An Estimate of the True Value of Vaccination as a Security Against Small PoxGreenhow, T. M. (Thomas Michael)
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An Estimate of the True Value of Vaccination as a Security Against Small Pox
Greenhow, T. M. (Thomas Michael)
Smallpox -- Vaccination; Smallpox vaccine
Having succeeded, I trust, in proving to the entire satisfaction of
every candid enquirer the possibility, if not the frequency, of the
occurrence of Small Pox a second time in the same individual, it would
be both interesting and useful, were it possible to ascertain what
proportion such cases bear to those who escape a second attack; but
many insurmountable difficulties present themselves in making such a
calculation. Dr. Thomson tells us (p. 67), that “according to Tissot,
the proportion of cases of secondary Small Pox, is as 1 in 100;
according to Heberden, as 1 in 5000; and, according to Condamine, as 1
in 10,000. How uncertain the data!”—It is, however, enough to know,
that while the relative number is sufficiently great to prevent the
rule, That no individual can be affected by Small Pox oftener than
once,—from being considered absolute, it is yet too small reasonably to
shake our confidence in the fact, that a very large proportion will
escape a recurrence of that disease. One other fact of considerable
importance has, I trust, been also established by the preceding
enquiry—That when secondary Small Pox does take place, it is usually a
very mild disease, unattended with danger.
The fourth argument in support of the employment of inoculation for
Small Pox,—that it was rendered comparatively mild and devoid of
danger, while it afforded equal security against any future attack of
the disease with natural Small Pox itself, need not detain us long.—The
latter part of the proposition has been generally admitted; and its
truth or falsity will not affect the object of our present enquiry. Mr.
Moore (History of Small Pox, p. 302) tells us, that “at the
commencement of inoculation in England, the proportion of fatal cases
appears to have been fully one in fifty. But after the last improvement
in treatment had been established, probably not more than one in two
hundred were lost.”—Mr. Moore continues—“of those who contract the
casual Small Pox, and are treated with medical care, it has been
admitted that generally about one in six are lost: but in countries
where the medical arts are unknown, the Small Pox is so fatal a disease
that few of those who are seized with it survive its malignity.” The
immense difference between these proportions is amply sufficient to
prove the great advantage derived from inoculation by those on whom it
was practised.
Public-domain text, read in full here on John Shaqi.
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