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[Attempts to inoculate against plague in the eighteenth and nineteenth centuries]
Abstract:
In the middle of the 18th century, inoculation against smallpox became more and more common, and attempts were also made to test the same principle, viz. inoculation with the agents causing the disease for other human and animal diseases. It was tried for rinderpest, measles and sheep pox. In addition, there were some suggestions for using the principle against the plague. The disease had disappeared from Western Europe by this time, but still raged in eastern countries, such as Russia. However, the government rejected the proposal for trial inoculations in Moscow. During the first half of the 19th century, the plague was still widespread in the Middle East, where different European doctors worked on combatting it. The first documented inoculation trial was carried out by a certain Mr. Whyte, an English physician who inoculated himself and four assistants in 1801. All five died a few days later. In the following years, more tests were carried out, inter alia: in 1802, by Desgenettes, the chief physician of the French army in the Middle East; in 1803, by Eusebio Valli, an Italian physician in Constantinople; in 1818 and 1819 by Sola, a Spanish physician in Tangier. However, none of these tests produced clear results. During the epidemic in Egypt in the 1830s, further inoculation tests were carried out by a group of French plague specialists with the main aim of establishing whether the plague could be transmitted between humans. These tests did not result in any clear conclusions either. Following the discovery of the plague bacillus at the end of the 19th century, a number of different live and dead vaccines were developed, and were also used in endemic areas, but the level of efficiency has never become very clear. This is not really surprising, as even the disease itself often does not provide strong immunity, and reinfections are by no means uncommon.
Insights
Early inoculation attempts for plague showed limited success, with trials in the 18th and 19th centuries yielding unclear results. Even modern vaccines have uncertain efficacy due to the disease
Area of Science:
- Historical Medicine
- Infectious Diseases
- Immunology
Context:
- Smallpox inoculation gained traction in the mid-18th century, prompting exploration for other diseases.
- Plague, though absent in Western Europe, persisted in Eastern regions, leading to early, unsuccessful inoculation proposals.
- European physicians conducted plague inoculation trials in the Middle East and North Africa during the 19th century.
Purpose:
- To investigate the efficacy of inoculation principles, initially successful for smallpox, against other infectious diseases like plague.
- To determine if plague could be transmitted between humans through inoculation experiments.
- To evaluate the effectiveness of early plague vaccines developed after the discovery of the plague bacillus.
Summary:
- Multiple inoculation trials for plague occurred from 1801 to the 1830s, involving physicians like Whyte, Desgenettes, Valli, and Sola, but yielded no clear positive results.
- Later development of plague vaccines post-bacillus discovery also showed uncertain efficiency in endemic areas.
- The inherent nature of plague, often failing to confer strong immunity and allowing reinfection, complicates vaccine efficacy assessment.
Impact:
- Historical inoculation attempts for plague were largely unsuccessful, highlighting early challenges in infectious disease control.
- The limited success of early trials and vaccines underscores the complexity of plague and the need for further research.
- Understanding historical vaccination efforts provides context for contemporary approaches to plague prevention and control.
Related Concept Videos
Antibiotic Selection
History of Microbiology
Plague
Smallpox

