Volume 2

Reports of the Royal Commission appointed to inquire into the subject of Vaccination; with minutes of evidence and appendices / Vaccination Commission.

  • Great Britain. Royal Commission on Vaccination.
Date:
1889-1897
Catalogue details

Licence: Public Domain Mark

Credit: Reports of the Royal Commission appointed to inquire into the subject of Vaccination; with minutes of evidence and appendices / Vaccination Commission. 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.

    639/798 (page 67)
    Of 280 unvaccinated persons in the same hospital— None had the varioloid type. 50, or 17-9 per cent, suffered from the discrete type, 175 62*5 „ „ coherent type, and 55 ,, 196 ,, „ confluent type. Dealing now with those under 10 years of age Of 27 vaccinated children— 22, or 815 per cent, had the varioloid type. 5 „ 18'5 5, „ discrete type. Of 67 unvaccinated children— None had the varioloid type. 13, or 19'4 per cent, had the discrete type. 50 ,, 74*6 „ coherent type. 4 6*0 ,, „ confluent type. 254. It will be observed that in the case of the vaccinated children the disease was in all cases of one or other of the milder forms, varioloid or discrete, the great majority of them being of the mildest form, viz., varioloid. In the case of the unvaccinated, on the other hand, the great majority of the cases were of the severer forms, viz., coherent and confluent, and not one was of the mildest form, varioloid. 255. The type of the disease was examined in the same way in the other Shefl&eld hospitals. The numbers were, however, much less than in the Winter Street Hospital, and too small in each hospital to make a per-centage of each type of the disease of value. The varioloid and the discrete on the one hand, and the coherent and confluent on the other, were therefore classed together. 256. There were in these other hospitals a few cases of vaccinated children whose Q. 2019. disease fell within the confluent and coherent class. It may be well, therefore, to state the result if the whole of the cases in the Sheflfield hospitals are taken together. There were 1,298 vaccinated persons, with regard to whose cases the type of disease was recorded. Of these 1,075, or 82*8 per cent., suffered either from the varioloid or discrete type, and 223, or 172 per cent., from the coherent or confluent type. The number of unvaccinated patients in the hospitals, with regard to whose cases the type of disease was recorded, was 443 ; of these, 82, or 18'5 per cent., suffered from either the varioloid or discrete type, and 361, or 81*5 per cent., from the confluent or coherent type. 257. It will thus be seen that the relation which the severe and milder forms of the disease bore to one another in the two classes was almost exactly reversed. The proportion of the severer type in the case of the unvaccinated was nearly the same as the proportion of the milder type in the case of the vaccinated. No mention is made of hsemorrhagic cases ; if there were any such, they were, no doubt, included under the class confluent. 258. Dealing next with the Dewsbury Report, Dr. Coupland classed the cases he App. III., investigated under the headings confluent, coherent, discrete, and mild. pp. 134-7. In 273 cases placed under the heading confluent, three were included which were also hsemorrhagic. Dr. Coupland ascertained the per-centage of attacks of the different types, according as they occurred among the vaccinated, the unvaccinated, those alleged to be vaccinated, and those who were undergoing vaccination. It may, perhaps, be thought a fairer test with respect to the point ^uider consideration if, as before, we class those alleged to have been vaccinated with the vaccinated, and those undergoing vaccination with the unvaccinated, though the numbers of those alleged to be vacci- nated and of those undergoing vaccination are small, and it does not make a sub- stantial difference. Treating the case in this fashion, those vaccinated or alleged to have been vaccinated (whom we shall hereafter call the vaccinated) amounted to 644. The unvaccinated and those described as undergoing vaccination (whom we shall hereafter term the unvaccinated) were 364 in number. Of the vaccinated there suffered— From the confluent type 53, or 82 per cent. „ coherent ,, 63 ,, 9*8 „ ,, discrete „ 268 „ 41-6 „ mild „ 260 „ 40-4 „ 1 3