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Publications on Smallpox Vaccination
Lady Mary Montagu on
inoculation in
Yr. 1717
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Pasteur
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The Introduction of Inoculation
to the West
Lady Mary Wortley
Montagu (1689-1762) was a brilliant English writer and essayist
of the 18th Century. She traveled widely and posted her
correspondence to her many acquaintances in England. Noteworthy
were her letters from the Turkish Embassy where her husband
Edward Wortley Montagu served as
ambassador to Turkey. Lady Montagu carefully studied and
recorded the customs of the Turks. Noteworthy was her
particular interest in the practice of "engrafting" (now variolation or inoculation, see
Definitions) to
minimize the action of smallpox caught in the wild. Perhaps her
interest was intensified because as a child she suffered through
a serious bout of smallpox that scarred her face. The letter copied below
describes the practice and her intention of campaigning for this
treatment when she returned to England.
In England in 1718 she wrote to various influential
persons urging inoculation and sent essays to subject to
magazines. She had both her children inoculated - one in Turkey
and one in England. Despite opposition from religious and medical groups,
inoculation caught on. It was the primary defense against death
and serious debilitation by smallpox for the next 80 years until the discovery of vaccination by Jenner.
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Letter of Lady
Montagu:
To Sarah Chiswell
Adrianople 1, April 1717
Apropos of distempers, I am going to tell you a
thing that I am sure will make you wish yourself
here. The smallpox, so fatal and so general
amongst us, is here entirely harmless by the
invention of engrafting (which is the term they
give it). There is a set of old women who make
it their business to perform the operation.
Every autumn, in the month of September, when
the great heat is abated, people send to one
another to know if any of their family has a
mind to have the smallpox. They make parties for
this purpose, and when they are met (commonly
fifteen or sixteen together) the old woman comes
with a nutshell full of the matter of the best
sort of smallpox and asks what veins you please
to have opened. She immediately rips open that
you offer to her with a large needle (which
gives you no more pain than a common scratch)
and puts into the vein as much venom as can lie
upon the head of her needle, and after binds up
the little wound with a hollow bit of shell, and
in this manner opens four or five veins. The
Grecians have commonly the superstition of
opening one in the middle of the forehead, in
each arm, and on the breast to mark the sign of
the cross, but this has a very ill effect, all
these wounds leaving little scars, and is not
done by those that are not superstitious, who
choose to have them in the legs or that part of
the arm that is concealed. The children or young
people play together all the rest of the day and
are in perfect health till the eighth. Then the
fever begins to seize 'em and they keep their
beds two days, very seldom three. They have very
rarely above twenty or thirty in their faces,
which never mark, and in eight days' time they
are as well as before their illness. Where they
are wounded there remains running sores during
the distemper, which I don't doubt is a great
relief to it. Ever year thousands undergo this
operation, and the French ambassador say
pleasantly that they take the smallpox here by
way of diversion as they take the waters in
other countries. There is no example of any one
that has died in it, and you may believe I am
very well satisfied of the safety of the
experiment since I intend to try it on my dear
little son. I am patriot enough to take pains to
bring this useful invention into fashion in
England, and I should not fail to write to some
of our doctors very particularly about it if I
knew any one of 'em that I thought had virtue
enough to destroy such a considerable branch of
their revenue for the good of mankind, but that
distemper is too beneficial to them not to
expose to all their resentment the hardy wight
that should undertake to put an end to it.
Perhaps if I live to return I may, however, have
courage to war with 'em. Upon this occasion,
admire the heroism in the heart of your friend,
etc.
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