Lucknow came so early in the work of inoculation, that weak vaccines
were used in small doses. The cholera, when it broke out, was "of a
most malignant type, senior medical officers of long experience in the
country stating that such a virulent cholera had not been seen by them
for very many years past." More than a year had elapsed between the
inoculations and the outbreak of the cholera. It is no wonder that the
regiment was not well protected:--
"The small amount of protection which the inoculations afforded
in this case may have depended on the mild effects which the
injections produced on the men at the time of the operation in
1893, in comparison with the severity of the epidemic which
attacked the regiment. It is recorded in the Lucknow Inoculation
Registers that only in two men, out of the 185 inoculated in
1893, a marked febrile reaction was obtained; in 77 individuals
the vaccinal fever was only slight, while in 66 there was no
reaction: an effect which was due to the weakness of the
vaccines procurable at that period of work, and to the small
doses used. The influence of the vaccines was possibly further
reduced, at the time of the epidemic, by a lapse of fourteen to
fifteen months." (Haffkine, 1895 Report.)
3. _Gaya Jail_
On 9th July 1894, an outbreak of cholera occurred in the Gaya jail,
and by 18th June there had been 6 cases and 5 deaths. On that day and
the next day, 215 prisoners were inoculated. The average number of the
prisoners during the outbreak was 207 inoculated, and 202 not
inoculated. Surgeon-Major Macrae, superintendent of the jail,
reports:--
"The inoculations being purely voluntary, no selection of
prisoners was possible, but all classes of the jail were
represented--male and female, old and young, habituals and less
frequent offenders, strong and weakly, convalescent and even
hospital patients sent their representatives; no difference of
any kind was made between inoculated and non-inoculated; they
were under absolutely identical conditions as regards food,
water, accommodation, etc., in fact in every possible respect."
Of course, the best results could hardly be obtained, because the
cholera was already at work: it took about ten days for the 1894
vaccine to produce its full effect; and two inoculations were
generally made, one five days after the other. This gradual action of
the vaccine is well shown in Dr. Simpson's table:--
Public-domain text, read in full here on John Shaqi.
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