The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
Before the eighteenth century closed practical medicine had made great
advance. Smallpox, though not one of the great scourges like plague
or cholera, was a prevalent and much dreaded disease, and in civilized
countries few reached adult life without an attack. Edward Jenner, a
practitioner in Gloucestershire, and the pupil to whom John Hunter gave
the famous advice: "Don't think, try!" had noticed that milkmaids
who had been infected with cowpox from the udder of the cow were
insusceptible to smallpox. I show you here the hand of Sarah Nelmes with
cowpox, 1796. A vague notion had prevailed among the dairies from time
immemorial that this disease was a preventive of the smallpox. Jenner
put the matter to the test of experiment. Let me quote here his own
words: "The first experiment was made upon a lad of the name of Phipps,
in whose arm a little vaccine virus was inserted, taken from the hand
of a young woman who had been accidentally infected by a cow.
Notwithstanding the resemblance which the pustule, thus excited on
the boy's arm, bore to variolous inoculation, yet as the indisposition
attending it was barely perceptible, I could scarcely persuade myself
the patient was secure from the Small Pox. However, on his being
inoculated some months afterwards, it proved that he was secure."(8)
The results of his experiments were published in a famous small quarto
volume in 1798.(*) From this date, smallpox has been under control.
Thanks to Jenner, not a single person in this audience is pockmarked!
A hundred and twenty-five years ago, the faces of more than half of you
would have been scarred. We now know the principle upon which protection
is secured: an active acquired immunity follows upon an attack of a
disease of a similar nature. Smallpox and cowpox are closely allied and
the substances formed in the blood by the one are resistant to the
virus of the other. I do not see how any reasonable person can oppose
vaccination or decry its benefits. I show you the mortality figures(9)
of the Prussian Army and of the German Empire. A comparison with
the statistics of the armies of other European countries in which
revaccination is not so thoroughly carried out is most convincing of its
efficacy.
(8) Edward Jenner: The Origin of the Vaccine Inoculation,
London, 1801.
(*) Reprinted by Camac: Epoch-making Contributions to Medicine,
etc., 1909.--Ed.
(9) Jockmann: Pocken und Vaccinationlehre, 1913.
Public-domain text, read in full here on John Shaqi.
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