Third (-Fourth-Fifth) Report of the Royal Commission appointed to inquire into the subject of vaccination; with minutes of evidence and appendices.

Great Britain. Royal Commission on Vaccination.

Date:: 1890-1893

Credit: Third (-Fourth-Fifth) Report of the Royal Commission appointed to inquire into the subject of vaccination; with minutes of evidence and appendices. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

814/850 (page 496)

$opinion that the law oi com])ulsory Taccination could not be enforced in Leicester. 13,290-361, App. 413-4 (Tables A., B., and G.) ; and as to the numbers given in the Gruardians' returns as the successful vaccina- tions, public and private, for the years dealt with, 13,362-84.] (Is clerk to the Leicester Board of G-uardians, 13,290.) Furnished Mr. J. T. Biggs with the figures, so far as relating to the number of vaccinations, given by him on his Diagram A. {App- f<'^''^9 I^'S^ 434), 15,754-H. As to the materials from which these figures were obtained and the methods by which they were arrived at, aud as to how far the figures given are comparable throughout the years dealt with on the diagram, 15,755-878. CHAMBERS, Mii. HENRY THOMAS (analysis of his evidence) : [Joint evidence with Messrs. Henry Lankester, John Staftord, Thomas Windley, John Thomas Biggs and John Storey, laying before the Commission certain resolutions passed by the Town Conncil of the Borough of Leicester with referenoe to compulsory vacciuRtion, 12,924-4f(.l Is an Alderman and Justice of the Peace for the Borough of Leicester and has been twice Mayor, 13,003-4, 13,006-9, 13,022; and was for several years a member of the Board of G-uardians, 13,005. Has adjudicated upon many cases under the Vaccination Acts, 13,010-11. The feeling in Leicester as regards vaccination, and its compulsory enforcement, 13,012-4, 13,017-20,13,022- 3,13,029-39. Witness's own opinion that vaccination ought not to be compulsorily enforced. 13,015-6; and his course as a magistrate with r^:'gard to the provi- sions of the Vaccination Acts allowing exemption where there is a reasonable excuse, 13.024-8. The system adopted in Leicester in dealing with cases of small-pox, 13,021, CHAUVEAU, M.: M. Chauvciiu's experiments in variolating cows referred to by Professor E. M. Crookshank, 12,292. CICATRICES: Professor E. M.. Crookshank's opinion that the character and number of the vaccination cicatrices bear no relation either to the susceptibilil.y to small-pox or to the fatality from the disease if acquired, 11,642-3. ll,889-953j 12.162-3; or to the susceptibility to re- vaccination, 11,618, 11,642-3, 11,889-902, 11,911, 11,915, 11,918, 11.923-63, 12,162-3. The statistics collected by Mr. Marson showing a relation between the death-rate of small-pox patients and the number of vaccination cicati'ices boi'ne by them referred to by Professor Crookshank, 11,896, 11,899-902, 11,906- 7, 11,017-9,11,921-2. Dr. Gayton's analysis of 10,403 small-pox cases, showing the fatality per cent, of attacks of patients classified according to the number and quality of their vaccination cicatrices {see Appen- dix to ilie Commission's Second Report, pages 243-5), referred to by Professor Crookshank, 11,906, 11,913, 11,922. Dr. Gregory's oyjinion upon the same question referred to by Professor Crookshank, 11.898,11,908-9. Dr. G. Cordwent's belief that the character and number of the vaccination cicatrices bear no relation to the susceptibility to small-pox, 12,722-6. COLIN M. : M. Colin's cases of small-pox occurring among re- vaccinated hospital attendants referred to by Pro- fessor E. M. Crookshank, 12,389-95, 12,419. CONVULSIONS : Fatal case of convulsions ascribed to vaccination refen ed to by Mr. W. L. Beurle, 12,5:]4-44. CORDWENT, Mr. GEORGE, M.D. (analysis of his evidence): Is deputy coroner for West Somerset and has been Public Vaccinator in the Pitminster and West Monckton districts of the Taunton Union, aud in practice for fifty years, 12,548-51, 12,674-9, 12,704-6, 12,726, 12,793-6; and has seen a number of cases of small-pox occurring after vaccination, 12,552-6, 12,567-8, 12,571-83, 12,632-8, 12,658-68, 12,680-90, 12,695-703, 12,710-7, 12,721-5, 12,751, 12,773-7, .12,801-13; several after re-vaccination, 12,553; and one where vaccination and small-pox ran concur- rently, 12,683-92, 12,760-8. Has never seen a case of small-pox occurring after sraall-pox, 12,557-63, 12,593-4, 12,737-44, 12,748-9, 12,814-5; does not believe in the occurrence of such a case, 12,737-44, 12,748, 12,814-7 ; aud is of opinion that inoculation with small-pox would afford absolute security against an attack of that disease, 12,737-44,12,748-9. Witness's experience that small-pox always occurs in the most insanitary parts of towns, 12,700, 12,752-5, 12,780-1. Witness's opinion that vaccination in some cases sets up malaise, 12,564, 12,567-70, 12,602-3, 12,610-26, 12,718-20, 12,727, 12,734-8; and that in such cases the vaccinated persons are protected from small-pox during the time the malaise remains, 12,564, 12,569, 12,591, 12,599-606, 12,611-3, 12,662-3, 12,736-8, 12,745-8, 12,750, 12,759-66, 12,770, 12,778-9, which he believes is usually for a period of about two years, 12,601, 12,604-9, 12,662-3, 12,771-2, 12,782-4, or longer in the case of an adult, 12,607-9, 12,778, 12,786-6. In witness's opinion where vaccination, though apparently successful, does not set up malaise there is no protection whatever, 12,564-70, 12,591, 12,598, 12,610-3, 12,662,12,664-8, 12,707-9,12,770-4; though he is not prepared to say that vaccination has no influence on the fatality of small-pox if acquired, 12,800, 12,808-10. Witness's belief that the character and number of the vaccination cicatrices bear no relation to the susceptibility to small-pox, 12,722-6 ; and his opinion as to the comparative immunity of medical men from small-pox, 12,640-57, 12,669-73, 12,733 ; and as to the amount of protection afl'orded by re-vaccination to attendants in small-pox hospitals, 12,778-9. Witness's ojDinion that children are more liable to eczema after vaccination, 12,604, 12,674, 12,734; and that the practice of \ accination should 1)0 discontinued, 12,787-92, 12,797-800. Witness's opinion, based on certain experiments of his own, that it is impossible to inoculate cows successfully with humanized vaccine lymph, 12,()90-4, 12,730-2, 12,756-8. COW-POX: Pi'ofessor E. M. Crookshank's account of his researches as to the nature of the contagion of cow-pox, 11,056- 139 ; and inability to discover any specific organism, 11.058-9, 11,065-70, 11,131-9. Pfeifller's experiments with a like result, referred to, 11.059-64, 11,077-9, 11,112, 11.130, 11,134, 11,218. Professor Crook- shank's opinion as to the organisms present in vaccine lymph, 11,059-79, 11,090,11,101-11, 11,120-2, 11,218-26; and his opinion that they are more abun- dant in calf-lymph than in humanized, 11,063-4, 11,077-89. Professor Crookshank's opinion that all vaccine lymph now in use is not derived from cow-pox, 11,065-6, 11,103,11,140,11,556-9,11,594-605, 11,644-7, 11,779, 11,782, 11,809, 12,296-8, 12,355-65, 12,420; and as to sources of Woodville's and Pearson's lymph, 11,178, 11,182, 11,185-6, 11,679, 11,748. 11,750-6, 11,829-33, 12,044; and his opinion that Jenner's own stock of lymph was lost in 1798, 11,178, 11,185, 11.679-80, 11,747-8, 11,764, 11,783, 11,795-809, 11.823-8, 11,846 -7, 11,954-12,044; that lymph was then circulated by Woodville and Pearson which became the current lymph in England and on the continent, 11,178, 11,185-90, 11,201-2, 11.204, 11,667-9, 11,673, 11,677- 80. 11,689-96,11,698-9,11,735-45.11,747-66, 11,764, 11,779, 11,782-3, 11,795-811, 11,823-33, 11,836, 11,846-7, 11,954-12,044,12,091; and his belief that the lymph thus circulated was, in fact, that of small- pox and not of cow-pox, 11,178-89, 11,192-208, 11,228-83, 11,502, 11,669-74, 11,681, 11,685, 11.702-3, 11,743, 11.750-77. 11,834-42, 11,979-80, 12,000, 12,021-35, 12,045-83, 12,087, 12,089, 12,283, 12,302, 12,333. Professor Crookshank's opinion that the variolous test was vitiated in the large majority of cases to which it was applied by being tried on persons who had previously been inoculated with small- pox, under the belief that it was cov/-pox, 11,273, 11,669-703, 11,729, 11,736-45, 11,748-77, 11,782-3, 11,786-7,11,795-814,11,834-43,11.876,11,954-12,091, 12,302, 12,333 ; and that in Jenner's own cases where the test was applied either after vaccination or after casual cow-pox the results were unreliable, 11,660-7, 11,857, or the test failed, 11,779-81. Professor Crookshank's opinion that cow-pox exercises no specific protective power in regard to small-pox, 11,564, 11,688, 11,794, 11,811-22, 11,857, 11,860, 11,864-76, 11,909,11,990-1, 12,096, 12,170, 12,235$