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 — John Shaqi
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
In regard to age; where it is left to my choice, I decline inoculating
children under two years old. I know the common practice is against
me in this particular; but my reasons for rejecting such are founded
on observation and experience. I have, indeed, lately inoculated many
under this age, at the pressing entreaties of their parents, and they
have all done well. But it must be considered, that young children are
exposed to all the hazards of dentition, fevers, fluxes, convulsions,
and other accidents, sufficiently difficult in themselves to manage in
such tender subjects; insomuch that scarce two in three of all that are
born, live to be two years old, as is demonstrable from the Bills of
Mortality.
Besides, convulsive paroxysms often accompany the variolous eruptive
fever in children; and though generally looked upon in no unfavourable
light, as often preceding a distinct kind of small-pox, yet they are
at all times attended with some degree of danger; nay, some, it is
well known, have expired under them; while others, who have struggled
through with great difficulty, have been so debilitated, and their
faculties so impaired, that the effects have been perceptible during
the remaining part of their lives.
And even admitting the eruption to be favourable, and not attended
with any such alarm, yet should a larger number of pustules than
usual appear, or any untoward symptom happen, and require medical
help, the unhappy sufferer is much too young to be prevailed on to
take unpalatable medicines, or submit to other necessary measures,
by persuasions, menaces, or bribes. I have often been present at
afflicting scenes of this nature; and have reason to think that many
children have died of the small-pox in the natural way, merely from the
impossibility of prevailing upon them to comply with what was proper,
in cases where little or no danger was discoverable, either from the
number or species of the pustules, the degree of fever, or any other
apparent cause.
It must likewise be taken into consideration, that young children have
usually a larger share of pustules from inoculation, than those who are
advanced a little farther in life; and that under this circumstance
many have died; and the proportion of these, so far as I can learn,
is too great to encourage a continuance in the inoculation of young
children: so that it seems most prudent to wait till this dangerous
period be over, especially as its duration is so short, that the
danger of their receiving the small-pox therein in the natural way is
very little; and it is at this time much more easy to preserve them
from it, than when they are left more to themselves, and may be more in
the way of infection. But children above this period may be inoculated
more freely; nor does there appear any reason to exclude healthy adults
of any age; persons of seventy having passed through this process with
the utmost ease, and without occasioning the least painful apprehension
for the event.
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