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from numberless instances that the occupations of the mechanic or the labourer will meet with no interruption during its progress, and the infected and uninfected may mingle together in the most perfect safety, I conceive that an Institution for the Gratuitous Inoculation of the lower classes of society in the Metropolis would be attended with the most beneficial consequences, and that it might be so constituted as to diffuse its benefits throughout every part of the British Empire. EDWARD JENNER.

London, 16th March, 1800.

Then followed a scheme of the Institution, including "a Physician to be appointed to superintend the medical department."

Whether from Jenner's practical inefficiency, or because the time was not ripe, or because those who were more actively interested in cowpox were satisfied with Pearson's Institution, the project lay in abeyance till 1808. He took nothing ostensibly by his intrigue save the withdrawal of the names of the Duke of York and Lord Egremont from the patronage of the existing establishment.

Meanwhile Pearson continued to operate with unabated energy, and his Institution became a recognised centre of inquiry, advice, and supply. It was designed, as he wrote, "1st, to be useful to the poor; but it had other objects, to wit, 2ndly, to ascertain the laws of the new poison for the extinction of smallpox; and 3rdly, to serve as a public office for the supply of the world with virus until supplies should become unnecessary." One of the most flattering applications was received by Pearson from the French Consulate on 5th April, 1800. In a reply, dated 12th May, signed by the staff of the Institution, it was said

We are not surprised that you have not yet found the disease among the cows of France, it being on the whole a rare disease in England; nor are we surprised at your want of success with the matter sent to you, because from experience we know that it very frequently fails, unless used immediately from the subject.

Vaccine matter may be conveyed in various ways: we have sent it to you in three, namely, on threads, on lancets, and on glass.

If you try the matter sent on thirty patients immediately, we think you cannot fail to excite the disease in some of them, and then you will please to preserve the succession by inoculation as

we do in England, having had no fresh matter from the cow since January and February of last year, 1799.

The Frenchmen failed again with this virus, but Dr. Woodville soon after went to Paris, and effected what was desired.

Cow-Pock Dispensaries were opened in various towns throughout England, Bath and Manchester perhaps having the lead; and an Address to the Poor was drawn up as a common form to be issued from such Dispensaries. In a copy of this Address, widely circulated in and around Manchester in 1800, we read

The experience of several years has fully proved that inoculation for the Cowpox is a certain preservative against the Smallpox; and is, besides, so mild and safe a disorder, when compared with the inoculated Smallpox, that it has been generally introduced among the better informed and more wealthy inhabitants, both of this kingdom and of various parts of Europe.

Inoculation for the Cowpox has been practised for several years [less than three] with constant success, in various parts of the Kingdom.

It has never failed to prevent the infection of the natural Smallpox.

It may be communicated with safety to persons of every age and sex, and at all times and seasons of the year, with equal advantage.

It does not produce eruptions, which scar and disfigure the face; and it is seldom, if ever, attended with any other marks of the disease than what appear on the arms from inoculation.

So far from proving hurtful, delicate and sickly children are often improved in health by having passed through this complaint.

Scarcely any remedies or attendance are required for the Cowpox, nor is there any necessity for a course of physic before or after the inoculation.

The prejudices of the poor against inoculation for the Smallpox, by which thousands of lives have been annually saved,* have been often lamented; but if they suffer unjust prejudices to prevent their laying hold of the advantages now offered to them by the inoculation of the Cowpox, they will neglect the performance of a duty they owe to themselves, to their families, and to society at large. For surely it is little less than criminal to expose their helpless children to the attack of so terrible and fatal a malady as Smallpox when it

* By and by controversy with the Smallpoxers waxed hot, and then the Cowpoxers averred that thousands of lives were annually lost by their practice.

may be readily avoided by the inoculation of so mild, simple, and safe a disease as that of the Cowpox.

N.B.-All poor persons, whose affection for their families leads them to embrace this favourable opportunity, may have their children inoculated for the Cowpox at the Hospital and Dispensaries every day in the week (Sunday excepted) throughout the year. No time ought to be lost by the poor in freeing their families from the apprehension of the Smallpox, which daily increases in frequency and malignity throughout this town.

This manifesto is an illustration of the unscrupulous and unwarrantable assertions with which the New Inoculation was introduced to the world. There is no question that many who were active in circulating these mendacities did so honestly, justified, as they thought, by medical authority. What is marvellous is the survival of the primitive fictions to the present day. It would seem that when the human mind acquires a certain set, something like a surgical operation is requisite to reverse it.

We shall now see how the New Inoculation obtained this sudden popularity—a popularity so sudden that opposition had not time to organise itself. There were protests, and some raillery. In the Gentleman's Magazine for August, 1799, we find a correspondent saying—

There is a plan to mitigate Smallpox in the human species by passing it through a Cow. Now as everyone is not in possession of a Cow, I propose to pass it through animals that most people possess. I mean Cats; and I shall call it the Catpox. When my plan is matured, the ingenious shall hear further concerning it.

And Pearson writing in 1802, when the success of cowpox appeared secure, observed

How the new practice was sneered at by some: how it was reprobated as a gross and mischievous imposition: how it was stigmatised with the appellation of the Gloucestershire bubble: and how the Inquirers were considered by many persons as fit candidates for a certain asylum: to say nothing of the villainous jests made on the occasion, are recent in our memory.*

* Examination of Report of Committee of House of Commons. London, 1802.

CHAPTER VIII.

TRIUMPH OF THE NEW INOCULATION.

THE House of Hanover has been reproached for indifference to literature, science and art, but an exception might be asserted on the score of variolous and vaccine inoculation. It was Caroline, Princess of Wales, who in 1721 promoted Maitland's experiments; and Jenner found none so ready to hear and believe as George III. and his family. His first convert was the Duke of Clarence, subsequently William IV. The Duke's surgeon happened to be Francis Knight, who had lived in Wilts and Gloucestershire, and was familiar with the country faith in cowpox, and received Jenner's communication with a ready mind. In 1799 Knight was allowed to operate upon the Duke's children by Mrs. Jordan, and the fact was noised abroad and passed to Jenner's credit. Nor was the Duke's service limited to this example. He made Jenner's acquaintance, listened to his stories, and became his active partizan. Then the Duke of York, commander-inchief of the army, was convinced, and enforced the new practice to the full extent of his power. He, moreover, acted as patron of the Vaccine Pock Institution until he was persuaded that Pearson, its founder, was injurious to Jenner. On 7th March, 1800, Jenner was presented to George III. at St. James's Palace, and delivered The Inquiry bound in crimson to his majesty, who was pleased to accept the dedication of the second edition. On the 27th he had an interview with Queen Charlotte, who conversed about the new specific with all the curiosity of a grand-motherly quack. The Prince of Wales followed suit; and Jenner found himself invested with the full effulgence of the royal favour. It was a magical success; for, consider, not two years had elapsed since the publication of The Inquiry.

Jenner naturally became very popular. He wrote to Mr. Shrapnel-"I have not yet made half my calls in

town, although I fag from eleven till four;" and, "Pray tell Tierney how rapidly the Cowpox is marching over the metropolis, and indeed through the whole island. The death of three children under inoculation with smallpox will probably give that practice the Brutus-stab.”

With little ability to make and maintain ground, Jenner, like many feeble folk, had the faculty of converting those he called his friends to his private advantage. He did not subdue them by will, but by weakness. Indeed, whoever chooses to observe will often have to mark with amaze how stronger natures suffer their means and energies to be appropriated by inferior organisms, and used with the thanklessness of rightful possession.

John Ring was a remarkable instance of this sort of possession. He was a surgeon in New Street, Hanover Square, London. In 1799 he entered into correspondence with Jenner, and his interest in cowpox and its advertiser developed into an enthusiasm without qualification by weariness or fear. Whatever Jenner asserted he swore to; whatever charge was brought against the New Inoculation he denied. He was ready for all comers with such voluble and hearty vigour that his outrages on propriety were laughed at and excused as "John Ring's way." Among his earlier services was the preparation of the Testimonial in favour of the New Inoculation which he carried from house to house and obtained the signature of nearly every London physician and surgeon of distinction. The Testimonial was published in the Medical Review and Medical Journal for July, 1800, and was reprinted in the newspapers. It ran as follows

Many unfounded reports have been circulated, which have a tendency to prejudice the public against the Inoculation of the Cowpox: we, the undersigned physicians and surgeons, think it our duty to declare our opinion, that those persons who have had the Cowpox are perfectly secure from the future infection of the Smallpox, provided the infection has not been previously communicated.*

Meaning thereby, as happened under Woodville at Battle Bridge Hospital where Smallpox and Cowpox were incurred simultaneously.

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