Finally, what was the risk from the bite of a rabid animal, in the
days before 1885? It is a matter of guess-work. One writer, and one
only, guessed it at 5 per cent.; another guessed it at 55, and a third
came to the safe conclusion that it was "somewhere between these
limits." Leblanc, who is probably the best guide, put it at 16; and
Pasteur himself put it between 15 and 20. But suppose it were only 10;
that, before Pasteur, out of every 100 men bitten by rabid animals, 90
would escape and only 10 would die of hydrophobia; then take this
fact, that in one year, at one Institute alone, there were 142
patients in class A, bitten by animals that were proved, by the
unanswerable test of inoculation, to have been rabid; and 1 death. And
every year the same thing; and in all the twelve years together, 2872
such cases (A) and 20 deaths--a mortality not of 10 per cent., but of
less than 1 per cent.
1. _Athens_
The _Annales de l'Institut Pasteur_, June 1898, contain Dr. Pampoukis'
report of three years' work at the Hellenic Institute, from August
1894 to December 1897. During this period 797 cases were treated--590
male and 207 female. The animals that bit them were--dogs, 732; cats,
34; wolf, 1; other animals, 13; and the 17 other patients had been
exposed to infection from the saliva of hydrophobic patients. Of the
797 cases, 245 were of class A, 112 B, and 440 C.
"Among the 797 persons treated, there are 2 deaths, one in class B and
the other in class C. Thus the mortality has been 0.25 per cent.
Besides these 2 who died of rabies there are 5 more, in whom the first
signs of rabies showed themselves in less than fifteen days after the
last inoculation.
"Finally, beside these 797 cases, there is 1 other case, bitten by a
wolf, in which the treatment failed. If we reckon this last case in
the statistics of mortality, we have 3 deaths in 798 cases = 0.37 per
cent.
"Beside these 798 cases treated at the Institute, there have been
others that have not undergone the antirabic treatment, having trusted
the assurances of those who are called in Greece _empirics_. Among
these non-treated cases there are 40 who have died of rabies."
2. _Palermo_
The _Annales_ for April 1896 give the report by Dr. de Blasi and Dr.
Russo-Travali of the work of the Municipal Institute at Palermo during
8-1/2 years, from March 1887 to December 1895. The number of cases was
2221; in 1240 (class A), the animals were proved to have been rabid by
the result of inoculations; in 981, there was reason to suspect
rabies.
"Setting aside 5 patients who died during the course of the treatment,
and 5 others who died less than fifteen days after the end of the
treatment, we have had to deplore only 9 failures = 0.4 per cent. Even
if we count against ourselves the 10 other cases, the mortality is
still only 0.85."
3. _Rio de Janeiro_
Public-domain text, read in full here on John Shaqi.
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