Ihastennowtooneofthemostsingularstrugglesofmedicalscienceduringmoderntimes。EarlyinthelastcenturyBoyerpresentedinoculationasapreventiveofsmallpoxinFrance,andthoughtfulphysiciansinEngland,inspiredbyLadyMontaguandMaitland,followedhisexample。Ultra-conservativesinmedicinetookfrightatonceonbothsidesoftheChannel,andtheologywassoonfindingprofoundreasonsagainstthenewpractice。TheFrenchtheologiansoftheSorbonnesolemnlycondemnedit;theEnglishtheologiansweremostloudlyrepresentedbytheRev。
EdwardMassey,whoin1772preachedandpublishedasermonentitledTheDangerousandSinfulPracticeofInoculation。InthishedeclaredthatJob’sdistemperwasprobablyconfluentsmallpox;thathehadbeeninoculateddoubtlessbythedevil;
thatdiseasesaresentbyProvidenceforthepunishmentofsin;
andthattheproposedattempttopreventthemis“adiabolicaloperation。”NotlessvigorouswasthesermonoftheRev。Mr。
Delafaye,entitledInoculationanIndefensiblePractice。Thisstrugglewentonforthirtyyears。Itisapleasuretonotesomechurchmen——andamongthemMadox,BishopofWorcester——givingbattleonthesideofrightreason;butaslateas1753wehaveanotedrectoratCanterburydenouncinginoculationfromhispulpitintheprimatialcity,andmanyofhisbrethrenfollowinghisexample。
ThesameoppositionwasvigorousinProtestantScotland。Alargebodyofministersjoinedindenouncingthenewpracticeas“flyinginthefaceofProvidence。”and“endeavouringtobaffleaDivinejudgment。”
Onourownsideoftheocean,also,thisquestionhadtobefoughtout。Abouttheyear1721Dr。ZabdielBoylston,aphysicianinBoston,madeanexperimentininoculation,oneofhisfirstsubjectsbeinghisownson。Heatonceencounteredbitterhostility,sothattheselectmenofthecityforbadehimtorepeattheexperiment。ForemostamonghisopponentswasDr。
Douglas,aScotchphysician,supportedbythemedicalprofessionandthenewspapers。Theviolenceoftheopposingpartyknewnobounds;theyinsistedthatinoculationwas“poisoning。”andtheyurgedtheauthoritiestotryDr。Boylstonformurder。Havingthussettledhiscaseforthisworld,theyproceededtosettleitforthenext,insistingthat“foramantoinfectafamilyinthemorningwithsmallpoxandtopraytoGodintheeveningagainstthediseaseisblasphemy“;thatthesmallpoxis“ajudgmentofGodonthesinsofthepeople。”andthat“toavertitisbuttoprovokehimmore“;thatinoculationis“anencroachmentontheprerogativesofJehovah,whoserightitistowoundandsmite。”
Amongthemassofscripturaltextsmostremotefromanypossiblebearingonthesubjectonewasemployedwhichwasequallycogentagainstanyuseofhealingmeansinanydisease——thewordsofHosea:“Hehathtorn,andhewillhealus;hehathsmitten,andhewillbindusup。”
SobitterwasthisoppositionthatDr。Boylston’slifewasindanger;itwasconsideredunsafeforhimtobeoutofhishouseintheevening;alightedgrenadewaseventhrownintothehouseofCottonMather,whohadfavouredthenewpractice,andhadshelteredanotherclergymanwhohadsubmittedhimselftoit。
TothehonourofthePuritanclergyofNewEngland,itshouldbesaidthatmanyofthemwereBoylston’sstrongestsupporters。
IncreaseandCottonMatherhadbeenamongthefirsttomoveinfavourofinoculation,thelatterhavingcalledBoylston’sattentiontoit;andattheverycrisisofaffairssixoftheleadingclergymenofBostonthrewtheirinfluenceonBoylston’ssideandsharedtheobloquybroughtuponhim。AlthoughthegainsayerswerenotslowtoflingintothefacesoftheMatherstheiractionregardingwitchcraft,urgingthattheircredulityinthatmatterarguedcredulityinthis,theypersevered,andamongthemanyservicesrenderedbytheclergymenofNewEnglandtotheircountrythisoughtcertainlytoberemembered;forthesemenhadtowithstand,shouldertoshoulderwithBoylstonandBenjaminFranklin,thesameweaponswhichwerehurledatthesupportersofinoculationinEurope——chargesof“unfaithfulnesstotherevealedlawofGod。”
Thefactsweresoonverystrongagainstthegainsayers:withinayearortwoafterthefirstexperimentnearlythreehundredpersonshadbeeninoculatedbyBoylstoninBostonandneighbouringtowns,andoutoftheseonlysixhaddied;whereas,duringthesameperiod,outofnearlysixthousandpersonswhohadtakensmallpoxnaturally,andhadreceivedonlytheusualmedicaltreatment,nearlyonethousandhaddied。Yetevenherethegainsayersdidnotdespair,and,whenobligedtoconfessthesuccessofinoculation,theysimplyfellbackuponanewargument,andanswered:“ItwasgoodthatSatanshouldbedispossessedofhishabitationwhichhehadtakenupinmeninourLord’sday,butitwasnotlawfulthatthechildrenofthePhariseesshouldcasthimoutbythehelpofBeelzebub。Wemustalwayshaveaneyetothematterofwhatwedoaswellastheresult,ifweintendtokeepagoodconsciencetowardGod。”Butthefactsweretoostrong;thenewpracticemadeitswayintheNewWorldasintheOld,thoughbitteroppositioncontinued,andinnosmalldegreeonvaguescripturalgrounds,formorethantwentyyearslonger。[324]
[324]Forthegeneralsubject,seeSprengel,HistoiredelaMedecine,vol。vi,pp。39-80。FortheoppositionoftheParisfacultyofTheologytoinoculation,seetheJournaldeBarbier,vol。vi,p。294;alsotheCorrespondancedeGrimmetDiderot,vol。iii,pp。259etseq。ForbitterdenunciationsofinoculationbytheEnglishclergy,andforthenoblestandagainstthembyMadox,seeBaron,LifeofJenner,vol。i,pp。231,232,andvol。
ii,pp。39,40。Forthestrenuousoppositionofthesameclergy,seeWeld,HistoryoftheRoyalSociety,vol。i,p。464,note;
also,foritscomicalside,seeNichol’sLiteraryIllustrations,vol。v,p。800。ForthesamematterinScotland,seeLecky’sHistoryoftheEighteenthCentury,vol。ii,p。83。ForNewEngland,seeGreen,HistoryofMedicineinMassachusetts,Boston,1881,pp。58etseq;alsochapterxoftheMemorialHistoryofBoston,bythesameauthorandO。W。Holmes。ForaletterofDr。
Franklin’s,seeMassachusettsHistoricalCollections,secondseries,vol。vii,p。17。SeveralmostcuriouspublicationsissuedduringtheheatoftheinoculationcontroversyhavebeenkindlyplacedinmyhandsbythelibrariansofHarvardCollegeandoftheMassachusettsHistoricalSociety,amongthemAReplytoIncreaseMather,byJohnWilliams,Boston,printedbyJ。
Franklin,1721,fromwhichtheabovescripturalargumentsarecited。FortheterriblevirulenceofthesmallpoxinNewEnglanduptotheintroductionoftheinoculation,seeMcMaster,HistoryofthePeopleoftheUnitedStates,firstedition,vol。i,p。30。
ThesteadyevolutionofscientificmedicinebringsusnexttoJenner’sdiscoveryofvaccination。Here,too,sundryvaguesurvivalsoftheologicalideascausedmanyoftheclergytosidewithretrogradephysicians。PerhapsthemostvirulentofJenner’senemieswasoneofhisprofessionalbrethren,Dr。
Moseley,whoplacedonthetitle-pageofhisbook,LuesBovilla,themotto,referringtoJennerandhisfollowers,“Father,forgivethem,fortheyknownotwhattheydo“:thisbookofDr。
MoseleywasespeciallyindorsedbytheBishopofDromore。In1798anAnti-vaccinationSocietywasformedbyphysiciansandclergymen,whocalledonthepeopleofBostontosuppressvaccination,as“biddingdefiancetoHeavenitself,eventothewillofGod。”anddeclaredthat“thelawofGodprohibitsthepractice。”Aslateas1803theRev。Dr。RamsdenthunderedagainstvaccinationinasermonbeforetheUniversityofCambridge,minglingtextsofScripturewithcalumniesagainstJenner;butPlumptreandtheRev。RowlandHillinEngland,WaterhouseinAmerica,ThouretinFrance,SaccoinItaly,andahostofothergoodmenandtrue,pressedforward,andatlastscience,humanity,andrightreasongainedthevictory。Moststrikingresultsquicklyfollowed。Thediminutioninthenumberofdeathsfromtheterriblescourgewasamazing。InBerlin,duringtheeightyearsfollowing1783,overfourthousandchildrendiedofthesmallpox;whileduringtheeightyearsfollowing1814,aftervaccinationhadbeenlargelyadopted,outofalargernumberofdeathstherewerebutfivehundredandthirty-fivefromthisdisease。InWurtemberg,duringthetwenty-fouryearsfollowing1772,oneinthirteenofallthechildrendiedofsmallpox,whileduringtheelevenyearsafter1822therediedofitonlyoneinsixteenhundred。InCopenhagen,duringtwelveyearsbeforetheintroductionofvaccination,fifty-fivehundredpersonsdiedofsmallpox,andduringthesixteenyearsafteritsintroductiononlyonehundredandfifty-eightpersonsdiedofitthroughoutallDenmark。InVienna,wheretheaverageyearlymortalityfromthisdiseasehadbeenovereighthundred,itwassteadilyandrapidlyreduced,untilin1803ithadfallentolessthanthirty;andinLondon,formerlysoafflictedbythisscourge,outofallherinhabitantstherediedofitin1890butone。Astotheworldatlarge,theresultissummedupbyoneofthemosthonouredEnglishphysiciansofourtime,inthedeclarationthat“Jennerhassaved,isnowsaving,andwillcontinuetosaveinallcomingages,morelivesinonegenerationthanweredestroyedinallthewarsofNapoleon。”
ItwillhavebeennoticedbythosewhohavereadthishistorythusfarthattherecordoftheChurchgenerallywasfarmorehonourableinthisstrugglethaninmanywhichprecededit:thereasonisnotdifficulttofind;thedeclineoftheologyenuredtotheadvantageofreligion,andreligiongavepowerfulaidtoscience。
YettherehaveremainedsomesurvivalsbothinProtestantismandinCatholicismwhichmayberegardedwithcuriosity。AsmallbodyofperverselyingeniousmindsinthemedicalprofessioninEnglandhavefoundafewardentalliesamongthelessintellectualclergy。TheRev。Mr。RotheryandtheRev。Mr。
Allen,ofthePrimitiveMethodists,haveforsundryvaguetheologicalreasonsespeciallydistinguishedthemselvesbyoppositiontocompulsoryvaccination;butitisonlyjusttosaythatthegreatbodyoftheEnglishclergyhaveforalongtimetakenthebetterview。
FarmorepainfulhasbeentherecenthistoryoftheothergreatbranchoftheChristianChurch——ahistorydevelopedwhereitmighthavebeenleastexpected:therecentannalsoftheworldhardlypresentamorestrikingantithesisbetweenReligionandTheology。
OnthereligioussidefewthingsinthehistoryoftheRomanChurchhavebeenmorebeautifulthantheconductofitsclergyinCanadaduringthegreatoutbreakofship-feveramongimmigrantsatMontrealaboutthemiddleofthepresentcentury。DayandnighttheCatholicpriesthoodofthatcityministeredfearlesslytothosevictimsofsanitaryignorance;fearofsufferinganddeathcouldnotdrivetheseministersfromtheirwork;theylaiddowntheirlivescheerfullywhilecarryingcomforttothepoorestandmostignorantofourkind:suchwastherecordoftheirreligion。Butin1885arecordwasmadebytheirtheology。InthatyearthesmallpoxbrokeoutwithgreatvirulenceinMontreal。TheProtestantpopulationescapedalmostentirelybyvaccination;butmultitudesoftheirCatholicfellow-citizens,undersomevaguesurvivaloftheoldorthodoxideas,refusedvaccination;andsufferedfearfully。Whenatlasttheplaguebecamesoseriousthattravelandtradefelloffgreatlyandquarantinebegantobeestablishedinneighbouringcities,aneffortwasmadetoenforcecompulsoryvaccination。Theresultwas,thatlargenumbersoftheCatholicworkingpopulationresistedandeventhreatenedbloodshed。Theclergyatfirsttoleratedandevenencouragedthisconduct:theAbbeFiliatrault,priestofSt。James’sChurch,declaredinasermonthat,“ifweareafflictedwithsmallpox,itisbecausewehadacarnivallastwinter,feastingtheflesh,whichhasoffendedtheLord;itistopunishourpridethatGodhassentussmallpox。”
Theclericalpresswentfurther:theEtendardexhortedthefaithfultotakeuparmsratherthansubmittovaccination,andatleastoneofthesecularpaperswasforcedtopandertothesamesentiment。TheBoardofHealthstruggledagainstthissuperstition,andaddressedacirculartotheCatholicclergy,imploringthemtorecommendvaccination;but,thoughtwoorthreecompliedwiththisrequest,thegreatmajoritywereeithersilentoropenlyhostile。TheOblateFathers,whosechurchwassituatedintheveryheartoftheinfecteddistrict,continuedtodenouncevaccination;thefaithfulwereexhortedtorelyondevotionalexercisesofvarioussorts;underthesanctionofthehierarchyagreatprocessionwasorderedwithasolemnappealtotheVirgin,andtheuseoftherosarywascarefullyspecified。
Meantime,thedisease,whichhadnearlydiedoutamongtheProtestants,ragedwithever-increasingvirulenceamongtheCatholics;and,thetruthbecomingmoreandmoreclear,eventothemostdevout,propermeasureswereatlastenforcedandtheplaguewasstayed,thoughnotuntiltherehadbeenafearfulwasteoflifeamongthesesimple-heartedbelievers,andgermsofscepticismplantedintheheartsoftheirchildrenwhichwillbearfruitforgenerationstocome。[325]
[325]FortheoppositionofconcientiousmentovaccinationinEngland,seeBaron,LifeofJenner,asabove;alsovol。ii,p。
43;alsoDun’sLifeofSimpson,London,1873,pp。248,249;alsoWorksofSirJ。Y。Simpson,vol。ii。Foramultitudeofstatisticsahowingthediminutionofsmallpoxaftertheintroductionofvaccination,seeRussell,p。380。ForthestrikingrecordinLondonfor1890,seeanarticleintheEdinburghreviewforJanuary,1891。ThegeneralstatementreferredtowasmadeinaspeechsomeyearssincebySirSpencerWells。ForrecentscatteredcasesoffeebleoppositiontovaccinationbyProtestantministers,seeWilliamWhite,TheGreatDelusion,London,1885,passim。ForoppositionoftheRomanCatholicclergyandpeasantryinCanadatovaccinationduringthesmallpoxplagueof1885,seetheEnglish,Canadian,andAmericannewspapers,butespeciallytheverytemperateandaccuratecorrespondenceintheNewYorkEveningPostduringSeptemberandOctoberofthatyear。