The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1856-1888, 1868-10-31
The

The OBSERVATION-DISCLOSURES.
IDr. Elliot, late Port PhysicianofSan Francisco,
has published a pamphlet in that city, for general
circulation, which contains some facts relating to
this disease, not generally known. We have been
requested by one Of our physicians to transfer to
our columns the following extracts from his PAM
phlet:
The records OF the London Smallpox Hospital
(always reliable) show that of ,795 patients ad-
United having good vaccine marks, ii in leo had
true smallpox 1.-THE others varioloid) whilst of
1922 with indifferent marks. % in 100 had the
unmodifed disease and OF 542 with three or four
vaccine marks. only six in a hundred had the
smallpox and of % who bad been yaccinated
but had no marks, % in 100 died.
At the Imperial General Hospital, Vienna,
Auctria, the average number of deaths during
twenty-six years, among all patients admitted for
smallpox land yariOlold) was five In 100 of the
vaccinated, and 50 in 100 of those not vaccinated.
Remember these figures are taken from the hospl-
tai register, and include the well and i'll, yaccin-
ated before re-vaccinatiOn Was ordered
In forming our estimate of the great value of
vaccination, we must recollect the wonderful I'M
munity that it gives from any form of smallpox,
even yariOlOid, as will be seen by the following
figures. l quote from DR.. Watson, since Sir
Thomas Watson The population of Marseilles,
at the time of the epidemic there in 1898, was
iO,O0O--SO,O 900 vaccinated, 1000 inoculated, or
had had smallpox, and 5000 unprotected. OF
the 80, 900 vaccinated. 1900 Il in l5) took small
p0x or varioloid. and 20 died. in 100. OF the
5000 unprotected. + 600 were attacked, and 900,
OF ! in every / died" That is, of all the unpro-
tected, l in 8 died whilst Of the vaccinated only
l in Is died.
This difference Is enormous and as the figures
are from the highest and most reliable authority.
they give 10 vaccination the place 10 which it is
entitled-the first in rank of all discoveries, and
should insure the immortal Jenner as many mon
uments as can be of the slightest possible service
to a great man after he is dead.
The Marscilles epidemic occurred in the early
years of vaccination, and before revaccination
was thought of. 1t was the most formidable cpl
deInic of smallpox which has been known since
vaccination was fairly introduced. But 1t is at
least a question whether one quite as severe might
not occur in San Francisco, from neglected vac
%cination.
REvACcINATIoN.
Is il necessary 10 be vaccinated twice or more,
or revaccinated, as il is called? Decidedly, yes.
Why? There are many reasons. First. The
vaccination in infancy, or first vaccination, is often
carelessly or ignorantly done, or done with good
for-nothing or bad matter. Second. When the
is well done, and done with the best
matter, the same matter will sometimes - take"a
second time. Third. Because many eminent
men, whose opinions are entitled to credit, believe
that the protective influence of vaccination is
weakened 10y time-in what degree is not known.
To these, a fourth may be added, that the opera
ton is attended with very little expense or incon-
venience.
Z" For upwards of seventeen years ofmy connec-
with the smallpox hospital writes the sur
gcon Of the London Hospital, not one of the
servants or nurses of the hospital has been attack
ed with smallpox, although vaccination has been
the only protection of most of them but | have
always revaccinated them ON their first coming to
live at the hospital"
In the army of Baden, during the twelve wears
nraPpdInn rho nrHar IN raraacinn.a rlarn mara n
eases of smallpox and variOloid, and in the like
Jeriod after the order, there were ffty-two cases.
This, it must be recollected, was in a country
where none but physicians are allowed to vaccin-
ite, and by them done with much greater care
han is taken in this country. In 4 community
ike San Francisco, if the facts would be known,
would probably show the difference between
he yaccinated and revaccinated 10 be eight or ten
lines greater than the above.
Physicians in all countries who have had the
most extensive experience in the management and
of small pox, concur in believing that
accination, done an The best possible mdnnsr IN the
first instance, and repeated at the proper time or
lines. gives almost as perfect protection as an at
ack of smallpox itself.
Is matter taken directly from the cow better
han that taken from the arm? No; not quite so
God. 1t is necessary after the vaccine matter has
passed through the human system many
twenty-five years-to replace it by a
supply from the animal? Many German
uthOTltles FAY, no sumo EnEilen authorities say,
es. Where such authorities differ, either practice
safe.
WHO SHOULD BE REvACCINATED, AND WHEN.
First of fall, be careful that your children are
'el vaccinated for the first time. After this, it
is not about, they can 20 till puberty
the first change of life, u TO 10y, when they
hould ali he reyaccinated in the same careful
ianner. After this, they can 90 until about
and :, on, il they are not likely to be ex-
osed- But in case of an epidemic OF small pox
r exposure, all should be Immediately revaccina- {
d, and in the most careful manner possible.
In most of the countries of Europe rcvaccination
now required by law, and the beautiful results
re universally acknowledged. But if revaccina-
on is 80 necessary in Europe, where the first op- :
alton i carefully done, what must be its value
this country, where the first operation is go
Try carelessly done?