LIBRARY Date Class Mark. Accession No CttUcticrhj Digitized by the Internet Archive in 2015 https://archive.org/details/b21354650 ON THE STATE €>F i VACCINATION IN 1810. Price 2 s. Qd. PREFACE. RESIDING * at a distance from the princi- pal Theatre of Action, I had, for the first five years of the practice, no particular in- ducement to inquire into the rationale of Vaccination. Not supoosing it possible, that so much fanaticism and dishonesty could exist among the Members of a learned and honourable Profession, 1 was disposed, in so far as my attention was at all called to the subject, to yield a belief, on their united autho- rity, to the Doctrines, which they so zealously and dogmatically promulgated. Even some time after my return to England, my mind remained under a degree of bias in favour of * From 1798 to 1803. See my Excursion in France, and oth part* of the Continent of Europe, &c. Longman and Co. 1804. vi the Practice. And it was not until 1 80 7 that, led by my connection with Medical literature, in this Metropolis, to enter into a stricter in- vestigation of its merits, I found that those were right, who had represented the Cow- pox experiment as a splendid delusion. Since that period, I have taken some pains to col- lect and arrange facts, which, combined with the labours of others, will, I trust, contri- bute to set at rest this question, which has agitated the Medical world for twelve years. After what I have declared, it will not be suspected that any reproachful language, which I may have occasion to use towards the Yaccinators, can be meant to apply to any of those respectable and benevolent Members of the Community, who, misled, like myself, by false reports, conceived they were doing good by granting their support to the Experi- ment. These reproaches are exclusively di- rected to the Medical Traders, who have made a job of the Philanthrophy ; and to Vll those obstinate Practitioners, who, because thej have once been in error, according to their notions of consistency, deem it incum- bent on them to remain always in error*. In this Letter I have endeavoured to give a succinct account of the origin and progress of Vaccination, and of the firm, and rational, and successful opposition, which has been made to it in this country. Here we shall see phenomena that are unprecedented in history :_A national reward * There is one gentleman among those, who practice Vaccina, tion, knowing it to be wrong, whose situation I sincerely com- miserate. Mr. Wachsell, of the Small-pox Hospital, Pancras, has vaccinated more persons than any other individual, has con- sequently seen numerous cases of failures and mischiefs, and is perfectly convinced of the incfficacy of Cow-pox, as a permanent preventive of the Small-pox. But he must, contrary to his con- viction, continue the practice, if ordered by the superior Officer* of the Establishment so to do; or forfeit his place. At this Hosptal, during the height of the mania, the women, who came to get their children inoculated, were classed by the faculty into «u» and ^ foolish » according as they gave the preference to the Cow-pox, or the Small-pox. Notwithstanding flattering distinction, the number of « wise women" were da.ly dlminishing, until at last scarcely any was to to be found. Are there no wise women at all among you!" exclaimed the enraged Vaccinator, when he could get no one to accept of his Vlll of 30,000 1, granted to an obscure apothe- cary, for a pretended discovery, which proves to be a curse, instead of a blessing, to society:— The public, concurring with the faculty, in forming establishments for the gratuitous introduction, among the poor, of a practice that, from reasoning a {trior i, was evidently irrational, and, from the evidence of facts, posterity will regard as the oftftro- Irium medicorum of the nineteenth century : —The poet*, the statuary f, and the pain- ter X , vying with each other in doing honour to the wonderful discoverer :— The privilege of sending letters, postage free, conferred on a society, which took his name § : — Busts of him in every corner -.—Implements, from the decorated snuff-box down to the meanest uten- sil, bearing his effigies -.-Almost deified by his followers, and a great proportion of the com - munity :-The honour of knighthood offered -Vi^^rTG^d News fro^The Farm. Carey's Pleasures of Nature. + Manning. t Robinson. § Vide Medical Observer, vol. iv. p. 24, 162. ix to be conferred on him, but slighted probably as inadequate to his pretensions * Elected an honorary Member of foreign learned Insti- tutions, and of the College of Physicians of London, in violation of their own laws, if not of the law of the land. In a very few years how reversed the pic- ture ! This same man is seen hiding himself from the world, — a voluntary exile from the scene of his now expiring imposture. How different is the situation, and how dif- ferent must be the feelings, of the antagonist and destroyer of t^iis hydra, after having fearlessly opposed an universal mania, almost alone. Looking with complacency at the return of his friends, whom in the fury of the storm zeal had for a moment alienated, to thank him for his noble perseverance irt the cause of truth and science, not only at the risk of connections and emolument, but — *..-.. * Vide Medical Observer, vol. iv. p. 2f?. of reputation, and even of life*; Dr. iMoseley will have the solid satisfaction to reflect that by a successful contest of twelve years, he has acquired the distinguished appellation of a benefactor of mankind. After having combated, and overthrown, the most gi- gantic and pernicious imposture that ever obscured the Medical horizon, it is he who may with truth exclaim : " exegi monumentum cere jierenniusr And if the gratitude of an undeceived public should at length contribute to load him with honours and rewards ; rt they will wear well ; for % they have been dearly earned." C. M. Londqn, August, 1810. * It is almost impossible for any one, who has not been a little behind the scones, to believe the base, dastardly, and abominable artifices used by the vaccinator against the opponents ol their .clarions experiment Moral assassination was a weapon of pro- pagandiam. c , Lte familiar to the low tools of the Jennenan tnbe. LETTER TO THE RIGHT HONOURABLE RICHARD RIDER, 8$c. §c. -=Mllllllll!Oll!ItH!ll«*- SIR, WITHIN these few days, I have perused a document, designated a " Report from the National Vaccine Esta- blishment," addressed to you, and signed by Sir Lucas Pepys, as president ; of which, had it not been printed by order of the House of Commons, I should have dis- believed the authenticity. The audacious misrepresentations and gross falsehoods, , contained in that paper, and the total disregard to individual or collective reputation shewn by the reporters, in this desperate attempt to procure, by fraud, a continuance of the support of Government to the stale imposture of vaccination, might well excite surprise, if indeed any thing could now surprise, in which Sir Lucas Pepys, and the cow-pox establishments, are concerned. To expose the artifices, and detect the frauds, B by which the government and the public are here officially and wilfully deluded into the farther support of a practice, which facts of daily occurrence, have for years proved to be not only inefficient for its professed object, but absolutely pernicious to the human frame, is equally the affair of every man. But I have also a farther motive for engaging in the task. A s one of the oppo- nents of the imposture, whom the framers of these re- ports have presumed to calumniate, I feel it due to my own character, to hurl back their accusations on the heads of the reporters ; and in doing this, I have to re- gret that the chief of their board should have rendered himself so little worthy of personal consideration. His demonstrated incapacity, as physician-general ter the army * ; his own undisguised confession, or rather solemn declaration, of professional ignorancef ; his gross prevarications at the bar of the House of Commons;}; ; and thfe uncontradicted charge of wilful and deliberate falsehood, published against him by one of his late col- leagues at the army medical board § ; (not to speak at * Vide the 5th Report of the Commissioners of Military Inquiry,- p. 81, 82. My analytical View of the Medical Department of the British Army, P- 1*, The Medical Observer, passim, &c. &c. t Vide his official Letter to the Secretary at War, Med. Obs. voi. vii. p. 382 " I hereby solemnly declare myself incapable,'1 &c. + Vide his several examinations at the bar of the House of Com- mons, Med. Obs. vol. vii. pp. 283 and 385, &c. § Mr. Keate, in a correspondence with Sir Lucas, accuses him of having amused himself and Mr. Knight with different stories ; and, upon his evading to give any explanation of his conduct, thus threat- ens him with an exposure: ff After this treatment from you, I think 7 •present of other degradations J ; are personal calamities, which, had they rendered him incapable of doing farther mischief to the public, would have disarmed every gene- rous adversary, converting his indignation into pity, and his resentment into compassion. Divested of the power derived from the adventitious influence of office, of misleading or injuring the commu- nity, he would, from personal character alone, have been an object unworthy of public reprehension ; and might have retired to Leatherhead *, or sunk into the tomb, without farther animadversion or notice. But under this overwhelming load of disgrace, we still unaccountably find him, in his quality of President of the Royal College of Physicians of London f, prosecut- " it incumbent on me to send a copy of your correspondence to the " Commander-in-Chief, and Secretary at War, that they may know " how properly to estimate your candour and regard to truth." This letter is published in the Morning Chronical, of June 5, 1 8 1 0. * Sir Lucas's country residence is in the neighbourhood of Leather- head. t Wherever there is question of this body, I wish it to be clearly understood, that it is not with the members of it individually, whose character and learning I hold in due respect, that I have any concern; but with the corporation, as such, which I venture to assert is, without exception (and by the next meeting of the legislature, I trust I shall have proved it to a demonstration), the most pernicious body corpo- rate that has ever existed in the universe. On the present occasion, I have only to remark, how surprising it appears ; and certainly only to be accounted for by themselves, that a body of men reputed learned, and not suspected of being deficient in self-esteem, should continue, for a single moment, to retain as their president (their absolute mo' irarch), or even as a member of their corporation, a person who has shewn himself, in his public acts, so weak, so mean, and so cri- minal. B 2 8 ing, or persecuting, able, honorable, and regularly edu- cated professional men* ; and conniving, or perhaps re- joicing, at the dissemination of poison, both physical and moral, by professed quacks, among all ranks of the community f. Nay, in another capacity, — that of President of the National Vaccine Establishment, — he is himself become the principal disseminator of a poison, which constitute* one of the most extravagant pieces of medical quackery, lhat has ever disgraced this, or any other, age, or nation. In this capacity of high-priest of vaccina, I am now to consider his conduct. * Dr. Dick. An account of the proceedings of the College against this highly respectable gentleman, and celebrated practitioner, is now in preparation; and will add considerable illustration to the history and character of that body, and the pernicious tendency of their bye-laws. f A most diabolical publication, calculated equally to poison the minds and the constitutions of our fair countrywomen, was recently put into my hands by a gentleman, who received it from his wife, it having been addressed to his dwelling, und«r a seal, with this remark written on the cover—" To be opened by the Lady of the house only? The mysterious proceeding of directing the parcel to be opened exclu- sively bv the lady of the house, was not of course intended to repress the curiosity of other branches of the family, who might be disposed to dive into the contents of this Pandora's box, under the shape of a " Treatise on Female Complaints, &c. by E. Senate, M D" which as a decoy, the Doctor has the impudence to dedicate to her Majesty. In my humble opinion, there are few publications of any description, so gross as to deserve to be.more carefully excluded from the eye of every virtuous female. The pernicious tendency, both physical and moral, of the writings and medicines, which have 9 i To reason with zealots, or to extract an acknowledg- ment of error from persons interested in perpetuating delusion, has always been reckoned, by men of sense, a vain attempt. I am not so unreasonable, as to expect to operate the miracle of conversion on infuriated vaccina- tors ; or to wring reluctant recantation from men, the continuance of whose salaries depends upon the existence of a mischievous practice. But I do confess I have the pre- sumption to believe that I am able, through the medium of their own reports, to produce a conviction of their wilfull perseverance in error, on the mind of every un- biassed man, who reads and understands my letter ; and especially on you, Sir, to whom it is more immediately addressed. In taking these extraordinary documents for my text, I flatter myself, without meaning any literal attack upon their lives, that I shall be able to bury Sir Lucas, and his chosen band of vaccinators, under their own armour. To speak less abstrusely, their establishment shall be overwhelmed by the heaps of falsehoods with which they have basely endeavoured to support it. Out of their own mouths shall I condemn them. been circulated under the name of this Charlatan, is so palpable, that it can scarcely be presumed unknown to all the Fellows of the Col- lege. But should it have escaped their penetration, they are hereby informed of it ; and if they should not be able or willing to remedv the evil, it will shew either the nullity of their power as to all purposes of protecting public health, or that they consider the interests of their monopoly in direct opposition to those of society, and in strict unison Viith those of the Quacks. 10 It is impossible, indeed, they could have furnished their adversaries with more effective weapons for their overthrow. I will venture to predict, Sir, that, after perusing their reports, and my comments upon them, not a legislator will be found in Great Britain desperate enough to risk, not simply his reputation for sagacity, but for common integrity and common sense, by standing up in his place in either House of Parliament, to speak in favour of the continuance of their establishment. When the three thousand pounds a year, granted by government for the support of the delusion (for it has long ceased to be an experiment J, shall be consequently withdrawn, we shall hear no more from Sir Lucas, or his coadjutors, of the blessing of vaccination. On the near prospect of this event, which will restore the discipline of infants to its former safe and settled state, I most sincerely con- gratulate all anxious British parents, and their beauteous offspring. It is evident that the officers of the National Vaccine Establishment were not altogether insensible to the impending fate of their institution, if we may judge from the reluctance with which the unfortunate re- ports, which are the subject of my present discussion, were' ushered into light, or rather the great care with which they were preserved from public view, by *Sir Lucas and Mr. Keate, in the parental bosoms of the two colleges*. The grand object of the officers of * Sir Lucas Pepys was, at this tune, President of the Royal College of Physicians of London, and Mr. Keate, Master of the C ollege if Surgeons. (1809 and 1810.) 11 this establishment, that of continuing to receive theie salaries, these gentlemen were both aware (for, al- though they have not always cordially agreed in their capacity as colleagues, yet, on the view of a profita- ble piece of iniquity, the grudge of ancient repulsion has been instantaneously overcome by the irresistible hug of fraternal cohesion) would be best accomplished by with- holding their reports as long as possible from the scru- tinising eye of criticism, and particularly from the anti- 'vaccinists of the Medical Observer. But unfortunately for them, the reports were called for in parliament, by Mr. Shaw Lefevre, who has uniformly opposed the delu- sion ; and it became necessary, at the passing of the Bud- get, in order to procure even the present year's salaries, to expose these miserable abortions, in their naked de- formity, on the table of the House of Commons. This birth was managed with rather more than Sir Lucas's usual address ; for had the bestial progeny ap- peared only a few weeks sooner, his cow-pox confrater- nity might not have had their miserable existence pro- longed for another year. Before I come to the discussion, paragraph by para- graph, of these hopeful fruits of cow-pox invention*, a * The Vaccine Board is composed of the President and Censors of the College of Physicians, and the Master and Wardens of the Col- Jege of Surgeons, for the time being. Over these, Dr. Jenner had been appointed Director, and Mr. James Moore, Assistant Di- rector. But Dr. Jenner abdicated, or rather never acted ; and as Sir Lucas signs the reports, as President, I am at a loss what station to assign to Mr. Moore in the establishment 12 cursory view of the origin and progress of vaccination may prepare us for the more satisfactory contemplation of its decline and fall. In April, 1798, the practice of inoculating for the cow- pox, afterwards styled vaccination, as a substitute for, and permanent preventive of small-pox, was first gene- rally introduced by Dr. Edward Jenner, of Berkley, in Gloucestershire. It was ushered in with a mixture of theatrical pomp, and religious solemnity ; and instant- aneously attracted immense crowds of adherents. The medical men, the successors of those who had op- posed the humane and ingenious endeavours of Lady Mary Wortley Montague for the general introduction of small-pox inoculation, who should have been the slowest of belief, were the first to rush headlong into the irrati- onal experiment « in open defiance of every principle of pathology, and analogy, in medicine"*. In spite of the over-whelming evidence of facts, they will also be the last to abandon it. While they can get a single patient, who will submit to be experimented, they will continue the practice of vaccination. The example of the doctors was, of course, followed by every other description of persons in the land; and the rage for vaccination became a complete epidemic. Dr. Moseley, Physician of Chelsea Hospital, was the first, and for four years, the only writer of eminence who dared openly to stem the torrent of vaccine delusion. In September, 1798, three months after the doctrine was pvomulgatedf, he began Ins opposition to vaccination, * Money's Treatise on the Cow-pox. 2nd Edit. p. 6. + By Jenner's first publication, 21st. June, 1 .98. in a 13 m a short tract, replete with wit, satire, and philosophy; wherein he formally opposed it, on the grounds of pathological principles, and medical analogy. It was throwing pearls before swine. His wit and satire were mistaken for serious reasoning ; and his philosophy for wit. This Tract was republished in January, 1 799*. The partisans of vaccination, while they could not deny that it was an experiment, of which the degree of security could only be ascertained by time, like true zea^ lots insisted on the propriety of instantaneously subject- ing the whole human race to a course of this experiment. It being undoubtedly true, that cow-pox does, like other diseases, and other agencies in the system, prevent, during the existence of its influence in sufficient force, small-pox and other agencies ; and that those children, who were exposed to the contagion of small-pox; imme- diatehj, or soon after having been vaccinated, did of course resist the variolous infection; this temporary resistance was triumphantly urged as a proof of durable security. " In this Cow-mania," says Dr. Moseley, " it is not " enough for reason to concede, that the cow-pox may " lessen, for a time, the disposition in the habit to re- " ceive the infection of the small-pox. All cutaneous " determinations; catarrhal and eruptive fevers, such as " the chicken-pox ; and every disease of the lymphatics ; " and medicine, tending to what Sydenham would call " depurating that system, do the same." (Treat, p. 9.) But neither this strong and clear medical analogy, nor the demonstrated radical dissimilarity between the small- pox and the cow-pox, shewing a priori the impossibility that the one could be a permanent security against the other, could avail. * Vide Dr. Moseley's Medical Tracts. 14 The public, misled by the logic of numbers, and the term " respectability," were irresistibly carried away by the torrent. At the commencement of the practice, many men of otherwise sound understandings, and of excellent hearts, misled by the delusions of philanthrophy, or the decep- tions of those who hoped to turn the general infatuation to their profit, lent themselves, with an enthusiastic ardour, to the support of a measure, which they confident- ly hoped would prove of the highest benefit to mankind. The nobility; the ladies; the clergy ; the philanthropists of every denomination, vied with each other in encouraging and promoting a practice, which they were led to believe by the faculty, was to prove a substitute for, or perfect preventive of small-pox;— a disease of which they took care to exaggerate the danger, iu order to enhance the value of the fancied blessing they were in the act of proffering. In the mean time, the cunning and interested traders in medicine, in all countries, eagerly took advantage of the popular delusion, in order to get themselves comfort- able establishments. In December, 1799, an institution was established in Warwick Street, for gratuitous vaccination, with great patronage and considerable Funds*. From this centre, the cow-pox doctrine extended its numerous ramifications throughout the kingdom. In 1800, Dr. Moseley in his Medical Tracts a third time attacked vaccination ; and had in the interim made known several cases of small-pox after cow-pox, and of diseases produced by cow-pox. * The names of the Conductors of this Institution will be found 1 Qr. Mcseley's Treatise on the Lues Bovilla. 2nd Edit. p. 13. 15 This gave rise to an advertisement*, signed by thirty- five practitioners of the metropolis, informing the world that " unfounded reports had been circulated, tending to prejudice the public mind against the inoculation of cow- pox," and declaring, that " those persons icho have had the coio-pox are perfectly secure from the infection of the small-pox ;5' and also, that " the inoculated cow-pox is a much milder and safer disease than the inoculated small- pox." William Saunders, M. D. Matthew Bailie, M. D. Henry Vaughan, M. D. Maxwell Garthshore, M. D. J. C. Lettsom, M. D. James Sims, M. D. John Sims, M. D. William Lister, M. D. Robert Willan, M. X). C. Stanrer, M. D. Alexander Crichton, M. D. Thomas Bradley, M. D. Thomas Denman, M. D. Richard Croft, M. D. R. J. Thornton, M. D. John Abemethy S. Chilvers Astley Cooper Edward Ford J. M. Good James Horsford Joseph Hurlock Francis Knight William Blair James Leighton James Moore Thomas Paytherus Thomas Pole G. W. Phipps John Ring James Simpson Thomas W hateley H. L. Thomas Jonathan Wathen Henry Cline, So large a proportion of the members of both colleges, having thus guaranteed its infallibility, vaccination was ex- tensively adopted by the community. Any longer to doubt its efficacy was, in medical men, to incur, if not the suspicion of insanity, at least the penalty of medical excommunication. Pious frauds were now most devoutly * See Dr. Mosele y's Treatise on the Lues Bow. 2nd edit, p. 14, C 2 16 resorted to. Parents, who, from dislike to novelty, or the introduction of a bestial humour into the blood of their children, were averse to the practice, by force, in- timidation, or deception, had their inclinations over-ruled, and their children vaccinated. The experiment now only required to be formally sanctioned by parliament. In March, 1SO-2, a petition was presented to the House of Commons by Dr. Jeuner, which was referred to a committee ; and the report of that committee was printed by order of the House, on the 6th of May following. On this occasion, most of the members of the London Colleges, who had so fully committed themselves m l 800, gave their evidence una voce, in favour of the m allibih ty of vaccination. That of Dr. Moseley was still the only decisive evidence on the opposite side. The testimonies of Dr Rowley and Mr. Birch, were also unfavourable. But the conduct of the House of Commons was neces- sarily determined by the concurrent voices of so rmmense a majority of professional men; and parliament, by acclamatl, voted ten thousand pounds to Dr Jenner clear of all contingencies and expences, for what was called his discovery. From the force of habit, society is generally averse to the sudden reception even of obvious improvement has accordingly been the fate of the most mutant discoveries in science, to be, in their outse , v lently op nosed by interested or prejudiced combinations. And it poseo uy i . . vaccme experi- is not the least remarkable feature ot tne f ,nent that it should have been at once embraced, support- ed and propagated, by similar combinations. Vhusencoumged by public enthusiasm, and sanction d by a vote of the Legislature, Dr. Jennet amb, , on hg» rapidly to expand. In January, 1803, was mst.tuted, to 17 Salisbury Square, Fleet Street, « The Royal Jenne- hian Society for the EXTERMINATION of the Small-pox /.*" * In the face of such mighty authority, the most scepti- cal could no longer retain any distrust of the stability of the doctrine. The public received the blessing with be- coming gratitude and respect. The practice of vaccina- tion became universal in this country ; and extended to many other parts of Europe, and to Asia, Africa, and America. Hitherto unchecked by the evidence of the numerous failures, which have since risen in judgement against the practice, the infatuation now raged in all its fury. The vaccinators, intoxicated with success, felt such confidence in their own strength, that they appeared to meditate no less than the extermination ( along with the small-pox J of their few opponents. Two of the mildest gentlemen among them, were for hanging, the one conditionally, the other unconditionally, those practitioners who should in future be found guilty of inoculating children with the small-pox. Dr. Lettsom, in 1804, says "the practition- er who now inoculates with the small-pox is guilty, if not in a criminal court, yet mforo conscientice, should that child die, of murder f :" and Dr. Thornton believes, " whether the child should die or not, the same serious charge would apply J." To recapitulate all the extravagances, which were pub- lished or spoken on this subject, by men hitherto con- * For the names of the Gentlemen, who conducted this Institution under the title of Medical Council, see Dr. Moseley's Treatise on the Lues Bovilla. 2nd Edit. p. 49. f Dr. Thornton's Facts, decisive in favor of Cow-pox.— 1804. \ Dr. Thornton's Letters to Dr. Tilloch.— Sept. 1804. 1.8 sidered respectable in their profession would be an end- less task. It is proper, however, to state a few of them. Cases of vaccine failures and mischiefs had now become Numerous: but practitioners of not more than ordinary force, were absolutely deterred, by fear of persecution, from publishing what they observed on that side of the question. Never did such an ignis fatuus appear in the regions of science. The zeal with "which the fanatics persecuted their opponents was scarcely ever ekceeded by the Odium Theologicum. If they did not burn every unbeliever with fire and faggot, they dexterously under- mined his practice, and handsomely tattered his repu- tation. The rage, which, at this period, distinguished the most furious of the vaccinators is well and humorously described by Dr. Moseley * : Men who before this epidemic raged in *' their veins, were not noted for any particular ill manners, «« or extravagant behaviour ; and went about their profes- " sional affairs in the ordinary way, now, possessed of the « Taurine spirit, became very alarming ; and were not to «< be met at the bed side, or even in the streets without " danger f." It may be proper here to state, that the vaccinators had got complete possession of the press J. A periodical work (the Medical and Physical Journal) was instituted, at the commencement of the experiment, for the express purpose of propagating and supporting the cow-pox doctrines. This it has done with disgraceful fidelity^* the exclusion ^Treatise on the Lues Bovilla, second Edition, pa. 5. ■f Terribiles vultus, prsefixaque cornua ferro, Pulvereumque solum pede pulsavere bisulco ; Fumificisque locum niugitibus impleverc. Ovid. Meiavi. lib. vii. v. 112. f Dr. Moseley'sCom-ontheCo^pox. 2nd edit. p. 22, and Mr. Birch* Serious Reasons, &c. 2nd edit. p. 26. 19 of every fact militating against vaccination, for nearly twelve years; until, by the evidence of accumulating failures, it has at length been reduced to the necessity of observing an edifying silence; I sha.l not dwell at much length on the abuse which the. vaccinators have made of the press, as it would swell this publication much beyond my design. But I cannot omit expressing both surprise and regret that a periodical work of reputation (the Edinburgh Review) should have disgraced its pages by the admission of so much Cow-pox nonsense. W hether the proprietors of that work hired some of the low vaccinators to write for them, or admitted the writings of the corps for hire, they were equally contributing to injure their own interests, and to prolong the public delusion. Surely it could not have been from any opinion previously formed of their merit that it was thought fit to give insertion to the- Cow- pox articles alluded to: for, without supposing the con- ductors of the Edinburgh Review to be much acquainted with medicine, it is not possible to believe them so de- ficient in philosophy and logic, as not to have perceived^ had they perused them, that those vaccine effusions were a continued violation of both. The daily and weekly prints, were also for a long time similarly disposed ;. and the communications of the anti- vaccinists, although equally paid for, were either received with reluctance,. or altogether denied insertion. I do not mention this with a view to blame. The gentlemen con- nected with the press must, on such a subject, have par- taken of the general delusion. It is" the med ical men aione (and among them the conductors of the Medical and Phy- sical Journal) whom I consider culpable ; and they are culpable, not only of neglect in having so long blindly supported error, but of obstinacy, now that their eyes are '20 opened, in not publishing an honest and manly recan- tation. In the mean time, cases of failures and mischiefs, were accumulating in the metropolis, and different parts of the country. In 1804, Dr. Moseley published the first edi- tion of his Treatise on the Lues Bovilla, or Cow-pox; and afterwards successively his Commentaries on the Lues Bovilla;' a cow-pox epistle, entitled an Oliver for a Rowland; and in 1808, his Review of the Report of the Royal College of Physicians of London, on Vaccination : aaci of them illustrated with many cases. As these works cantain the marrow of every thing which has at any time been published against vaccination ; and as, in my opinion, the merit of first arresting the progress of the imposture, and finally overthrowing it, is principa ly due to the intrepidity, talents, and perseverance, of this author, I should deem it an injustice to consider any ot those writers, or collectors of cases, who may have casu- ally joined in the progress of the combat, as entitled to more credit than that of mere auxiliary forces. These, however, began to multiply. Dr. Rowley, Mr. Birch, Mr. Goldson, Mr. Rogers, and others, published cases of failures in 1804, and 1805. The strong and repeated evidence brougut forward against vaccination, seemed for a while only to mere* e the ardour' of its votaries. But, Dr. Jenner had m the mean time, expended a great part of his ten thousand Jffi* Us adherents from starving, it became necessary to go back to parha ment for a fresh supply. ~ » On the 2nd of July, !806, on the mot.on of Lor Henry Petty (the present Marquis of Lansdowne t ; Chancellor of the Exchequer, the College of Phys.ca ^ of Lo don were directed to report their observations opinions, upon that practice (vaccnat.on) upon the dence adduced in its support. 21 The College, totally ignorant of the subject, sought in- formation from every other College of Physicians or Surgeons in the United Kingdom ; by advertisements in the public newspapers; and even from cow-pox clubs and associations. But the other colleges, only less ignorant of the subject, than themselves, in knowing that they knew nothing, could render them no assistance ; and the information they received from the other sources, to Which they thought proper to apply, was either ex-parte9 or false. On this evidence, however, such as it was, the College of Physicians of London, on the loth of April, 1807, drew up that memorable Report, on which the House of Commons, on the 29th of July following, voted the fur- ther sum of twenty thousand pounds to Dr. Jenner for his discovery *. ORIGIN OF COW-POX; AND PRETENSIONS OF DR. JENNER TO THE TITLE OF A DISCOVERER. It may not be improper, before I proceed farther, to enquire what Cow-pox really is, and what pretensions Dr. Jenner has to the title of a discoverer ? Cow-pox is reputed by Dr. Jenner to come from the greasy heel of the horse, through the medium of the hands of the milkers, and to be communicated from the cows to the milkers, in their turn. This origin is denied * See the admirable analysis contained in Dr. Moseley's Revjew Gf *nis Report. 1) by others, particularly by farmer Jesty. By some, it is conjectured to be an itch, or other foul humour, commu- nicated by human hands to the cow. I call on Dr. Jenner for a solution of this problem. Whatever it be, it has long had the reputation, in the dairy counties, of being a temporary preventive of Small-pox. Farmer Benjamin Jesty, of Downshy, in the Isle of Purbeck, was, as far as we know, the first inocula- tor for the Cow-pox. He inoculated his wife and two sons, in 1 774, directly from the cow *. Sir George Baker recollected having had a correspond- ence with the fUv. Herman Drew, of Abbots, in Devon- shire, about the year 1777, the result of which was, there was an opinion prevailing in the neighbourhood, that dairy maids who happened to get the Cow-pox, were no longer subjected to accidental infection of the small- pox. The papers relating to this subject were burnt bv accident. Mr Thomas Nash recollects having possessed papers ?eft by his father, written between 178! and 1785 re- £ in/to Cow-pox inoculation, on which he was at tha time making experiments. He was moculated by h „ father in 1781, he thinks with vaccme matter. 1 he pa irhegave to Mr. R. Keate, surgeon, m .799 or 1800 P Dr Pearson had letters from Dr. Pulteney and the Rev. Herman Drew, dated in 1790, containing an account from Mr Dolling, at Blandford, of persons, who have had ^ow-pox from the cow, being inoculated M Small-pox without having received any mfect.on. Mo8e,e,'s Commentaries on the Cov-pox. mi Edtuoa, P- 59. 23 Dr. Jenner did not begin the practice of vaccination^ .or publish any of his doctrines on the subject till 1798; twenty-four years after farmer Jesty had vaccinated his family ; twenty-one years after Sir G. Baker had heard from Mr. Drew, of the prevailing opinion in Devonshire that dairy-maids,, who happened to get the Cow-pox, were no longer subjected to accidental infection from the small-pox ; seventeen years after Mr. Nash was occupied in making experiments on inoculation with vaccine mat- ter ; and eight years after the opinion of Cow-pox being a preventive of small-pox, was communicated to Dr. Pearson by Dr. Pulteney and Mr. Herman Drew *. When these matters are properly considered, it is im- possible to allow Dr3 Jenner the merit of having made any discovery. Farmer Jesty, and probably many others, having practised inoculation from the cow to man, it required no stretch of sagacity, not even a single step in ratiocination, to conclude that the same virus might be propagated from any one animal to any other ; and more especially from one human being to another : and this is the whole extent of Dr. Jenner's discovery! It will scarcely be credited by posterity that a grave College of Physicians could, on such grounds as have hitherto appeared, seriously propose to the legislature to enforce the practice of vaccination by law, and to consign persons under small-pox contagion to pest- houses ! * Vide evidence before the House of Commons, in Dr. Moseley's Treatise on the Lues JBovilla. 2nd Edit. p. 27—33. 5> 2 24 At this period, the controversy became a subject oi warm and tumultuous discussion, at spouting clubs or forums; and the proof of scientific facts was, perhaps for the first time in history, allowed to rest on the evi- dence of oaths or affidavits. Notwithstanding the powerful support of the legisla- ture the cow-pox enthusiasm among the public began now evidently to diminish. The college, in their report, were obliged to admit, the very reverse of what so many of its members gave in evidence before the committee of the House of Commons, in 1802, that vaccination u not an absolutely perfect security against the P>f*«£ The people, particularly those of the lower order, who Jom their situation, are more exposed to its ft, lu» and mischiefs than others, with reluctance suffered their cTfid n to be vaccinated ; and it was a knowledge of bi g owing disposition that induced the college to re- c^mend the extraordinary measure of a compulsory ''This was, however, deemed too •W»^n" * the legislature; and the compulsory and pest-house Scheme fell to the ground, without being even seconded llle mean timlthe partisans of ^cinatron p. 164. E 30 very extraordinary Reports of this establishment, to your- monthly reprehension in that work. The frequent false- hoods, scauda!ou8 prevarications, and uniform disinge- nuousness of the reports, which have, during that pe- riod, been issued by vaccine institutions, or individual vaccinators, to delude the public, have there been de- tected^ and exposed. The impudent fabricators of these reports, have been forced to retire into their native ob- scurity. The Jennerian Institution has been dissolved; and their official Journal reduced to an ignominious si- lence. Farther, between five and six hundred cases of cow- pox failures and mischiefs, with names, time, place, and circumstance, duly authenticated, some of them happen- ing in the families of medical men, have been published in the different Numbers of the Medical Observer r and no vaccinator has ever dared to come forwa/d, and call them in question. These cases have, for the most part, been collected and uthenticated by Dr. Moseley, Physician of Chelsea Hos- pital; Mr. Birch, Surgeon of St. Thomas's Hospital; Mr. Rogers, Surgeon, Spring-Garden; or by myself. Many of them are still within the reach of investigation; and I desire it to be understood, that, upon the autho- rity of these and other facts, I am ready to follow up the vaccinators, to conviction and punishment. Previous to the dissolution, or rather bankruptcy, of the Royal Jennerian Society, in 1808, the members of it quarrelled among themselves, and the public were let a little into their secrets. " When rogues fall out," &c. — Some very curious details, in doggrel rhymes,. are given 31 on this subject, in the early Numbers of the Medical Observer, supposed to be effusions of the muse of friend Walker, their quondam Secretary*. This was a blow, which vaccination scarcely seemed able to -survive. But it did not, suit the consistency of Parliament, which had voted thirty thousand pounds, twenty of them only the year before, to the discoverer, to let their adoption, instantaneously drop. In June, 1808, it was determined to have a. National Vaccine Establishment; and Sir Lucas Pepys, with the Right Honourable George Rose, and Dr. Jenner, drew up a plan of it. In December, 1808, a board^vas con- stituted; consisting of Dr. Jenner as Director, and the President and Censors of the College of Physicians, to- gether with the Master, and Governors* of the College of Surgeons, as Members. But Dr. Jenner, for reasons best known to himself, immediately abdicated; and has, I believe, never since shewn his face in the metropolis, or in Cheltenham. Well knowing, from experience, the nature of such bodies, the original opponents of vaccination abstain- ed from communicating facts to this establishment, assured, from a great deal of experience, that their communications would be misrepresented, or buried in oblivion. They preferred appealing, in a more direct and independent way, to the public ; and their success is best evinced by the conduct of the vaccinators. [REPORTS.] I now come to the main subject of my Letter — the very extraordinary Reports of this establishment, to your- * See the Jennerie. Opera, .Med. Obs. .Vol.. III. p. 367, and Vol.. IV. p. 18, 163, 261, VolV. 347, Vol. VI. 9. E 2 32 self and your predecessor, which I consider as the " last dying speech and confession" of vaccination in this coun- try. That the reader may see, at one view, how far they are treated with fairness, I here insert the Reports at full length ; numbering the paragraphs for the sake of more easy reference: REPORT FROM THE NATIONAL VACCINE ESTABLISHMENT. Ordered, by the House of Commons, to be printed, June I, 1310. NATIONAL VACCINE ESTABLISHMENT,. Leicester Square, Jan. 22, 1810. To the Right Honourable Richard Rider, Principal Secretary of State for the Home Department. Sir 1. The Board of the National Vaccine Establishment have the honour to submit to you, an Abstract of their further Proceedings, since the annexed Statement, made by them on the 25th May last to the Earl of Liverpool, his Majesty's then Secretary of State for the Home De- partment; and they trust that they shall not be found unworthy the continued confidence and support of his Majesty's Government. . % They have to report to you, that from the period, 33 of their last Statement to the present time, the Surgeons appointed under their direction have vaccinated at the eight different stations of the Establishment in the Me- tronolis, 1493 persons ; and they have very lately found it expedient to establish a ninth station in the populous parish of Spital-Fields. 3. The demand for the charges of vaccine fluid has been progressively increasing for several months, and since the last Statement, the number of them delivered amounts to 16,749 ; which affords a strong presumption, that the practice of Vaccination is becoming more and more extended; an inference abundantly confirmed by the accounts which have been transmitted to the Board from all parts of the empire. 4. The prejudices alluded to, in the former Report, they have reason to hope are gradually on the decline : with a view to eradicate such impressions, they have ad- dressed a circular letter to the governors and managers of the several public charities throughout the kingdom; in- viting the establishment of gratuitous Vaccination to be conducted by the medical and chirurgical officers of their institutions. 5. They have also to state, that with a similar view, a copy of the said letter to the governors of the different public charities, was addressed to the Archbishops and Bishops of the several dioceses, with an accompanying Statement, that the adoption of Vaccination had been extensively promoted by the assistance of the Clergy of other countries, and that they were encouraged to believe that the object would not be deemed unworthy of their countenance, or inconsistent with the views of their sa- cred functions. 34 6. The Board have also thought it their duty to con- tinue the investigation of the few anomalous cases which have fallen under their notice ; the result of this investi- gation does not appear to them to alFord any solid objec- tion to the practice of Vaccination, and on a due con- sideration of the whole body of evidence submitted to them on the subject, the Board have the satisfaction to state, that they are still impressed with a full conviction of the importance of the discovery, and can recommend with confidence a perseverance in such measures as may lead to its universal adoption. 7. On referring to the last paragraph of the annexed Statement, they have the satisfaction to report, that the sum already granted has proved adequate to the annual expenditure of the establishment. By order of the Board. Jas. Hervey, (Signed) LUCAS PEPYS, Re.tr. President. Copy of the Statement of the Proceedings of the Board of the National Vaccine Establishment; addressed to the Earl of Liverpool on the 25 th of May, I8O9. My Lord, 8. The Board of the National Vaccine Establishment esteem it their duty to lay before your Lordship, an Abstract of their Proceedings from their first institution, that your Lordship may judge how far they may hitherto have fulfilled the intentions of his Majesty's Govern- ment, and may be deemed worthy of its future sup- port. 35 9. On the 22nd of June, 1808, Sir Lucas Pepys re- ceived from your Lordship, his first instructions to. consult the College of Physicians on the most effectual mean of carrying into execution the Resolutions of the House of Commons, respecting the formation of a Na- tional Vaccine Establishment. A Plan was accordingly drawn up by the President, in conjunction with the Right Honourable George Rose, and Dr. Jenner, of which your Lordship's approbation was signified, by a letter bearing date the 2 1st of December, 1808: In conse- quence of this, the President and Censors of the College of Physicians, and the Master and Governors of the Col- lege of Surgeons, being constituted a Board, were sum- moned on the 28th of December, and entered without delay on the consideration of the business to which they were called, and the means of executing it in a manner that should be satisfactory to the Public, and creditable to the high authority under which they were to act. 10. Dr. Jenner, on account of his experience, his. public merits, and his public rewards, which had seemed, to engage him in the service of Vaccination ; and also for the part he had taken in the constitution of the estab- lishment, was unanimously elected to fill the place of Di- rector; though he afterwards declined to act in that capacity 1 1. The inferior offices were next filled up by person^ selected with every attention to the public interest, and seven different places were fixed upon, at convenient distances in the Metropolis, for the purpose of Vaccina- tion ; to which it was afterwards found expedient to add an eighth. A house was engaged, for one year in Leices- ter Square, for the use of the Board, and for the constant; 36 residence of a Register, who might be at hand to receive and to answer all applications, and to transact the business of an extensive correspondence, which was to be ex- pected. 12. These necessary arrangements having been made, Vaccination was begun to be practised, under the direc- tion of the Board, early in February ; and, on the nth of March, they were enabled to give notice by public adver- tisement, that the plan of their establishment was com- pleted, and that all persons might be gratuitously vaccinated, or supplied with proper vaccine fluid, upon application, at the places appointed. 13. The numbers vaccinated have already amounted to 733 ; and 2,580 charges of the vaccine fluid have been sent to various persons, many of them residing in distant parts of the country; and they have each been furnished, not only with several glasses, ivory points or lancets upon which it is conveyed, but likewise with printed instruc- tions for the right use of it, and for ascertaining, as far as possible, the degree of security afforded. H. The Board have besides paid diligent attention to the investigation of such anomalous cases as have fallen under their notice, and have kept an exact register of every circumstance as it has occurred ; by which they hope to render more perfect the knowledge of the subject, and to secure the Public from errors and misrepresentations. is In prosecuting the business to which they were called the Board perceived, with mortification, a declining state of Vaccination in the Metropolis, and an apparent in- disposition towards the practice of it. They accordingly felt ;t incumbent upon them to excite a fresh attention to the subject by hand-bills and cards, which have been dw- 37 geminated among the lower classes ; by circular letters to the Physicians and Surgeons throughout England ; and likewise by application to the Clergy, and Vestries of the several parishes in and about London ; and, lastly, by an Address to the Archbishops and Bishops, requesting their Lordships' aid and encouragement, among the Clergy of their respective dioceses. 16. The Board of the National Vaccine Establish- ment cannot close this Statement without expressing their regret, that there should still be evil disposed per- sons, who are endeavouring to frustrate his Majesty's in* tentions by alarming the uninformed with stories, which they know to be false ; and, by public notice inviting them to be gratuitously inoculated with the Small-pox, to the great and unavoidable danger of spreading a de- structive contagion, a danger which is not easily appreci- ated by persons in the superior classes of society, who are, with very few exceptions, secure from its influence. 1 7. The Board of the National Vaccine Establishment flatter themselves, it Will appear to your Lordship, by a reference to their accounts, whenever it is your Lordship's pleasure to call for them, that they have not made an improper use of the money, which has been entrusted to them. In an infant establishment, it was to be expected, that the expences would in some parts exceed, and in others fall within those of another year. Upon the whole they trust the sum of 3,oool. which they received from his Majesty's Treasury, will be sufficient to cover their expenditure ; and, if the application they have made of it, in promoting the objects of their institution, meet with your Lordship's approbation, they may apply with con- fidence for a continuance of the public support, to enable 38 them to proceed in the work they have hegun, and, by the blessing of Divine Providence, to accomplish the general adoption of Vaccination, and perhaps the final extinction of the Small-pox. Earl of Liverpool, &c. &c. &c. (Signed) By Order of the Board. J as. Hervey, Reg. This barren but laboured production, contains no doc- trines to controvert, no facts for refutation. The painful task which I have to perform, is to shew the studied fal- lacy of the whole performance, with a view to mislead the government and the public into a continued support of the^imposture ; the breach of trust committed by the es- tablishment, in becoming, instead of enquirers, propagan- dists; their criminality in endeavouring to conceal all knowledge of vaccine failures, under the unmeaning term '** anomaly" their impudent and deliberate falsehoods, in imputing to their opponents a baseness of proceed- ing, which can only belong to themselves ; their degrading the profession, by having recourse to the lowest artifices of quackery for propagating a delusion ; their ignorant or designing exaggerations of the danger of small-pox con- tagion; and their consummate charlatanism in pretending, after having been obliged to confess the declining state of vaccination in the metropolis, that they can, for a mo- ment, believe it possible that they shall be able " to ac- complish the general adoption of vaccination, and the final extinction of small-pox." LUCAS PEPYS, President. 39 Before I proceed to review their sins of commission, let me say a few words on those of omission, of which they have been guilty. Even the Report of the Col- lege, in 1807, confessed that vaccination is not an absolutely perfect security against the small-pox. But they have not told us, in what degree it is a security. They also confess, that the cow-pox gives rise to other diseases, although less frequently than the small-pox*. These are, indeed, considerable concessions from the College; particularly those members who, some years previously, asserted, before the Committee of the House of Commons, that the cow-pox is a perfect and complete security against the small-pox ; that it is not itself a dis- ease; and never produces any other disease. Since that period, the vaccinators seem to have studied more profoundly the doctrines of the Jesuits : the mo- dern vaccinators, indeed, as far as their intellects will al- low, appear to be the legitimate successors of the an- cient followers of Ignatius Loyola; with, perhaps, the trifling exceptions of their wisdom and discretion. How- ever little astonishing, Sir, it is a most humiliating con- sideration, that rational beings, entrusted by the go- vernment of the country, with the care of examining into, and reporting upon, the efficacy of vaccination, i. e. whether it be a perfect security, or in what degree it is a security against small-pox, and whether it occasions other diseases, should have thought it consistent with honour or honesty, to be wholly silent on the two points, which it was specifically their duty to ascertain ; and * Vidv Dr. Moselcv's Review of the College Report, 2d Jldii. p. 44, F 2 / 40 which alone could be of any consequence to the publu to know. This, however, is the fact. On these two principal points, the Reporters are as silent as the grave. Did they mean to infer, that they were directed by Government to attend only to the evi- dence in favour of vaccination, utterly disregarding what- ever militated against it ? This no man in his senses will believe. Why, then, are they silent on these points? This, perhaps, they will explain in their next report, if they should ever make another. But, in the mean time, I will state the only construction that I conceive can be put upon it by the public. They will inevitably con- clude that, however they may venture to prevaricate, misrepresent, deceive, and conceal, there is no longer a vaccinator so impudent or stupid, even when his salary is at stake, as openly to assert, with thousands of well, authenticated cases staring him in the face, that vacci- nation is a perfect security against small-pox,- or that cow-pox does not produce other diseases. Sir Lucas, it he knew any thing, knew the contrary of this; he dare not deny that he knew it; and knowing it, he signed a report, leading his Majesty's government to expect that, Jth their support, and the blessing of divine province the Vaccine Board might be enabled to accomphs ,the general adoption of vaccination, and, perhaps, the final Extinction of small-pox. T will not dwell on the disrespect shewn by this decep- tioD to his Majesty's Government, or the irreverence of Lking the blessing of divine providence on an impos- Tre Neither should I think it necessary to say a single v d more on the subject, persuaded " ^ JiU consider men, who have been convicted of such a 41 complication of folly and crime, as unworthy in future of attention or belief, on a topic, which seems to have overwhelmed their senses, and overthrown their under- standing. But it may be necessary to shew, by a de- tailed dissection of the Report, that, whether by the force of interest or belief, the subject has, taken such complete possession of -their minds, that there is not a paragraph, from beginning to end, which is not full of the most disgusting misrepresentations, or the most stupid reveries. It is necessary that this unhappy state of mind should be fully shewn, in order that his Majesty's Go- vernment, out of compassion for the vaccinators them- selves, as well as the victims of their insanity, might be pleased, without loss of time, to take the necessary means of disenchanting them. I would not be so barba- rous, however, as to recommend for the vaccinating •squires the cruel mode of disenchantment by self-scourg- ing, practised by Don Quixote's 'squire, Sancho Panza. Instead of inflicting three thousand stripes or lashes on any part of their bodies, I am of opinion, the disenchant- ment might be better and more delicately performed, by withholding three thousand guineas annually from their pockets. This experiment, I trust, his Majesty's Minis- ters will have the humanity to make without delay. Not to withhold any longer from the reader the delica- cies of this vaccine repast, for which he is no doubt im- patient, having had time to prepare his appetite, I pro- ceed, without farther preface, to the Report, although I fear it will prove a rather indigestible meal. " The Board of the National Vaccine Establishment, " have the honour to submit to you an abstract of their 42 nl:;v;e to return to the bosom of orthodoxy. On this part of the subject, I shall only farther remark that " the apparent indisposition towards the practice" of vaccination, so meekly described by the reporters, amounts, among the great mass of the people, in reality to a dislike, disgust, or more frequently an abhorrence. The reporters go on: — " They accordingly felt it incumbent, upon them to excite a fresh attention to the subject, by hand-bills and cards, ivhich hac,J been disseminated among the lower classes y (15). Can any thing be more conformable than this to the practices of the lowest quacks, and the basest impos- tors ? But the vaccine establishment had resources beyond any of their predecessors in this line. They applied, *• by circular letters, to the physicians and surgeons throughout England" (15). Why not Scotland and Ireland, seeing the establishment is national— " Help me, Cassius, or I sink." « And, likewise, by application to the clergy and ves- tries of the several parishes, in and about London" (15). Was it to excommunicate inoculators for the small-pox, or to pray for their own success, or both ? 55 « And, lastly, by an address to the archbishops and bishops, requesting their lordships' aid and encourage- ment among the clergy of their respective dioceses." (15.) Aid and encouragement — to do what? To inquire into the degree of protection afforded by the cow-pox against the small-pox, and whether it produces other diseases, and what? Not at all. But to propagate it with all their might, whether it afford security against the small-pox or not, and whatever diseases it produces. As a further inducement to the church, the report- ers state to the archbishops and bishops of the several dioceses — " That the adoption of vaccination had been exten- sively promoted by the assistance of the clergy of other countries.*" (5) By other countries, the reporters probably allude more particularly to France. That the clergy of France should have contributed to its extension in that country. I hold to be of no import whatever to the argument. We shall suppose, if they please, and by what means they please, that it has pervaded the universe. If we can prove, that it is inefficient in and around London, we shall consider that a sufficient triumph, leaving the vaccinators to hug themselves with the idea, that it has not yet been proved to be fallible in and around Paris. But, if it were of any consequence, we could shew, that doubts of cow- pox infallibility have arisen even in France. And " that they were encouraged to believe that the object would not be unworthy of their countenance, nor inconsistent with the vieios of their sacred functions." (5.) H 2 56 What object? Promoting the practice of v&ccuuttioii, whether right or wrong. Would it then be con- sistent with the sacred functions of the clergy to aid in promoting an experiment, which there was already too much reason to apprehend would turn out a raftk imposture, — a curse, instead of a blessing, to man- kind ? No. The clergy of this country, I mean those of the established church, had more sense than to lend them- selves to a measure that might disgrace them. The archbishop of Canterbury wisely refused to com- mit the church f. and the views of the propagandists were frustrated in almost every direction. It may be worth while to pause a little upon these proceedings. Did this spirit of propaganda arise from pure professional zeal, for the good of humanity ? Reli- gion and philanthropy, it is well known, are, in this rich and gullible nation, frequently made stalking-horses to the most selfish objects. We have heard of pious per- sons going about the country, building places of worship for the good of their souls ; and if their pockets should happen to benefit, by the letting of the pews, or in any- other manner, it has not been supposed to «np y any dx- nunution, or disparagement, of their holy zeaL-Sc , i the national vaccme establishment had succeeded in their addresses to the church, and a demand ^fbr tluid was, in consequence, annually ^'^ ^ parishes in England, to the amount of at 3,. 6* each charge, the emoluments of the board would have been increased 17,500/. annually But if WOU1Q Hi h ag Iam m the charges be sold at 10s. ou. , formed has been^mdjnayj^ Serious Reasons for uniformly opposing Vaccina- tion, p. 24. 57 annual increase of income would, on this supposi- tion amount to fifty thousand guineas! Would it be more unjust to suspect the vaccine board ol wishing to extend the practice of vaccination merely for the sake of increasing their income, than of wishing to continue the existence of the establishment, merely for the sake of continuing to receive their salaries? If it be conceded to me, that the establishment is necessary to produce the salaries ; that the practice of vaccination is necessary to support the establishment ; and that the extension of the practice would increase the emoluments of the board; I shall have no objection to allow Sir Lucas Pepys, pro forma*, to assume as many philanthropic and religious motives to explain his con- duct, as he can find credulity to believe. The question is not respecting motives, but facts. And if the board had succeeded in propagating the practice of vaccination throughout all parts of the kingdom, as they have notoriously failed, it would not have gone the smallest way towards proving the truth of the doctrine, that vaccination is a' perfect security against the small- pox, or that the cow-pox doth not produce other diseases. It is remarkable how fondly the reporters have dwelt on the extension of the practice of vaccination ; a fact, which, whether true or false, signifies nothing; and which could not possibly be ascertained by the vaccine board, predetermined as they were not to listen to' the evidence of unbiassed scientific persons, but to draw all their inferences from the misinformation of blind enthu- siasts, and cow-pox runners; while they carefully avoid touching on the truth or falsehood of the cow-pox doc- * A memorable expression of Sir Lucas, in his Letter to the Secre- tary at War, dated 27th of Sept. 1809. Vide Medical Observer, vol? vii. p. 382. trines. On this disingenuousness I have already had occasion slightly to remark. Throughout the two reports, there is only one para- graph which could lead the reader to infer, that doubts respecting the infallibility of cow-pox were ever enter- tained by any one. But this paragraph, which I am in* dined to think, either escaped the reporters inadvertent- ly, or was written, like Sir Lucas Pepys's unfortunate letter, when phys;cian-general to the army, under the idea that it would never get beyond the port-tolio of the secretary of state, is not unworthy of comment. " And they" (persons residing in distant parts of the country), " have each been furnished, "not only with se- veral glasses, ivory points, or lancets, upon which it (the fluid), is conveyed, but likewise with printed instruc- tions for the right use of it; and for ascertaining, as far. as possible, the degree of security afforded." (13.) Here indeed we have, by implication, more than we looked for, and much more than wre could have expected to find; not only a virtual acknowledgment that vacci- nation is not -a perfect security against the small-pox, but that it is impossible to ascertain the degree of security which it confers. " The board of the national vaccine establishment cannot close this statement without expressing their re- gret, that there should still be evil disposed persons, who are endeavouring to frustrate his Majesty's intentions.1' (16) It is not, then, enough that the vaccinators should impose upon parliament, delude the public, and attempt to cajole the church ; but they must implicate the sacred name of his Majesty in their imposture. In this inde- cency I shall not imitate them. I have already shewn that the construction put, by the I 59 vaccinators, upon the intentions of government, was er- roneous ; and that it could not but have been a wilful error, to suit their own base and grovelling purposes. — After taking the liberty of interpreting the intention of government in their own way, they accuse the anti- vaccinators of endeavouring to frustrate them: — and how ? " By alarming the uninformed with stories, which they know to be false." (16.) — This is much too imbecile a project seriously to impute to the anti-vaccinators. The numerous cases of failures and mischiefs recorded by them, are not old Women's tales, or the reveries of doat- ing old men, or the effusions of zealots, or the invention of mercenaries. They consist of well-authenticated facts, succinctly, and soberly, and accurately, related; facts which the vaccine board could not but know to be circum- stantially true, at the very moment they icere accusing their opponents of knowing them to be false. They are upon record. Many of the subjects are- within the reach of examination. Consequently, any inaccuracy pervading them, may be easily detected. All this the vaccine board are perfectly aware of; and they are also aware, that they have no chance of escaping de- tection, if, quitting their Cow-pox fortresses of imaginary results, and frequently refuted assertions, they ever entangle themselves in the investigation of plain and simple facts. The anti-vaccinators are too confident of the ground on which they stand, to wish for any other test oi the truth of their doctrines, than an open and fair investi- gation. They despise the « spargere voces in vulgum ambiguas." But they will not allow this, or any other do board, to assume to themselves an exclusive authority of deciding on a subject, on which they have an equal right, and better opportunities to form a correct judg- ment. As one of those accused of " alarming the uninformed by stories which they know to be false," I think it right to inform you, Sir, in as far as I am concerned, that I am ready to meet the vaccinators before any com- petent authority. In the meantime I will venture to pre- dict, that, should the facts and communications, from which the vaccine board pretend to have derived their results, be submitted to public investigation, their in- ductions will be found unworthy of the smallest credit " The board have also thought it their duty to con- tinue the investigation of the few anomalous cases^which have fallen under their notice." (6.) Failures they have been in the constant habit of at- tempting to conceal under the vague term of « anomalous cases." No genuine vaccinator ever yet confessed a failure. This investigation of anomalous cases, from the importance annexed to it, I should suppose to be very laborious. Why have not the board given us a detail of the facts ? We could make results for ourselves. But U t ns hear their result. ? The result of this investigation does not appear to tiiem to afford any solid objection to the practice of vaccination; and on a due consideration of the whole body of evidence submitted to them on the subject, the board h.ve the satisfaction to state, that they are still im- pressed with a full conviction of the importance of the .7/«w-,, and can recommend with confidence a perseve- 61 ranee in such measures, as may lead to its universal adop- tion." (6.) Nothing can be more difficult than to comment on words devoid of meaning. The only inference we can draw from this nonsense, is that the board, although they dare not assert any thing positively, as to the merits of vaccination, are determined, as far as depends upon them, never to relinquish the experiment. The vague, ambiguous, and obscure mode of expression, which invariably runs through the report cannot be the effect of accident. It is a studied obscurity. The doctrine of general results is extremely convenient. They have neither informed us upon what they have grounded their report, or what they have suppressed. But, notwith- standing these artifices, no part of it will escape refutation. The national vaccine establishment flatter themselves it will appear, by a reference to their accounts, whenever ■the secretary of state pleases to call for them, " that they have not made an improper use of the money which has been intrusted to them." (17-) That is, I presume, that they have not robbed, or stolen out of, the treasury ©f the establishment! — Is it not making an improper use of the public money, to bestow it on the support of an imposture? " Upon the whole, they trust the sum of 3000/. which they received from his Majesty's treasury, will be suffi- cient to cover their expenditure ; and, if the application they have made of it in promoting the objects of their institution, meet with your lordships' approbation, they may apply with confidence for a continuance of the public support, to enable them to proceed in the work hey have begun ; and, by the blessing o f divine pr«videncea i 62 to accomplish the general adoption of vaccination, and, perhaps, the final extinction of small-pox" (17.) The work they have begun ! What work ? The exten- sion of the practice of vaccination. Which is to end in its general, not as formerly, universal adoption ; and this is to end, perhaps, in the final extinction of small- pox!— It would be useless to prosecute farther this tissue of nonsense, absurdity, and deception. To effect the extinction of a disease that may be carried in the atmo- sphere, by a disease that is not, but by application to an abraded surface, even simply contagious! The vaccine hoard are at considerable pains, in their reports, to give us to understand that the three thousand pounds a year, granted them by government, have been found fully adequate for the purposes of their establish- ment. This is cunning at least: for they could not get more without a new investigation; and that would be fatal to their existence. These gentlemen might adopt as their motto, with a slight alteration, two lines from Hu- dibras — What makes all doctrines right and clear? About three thousand pounds a year. The money, however, which the reports of the vacci- nators have been the means of obtaining from the public, their enlightened opponents would be among the last to regret, did they not know that it had been obtained under false pretences. Were vaccination really what has been pretended by its partisans, and the sum expended on it much greater than it is, they would heartily rejoice in seeing it still farther augmented. In questions of public importance, relative to applica- 63 five science, pecuniary expenditure is a matter ot very- subordinate consideration. And I am persuaded it would be a great saving to the state, were Sir Lucas Pepys, and his chosen band of vaccinators, immediately pensioned off, with three thousand pounds a year among them, on condition that they should enter into specific engage- ments not to do farther mischief in the medical or moral world. Among the many and not least absurdities of the vaccinators has been that of laying great stress upon the presumed fact, that, among medical men, numbers and respectability were on their side. The contrary is well known. Taking the statement of the Surgeons' Company, we know that only 426 persons out of 11,00, who were written to, replied to their circular letter. Hence it is probable that the majority, who did not return an- swers, were not in favour of the experiment. But, as hap- pens in every piece of enthusiasm, the clamour of the zealots bore down reason before it, and their combinations deferred all ordinary individuals from publicly avowing their objections. In such a case, silence affords a sufficient indication of opinion ; and from a dispassionate view of the subject, 1 feel myself justified in concluding that, ex- cepting in the metropolis, where it was made a most nefarious job, the majority of medical men never were in favour of vaccination. This much, I think proper to say, en passant, the fact itself not being of any consequence, as in scientific discussions the logic of num- bers cannot be recognised. In this case the argument bf respectability is, if pos- sible, of less weight than that of numbers. Were sci- ence >*vitter of belief, and scientific facts, like deci» 64 sions in a court of justice, to be admitted or rejected by credibility of evidence, then numbers and re.spectability might be. of some avail. If every man in the world, be- sides Harvey, had denied the circulation of the blood, woukUiot the blood have still circulated? . And, if the* anticirculators (which in the case supposed would ufr- douotedly have happened) had all combined to defame Harvey, would he have been the less respectable, or his discovery the less sublime? But I feel that I am com- mitting profanation in mentioning an immorjai discovery in science, even in contrast with a piece of infamous quackery. By this ridiculous mode of defence, the vaccinators have evinced as little skill in logic, as regard to truth. Had their premises been correct, that numbers and re- spectability among the faculty were on their side, their conclusion, that this would prove any thing in favour of the benefits to be derived from vaccination, would still be erroneous. But even their premises were for the most part, if not wholly false. I have already shewn, from circumstantial evidence, (and I should like to submit the decision to the test of a poll among the faculty,) that, excepting in the metropolis, where it was made a job, a majority of medical men have held opinions adverse to vaccination, although the clamours of the zealots, or a dislike to controversy, or motives of prudence or discretion, would appear to have induced them to remain silent. All men are not inclined to take mad bulls by the horns. So much for numbers; now for respectability; and here 1 will come at once to the point. Let the earliest and principal antivaccinator any where to be found, Dr. 65 Moseley, Physician of Chelsea Hospital, and Member of the College of Physicians, of London, be placed, not in any point of comparison, for that would be to degrade him, but in direct contrast with the Chief of the Vac- cinators, Sir Lucas Pepys, Bart. President of the College of Physicians, of London, and of the National Vaccine Establishment, what is the result ? On the one side we have a man of character, of learning, of high literary re- putation, of great professional experience in various climates, of philosophical acumen, and brilliant wit; on the other, a mental pigmy, elevated in that/sort of unaccountable way, which some would call a fortuitous concourse of circumstances, and others chance, to pre- side over the Royal College of Physicians of London, and the Medical Department of the British Army ; but recently dismissed, not however by chance, from his Majesty's service, as Physician-General to the Forces*. I will now take the principal anti vaccinator of the College of Surgeons, Mr. Birch, Surgeon of St. Thomas's Hospital, and Surgeon-Extraordinary to his Royal High- ness the Prince of Wales, and ask what vaccinator will presume to compare him, in point of respect- ability, with their Chief, Mr. Thomas Keate, late Mas- ter, by accident, of the College of Surgeons, recently dismissed his Majesty's service, as Surgeon-General to the Forces*, but still a principal Member of the National Vaccine Establishment ? * For an account of the misdeeds of SirLucas Pepj-s, as Physician- General, and of Mr. Keate, as Surgeon-General to the Armjr, which occasioned their dismission from office, see my Analytical View of the Medical Department of Hie British Army, passim; and Tk« Medical Observer, passim. i m There cannot, I think, be any fairer specimens than those which I have chosen ; a member of each college on each side. 1 will not pollute my pages by descending lower among the vaccinators. Let them hereafter talk of respectability, if they dare. Now that the victoiy is decided, we shall see converts in abundance, flocking to the standard of the anti-vaccina- tors. In this event, they will, for the sake of truth and of the rising generation, no doubt, rejoice. But, if I know them rightly, the original antivaccinators will feel no per- sonal gratification ; on the contrary, they cannot but be mortified at finding themselves in danger of being identi- fied with the valiant, the numerous, and the respectable sons of jEsculapius, whom interest or fashion will, now that the battle is over, bring into their ranks, equally ready to plunder them, or the enemy. Satisfied that the tried justness of their reasoning, and the acoumulating weight of evidence, derived from the cases, which they have been collecting for years, would irresistibly, though slowly, pervade the public mind, and produce general conviction; they were, and remain, indifferent as to the conduct of the medical vaccinating Practitioners, well persuaded that most of them, without any other consider- ation, will change sides the moment it beomes their interest so to do; but not one moment sooner. Dr. PEARSON'S AND Dr. WALKER'S INSTITU- TIONS. Besides the National Vaccine Establishment, there are two Subscription Institutions, which serve no other pur- pose than to transfer so much money annually from the w pockets of the philanthropic and affluent part of the Bri- tish Public, into those of a few vaccinating Institution- men. They also profess gratuitous vaccination. The term " gratuitous vaccination" has been much employed in the course of this experiment, implying not only that the public might be vaccinated without ex- pence, but that the vaccinators were men of such perfect disinterestedness aud philanthrophy, that they derived no emolument whatever from the practice, — nothing be37"ond the pure pleasure of extending the blessing in society. The very reverse of this is the fact ; and if the banker's accounts, who received the philanthropise donations for the support of vaccination, were all investigated, and the subsequent appropriation of the monies received by them, ascertained ; it would be seen that the robberies, which have been committed, in the name of philanthro- phy, on the puolic, were to an extent of which they couki have no conception. I am informed that, throughout this experiment, which may be truly called an experiment upon the pockets and patience of a philanthropic community, a number 'of medical men have been kept in constant pay, for contri- buting by their influence to the extension of the practice of vaccination. It would, on many accounts, be desir- able to ascertain the appropriation of the immense sums which have been collected by subscription for the sup- port of this fanatical experiment. And, should any surplus be found to remain, undevoured by the vaccina- tors, I propose that it be applied towards erecting a monu- ment to medical credulity, which should be higher than the monument at London Bridge. As a specimen of the manner in which these establish- 6$ merits have been supported, and of the immense contri- butions which they must have levied on the public, I here insert the last Report of Dr. Walker's Society, which only came into my hands within these few days. This Society, it will be remembered, branched out from the Royal Jennerian Society, on a disagreement of its members, in 1 806 ; and, although hitherto silent, if does not appear they have been inactive. 1 Cheltenham, 2 Vac. by Jenner, M. O. vi. 216 5 Two Chittys, Mos. Com. 121 g Two Colbecks, M. O. yi. 391 . 2 Two Collins, Mos. OL 96, 97 2 Crab, M. O. in. 198 1 Three Coopers, Mos. OJ. 87 3 Cowdry, M. O. v. 316 .... 1 Cummins, M. O. vi. 93 -1 Collier's Servant, M. O. vi. 393 1 Cottis, M. O. vii. 392 1 College of Surgeons, Birch's Ans. 23 56 Two Deacon's,^ ^ Deggan, Cm. O. vi. 395, 396, 397, 398-) 4 Dorman, j I Day, Mos. 01. 89 1 Two Darkings, ibid, 90 2 Three Dallas's, Birch's Answer to College Queries, p. 24 Donovan, Mos. Ol. 90 Deacon, Mos. Rev. C. Rep. 75 I Drudge, ibid Dobson, ibid Denton, ibid, 74 Three Dod wells, M. O. vi. 88, 281 Desters, M. O. 111. 37 • Davies, Miss, ibid, 199 Davis, ibid, vn. 3 Dinton, ibid, vii. 5 Two Dungates, ibid Kllet, M..Q. itt. 199 1 85 Two Evans's, ibid, iv. 371 Edwards, vii. 3 , A. Mos. Com. 125 "1 " ".""'.^ Endser, Ellis, Elston, Ewing, Eubank, r l. Mos. 01. 88 ^ { ,94 ! J Founders, M. O. in. 199 Falls, ibid, v. 43 . « Fitzgerald, ibid, 317 Flindall, ibid, vii. 7 Fairbrother, ibid, vi. 395 * Frost, Mos. 01. 88 . . . , G. ibid, 89 Francis Rosetta, ibid . . , Finney, M. O. vi. 393 Fowler, ibid 2 1 1 Gunter, M. O; v. 288 Gerrard, Miss, ibid, iv. 55 Gill, , ibid, iv. 373 Granger, , ibid, vn. 4 Two Gambiers, M. O. xi. 318 ...... Gibbons, M. O, n. 369 ' • Guinigo, ibid, vi. 395 Green, Mos. Treat. 129 Two Goulds, ibid, 134 0 2 Gamble's Servant, Mos. Rev. 74' 1 * This child bad both small-pox, and coy-pox diseases, M 86" Two Gordons, M. O. vr. 390 2 Gray, Mos. Treat. 135 j Giles, Mos. 01. 91 j Two Gosses, Birch's Answer to College Queries, P- 24 . 2 * Goody, Mos. Ol. 92 ! Garton, W. Mos. Treat. 130 1 Two Goslings, Mos. 01. 94 2 Green, M. O. vi. 398 1 Hussey, Ch. Mos. Ol. 16 1 , John, Mos. 01. 17 1 Hagley, M. M. O. in. 36 I Hawkins, M. O. in. 125 1 Harrison, S. M. O. in. 199 1 Hatley, Rev. M. O. v. 43 2 Holbrooke, M. O. v. 151 1 Herring, M. A. M. O. vn. 16 ] Hume, A. Mos. Ol. 96 1 Hodges, 2, Mos. R. C. R. 23 2 Harrisson, S. Mos. Ol. 88 1 Hickman, M. O. vi. 92 '2 Hemmersly, Mos. 01. 90 2 Hall's Child, M. O. vi. 396 1 Howlet : 1 Harness, Dr. Mos. Ol. 94 1 Hams, Eliz. M. O. vi. 395 1 Hart, Maiy, Mos. Treat. 132 1 Hill, Th. Hillam, Ch. Mos. Treat. 132 I * Afterwards died of Scab. Bov. 1 87 Harrington, Jos. Mos. Ol. 88 Howard, M. O. n. 367 Jones, M. O. v. 77 Jackson, M. O. v. 77 — , Mrs. M. O. v. 152 Josse, M. O. vn. 3 Jenkins, M. O. vn. 4 Jackson, M. O. vii. 4 Isden, M. O. vii. 5 Jennings, M. O. vii. 7 Jeffries, m. o. viii. 81 , m. o. viii. 81 : . .. Jumper's Son, m. o. vi. 391 , Kippist, M. m. o. in. 198 Kelly, m. o. vn; 514 Keen, m. o. vi. 390 's, Mr. Servant, mos. r. g. p King, Sarah, mos. ol. 92 ' Kennedy, Mary, mos. ol. 93 King, David, mos.com. 133 ,.«, , Mary, mos.com. 134 , , Th. and his brother, m. o. 11. 368 . Loveman, Mrs. m. o. hi. 37 Lewis, Johanna, m. o. iv. 226 Lightfoot, m. o. vn. 3 Latham, m. o. vii. 4 Long, Stephen, m. o. vii. 16 Latchfield, m. o. vi. 94 Lea, Mr. John, five Lea's, m. o. vi. 91 M 2 88 Lemon Little Child, m. o. vi. 392 1 Linnard, , ditto, m. o. VI. 393 1 Mildenhall, at, five Cases, m. o. v. 319 5 M* Arthur, Mrs. three Children, m. o. vii. 4 ...... 3 Mansell, James, m. o. vii. 6 1 Maizy, Edwin, m. o. vi. 46 l Meade, Hon. mos. rev. c. it. 79 4 M'Evoy, Juliana, mos. ol. 90 1 Marlin, Dr. I. G. mos. ol. 92 1 Mitchel, M. Child, mos. trea. 129 1 Morse, Ann, m. o. vi. 219 1 Milec, Maria, m. o. vi. 392 l , Mr.' and Child, m. o. vi. 392 2 Mornington, Master, m. o. vi. 394 l Masons, two Children, m. o. vi. 394 2 ' Mussleburgh, Cases published by Mr. Brown, prin- cipally from his own practice, m. o. vi. 369 48 Macpherson's Child, m. o. vi. 396 1 Marshall's Child, m. o. vi. 397 1 Mallin, Wm. m. o. vi. 397 1 Morgan, 398 1 Mule's Child, 398 » • 1 Narraway, Harriet, m. o. hi. 38 1 Norraway, E. C. and J. m. o. hi.' 300 3 Nutley, m. o. vii. 5 1 Naith, Ann, Susannah, and Reb. mos.ol. 89 .... 3 Newton, Thomas, mos.com. 126 • 1 Norman, Mr. m. o. vi. 91 1 Nicholson, m. o. vi. 390 8Q Orton's, Mr. two Children, m. o. vii. 5 t. Owen, Child, m. o. Yi. 391 1 Osteite, Mrs. Child, m. o. vi. 398 1 Purdy, Sarah, m. o. hi. 199 .•• 1 , Robert, m. o. v. 42 1 Portugal (by Dr. Carneiro*), m. o. v. 71 Several Packhurst, m. o. v. 153 Perry, Mary, m. o. iv. 223 .. 1 Pantiing, Wm. m. o. iv. 234 1 Putney (by Mr. Shillito), m. o. iv. 231 8 Pink, m. o. vn. 2 1 Presly, Sarah, sc. o. vin. 83 .... 1 Paul's, Mr. Child, m. o. vi. 91 * Partridge, Farmer, two Children, mos. ol. 89 • • 2 Potter, William, m. o. ii. 372 1 Podger, Master Puddefatt's ChiJd, m. o. vi. 391 *. 1 Pearce's Child, m. o. vi. 392 - 1 Pearsons Child, m. o, vi. 395 1 Price, M. A. m. o. vi. 396 1 Reed, G, m. o. hi. 199 ' 1 Ringwood, at, nine Cases, m.o. v. 77 • 9 * The Chevalier Carneiro, M. D. travelling Physician to the Prince Regent of Portugal, and held in high estimation by men of literary eminence in England, where he has for some years resided. This learned and worthy gentleman has the merit of standing fore- most among the foreigners, who have opposed the vaccine delusion. For the review of an ingenious tract, which he has published on this subject, see the Medical Observer, vol. V. p.. 71— 83. DO Raimondi, m. o. v. 31 6 t Randall, m. o. vii. 3 2 Round, m. o. vii. 8 o * .... g Rotheram, m. o. vii. 323 ! Redway, m. o. vi. 398 ! Rogers, m. o. vi. 397 ! Read, m. o. vi. 396 j Rea, m os. com. 66 ! Reid, mos. ol. 88 ! Russell, E. mos. ol. 88 (for Pussell) 1 , Jas. mos. ol. 88 1 Richardson, Jas. m. o. vi. 395 1 Rumball, Eliz. mos. ol. 89 ' 1 Simpson, m. o. hi. 317 ....... 1 1 Stiles, m. o. v. 42 1 Smith, m. o. v. 317 1 Sedgwick, E. m. o. iv. 373 1 Smart, m. o. vii. 5 I Smith, m. o. vii. 6 j Shepherd, Mrs. m.o. vii. 6 1 Sadler, Mary, m.o. vii. 7 1 Sarnwell, C. mos. com. 'c. r. 75 1 Sheldrake, mos. ol. 87 1 Sangar, M. mos. ol. 90 1 Somerton, E. ditto, 92 1 Shaws, two, mos. com. 125 2 Sands, ditto, 125 1 Scudden, ditto, 139 1 Semon, H. mos. treat. 133 1 Stratford on Avon, at, two Cases, m. o. vi. 216 2 Smith, three, m. o. vi. 390 3 91 Stokes, El. m. o. vi. 391 I Sayer, m. o. vi. 395 1 Thornton, C. m. o. in. 36 I Thomson, Ann, m. o. hi. 38 1 Toms, Wm. m. o. hi. 197 1 Thorn, S. m. o. hi. 200 1 Taunton, m. o. v. 272 . 4 Temple, £. m. o. iv. 251 , I Toulmin, two Children, m. o. vii, 3 2 Temple, two, m. o. vii. 3 2 Taylor, A. m. o. vii. 6 ' ' 1 Turner, m. o. vii. 13 1 Terrell, m. o. vii. 514 1 Target, J. mos. rev. 75 1 Taylor, mos. ol. 87 I Turner, ibid, 99 1 Taylor, mos. ol. 96 I Tylcoat, J. W. and M. m. 0. 1 11. 7, 99, 100 3 Varley, mos. treat. 135 .. 1 Vincent, m. o. vi. 395 1 Vaughan, m. o. in. 317 1 Weaver, m. o. 111. 36 , j Wood, S. and E. m. o. hi. 37 % Wilson, Ed. m. 0. 111. 38 % Ware, S. m. o. in. 198 j, White, G. m. o. in. 199 .... I Wetherell, m. o. iv. 227 1 Warner, m. o. iv. 375 : .... j White, m. o. vii. 3 1 , M. O. VII. 4 1 92 Warre, H. m. o. vii. 7 * Whaley, m. o. vi i. 7 1 Widford, at, twenty Cases, m. o. vin. 82 . ... 20 Walter, E. mos. treat. .. Windsor, E. mos. com. 124 Wadley, mos.com. GG ..- , White, mos. rev* 75 — . ., Walker, F. ibid, 75 « Whaley, mos. ol. 87 Walker, Ch. mos. ol. 88 Weir, ibid, 90 Walker, E. m. o. vi- 390 Williams, J. m. o. n. 369 Wells, two daughters, m.o. vi.277 Wall, J. m. o. vi. 391 Walker, F. m. o. vi. 392 Weston, m.o. vi. 392 — Wood, m. o. vi. 393 • Wagstaffe, m.o. vii. 107 Wadley, m. o. vi. 394 Waddington, m. o. vi. 396 Westbrooke, m. o. vi. 396 Wild, m. o. vi. 393 Young, Mos. 01. 88 ' Total 535 N B.— The single fact of Dr. Jenner havin- caused his own son to he inoculated with small-pox, is worth a thousand cases of failures towards proving the opinion which he entertained of his own discovery. <)3 Names of Medical Men, icho have suffered, in their own Families, from Vaccination. Dr. Harness, Transport Board. Mr. Taunton, Professor of Anatomy, London. Mr. Thomas, Ditto Ditto. Mr. Haslem, of Bethlem Hospital. Mr. Bowen, of Harrow. Mr. Blaxland, Wandsworth. Mr. Eubank, Grosvenor Street. Mr. Goss-, Dawlish. Mr. Fisher, Salisbury. Mr. Bartlet, Finsbury Dispensary. DEATHS FROM SMALL-POX AFTER COW-POX, AND IIOM COW-POX DISEASES. Acknowledged by the Original Vaccine Inst. Birch's Answer, p. 12 5 Adams, John, Mos. Rev. 75 1 Bambridge, Th. Mos. Treat. 136 1 Barrel, Isaac, Mos. Ol. 89 1 Battersea, M. O. vi. 391 cases 2 Blake's Coachman, M. O. vr. 393 1 Braily, M. O. vi. 395 1 Busel, M. O. vii. 7 1 Butts, Birch's Ans. &c. p. 26 1 C— e, Mos. Tr. 129 ; I Carrier, M. Q. vr. 392 l Chalk, ibid. vn. 99 1 .94 Olson's Grandson, M. 0. xii. 393 1 Dearlove, Mos. Ol. 93 1 2 Fords, M. O. r. 76 , 2 Fenner, Mos. Rev. Col. R. 73 1 Goodmg, M. O. in. 38 1 Good, Mos. 01. 35 1 Gamble's Servant, Mos. Rev. 74 1 Howard, Mrs. M. O. n. 367 1 Hoddington, M. O. vi. 396 1 Hindley, M. O. yi. 398 1 Haslem, Birch's Ans. &c. p. 26 2 Hertford, Birch's Ans. p. 12 4 Indis, Eliza and Geo. M. O. in. 313 2 Iroing, James, M. O. vn. 13 1 Keene, Mr. Serj. Rev. C. R. 73 • 1 Lane, M. O. m. 37 1 Lewis, M. O. v. 76 ? 1 Mally, M. O. in. 123 1 Mussleburg at, M. O. vi. 376 3 Meredith, M. O. vi. 393 1 New, Mos. Treat. 110 • Purvis, Mr. Child, M. O. v. 77 • 1 Perch, Geo. M. O. vn. 3 1 Poole, Sarah, M. O. vi. 90 • 1 R M. O. vi. 397 1 Richardson, Mos. Ol. 89 Rings, 2 Sons, M. O. v. 76 ;•• 2 Ringwood, M. O. v. 77 • • • • • • \ V vj • V H Returns of the College of Surgeons to the College of Physicians Rodwell, M. O. vn. 3 ^ Symonds, Mos. Com. 69 9$ Stuart, Mos. Treat. 110 ...«.T.;.T.;..".V.T.. 1 Shields, Jam. M. O. n. 370 , 1 Thomson, M. O. vn. 6 1 Wrede, M. O. in. 147 1 Wise, E. M. O. vn. 16 ... 1 Wild, M. O. in. 123 ........ ^ 1 Widford, at, 9 cases, M. O. vm. 82 9 Waters, Mos. Ol. 88 1 . Walker, Mos. 01. 89 • 1 Two Watts, Birch's Ans. &c. p. 26 2 Total 97 COW-POX DISEASES. Barnet, Mos. Ol. 88 1 Bayes, Scab B. M. O. in. 124 1 Burley, Fac. Bov. Mos. Ol. 17 . 1 2 Birds Tin. Bov. and Scab. Mos. OL 96 2 Brandon, Mos. Ol. 95 . , , 1 Brown, Tin. B. M. O. 111. 124 , 1 Buddie, Abscesses, ibid. 125 • 1 Bush, Mos. Ol. 87 . ... 1 Caves, Mos. Com. 127 1 Chatterton, Tin. B: Mos. Com. 12»; 1 Cooke, M. O. in. 317 1 Crawford, M. O. v. 77 1 Curling, Mos. Treat. 126 1 2 Croxfords, Mos. 01. 89 2 Dunn, Mos. Ol. 93; M. O. vn. 101 , 1 Davis, Scab. Mos. Ol. 92 1 N 2 .06 Deverell, Scab. Mos. Com. 123 '. D n, Mos. Tr Frost, Erupt. Mos. Ol. 88 , Faulkener, Th. Fac. Bov. Com. 109 , Fred. Deaf, no . Gee, Mos. 01. 17 • • • • < H y, Master Howlet, John « Hanchet, Mrs Jones, Eliz. M. O, in. 126 Jones, Henry, M. O. in. 127 \ Inglis, Wm. M. O. in. 317 Inglis, P. M. O. hi. 318 Jay, Mos. Ol. 91 •« Ince, Mos. 01. 18 « Jowles, Frederick, Mos. Ol. 25 . M'Michin, Thos. M. O. 111. 124 Middleton's Son, M..O. in. 199 M'Dougal, Chas. M. O. vi. 280 Purvis, Mr. 3 Children, M. O. v. 77 Potter, Mr. Baughter. Mos. Ol. 90 Linzee, Birch's Ans. &c. p. 26 .... Potter, Ann, Mos. Ol. 90 Parson, Mr. Daughter, Mos. 01. 84 Latchfield, M, O. vi. 94 Maclin, Wm. M. O. vi. 393 Rankin, Mos. Com. 126 * Rpssiter, M. Q. in. 123 Ross, M. O. y.. .12.5. •' Report of the London College of Surgeons to the C ol- lege of Physicians, Eruptions Ditto Bad Arms 97 Shaw, M. O. in. 124 l Stilwell, M. O. in. 200 . I Sandby, Mos. 01. 89 2 Siddons, 2 Children, Mos. Ol. 90 2 Seyfert, M. and F, Mos. Ol. 93 2 Spurrel, 2 Children, Mos. 01. 94 2 Sir , Mos. 01. 95 , 1 Total iso VACCINE DOCTRINES REFUTED BY REASONING. Specimen of Qow-pox Logic and Demonstration* Small-pox is a dreadful malady, — a fatal pestilence *, It produces other diseases f . According to the Vaccinators. This assumption was necessary t» give eclat to vaccination. However severe the natural Small-pox may sometimes prove, as an atmospheric disease, it is certain that if half the pains had been taken to encourage inoculation, that have been be- stowed on the extension of vaccination, there would now be little food for Small-pox in the natural way. This would have been a less irra- tional plan of extermination. As to the danger of inoculated Small- pox, it has be.:n most perversely exaggerated. Experienced inocu- lators, like Sulton and Dimsdale, scarcely ever lost a patient decidedly •f Small-pox. t The diseases which succeed Small-pox are not near so inveterate and loathsome as those which succeed Cow-pox, It occurs only once in the same person f. It can be conveyed by the atmosphere. It does not prevent Cow-pox. Cow-pox is no disease +; It produces no other diease $ ; It may occur several times in the same person ; It can only be communicated by insertion ; It will prevent and may exterminate the Small-pox % I The Jennerian Problem, then, is this : " To prevent, «• and exterminate the Small-pox, a dreadful malady, a « fatal pestilence, which produces other diseases, which « occurs only once in the same person, which can be « conveyed by the atmosphere, and which does not pre. « vent Cow-pox ; by means of the Cow-pox, a something « scarcely discernible in its agency, which is no disease, « which produces no disease, which may occur several « times in the same person, and which is only communi- " cated by contact with an abraded surface." * The most infatuated and stupid of the vaccinators are now in search of cases, in which Small-pox has occurred in the same person Lore than once. Jenner had preserved this doctrine in petto a. an ZLy for the failure of vaccination. Lettso.n and some o her lo nibbled at it. For every instance they can prove of such an occunence, I engage to find them a man who sha.l never d>e, or Lo give them up an anti-vaccinator for immolation. % These are the doctrines of the vaccinators themselves, which are of course false. \ 99 This is the promising problem — " how to make some- " thing oat of nothing" — which the vaccinators have been labouring to prove for the last twelve years. And although they are now more distant from the solution than at the commencement, in the precise ratio of their progress, yet the vaccinators have not been unprofitably employed. They have, in the course of their journey, stumbled on a very useful discovery, the method of speedily and copiously extracting solid gold from the Taurine mine of credulity. With this they were enabled to throw dust in people's eyes ; and it was believed for a time that they were going on successfully towards the solution of their problem. But to tile self-evident absurdity a priori of this mon- strous proposition, we are now enabled to add a REFUTATION OF VACCINE DOCTRINES FROM PRAGTI* C AL RESULTS. Doctrine. Natural Cow-pox, or Cow-pox from milking, is a perfect preventive of the Small-pox during life * . Refutation. The following persons, as may be seen by consulting the references, had Small-pox after Cow-pox from milking, of which some of them died; viz. Adams, Deacon, Denton, Dobson, Drudge, Fenner, Mr. Gamble's two servants, Mr. Caldwell's servants, Childs and Target, Lucy Round; Sarnwell, Walker, (Francis); * Seethe Report of the College of Physicians, in Dr. Moseley's Rev. p. 73. and Dr. Bradley's evidence in Dr. Mos. Treat. 2d. Edit, p. 41. 100 White (Wm.) Denton had first the Cow-pox violently, then the Small-pox. and then the Cow-pox again. Mrs. Fenner died of the Small-pox after having had the Cow- pox from milking tioict. Lucy Round had twice the Cow-pox, then the Small-pox, and then the Cow-pox again ! — Doctrine. Vaccination, or Cow-pox by inoculation, is a perfect preventive of the Small-pox during life.— Jenner, &c. &c. &c. . Refutation. Five hundred and thirty-five Cases, referred to in the preceding table, of Small-pox after Cow-pox. (p. 82 to 92). It may be observed that, respecting this doctrine the vaccinators differ radically among themselves. The Jen- nerians * say that there are two kinds of Cow-pox, one genuine the other spurious ; and that a patient being once vaccinated with the former is secure for ever. The Pearson ians f assert that there is but one sort ; and that in order to be secure a patient must be vaccinated twice. Both these doctrines are palpably absurd. The Wal- kerians t have, no doubt, a doctrine of their own. Doctrine. Cow-pox is no disease. Refutation. What is it? * The National Vaccine Establishment may be considered the successor to the "Koyal Jennerian Society » f Dr Pearson ^ - i e chief of the " Original Vaccine Institute," in Broad Street, Golden Square; and t Dr. Walker the Director of the « Ix>ndon Vaccine Institution." (See the Report, p. 72.) 101 Doctrine. CoW-pox does not produce other dis- eases. Refutation. See reference to 150 cases of diseases from cow-pox, page 95 to 97. Vaccination having been shewn to be wholly inefficient as a preventive of the small-pox, it will scarcely be neces- sary to convince parents that it produces other diseases, m order to deter them from the practice. Should there' however, be any parents of this description, let them read on. Doctrine. Cow-pox renders small-pox milder. It is never fatal. Refutation. See table of deaths (97 cases) from small-pox after cow-pox ; and from cow-pox diseases* page 93 to 95. ' Dr. MOSELEY's NOSOLOGY OF NEW DISEASES CAUSED BY THE SUBTILE POISON OF THE COW-POX t. I Facies Bovilla. T>e fece swo]1 . fa eyes distorted by Strabismus ; tumefaction, or abscesses! sometmies sanguineous, about the zygoma, orbits of the eZe1andc^; the nose flattened, the front taurifonn! * Veqr few deatlTto^^ „ great ^ntX^^r^T ^ hTl" "1 beCaUSe — Set^ nit seeing them, and others, who did see th»m / interested in not Converts are daily i„crcasi,,e Mel ^ m°re bold- f We fe*. of ,te College Report, 2ntl £"* 102 and the countenance so changed, that people have with ihTetn, given this sort of .ace the appellate of TL» Bov i lla. Pustules, or ulcerations, in various parts of the body, with painful * gree. ee' ~ . The head covered with scabs, ffl. t«~ Bo^gffi commo„ Scaldhead. and issuing a corroding rotring Some dry and h«d about°he ears in its course, ^^^.andap^U were covered with brimstone ft" Eirior— sofahluccoiou,, some- discharge, from sores so terminatl»g in squa- ,imesof £ao; and Wring out in m0us, or f»'tu'-e0U m. fa k»obs difficult to fresh places -.-black, oro burst saturate-, ~££Z££*^ ^ and •J*&^£Lfcl ****** £ J the bones of the face, arms, fingers, Lc, ^ , ' ' " " 1 iVarCY. See Dr. Moseley's * With its Leprous variet.es, £^^:.fcff. and his Olive, Commentaries on the Cow pox, 2d Edit, pag for a Rowland, 9th Edit*. P^e 34, 103 CONCLUSION. Small-pox has been proved, in a great variety of cases, to have occurred at all periods after vaccination, from a few days or weeks, to the extent of the duration of the experiment. The protection which it affords agamst the small-pox, is consequently of uncertain duration; and safetv cannot be ensured but by variolous ino- culation, repeated until it takes effect. And even under these repeated operations, safety is not ensured, except- tog when small- pox inoculation happens to be performed after the countervailing influence of the cow-pox hag ceased, and before exposure to variolous infection can have taken place. According to all the rules of philosophy- induction, no one, excepting under these circumstsM l is permanently safe. In all these views, then, the P^1 vaccination is absurd, superfluous, and worseth^SDenedl But as, in numerous instances, death har P. from small-pox' after cow-pox*, and as cow^ox Pr01 "ces other diseases, of which many cases ha- terminate in death ; the practice * directly, positive, and extremely pernicious to society. And, as having been the medium of defrauding fte, public probably of millions of money, which never has been accounted for, and for vrhich vaccinating adventur- ers have been scrambling and fighting in the name of philanthrophy, I hold it to be an imposture, not simply disgraceful to science, pernicious to health, and danger- ous to life ; but destructive to the morals of the faculty, and injurious to the purses of the community. The following «< Comparative View," &c will afford a specimen of the determined falsehoods with which the Jennerian society commenced their career ; from whence the reader will be able to infer the mountains of additional falsehoods, which were subsequently necessary to support this baseless fabric. 1(H A COMPARATIVE VIEW OF THE NATURAL SMALL-POX, INOCU- LATED SMALL-POX, AND INOCULATED COW-POX. By JOHN ADDINGTON. Published by Order of the Medical Council ofth* Royal Jennerian Society for the Extermination of the Small-pox. JOHN WALKER, Secretary. History, Genera1. Character, Mortality. I C < (J < P o o o J- -J! c z 105 Not Contagious •, and, when piopeily conducted, uniformly Mild, Inoffensive, (NEVER FATAL free from Pain or Danger, and an lnfallibh Preventive of the Small-pox. During a long series of years, the Cow- pox, accidentally received, has been con- sidered as a Preservative against any future attack of the Small-pox. Many persons in the dairy countries, who have had the former in their youth, have re- mained to old age unsusceptible oi the latter. , 1. The Inoculated Cow-pox is attended by no Danger: 9. Produces a Pustule on the Inoculated Part only : 3. Occasions neither Confintminty 4. Loss of Time, nor 5. Expense: 6. Demands no other Prerautions than such as respect the Conduct the Ino- culation : y Requires no Medicine : 8. ' Leaves no Deformity nor Dufigurattan: and 9. Excites no subsequent Diseases. With a knowledge of the facts contained in the above statement, it is 'presumed that no person can conscientiously refuse or hesitate to embrace the opportunity now providentially offered of preserving his own family from so dreadful and destructive a pestilence as the Small-pox.; and of contributing his part towards its total extirpation. The new Inoculation recommends itself to all classes ; the rich are adopting it univi rSally : their example may now be followed, without expense, by the poor, for whose immediate benefit the Royal Jen- nerian Society was established. You are requested to affix this useful publication in a conspicuous part of your dwelling. jv^ £# This singular document is without a date. But it must have been published between 1803 and 1806. - If the statements I have made be correct, not only is this comparative view, published by order of the Jennerian 106 Society*, in all i's material parts, erroneous, bat. in mmy, the *&vy reverse of truth. Three of the pf'm- fWfft] assert b,> in this table, — That one in twelve of the hiu.wn met dies of Small-pox; that Cow-pox is never frttf l anu that vaccination is an infallible prete.nive of Small-pox,--! would particularly reecr-nnend to your at,eM- e consideration, as an edifying specimen of the etiro oery, with which the median practising vaccinators were .vont to carry on their iniposture. I have i,he Iionour to be, &c. CHARLES MACLE AX. xj r. Walker, % quaker, not l>. Jenntr, was the fanner of the Hoyal Jennerian Society. He was, for a considerable time, their secretary. But they quelled, and, in 1 8G& he iestitmed * separate es-tabiishi-^nt, which "stiji. exists under the title 01 (be Loudon Vaccine institution. He accnscsYcs Jenijerian colleagues of having pilfered his keys, furtively retained his prcficrly, and fort or destroyed ihe Society's Registers. Med. 60s. Vol. IV, p. oC4. He a!so g*vcs some accost, of the proceedings of this society, not very creditable to them as men of science, o; rneii^f honour- See Med. Obs. Vol. V. p. 337, and Vol. Yl. p. 9, Verily, f-ic>ul Walker, I am no' thy enemy. All the harm f wish thee, sturdy as thou art in the cause, is that i'lion hadst, in an honest way, an income suffi.ciem.iy ample to render tine independent of vaccination. FINIS. iV. G lend inning, Friater, 2b, Hatton Garden, London.