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.

    647/798 (page 75)
    76 285. With reference to the area of scars, Dr. LuflF gives the following information. He divides the scars in respect to their area according as they are under '25 of the square inch, or from '25 to 5 of the square inch, or over -5 of the square inch. An analysis of the cases, viewed in relation to their area, gives the following results:— Per-centage of Severe and Confluent Attacks. Area under '25 - 12*6 Area from -25 to 5 - - - - - 4*6 Area over '5 ----- 3'9 Or, to put the case in another way:— Area under -25 there were 6-9 discrete cases to I confluent. Area for '25 to 5 „ 20'3 1 „ Area over '5 „ 24*0 „ 1 „ 286. Examining the fatality in the classes thus divided according to the area of the scars, we have the following results:— Area under -25 there were 253 cases, with 6 deaths, or 2'3 per cent. Area from '25 to'5 385 „ 7 „ 1'8 „ Area over '5 „ 702 „ 10 „ 1*4 „ 287. In his report on the Warrington epidemic Dr. Savill divides the vaccinated App. v., pp. persons, who bore marks of vaccination, into two classes, which he terms well 22 and 28. vaccinated and indifferently vaccinated. In the well vaccinated class he includes all persons whose primary vaccination scars are fairly well marked in their foveation (or pitting), and of an aggregate area (irrespective of number) of half a square inch and upwards. In the indifferently vaccinated class he includes (a) persons whose primary scars, though foveate, are in the aggregate (irrespective of number) under *' half a square inch area, and (h) other persons whose primary marks, irrespective of number of size, are entirely non-foveate, and therefore generally indistinct (plain, or flat, or faint). The well vaccinated class consisted of 350. The type of disease was distributed follows:— Of the 350 well vaccinated cases— 58*6 per cent, were mild. 23*7 „ „ discrete. 17*8 ,, ,, confluent. 2'9 per cent. died. Of the 208 indifferently vaccinated cases— 500 per cent, were mild. 24*0 „ discrete. 26*0 „ „ confluent. 8'2 per cent. died. 288. Dr. Gayton. in his analysis of the cases of the Homerton Hospital already 2, App. referred to, furnishes the following particulars :— 243-1. Of 529 persons with 1 good mark, 22 died, or 4*1 per cent. 649 „ ,, 2 ,, marks, 22 ,, 3'3 ,, ,, 518 „ ,, 3 ,, ,, 12 ,, 2'3 „ „ 389 ,, „ 4 or more good marks, 6 died, or 1*5 per cent. 289. The following table gives the results derived from Mr. Sweeting's observations q 3717^ at the Fulham Hospital, divided according to the age periods 0 to 10, and over 10 years of age :— One Mark. Two Marks. Thr«e Marks. Four and over Four Marks. Cases. Deaths. Death Rate. Cases. Deaths. Death Rate. Cases. Deaths. Death Rate. Cases. De/iths. Death Rate. 0-10 - OUtT 10 years of age - At all ages 21 384 405 1 41 42 4-76 10-68 10-37 29 509 538 1 46 47 3-45 9-04 8-73 37 459 496 0 37 37 0 8-06 7'45 ■ 53 396 449 0 19 19 0 4-80 4* S3