Jeffries, John, 1745-1819. Small Pocks, 1775-1779 (inclusive). B MS b1.2, Countway Library of Medicine.

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Ledger containing accounts of smallpox inoculation by Dr. John Jeffries (1745-1819) at Rainsford Island Hospital in Boston, Massachusetts, from June to July 1775; at a West Boston smallpox hospital in July 1775; and in Halifax, Nova Scotia, between 1776 and 1779. The accounts include dates, names, ages and physical condition of patients, and details regarding the method of delivery. Among the patients he inoculated was his son, John, at Rainsford Island Hospital on 14 June 1775.

Biographical Notes

John Jeffries (1745-1819), A.B., 1763, Harvard College, Cambridge, Massachusetts, M.D., University of Aberdeen, Scotland, was a Boston physician and scientist. He was an assistant surgeon on a British naval vessel when the Revolutionary War commenced in 1775. A Loyalist, Jeffries evacuated Boston with British forces in 1776, and worked as a surgeon in a British military hospital in Halifax, Nova Scotia, until 1779, when he moved to London. In 1785, Jeffries became the first man (with Jean-Pierre Blanchard) to fly a balloon across the English Channel between England and France. He returned to Boston in 1790, and practiced medicine there until his death.

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{October} 13, Cato Brown, Nights not so restless, - Pul: Rubr: Sexta {quaque} Hora Dilution &c

{October} 14, Cato Brown, Pock filling upon Legs & Thighs, Ptyalism considerable, passed no Stool, - directed Enema, & to be repeated pro Re Nata . -

{October} 15, Cato Brown. Ptyalism continues - Bol. {Mercury} & Rhai - once in twelve hours - Laud: Lig: {quart} ++ , hora Lamni

Negro Woman, same house, Had small Pox slightly now desquaming - Sal: Cath. mane sumend . -

{October} 16, Cato Brown, Respiration difficult rather laboring, restless no sleep in Nights, Ptyalism decreased Hands &c not swelled, - Episp: ad bruch: - sinap: ad Plantar: Ped: - Pul Cath. - No discharge by Bowells Enema - Dilut. - slight Delirum - Infus: Cathart: Mane sumand, si Alvus non salvetur antea

{October} 17, Cato Brown, rested but little, difficulty of swallow ing, Pustules thin & watery & not concocted, almost constant tremor - Frequent dililirum & wandering - directed Hands . . .

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to be put into warm water, - & warm {Pediluvium} - Has taken Infus: Cath: = passed one large good Stool, swelling of Face subsided - directed in Eve, warm {Pediluvium} &c to be repeated, - Sinap: to feet - Episp: ad sura, - Nourishment &c

{October} 18, Cato Brown, passed three Stools this day, swallows rather easier - In the Eve, slept several hours - delirious & discharges under him - some scabs fallen off from face; in hands &c, still [?] - dilution & nourishment

{October} 19, Cato Brown, passed 2 Stools in Night & 2 today drowsy, & delirious thru the Day, Difficult deglutition pulse loose & soft. - directed Nourishment & Wine, Linnen to be shifted - [Sinapisms?] &c

{October} 20, Cato Brown, died last Night at Midnight

{December} 31, Hurd, aged 12 years, had Symptoms of Small Pox fever, was ordered to keep abroad continually, use cold drinks & Daily purged with Sal. Cath. & Tart: Emet had eruption {January} 2d, distinct & good, Symptoms gone off

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{January} 31, Peter, a Negro, third Day of Eruption, pustules very thick & rather flat. Pain & tension in abdomen, Salts & man: & ol: carysphil. - Dilution & cool {Regimen}

{February} 2, Peter Pocksmaturating, Face & Hands swollen -

Mrs ––– has great many pustules, but now desquaming cool regimen & lax bowells with Salts. &c

Mr Worrall, aged 7 years, great degree of Fever & lasi tude with Pain in Head & Back &c - continue - Salts & mann:& Tart: Emet. - operated very well - directed to go out in Air, to be supported as he was very giddy - Eruption appearing - Directed to keep out of Doors as much as possible - cool Drinks &c -

{February} 6, Mr Worrall comfortable, keep Bowells open

Peter, Face much swoln Respiration difficult, Nostril stuffed up, Decoct: apersen. ex Sence, Manna, Crem: Tart: & Sem: Coriand: tertia {quaque} hora . -

Mrs Howard, aged 67, & old Dysentric complaints, Now third Day of Eruption, pretty full all over Body, Face & Extremitys - Decoct: Cath.- Dilut: subacid & Emet - panca Vinora -

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& same regimen continued - {January} 4, Ditto

Miss Sloper aged 5 years, taken ill at the same time Parents could not be persuaded to get her into the air &c has Eruption very thick & Symptoms have been much more severe than in hurd, & her Eyes were affec ted - Pulv: {Calomel} Tar: & Tart: Emet: & cold drinks & directed to keep up as much as possible - {January} 4

1776 {January} 7 Hurd, very comfortable Pocks fully ma turated & beginning to turn on face, has continued the Cool Regimen & exposure to Air &c from the first com plaining - Bowells occasionally moved by Sal. Cath. &c

Miss Sloper, Eruption completed, has Pustules thick all over, but distinct inflamed Bases & fill well - Rather continue Salts & man = salts & man. -

{January} 11, Hurd & Miss Sloper, Pustules desquaming .Cath. morrow have passed thru the Disorder very well - Cold Regimen

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{February} 8, Peter died

{February} 11, Mrs Howard face swelled, as are Feet & Hands & Pocks much inflamed around Bases - sore Throat - Mist. Cath. - gave much care to throat - [Episp: & Sinah directed in care of subsiding of the Swelling on Pocks -

three Women, between the Age of 25 & 55, had small Pox, each of them very full of pustules, extremely Poor & exposed very much to severe weather by want of fuel & Cloaths - the youngest, a Girl of the Town, & I believe in 4th month of Pregnancy & infested with Lice besides - all Bowell kept lax & cool Regimen

{February} 14, Mrs Howard died, each Pock found became indent ed in Middle & changed to purple & livid colour -

2 Children attacked with small Pox, between Age of 3 & 6 years - cool Regimen & Cath: Mist. pro re nata

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