[CHAPTER XXIII.]
THE GROSVENOR CASE.
It may be asked, Why, if Vaccination was proved useless and injurious, was it not entirely discontinued? but the question implies a logical consistency which is rarely exemplified in human experience. Vaccination was discontinued, but it was not entirely discontinued: it was chiefly continued among the upper and middle classes where fees were to be had for its performance. It was admitted that the rite might not prevent smallpox, but it would make it milder. The last thing a medicine man admits is, that he is helpless and can do nothing. Even in presence of that for which there is no remedy, it tends to his importance, and the satisfaction of the patient, and those around the patient, to make believe to do something. Now for smallpox, there was no preventive. Its causes were unknown. It broke out, and it disappeared, none knew how. Jenner’s household was devastated with fever, but he never asked, why? As observed disease was accepted like so much bad weather. Whether fevers were avoidable, or whether they were consequences of ill living, were questions as yet outside cognizance. The predominant thought about smallpox was, that it might be dodged, be it from God or devil. Inoculation with smallpox was a dodge with disagreeable accompaniments: inoculation with cowpox was a dodge on easier terms: by a trick, that left every evil circumstance unaffected, smallpox was to be got rid of. In the nature of things, the dodge was ineffective—mercifully ineffective; for who that is wise would care to have the consequences of evil abated save by the putting away of evil? The dodge proved illusory in the presence of those who recommended it, but whilst a manifest failure as to the main intention, they had the craft to shift its efficacy to rendering the disease milder—a claim as to which no test was immediately available. Moreover, vaccination had the merit of action, which the quack, whether lay or professional, insists on at all hazards. To confess ignorance and inability is self-denial for which the quack’s mind is unequal, as whoever is ailing and has friends may perceive. All come bearing advice and prescriptions for the control of nature, when, with simple quiescence and a right disposition of circumstances, nature is instant to effect recovery.
The failures of vaccination to prevent smallpox were chiefly visible among the poor, smallpox being predominantly an affliction of poverty; but in 1811 a case occurred in aristocratic life which produced more talk and dismay than scores of similar cases among trades-folk and artizans. Robert Grosvenor, son of Earl Grosvenor, vaccinated by Jenner in 1801 when a puny babe of a month old, fell ill on 26th May, 1811; in a few days smallpox developed, became confluent, and the lad narrowly escaped with life. There was no mistake about the vaccination; the mark on the boy’s arm indicated “the perfect disease”; he was attended by Sir Henry Halford and Sir Walter Farquhar, and was visited by Jenner, who happened to be in town; and, in short, the evidence of the impotence of vaccination to avert smallpox was complete and indisputable. The commotion was intense, and in a letter from Jenner to Baron we see how it affected his mind. He wrote—
Cockspur Street, Charing Cross,
11th June, 1811.
My Dear Friend,—It will probably be my lot to be detained in this horrible place some days longer. It has unfortunately happened, that a failure in vaccination has appeared in the family of a nobleman here; and, more unfortunately still, in a child vaccinated by me. The noise and confusion this case has created are not to be described. The vaccine lancet is sheathed; and the long concealed variolous blade ordered to come forth. Charming! This will soon cure the mania. The Town is a fool—an idiot; and will continue in this red-hot—hissing-hot state about this affair, till something else starts up to draw aside its attention. I am determined to lock up my brains, and think no more pro bono publico; and I advise you, my friend, to do the same; for we are sure to get nothing but abuse for it. It is my intention to collect all the cases I can of Smallpox after supposed security from that disease. In this undertaking I hope to derive much assistance from you. The best plan will be to push out some of them as soon as possible. This would not be necessary on account of the present case, but it will prove the best shield to protect us from the past, and from those which are to come.—Ever yours, Edward Jenner.[182]
The defence, therefore, was, that as an attack of smallpox did not always avert a second attack, it was not reasonable to expect that vaccination should be more effective; and to make good this position, a diligent search was instituted for cases of repeated smallpox. Many were found, though they were generally regarded as rarities, whilst their reality was frequently disputed; but whatever their number or genuineness, they were insignificant in comparison with the instances of smallpox subsequent to vaccination. Moreover, the Jennerites were taunted with their late discovery of smallpox after smallpox. Why had they not stated from the outset that smallpox might follow vaccination as smallpox followed smallpox? Why, on the contrary, had they asserted vaccination to be an absolute and life-long defence against smallpox? Why had they abused as fools or denounced as liars all the early reporters of smallpox after vaccination? And why did it require evidence, that could not possibly be wriggled out of, to bring them to an acknowledgment of the truth?
But even in presence of such evidence, Jenner persisted in his asseverations as if he had lost the very sense of truth. Writing to Miss Calcraft on 19th June, 1811, he actually claimed that he had foreseen and predicted such disasters as had occurred in the Grosvenor family! Here are his words—
Take a comprehensive view of Vaccination, and then ask yourself what is this case? You will find it a speck, a mere microscopic speck on the page which contains the history of the vaccine discovery. In the very first thing I wrote upon the subject, and many times since, I have said the occurrence of such an event should excite no surprise; because the Cowpox must possess preternatural powers if it would give uniform security to the constitution, when it is well known that Smallpox cannot; for we have more than one thousand cases to prove the contrary, and fortunately seventeen of them in the families of the nobility.
Obviously had such been his uniform testimony, the Grosvenor incident would have excited neither surprise nor alarm; and mark this additional hardihood—