Weekly national intelligencer. [volume] (Washington [D.C.]) 1841-1869, 1846-02-07

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Rules and Hints 10 Physicians and The People.
ls Vaccine matter should always be selected, and noas
taken except from perfectly healthy subjects
ID The longer the pusule continues after vaccination the
more perfect the protection will be- and the better will be the
matter TO vaccnate others with.
3d. As general rule, would take matter from any sub
yaccnae others with that had not passed at least fifteen
days from the time of vaccination should never take matter
from any patient had broken the pustue by scratching
any other means local inflammation had been caused
Ivy taking cold or otherwise.
9TH The patient should be examined on the fourth day al
vaccination If there be any doubt to It's having taken
effect he should be vaccnated in the other The patient
should be examined also the eighth ninth day there
be fever other constitutional symptoms such as soreness
Of the axiliary glands &c. he should be vaccinaed ~ inc
other He should be again the sixteenth day
the pustue shall have become dry and crust perfect should
then be taken off, il it be il not another exa,nnon on
the 18th 18th day will be necessary.
5th II the pustue dries up forming scab before the 18th
day, should consider imperfect and vaccinate the patent
again. Because in the vaccine disease mere
local affection and when It can OF course, afford no
protection against smallpox This local character readily
the OF fever the eighth or ninth day absence
of the axa glands and IN the short duration Of
the pusule.
9Th recommend rcvaccnaion in all cases in which there
doubt of previous efficiency In such cases never de-
pend upon the appearance of the the memory OF the
paent as 10 the of the &c, upon any other
testimony than that of the physician who vaccnaed the pa
ent the first time thbc satisfactory according to the
above rules, re-vaccnate
have never seen person hatI kneo had been perfectly
yaccnated take either vaccination second me vadod
or smallpox.
The scar is not TO be depended upon 1t only inform
US that vaccination had been attempted The pusue have
been scratched opened other way acommon sore
may have let the Non-medical people are not good
Judges the perfection of vaccination have in hume
rous instances produced the perfect vaccine disease IN persons
that showed good and who said they had been well
cinaed, that their arms were rery sore DC
was vaccnated in the fall Of 1918 have repeatedly,
even hundred times, vaccnated myself since Last fall.
0s45 particularly, vaccinsted myself ten times, bu did
not in any one instance take effect When the small pox
was so prevalent in the years 1922 1923, and 1894
constantly amongst it, often having hundred pa
tents time among the poor. had the slightest
symptom of the disease.
believe the present prevalence of smalpo TO be owing
natcnton patients after the insertion of the virus. The
price for vaccination (Sl) is nominal affair;
does pay physician for three say nothing Of
four visits Hence is often the that the physician
erts the matter in the and the patient after
wards The fact Of the operation satisfies the patient and
lis friends. may not have taken effect all il have
aen but accident has destroyed its effect upon the con-
tuon And hence this great preventive of the most
errble Of the world is brought into deputo do
not believe that the preventive effects Of perfect vaccination
,ve swear OUT My experience upwards OF twenty
seven years. From 1919 TO 1922 inclusive vaccnaed up
wards Of 900 persons have great numbers o. them
nce and again. but have found one that had Ia
Ken variolod or smapox But always been partic1
ar in the selection Of matter to vacclnate WIN prefer mat
which has been the full fifteen, ana Homthat up 70
seventeen, eighteen, twenty davs anu s JH
gro,cn persons, hen possible robust ana neay Panens
alwayseiecting that from all others never take matter
from doubtful sources.
feel very certain that these hints could be taken and
acted upon by all our physicians and the people, the small
pox would be completely exiirpated in month offer them
with much dfdencc and certainly with due Difference to the
faculty. oiDSoN %. SMITH NIL