"The people of England should consider the difficulties
attending the work of a bacteriologist in India.... He had no
doubt as to the value of the inoculations. At Undhera he
carefully examined the results of the experiment, and, as far as
he could judge, there was no possibility of error. The results
in that experiment were such as to be 90 per cent. in favour of
the inoculated against the uninoculated. The natives of India
were, however, a strange people, and it was difficult to
prophesy how they would act. In Calcutta, the mention of
inoculations had driven in hot haste from the city 300,000
people, many of whom afterwards returned and were inoculated;
while at Hubli he had seen the inhabitants come in their
thousands to be inoculated and pay for the inoculations. The
medical officer in charge at Hubli had performed about 80,000
inoculations, and had only observed some 12 abscesses. He
thought that 12 abscesses only, in 80,000 inoculations, showed
good results. But, after all, what were the numbers of
inoculations performed to the 300,000,000 inhabitants of India?
He felt that even if every one consented to be inoculated it was
impossible to provide the vaccine or the medical officers for
such a demand. It was accordingly to sanitary improvements that
he looked with the most confidence to protect India against the
plague."
Therefore, now and for many years to come, preventive inoculation must
fall into line with the other world-wide ways of fighting
plague--quarantine, notification, isolation, all sanitary measures,
destruction of rats--_le rat, le génie de la peste_--evacuation of
infected towns, disinfection or unroofing of infected houses. Happily,
this is just what it does. That admirable paper, the _Indian Medical
Gazette_ (September 1901), has put this fact very simply: "No one ever
imagined that inoculation was the _only_ means of fighting plague. Its
great value consists in its immediate application. To sanitate,
ventilate, and practically rebuild a town or village takes time; and
in the meantime thousands die." For sudden outbursts of plague--since
rats are one chief source of infection, and notification is
fundamentally abhorrent to native custom, and evacuation may ruin
trade, or spread infection, or be impossible by reason of the
rains--since "East is East, and West is West"--it is not always
possible to provide, for an Indian village smitten by plague, the
excellent arrangements of the Western world. In all such cases, and in
all cases of epidemic plague within narrow limits, as in jails,
barracks, mills, and the like centres of human life; and in all inner
communities, such as the Parsee community at Daman, or the Jewish
community at Aden--by every test of this kind, the saving power of
preventive inoculation has been proved, again and again, past all
doubt. As for those larger death-traps, Hubli, Dhárwár, and the rest
Public-domain text, read in full here on John Shaqi.
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