The Present Method of Inoculating for the Small-Pox: To which are added, some experiments, instituted with a view to discover the effects of a similar treatment in the natural small-poxDimsdale, Thomas
History
The Present Method of Inoculating for the Small-Pox: To which are added, some experiments, instituted with a view to discover the effects of a similar treatment in the natural small-pox
Dimsdale, Thomas
Smallpox -- Vaccination -- Early works to 1800
Some of my own patients, and, as I am credibly informed, of other
inoculators in this way, have had considerable eruptions of this kind
after they have returned home; which have probably given occasion for
the reports of several having had the disease again in the natural way
after inoculation. But that these reports are ill-grounded, will appear
from this observation, to wit, that in all the cases of this sort which
have occurred in my own practice, or, as far as I can learn, in that
of others, the second or latter crop of pustules has always happened
within the time usually allowed for the progress of the small-pox
from inoculation, and before the inflammation on the arm has ceased,
and sooner than they could be supposed to be produced by infection
taken in the natural way; and whenever it has happened, it has been to
persons in whom, after a slight eruption, and abatement of symptoms,
the disease has prematurely been judged to be quite over, and they have
therefore been permitted to return to their families.
It will doubtless be asked, how cases of this kind should ever happen
among those who return home as cured? To which I answer, That it is
no unusual thing for industrious men, after a slight eruption, and
cessation of all complaints, to ask leave to return home to their
occupations and families; and where it has been thought that no danger
would accrue to others, their request has been often granted; for the
physician, no more than the patient, can foresee when these accidents
shall follow: but it may be observed here, that in all these cases
of my own knowledge, very repellent methods have been used in the
beginning; and a more generous diet or greater exercise afterwards, has
seemed to contribute to this secondary eruption.
Before I conclude this chapter, it may be proper to observe, that
inoculated patients, in some stage or other of the disease, may
possibly be attacked with diseases altogether independent of the
small-pox; such, for instance, as may arise from worms, or be the
epidemic of the season, or such as the patient may by constitution
be subject to; and some cases of this sort will be found among those
annexed.[4]
[4] Vide Cases XVII. XIX. XXI.
CONSEQUENCES of this Method of INOCULATION.
I shall now consider the consequences that follow this very cool and
repelling method, and how far the patient’s future state of health
may be affected by a practice so new, and opposite to all established
theory.
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