The date of the first protective inoculations against typhoid is July
to August 1896: they were made at Netley Hospital, by Professor Wright
and Surgeon-Major Semple. The first inoculations in Germany, made by
Pfeiffer and Kolle, were published two months later. The story of
these famous Netley inoculations is told in the _British Medical
Journal_, 30th January 1897. Eighteen men offered themselves--
"A good deal of fever was developed in all cases, and sleep was
a good deal disturbed. These constitutional symptoms had to a
great extent passed away by the morning, and laboratory work
went on without interruption.... With two exceptions, all these
vaccinations were performed upon Medical Officers of the Army
or Indian Medical Services, or upon Surgeons on Probation who
were preparing to enter those services."
Good luck attend all eighteen of them, and immunity against typhoid,
wherever they are. The doses that they received were estimated in
proportion to the dose that would kill a guinea-pig of 350-400 grammes
weight; and the protective fluid contained no living bacilli:--
"The advantages which are associated with the use of such 'dead
vaccines' are, first, that there is absolutely no risk of
producing actual typhoid fever by our inoculations; secondly,
that the vaccines may be handled and distributed through the
post without incurring any risk of disseminating the germs of
the disease; thirdly, that dead vaccines are probably less
subject to undergo alterations in their strength than living
vaccines."
The first use of the vaccine during an outbreak of typhoid was in
October 1897, at the Kent County Lunatic Asylum. The treatment was
offered to any of the working staff who desired it:--
"All the medical staff, and a number of attendants, accepted the
offer. _Not one of those vaccinated--84 in number--contracted
typhoid fever: while of those unvaccinated and living under
similar conditions, 16 were attacked._ This is a significant
fact, though it should in fairness be stated that the water was
boiled after a certain date, and other precautions were taken,
so that the vaccination cannot be said to be altogether
responsible for the immunity. Still, the figures are striking."
(_Lancet_, 19th March 1898; see also Dr. Tew's paper, in _Public
Health_, April 1898.)
Certainly, they are striking; so is the story of the eight young
subalterns on the Khartoum expedition, of whom six were vaccinated,
and two took their chance. The six escaped typhoid, the two were
attacked by it, and one died. But these figures are too small to be of
much value.
Public-domain text, read in full here on John Shaqi.
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