A Statement of Facts Tending to Establish an Estimate of the True Value and Present State of Vaccination — John Shaqi
A Statement of Facts Tending to Establish an Estimate of the True Value and Present State of VaccinationBlane, Gilbert, Sir
History
A Statement of Facts Tending to Establish an Estimate of the True Value and Present State of Vaccination
Blane, Gilbert, Sir
Smallpox; Vaccination
It appears from this statement, that the proportion of deaths from Small
Pox to the total mortality, increased in the course of last century; so
that Inoculation appears to have added to the mortality. It is but fair
to mention, however, that this total mortality is not quite a just scale
whereby to measure the relative mortality of Small Pox; for in the
course of that century, the general mortality itself was greatly
diminished in relation to the population. This diminution of general
mortality was chiefly owing to the diminished mortality of children
under two years of age, which, at the time when the account began to be
kept, 1729, averaged about 9000; but at the end of the century not more
than 5000[1]; also to the decrease of fevers, and still more of fluxes.
The relation of the mortality of Small Pox to the population, would
therefore be a more fair criterion of its increase or decrease. In this
view it might, at first sight, be thought that it had decreased; for the
population of the metropolis nearly doubled in the course of the last
century. But it is to be remarked, that there has been little increase
of population in that portion of the metropolis which is included in the
bills of mortality; the great increase having been in the parishes of
Mary-le-bone and St. Pancras, which are not included in these bills. It
is computed in the remarks subjoined to the last parliamentary returns
of population, that the population of London, within the walls, had
decreased more than three-fifths in the course of last century, from the
widening of streets, the erection of public buildings and warehouses,
and, it might have been added, from the migration of mercantile families
to the west end of the town. As a set-off to this, there has certainly
been a great addition, in the same time, to those parishes within the
bills, which stand on the verge of the metropolis, such as St. George’s
Hanover Square, St. George’s Bloomsbury, Poplar, and Stepney. But the
addition to the population, if any, within the bills of mortality, does
not seem to be so considerable as to affect the computation. And, if
this is admitted, the absolute numbers of the deaths from Small Pox,
estimated in relation to the population, that is, exactly as they stand
on the Tables, afford a fair comparative statement of the mortality in
the last century, and seem to prove that Inoculation has not added so
much to it as has been alleged. It was in the rural population that the
effect of Inoculation in diffusing Small Pox was chiefly felt. In this
situation there is much less intercourse of persons with each other than
in towns, so that not only many individuals escaped from their not being
exposed to infection during their whole lives, but whole districts were
known to have been exempt from it for a long series of years, before it
was universally diffused by Inoculation.
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