NEW DILATING SPECULUM AURIS

1877 The Lancet  
Detractors of Vaccination," in your number of this day's date, in which you state that you 11 are constantly receiving communications from sensible folk asking advice as to the replies they shall make to those curious people who decry vaccination," I beg to submit the following facts, being to my mind amongst the strongest and most convincing of the many indisputable proofs of the efficacy of vaccination, not only as a preventive of small-pox, but as a decided mitigator of the disease if
more » ... e disease if performed soon after an unprotected person is exposed to infection or contagion. In the year 1862, while in charge of a brigade of Royal Artillery at Woolwich, one of twelve men under my treatment for other diseases in one of the wards of the Garrison Hospital became attacked by small-pox. I had him immediately removed, and on inspecting the remaining eleven men I found that nine bore satisfactory marks of vaccination, but that the two others bore no traces whatever. On procuring some lymph two days subsequently, I vaccinated those two men. The vaccination ran a thoroughly successful course, and everything went on well until the eleventh day from the operation, and the thirteenth from the occurrence of the case of small-pox, when this latter disease appeared on both the men ; but although it had had two days' start of the vaccination at the least, yet, such was the modifying effect produced by it, that the disease was of a most mild character, and left no pitting whatever, while the man from whom they were infected had an ordinary attack of a semi-confluent nature, he never having been vaccinated.. Now here were twelve men in the same ward, and all apparently subjected to precisely similar influences. The nine who bore vaccination marks all escaped, while the three who had no marks got small-pox. I am, Sir, your obedient servant, StE,—We beg to introduce to the notice of your readers a new dilating speculum auris which we have recently constructed on the model of the tracheotomy canula designed by Mr. Wagstaffe, and described recentlyin the medical journals. This instrument, being expanded by a series of levers acted upon by a large milled head, is handy, entirely under control as to the extent of dilatation, and so arranged as not to interfere with the vision, and, having a large external orifice, well polished, is capable cf being highly illuminated, and affords a very distinct view of the meatus.
doi:10.1016/s0140-6736(02)47583-6 fatcat:qikzvwmvere3tacjrxyl2ylcl4