Thoughts on General and Partial Inoculations: Containing a translation of two treatises written when the author was at Petersburg, and published there, by Command of her Imperial Majesty, in the Russian Language — John Shaqi
Thoughts on General and Partial Inoculations: Containing a translation of two treatises written when the author was at Petersburg, and published there, by Command of her Imperial Majesty, in the Russian LanguageDimsdale, Thomas
History
Thoughts on General and Partial Inoculations: Containing a translation of two treatises written when the author was at Petersburg, and published there, by Command of her Imperial Majesty, in the Russian Language
Dimsdale, Thomas
Smallpox -- Vaccination -- Early works to 1800
These opinions, it is presumed, joined with the design of admitting
patients in the natural Small Pox, determined the first Governors to
have two Hospitals; one, to contain all such who were actually
undergoing the disease in either way, and in a state to infect others:
the other to be appropriated to such only who were under preparation, or
having been inoculated had as yet no appearance of the usual eruptive
symptoms, and were not in a condition to infect one another. But these
opinions have not been verified by experience; on the contrary, it has
turned out that the precautions were not necessary. Experience assures
us, that a person in good health may be safely inoculated without any
preparation, and that all the regulations in respect to diet and the
necessary course of medicine, may be sufficiently complied with in the
week that intervenes between the operation and the commencement of the
disease. With respect to a double infection, that is, by Inoculation and
in the usual course of communication, or an accumulation of the
distemper afterwards by living with those who are actually labouring
under it, no ill consequence need be feared; for I am perfectly
satisfied, that after Inoculation is effectually performed, no injury
can be sustained by living with others in the most infectious state. And
even if the first Inoculation should fail infecting (which if proper
care is taken will scarce ever happen) the failure may be discovered on
the third or fourth day, and the patient may be inoculated again; and
even then, should there be a moral certainty that the natural infection
has been taken, it will be in time to prevent any ill effects; the
inoculated disease will as it were supercede and annihilate the former
infection, and the patient have the Small Pox from Inoculation only.
I am aware that some apology is necessary on publishing opinions that
may be deemed improbable in so laconic a manner; this is no place to
pursue the subject: but I mean soon to support these assertions by
relating certain facts on which they are founded. It is probable, that
from a deliberate consideration of these circumstances, some
considerable improvements may be made in the regulations of the
Hospital.
A principal one should be, to quit the practice of bringing the
inoculated patients to reside with those who have the natural disease; a
circumstance that could not have been consented to but from the former
mistaken opinions which have been noticed. A considerable advantage will
also be gained to the œconomy of the Hospital, on account of the time of
the patients residence being shortened; by which means a greater number
may be inoculated at the same expence.
I hope to stand excused from having made these remarks here, as in the
sequel I mean to propose an enlargement of the Hospital at Pancras.
Public-domain text, read in full here on John Shaqi.
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