"At a meeting of the Société de Pédiatrie (Paris), held June
1901, a resolution was adopted affirming that preventive
inoculations present no serious dangers, and confer immunity in
the great majority of cases for some weeks, and recommending
their employment in children's institutions and in families in
which scientific surveillance cannot be exercised. Netter stated
that he had collected 32,484 observations (cases) of
prophylactic injections, and after eliminating cases in which
the disease developed in less than twenty-four hours after
injection, or more than thirty days after, there were 6 per
cent. of failures. On the other hand, the author stated that he
had recently made ninety preventive injections with but 2.17 per
cent. of failures. Potter reports a series of twenty-four
families in which preventive injections were used. Only one case
of diphtheria occurred. In another series of cases, in which no
prophylactic injections were given, the disease occurred
secondarily in one-third of the houses, and one-sixth of the
inmates contracted the disease, in spite of the fact that a
large number of the primary cases were removed to the hospital.
Blake reports a series of thirty-five prophylactic injections.
The treatment was instituted after three cases of diphtheria had
developed in a children's home. No secondary cases developed.
Voisin and Guinon describe an epidemic of diphtheria in the
Salpetrière Hospital among idiots and epileptics. Prophylactic
injections were given to all those exposed to the contagion.
After that, but four cases appeared, all mild in character. One
severe case developed, however, two weeks later, ending fatally
in twenty-four hours, showing that the prophylactic action of
the antitoxin, while efficacious, is not of very long duration."
It would be easy to prolong _ad infinitum_ the proofs of the curative
and preventive efficacy of the antitoxin: it would be impossible to
find any evidence to be weighed for one moment against these proofs.
There are three early records that ought to be quoted more fully: the
1894 report from the Hospital for Sick Children, Paris; the 1896
report of the American Pædiatric Society; and the 1898 report of the
Clinical Society of London.
I
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