London's Pulse: Medical Officer of Health reports 1848-1972

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Lewisham 1869

[Report of the Medical Officer of Health for Lewisham]

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15
Europe; as in Trieste, where the deaths from small pox
have boon seventy-five times less since than before vaccination;
in Moravia, twenty-one times less; in Silesia, twentynine
times less; in Westphalia, twenty-five times less; and
in Berlin, nineteen times less. When vaccination has been
stringently enforced, death from small pox has been still more
diminished. In Ireland, where this disease was once a
scourge, it has now become almost unknown, and the same
good result has been obtained in many districts of India.
When small pox has been rife among the inhabitants of a
city, or district, it has been repeatedly observed that the
unvaccinated have perished, and the vaccinated survived or
altogether escaped. Very carefully kept records in hundreds
of places in Europe and elsewhere have proved this. Out of
thirty vaccinated nurses constantly employed in the small
pox hospital, not one ever contracted the small pox; of the
patients admitted to this hospital from 1836 to 1851, thirtyseven
in the hundred of those unvaccinated died; whilst
only six in the hundred who have been vaccinated (well or
badly) died.
V.—In England there is a larger proportion of unvaccinated
persons than in any other country of Europe, and consequently
a greater number of deaths from small pox are
shown by the public registration to occur.
VI.—Whilst small pox kills so great a proportion of the unvaccinated
whom it attacks, the inoculation of cow pox, i.e.,
vaccination, seldom or ever produces any consequences of
an injurious nature. The authenticated fatal cases of
erysipelas so produced are not more numerous than those
that follow the prick of a pin. There is no proof that those
who have been vaccinated sutler from scrofula or any similar
disease as a consequence of vaccination alone. According
to the Registrar General's returns these diseases have
diminished in frequency since the introduction of vaccination.
That which follows after a thing is not necessarily caused by
it. It is a matter of necessity that persons who have been
vaccinated should have diseases after this operation as well
as before it, but these cannot be rightly attributed to vaccination.