their adherents, and ad- mircrs." Those who have lost children by the Small-pox, or who, if sonlewhat less unfortunate, have preserved them, though with the loss of eye-siglit, and features cruelly disfigured, will feel a difficulty in believing thaf Mr. Lipscombe is speaking of any other disease in the en- suing paragraph, so chaste and correct a picture does it present of the horrible operations of that fell ravager. " The Cow-pox," says Dr. Thornton, *' never destroys life! Glorious tiding*'. Happy annunciation!" Sufficiently so, it Beenis, to have wiped away the tears for the loss of a be. loved child. But, alas ! how vain the illusion ! how futile the conlidenc^ ! JJeu spcs abrcptns breves ! Others have to mourn the melancholy consequences of the practice hero applauded with emphasis so striking, and pathos so cner. gctic and affecting. Others can tell with what hcart.rending disappointment they beheld the fair form of their lovely in. fants disfigured and polluted; those eyes which beamed in native innocence, and raised the tenderest emotions in a fond parent's heart, obscured in putrid night ; tlrose downy rose- ate checks roughened by horrid and disgusting scars; those little hands, whose playful activity was wont to afibrd so much amusement and delight, clasped in feverish and con. vulsive agony ; and that pure breath which heretofore might rival the fragrance of the evening zephyr, or the breezy in. cense of the morning, now converted into streams of oifen. sive exhalation !" The Reader cannot fail to compare the following para- 93 gmplis of Mr. LipscconilKj with tlic TestiinoniaU and tigimturci to them before given at page:» 13 aiui 80. •' ** As seu>ral years have elapsed since the promises andvowi of the Vaccinators were m.iilc to extirpate SmalUpox from among mankind, without atfording e\i'n the smallest drgreo of probability that the object m-ouUI be accomplished, it may be presumed that, by this lime, they are sensible what kind of spirit it was, which engendered the spes incerta fiiturif and ' persuaded them to prophe<>y one after Ibis manaer, and another after that manner,* on the subject." ** From M hat has been said it must appear very evident that the judgment which has been pronounced in favour of Vaccination tcuit premature^ and is indefensibie : that the in. Oi'ulated Cuw-po\ is sometimes a severe and dangerous dis. case, and sometimes even fatal : that it is productive of many horrid and loathsome symptoms, tedious, distressing, and dusti'uclive ; unknown in the human constitution until the unfortunate and incautious introduction of the Jennerian practice :* — I therefore conclude, that the safe, excellent, and welUunderstood practice of Small-pox Inoculation, which always afl'ords a permanent security against futuro contagion, is degraded even by a comparison with the Cow- pox, and that Vaccination ought to be immediately^ aud for er«r, abandoneo." The Edinburgh Reviewers say, No. (XVII. p. 32,) *' The question now before us is nothing less than, whe- ther a discovery has actually been made, by which the lives of fortij thousand persons may be annually saved in the British islands alone, and double that number protected from lengthened sutl'ering, deformity, mutilation, and in- U } 1 * " It has been asserted, that cutaneous diseases of a >te%^ aud tirtgular kind are often the efTects of Vaccine Inoculation." ** 1 have carefully ex- amined with different physicians and surgeons various cases of cutaneoui eruptions attributed to Vaccination. Instead of the Mange, or any erup- tion communicable from quadrupeds to the human skin, v/e constantly found diteasd, "which were knov^n, and have been fully describtd^ by mt- dical luritertf more than a theuta/tJ yeart ago." — Willan, BO, 81. 94 •urablo inflrmify.** ** To (he biifk of mankind, warn and r#. ▼olutions are thiugft of infinitely K^s imporfance ; and even to (hose who buay (hcmseivt'A in (ho (iiuuit of public afl'ain, it may be doubted whether any (hing can ormr that will command ho powerful and permanent an interest, sinro there are few to whom fame or freedom can be no intimately and constantly precious, as personal safety and domestic alfec- lion.'» Though the subject is, perhaps, not entirely ex- liuusted, yet they declare it ap)X!ars to them that thero has been ** evidence enough already produced to deter- mine the opinion of all impartial judges." After noticing the fatal ravages of tiie Small-pox, and the inadcfjuacy of the Varioluos Inoculation as a remedy, on the grounds before given, they proceed witli an account of Dr. Jcnner's discovery, and the objections that -were started against it. They then give tLc Tes- timoniaJ of the London Practitioners, and notice t]»e evidence laid before the House of Commons ; an ** am- ple and public testimony that seemed for a whil^ to set the c|uestion at rest," Of Dr. Moseley's work they speak, as of one " in which the ravings of Bedlam seemed to be blended with the tropes of BilUngsgate. Dr. Rowley," too, they say, " followed on the same side, and in the same temper, with 500 cases of * the beastly new diseases produced from Cow-pox,' and attracted customers, by two co- loured engravings at the head of his work, of * the Cow- pox, ox-faced boy,' and the Cow-poxed, mangy girl," The Reviewers* mention with regret the scenes of * Fhe Reviewcri apply an epithet to Mr. Ring's principle work» which, if its nature and intention be considered, cannot but appear too harsh. Mr. Ring has been, from a very early period, the sealous and indefatigable champion of a Cause, which accurate and unprejudiced ob* servation convinced him was the cause of truth and science. Prompted by motivjfi which caanot b« mistakca by tboye who know his honest 95 controversy whicli ensued, and then make the following judiciouii obiiervations : ** Before entering into* the particulars of the contro- versy which has been thus warmly maintained, orendch- vouring to lead our readers to form any opinion from the evidence produced in the course of it, we think it pro- per to make one or two general remarks on what may be called the external character of the debate, and on the circumstances which may impress us with a favour- able or unfavourable opinion af the respective dis|m- tants, independent of the intrinsic weight of their proofs and reasonings. There are some cases which cannot be reached by argument or evidence, in which we must trust to the decision of autliority ; and there are others ■till more numerous, in which the preponderance of con- flicting authorities must be determined by what we can learn of the character and motives of those who bring them forward. ** Now the first circumstance which seems calculated to make an indelible impression upon an ordinary minJ, in a question of any difticulty, is where there is a de- cided majority of competent judges in favour of one side of it. In any disputable point of law or medicine, most people would be pretty well satisfied with an opi- nion adhered to by nine-tentlis of the profession ; and. / independance, Mr. Ring, from time to time, exhibited to the public for their information and conviction, the progress and benefits of the new discovery ; opposing also bit impenetrable shield to \\\tfttbU Jjrit that were hurled against It. *' NuUhfftst laboribuif Null is vide calumniit.'* His treatise on the Cow.pox (chaotic, if it mup damnable and dan- geroiiH a heresy. " But tchtimonicH, it may he said, should be weighed, and not numbered ; and a few judicious voices should outweigh ** a whole theatre" of others. Here, again, we are afraid, the Vaccinators will have a splendid and indis- putable triumph. The only physicians, we tliink that have publicly combated the doctrines of Dr. Jenner, are Drs. Moseley, Rowley, and Squirrel. Now, without intending the least disparagement to these three ingenious gentlemen, we certainly may be permitted to doubt, whe- ther they stand quite so high in the public opinion a< some of those to whom they have opposed themselves, or even whether an opinion, signed by all three, would have so much weight, with competent judges, as the single judgment of Buillie, Heberdcn, Willan, Far- quhar, Pearson, or Vaughan. As for the authority due to Messrs.' Birch, Rogers, and Lipscomb, we should hum- bly conceive that it miglit be fully balanced by that of Cline, Abernethy, Ashley Cooper, and Home. If the mere mention of these names were not sufficient to decide the question of authority, it would be easy for us to match each of the Anti-vaccinists with at least ten London practitioners of higher name than himself, and of learning and opportunities as unquestionably superior. We confine the parallel to London, to give the Anti- vaccinists all the advantage in our power ; for, in the country at large, wc be' eve, they have not one respect- able practitioner on their side in five hundred. In this 97 tfrcat seat and school of mi'ilicinc, we tre issiircHi, (hey uie without a single pubhc adherent. If thr ques- tion is to he HcttliHl by authority, therefore— by the number or the res|>ectftbiHty of ihosw who liave taken irnrt in it — the Anti-vacciniats can have no pretensions to be hntcned to. If a clear opinion be given by ail the leading Counsel at the Bar, and an unanimous judg- ment be pronounced, in conformity to it, by the twelve Judges of the land, wliat should we say of a few Old Bailey pleaders and jobbing altornie.**, who should appeal to the public in behalf of an opposite conclu- sion P . " But eminent men may have interests and passions as well as other persons, and thene may bias their judg- ments, or suborn their testimony ; and it is right that a popular appeal should be allowed, to controul or expose! those who might otherwise overbear ev«ry thing by their combination. This, no doubt, is a very important consideration, and it may help to explain some things that would otherwise appear very unaccountable in this controversy, though, we are afraid, not much to the advantage of the Anti-vaccinists. It is a fact univer- sally admitted, that the Small-pox has, for a very long period, been the most lucrative of all diseases to the me- dical faculty in general ; and that, whatever benefit the -world at large might derive from its extirpation, the consequences, in a pecuniary point of view, would be extremely unfavourable to them. This has not escaped the sagacity of Dr.Willan, when, probably with a view to abate the rancour of the Anti-vaccinists, he recom^^ mends that the inoculation and subsequent cure of the patient should always be left to a regular practi^ tioner." They here introduce a quotation from Moore to the same purpose, and then draw this conclusion : << It appears, then, that the great multitude of learned O ■i 98 and jiiJidoDs ncn, who have given their sanction to thii practice, have doue so in direct opposition to their onn pecuniary intercut, to their known diiilikc of rashness and innovation, and to that natural jealousy with which they must at first have regarded a discovery so simple and im- portant, in the merit of which they could claim no share. The few who have opposed Vaccination, have acted, it must be admitted, exactly as those principles, with which the others had to stru^gle^ would have induced them to act; and, in estimating their conr)>arativc authority, it is impos. »ible not to impute something to the operation of such f)owerful agents. We arc unwilling to urge this considera- tion very far ; but it cannot be forgotten, when prejudice and bias arc spoken of, that the medical advocates for Vac. cination give their testimony in opposition to their own in- terest and vanity, and that its opponents give theirs in con. formity to the dicta;tc8 of those principles." It docs not escape tlicm, likewise, that almost all those who still opppose Vaccination, opposed it witlt equal vehemence and confidence, before they pretended to hear of its failure, or any iU consequences attending it ; and they justly remark, *' An avowed enemy is rejected as a witness in ererj! court wf law ; but if it appears that he is not only hostile) but necessarily ignorant, we may well ask what weight ca^ be given to his testimony in opposition to that of impartial persons, who must have known much more of the circump stances." , . •., All the presumptions then they affirm, are against pr. Moseley and his adherents. *^ His opponeMs are confessedly many, and learned, and. judicious ; and, as he diJOTers from their eoncurriug opinion, the natural inference is, that he is not judicious and learned, and that ho cannot be safely relied on as an accurate ob- server, a sagacious expounder, or a correct reporter of the fhenomeua. It is possible, however, thai ^kid. infcrcja^ 99 tnay be rrroneons ; Dr. Mosricy and his friends may be p«r« •ons of transcendent genius and exemplary candour. Repu- tation may be unmerited^ and multitudes may be deceived. If the opposers of Vaccination give indisputable proofs of su> perior talents and better temper than their advcrHaries, there will be a certain presumption in favour of their conclusions, from the admitted character of the men, independent of the reasons which they may urge in their support. On the other hand, if, from their \rritiitgj, it be manifest that they are men of weak and uncultivated understanding ; that their passions are vehement, and their judgment infirm ; that they arc ignorant or negligent of the fiiat rules of reasoning, and incapable of stating their opinions in intelligible language, it probably wiU not appear too much to aflirm, that they are entitled to little credit, in a controversy which confessedly requires much accuracy of discrimination, much nice ob- servation, and patient and persevering research." As Dr. Moseley is at tlie head of those who " set them- selves thus boldly against the opinion of their most cele- brated brethren," a specimen is first given of " this learned person^s temi^r, modesty, and taste, in com- .{Yosition ;" examples of which have been already adduced. The Reviewers then proceed to judgment on the ar^M- ments of the Anti-vaccinists, which they combat with much skill, quoting as they go on from the excellent Pamphlet of Mr. Moore, so often before noticed. After drawing a comparison between the opposers of Vaccination and those of Inoculation for Small-pox at its first introduction, they conclude,. '^ These, and simihr expressions, whieh abound in {1 ^ writings of that day, will go far, we fear, to deprive DrS. Moseley and Squirrel of any claim to originality in the &tylo of eloquence they have exerted themselves so meritoriously to revive. We beg them, however, io believe, that it was by no means for this invidious purpose that we have refer- red to their iiototypes, but merely with a tIcw to »et the O 2 100 minds of those rckdcrs at rest, who might be inclined t« doubt, whether men of education could possiibly be so pos. litive and so angry in support of what was certainly wrong. Dri. WagstaiTe and Hillary, with their faithful squires and followers, have been cflbctually confuted by the experience of little less than a century ; and tlu;ir forgotten cavils and rhapsodies now excite no other emotions in the reader, than those mild sensations of contempt and wonder with which the next generation will look on the lucubrations of S(|uirrel and Moseley, if any accident should draw them from the shelter of that oblivion to vhich they are rapidly descending." The sentiments of the Anti-vaccinists would certainly have appeared less strange, and have had less effect, had the Public been fully aware of the nature and ex- l^ent of tiie opposition which Variolous Inoculation en- countered on its hrst introduction. It was declared by some to originate with ignorant old women, and was therefore held by them in the utmost contempt. In the middle of the year 1*722, about a twelvemonth after the experiment was first tried in England, a Pam- phlet was published, intitled, <* The new Practice of Inoculation considered, and an humble Application to the approaching Parhament for the Regulation of that dangerous Experiment." The Author declares the prac- tice to be founded in at^'^ism, quackery^ and avarice^ which '' push men to all the hellish practices imagin- able." " Men murder fathers, mothers, relations, and in- nocent children, and any that stand in the way of their wicked desires," Mr. Massey's sermon, so often quoted, was preached %t St. Andrew's, Holborn, on Sunday the 22dof July 1722, and afterwards printed under the title of " A Ser- mon against the dangerous and sinful Practice of Inocu- lation." He considers, that as diseases are inflicted by the Almighty, tliey are to be borne with resignation, ?nd are not to be avoided by the infliction of other dis- 101 8a«e3, wliich lie calls " a diaholicat operattorif'' ut- terly unlawful tp any wlio profess themselves chris- tians; and even allowing the etifect it has to prolong life, (which, though, he positively denies, for he asserts that " the confessed miscarriages in this new method are more than have happened in the ordinary way,) he ar- gues that the security this holds out would tend to pro- mote vice and immorality , by removing from man, that, than which he says " it will be readily granted there is no one thing so universally dreaded," and that the fear of it is a happy restraint upon many who, but for tliig providential destruction, would give loose to extr^vsv- gance and licentiousness. The Rev. Theodore de la Fayc likewise, (Woodville, p. 258,) in a sermon intitled, ** Inoculation an inde- fensible Practict ," published even so long after its intro- duction as n53, viz. 31 years, asserts, ** that it will be hard to produce out of the huge systems of hurtful inventions, ever an instance big with more infidelity and atheism than this of inoculation." But the most redoubted Champion, says Dr. Wood- ville, who appealed to the public against inoculation^ was Dr. Wagstaffe, a man of extensive professional prac- tice, and who, as a Fellow of the College, and Physician to St. Bartholomew's Hospital, could not fail to influ- ence the minds of many to a considerable degree, espe- cially as his ** Letter, shewing the danger and uncer- tainty of inoculating the Small-pox, was addressed to the learned Dr. Friend. He objects to it * that it may differ from itself as practised in another country ; that it is not agreeable to reason ; that the positions of the favourers of inoculation are false, and their practice precarious." The other writings Dr. Woodville de- clares (p. 130) to contain little more than mifounded fonjectures on the practice,with/tf?iCi/M/ conceits concern- 102 ing it» effects, and the place of argumenl is supplied by obloquy and abuse. With such warmth was tiiis warfare carried on, that attacks, answers, replies, and even rejoinders, were published before the expiration of the year 1722. The Compiler has nothing more to add to the copious Extracts he has given. The few remarks he has made in the course of the work, have been forced by oppor- tunities too strong to be resisted. To dilate on all the beneficial consequences of Vaccination, to offer in- structions as to its practice, or to combat all the objec- tions of the Anti-vaccinists, is what he himself did not propose to do. It has been done, most ably and most successfully, by a number of disintered individuals- Messrs. Addington, Aikin, Bell, Blair, Bryce, Creaser, Dunning, Hill, Jones, Labatt, Lettsom, Macdonald, Merriman, Moore, Paytherus, Ring, Thornton, Trye, Willan, &c. &c. whose generous warmth in a Cause, by the success of which a portion of their most lucra- tive practice has been annihilated, can never be for- gotten, or disregarded by their liberal Countrymen. Should doubt exist in the mind of any one who com- bines the arguments of these writers with the evidence now before the Public, the Compiler freely acknow- ledges he is at a loss to conceive what is the nature and extent of that evidence that will dispelit* INDEX. AMEHITCA, Practice there, 42, 44.— Caution* used in Small- pox Inoculation, 43, 45. — Mortality by Small-poXy 2. Algiers, Dey of, 24. ^ • Anti-vaccinists, their Motives, Sec. 81) 98* Austria, Practice there, 27. ' Baillic, Dr. his Opinion of the DiscoTery, 6d. Bcddocs, Dr. his Rules for the Sick Poor, 63. Bills of Mortality, London, 8, 9, 10. Birch, Mr. his Opposition, 91. Blane, Dr. his Calculations on the Mortality by Small-pox, 8^ Bombay, Practice there, 38. Booker, the Rev. Dr. on Mortality by SmalUpox, II. Bradley, Dr. Calculations on ditto, f6i. ' > Brunswick, Introduction there, 28'. Buenos Ayres, ditto, 44. . , ..• Bu^ford, Mortality by SmalLpox at, 5. ) Crowned Heads, &c. promoting Vaccination. — French Go* •vernment, 21.— King of Naples, 24.— Dey of Algiers, ibid. - Queen of Hctruria, 26.— Emperor of Germany, 28. • — King of Prussia, 29 King of Denmark, SO. — King of Sweden, 31.— King of Spain, a6id.--r-Elector of Suabia, ibid. — EmjK-or of Russia, 35.— Empress Dowager, ibid,-^ The Grand Signior, 37. — Hospodar of Moldavia, ibid. — Governor-General of India, 38. — Rajahs of Chintapilljr and Tanjore, 39. — Dowlut Row Scindia, ibid. — House of Timur, 40. — Mr. Adams and Mr. Jeflfcrson, Presidents of . the United States, 42. — Court of Lisbon, 4*4. — Lord Lieu- tenant of Ireland, 49. Canton, Practice there, 33. Cape of Good Hope, Practice there^ 41 r ii Cftppe, Dr. his Calculations on the Mortality hy ^^mafl.poty 7, O._0n Dangers of Small-pox Inoculation, 53. Cassel, Practice there, 29. Ceylon, Mortality at, by Small.pox, and Eflccts of VaccU nation, 3, 42. — Practice there, 41. Channel, Frequency of Small-pox in, 54. Chester, Mortality by SmalUpox there, 9. ' \ China, Practice there, 40. Christie, Mr. his Communications from Ceylon, 4, 42. Como, £(fects of Vaccination there, 12. Constantinople, Mortality by SmalUpox, 8. — Practice, there^ 37. Courleney, Mr. his Opinion, 58. Darwin, Dr« his Opinion, 28. Dawson, Mr. his Calculation, 13« De Carro, Dr. his Success, 27. Demerara, Practice there, 49. Denman, Dr. his Opinion of Vaccination, 59< Denmark, Practice there, 30. _ ■- IMplomas granted to Dr. Jenner, 70. Dunning, Mr. on Recurrence of Small-pox, 55. £ast.India Company, their Present to Dr. Do Carro, 73. Edinburgh, Mortality by Small-pox there, 11. Edinburgh Review, Extracts from, 14, 83, 84, 87, 90, 93, Scc^ -—Their Opinion of tha Importance of Vaccination, 98. Expedition, Russian, 36. — ^Spanish, 31. Empress Dowager of Russia, her Present to Dr. Jenner, 72. Emperor of Germany gives Medals, 28. Faye, the Rev. de la, his Opposition to Small-pox Inocula- tion, 101. Finch, the Rer. William, his Practice, 11. > Finsbury Dispensary Testimonial, 64. Florence, &c. Practice there, 26. France, Mortality by Small-pox, 11, 12. — Extensive Pracr tice there, 19, 22. — Rewards given, 21. Freedom of London granted to Dr. Jenner, 71. — Of Dublin 73 — Of Ediaburghj ibid. - Ill GeiiCTa, Mortality by Small. pox in, 12. — Practice thorc, 25. (itTtnaiiy, iMoriality hy Small-put in, Pi. <*il)raltar, Prartico thon-, 'i'j. (ilus^oNV, MtltTts of Vaccination in, 50. GloccstiT County i^ill)s('t•iptiun, 7'Z, Goa, Practice there, 41. Cfoidson, Mr. his Opposition to Vaccination, 00^ Cirand Si^nior's Child >accinated, J7. Greece, — Practice there, 38. Ctreenland, Mortality by SDiail-pox in, 2. Guthrie, his Opinion, 3« (Jruy's Hospital Testimonial, 75. Hague, Proportion of Deaths by Siuail.pox, 13t Hamburgh, Practice there, 29. Hanover, Ditto, 28. Helena, (St.) Introduction to, 33. Heberdcn, Dr. his Calculation, 8. Herpes, Dr. Jenncr's Opinion respecting, 57. Holland, Practice there, 20. Hungary, Ditto, 28. Jamaica, Practice there, 43. Jenncr, Dr. his Inquiry and Discovery, 14. — Disinterested- ness, 17. — Practice, 47. — ^IMieory on Herpes, 57. — Testi- monials and Addresses to him, 68, 73, 75. — Diplomas given to him, 70. — Miscellaneous Tokeui of Approba- tion, 72. Jeonerian Royal Society, Report of, 76. India, Mortality by Small.pox in, 4. — Practice there, 38. Inoculation (Small-pox) inclfectual, 6, &c. Ireland, Practice there, 49. Isle of France, Practice there, 41. Italian Republic, ditto, 22. Kamschatka, Mortality by Sraall-pox there, $. Keil, Practice there, 29. Kite, Mr. his Cases of Small.pox twice, 55. Ladies, their Practice in Vaccination, 48. Lausanne, Practice there, 25. P IV Lcttsom, Dr. liis Calrnlatinni, 8, 13. Li|Mroml)c, Mr. his Opposition (o Vaccination. — Qiiotationt from, 01. Liverpool, Mortality by Sroall-pox there, 0, 10. London Mortality by Smail.pox there, 6, 8, 10.>- Practi. tionur^ft Teatinionial, 74. London Medical Society, Gold Medal of, 72.— Testimonial of, 73. Liirknow, Effects of Vaccination at, 40, I^nenburg, Practice there, 39. Lyons, Effects of Vaccination at, 22. Macdonald, Dr. his Calculation, 13. Malta, Practice there, 23. Medical Society of Plymouth Testimony, 72. Medical Officers of the Navy, their Gold Medal to Dr. Jen, ner, 72. Mortality by Sijiall-pox in Grcat-Britain, 9. — In other Plapei. See their Name it . Manchester, Mortality by Small-pox there, 9. 10. — Addresi of Medical Men, 63. Marshall and Walker, Drs. their Expedition, 22. Masscy, the Rev. his Sermon against Smail.pox Inocu^tion, 100. Mexico, Practice tlierc, 44. Milan, Ditto, 25. Montague, Lady M. W. licr Saying, 7. MontpcUier, Mortality by SmalUpox there, 4. Moore, Mr. on the Effects of SmalUpox, 53. — Quoted by the Edinburgh Reviewers, 97, 99. Moravia, Practice there. — Premiums given, 28. Moseley, Dr. his Opinion, 1. — Quotations from, 81.-— His Practice in America, 86. — Edinburgh Reviewers' Opinion of, 94, 98. Naples, Mortality by Small-pox thera, 12. — Practice th«re, 23. — King gives a Gold Medal to Dr. Marshall, 24. Newfoundland, Practice there, 44. ^8W South Wales, Ditto, 41. / New Spain, Mortality by Small. pox titers, % Ncylo, iMr. \m l^xpcriniiinti, GO. Norwich Addrcsn, 60. Nuta Scotia, Mortality by Small-pox at, 5. Numbers vaccinated, 19, 40, 47, 4U, 61, 5*i. ObjoctioiiH answered, 01, 0*2. Opinion! as to Dr. Jonncr's Reward, 17. Opposition to Sinall-pox Inoculation, 100. Palermo, Mortality by SmalUpox there, 21. Parma, Practice there, 20. Pearson, J)r. his Conduct, IR. Peru, Practice (here, 3J, 41. Practice of Professional Men, 47. — Of Ladies and others, 4S. Profcstiional Men, their Disinterestedness, 49. Prussia, King of, his Support, Practice there, 20. Quito, Mortality by Small-pox there, 9. Report of the House of Commons, 59. — Of the Royal Jen* nerian Society, 76, — Of the Central Committee at Paris, 12, 19, 21, 22. Ring, Mr. his Calculation of Small-pox by Mortality in London, 11. — Comparative Sta.tement, 05. — His Writings, 61, 86. — His zealous Activity, 94. Rome, Mortality by Small-pox there, 1% Rowley, Dr. his Opposition, 80. — Edinburgh Reviewers' Opinion of, 87. — His Advertisement, ibid. Russia, Mortality by Small-pox in, 3. — Practice there, 35, 37. — Emperor of, his Exertions, 36. Russian {Expedition, 36. Sacco, Dr. his Calculation of Small-pox Mortality, 13.— His Success, 25. Saunders, Dr. his Opinion of Vaccination, 60. Siberia, Mortality by Small-pox there, 5. Sicily, Mortality by Small-pox, and Practice there, 21. Silesia, Ditto 29. — Premiums given, 30. Simms, Dr. his Opinion of Small-pox Mortality, 6. Siiiall'pox Hospital, Vaccination adopted in, 46. vi Small. pox twice, 55, 50. Sniail.pox, KtfccU of, 53, 5t, 50. Spain, Practice (here, IMiilanthropy o/ the Kiag, 31. SpaniHh Expedition, ibid, >' « Squirrel, Dr. his Opposition, 83.-— Edinburgh Rr?iewert' Opinion of, ibid. — ilis ('omparative Statement, 80. Suabia, IVactica there, Meavurei of the Ek-ctor, 31. Sweden, Ditto, King's Daughter vaccinated, ibid. , Swisserland, Eflccts of Vaccination thcra, 25. Testimonials in favour of Vaccination, GUi Testimony of the French Government, '20, 21. Thibet, dreadful Mortality by Small pox there, 3. Tisiot, hb Lou, 60. Tokens of Approbation, 73. Trye, Mr. His Letters, and Opinions, 54, 55. Turkey, Practice there, 37. Vaccination of Infants, 28, 65. Vienna, Practice there, and EtTecti of Vaccination, 27, 28. Wagstaflfe, his Opposition to SmalUpox Inoculation, 101. Waterhouse, Dr. his Practice, 42. Willan, Dr. his Calculation of Numbers vaccinated, 40. — Answers to Objections, 01. — Assertion as to new Dis. eases, 03. WoodvUlc, Dr. his Assertion as to Small-pOx twic«, 55.— > Opinion as to Opposers uf SmalUpox Inoculation, 101. IVriters on Vaccination, 00, 102. Jf. B. Wherever the word << Practice" occurs in the Indfx^ it means exclusively the Practice of Vaccination. FINIS. H. RUFF. CHELTENHAM. A