Only six years after the announcement of vaccination, in 1804, Dr. B. Moseley, Physician to Chelsea Hospital, published a small book on the cow-pox, containing many cases of persons who had been properly vaccinated and had afterwards had small-pox; and other cases of severe illness, injury, and even death resulting from vaccination; and these failures were admitted by the Royal Jennerian Society in their Report in 1806. Dr. William Rowley, Physician to the St. Marylebone Infirmary, in a work on Cow-pox Inoculation in 1805, which reached a third edition in 1806, gave particulars of 504 cases of small-pox and injury after vaccination, with seventy-five deaths. He says to his brother medical men: “Come and see. I have lately had some of the worst species of malignant small-pox in the Marylebone Infirmary, which many of the faculty have examined and know to have been vaccinated.” For two days he had an exhibition in his Lecture Room of a number of children suffering from terrible eruptions and other diseases after vaccination.
Dr. Squirrel, formerly Resident Apothecary to the Small-pox and Inoculation Hospital, also published in 1805 numerous cases of small-pox, injuries, and death after vaccination.
John Birch, a London surgeon, at first adopted vaccination and corresponded with Jenner, but soon, finding that it did not protect from small-pox and that it also produced serious and sometimes fatal diseases, he became one of its strongest opponents, and published many letters and pamphlets against it up to the time of his death in 1815.
Mr. William Goldson, a surgeon at Portsea, published a pamphlet in 1804, giving many cases in his own experience of small-pox following vaccination. What made his testimony more important was that he was a believer in vaccination, and sent accounts of some of his cases to Jenner so early as 1802, but no notice was taken of them.[2]
Mr. Thomas Brown, a surgeon of Musselburgh, published in 1809 a volume giving his experiences of the results of vaccination. He had at first accepted and practised it. He also applied the “variolous test” with apparent success, and thereafter went on vaccinating in full confidence that it was protective against small-pox, till 1808, when, during an epidemic, many of his patients caught the disease from two to eight years after vaccination. He gives the details of forty-eight cases, all within his own personal knowledge, and he says he knew of many others. He then again tried the “variolous test,” and found twelve cases in which it entirely failed, the result being exactly as with those who were inoculated without previous vaccination. These cases, with extracts from Brown’s work, were brought before the Royal Commission by Professor Crookshank. (See 4th Report, Q. 11,852.)
Again, Mr. William Tebb brought before the Commission a paper by Dr. Maclean, in the Medical Observer of 1810, giving 535 cases of small-pox after vaccination, of which 97 were fatal. He also gave 150 cases of diseases from cow-pox, with the names of ten medical men, including two Professors of Anatomy, who had suffered in their own families from vaccination. The following striking passage is quoted:—“Doctrine.—Vaccination or Cow-pox inoculation is a perfect preventive of small-pox during life. (Jenner, etc.) Refutation.—535 cases of small-pox after cow-pox. Doctrine.—Cow-pox renders small-pox milder. It is never fatal. Refutation.—97 deaths from small-pox after cow-pox and from cow-pox diseases.”
The cases here referred to, of failure of vaccination to protect even for a few years, are probably only a small fraction of those that occurred, since only in exceptional cases would a doctor be able to keep his patients in view, and only one doctor here and there would publish his observations. The controversy was carried on with unusual virulence, hence perhaps the reason why the public paid so little attention to it. But unfortunately both the heads of the medical profession and the legislature had committed themselves by recognising the full claims of Jenner at too early a date and in a manner that admitted of no recall. In 1802, as already stated, the House of Commons, on the Report of its Committee, and the evidence of the leading physicians and surgeons of London—a large number of whom declared their belief that cow-pox was a perfect security against small-pox—voted Jenner £10,000. When therefore the flood of evidence poured in, showing that it did not protect, it was already too late to remedy the mischief that had been done, since the profession would not so soon acknowledge its mistake, nor would the legislature admit having hastily voted away the public money without adequate reason. The vaccinators went on vaccinating, the House of Commons gave Jenner £20,000 more in 1807, endowed vaccination with £3,000 a year in 1808, and after providing for free vaccination in 1840, made the operation compulsory in 1855, and enforced it by penalties in 1867.
Vaccination and the Medical Profession
Before proceeding to adduce the conclusive evidence that now exists of the failure of vaccination, a few preliminary misconceptions must be dealt with. One of these is, that as vaccination is a surgical operation to guard against a special disease, medical men can alone judge of its value. But the fact is the very reverse, for several reasons. In the first place, they are interested parties, not merely in a pecuniary sense, but as affecting the prestige of the whole profession. In no other case should we allow interested persons to decide an important matter. Whether iron ships are safer than wooden ones is not decided by ironmasters or by shipbuilders, but by the experience of sailors and by the statistics of loss. In the administration of medicine or any other remedy for a disease, the conditions are different. The doctor applies the remedy and watches the result, and if he has a large practice he thereby obtains knowledge and experience which no other persons possess. But in the case of vaccination, and especially in the case of public vaccinators, the doctor does not see the result except by accident. Those who get small-pox go to the hospitals, or are treated by other medical men, or may have left the district, and the relation between the vaccination and the attack of small-pox can only be discovered by the accurate registration of all the cases and deaths, with the facts as to vaccination or revaccination. When these facts are accurately registered, to determine what they teach is not the business of a doctor but of a statistician, and there is much evidence to show that doctors are bad statisticians, and have a special faculty for misstating figures. This allegation is so grave and so fundamental to the question at issue, that a few facts must be given in support of it.
The National Vaccine Establishment, supported by Government grants, issued periodical Reports, which were printed by order of the House of Commons, and in successive years we find the following statements: