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Smallpox and medical knowledge in the Lewis and Clark expedition

A new post in the smallpox and American otherness series.

At the time of organising the expedition, which aimed to explore the interior of the continent from west of the Mississippi as far as the Pacific coast of what is now British Columbia, Jefferson told Lewis to take with him “some matter of the kine-pox”, adding: “inform those of them with whom you may be, of it’s efficacy as a preservative from the small pox; and instruct & encourage them in the use of it”.[1] Vaccination programmes are part of a broader presence of medical interests in the expedition, which unfolds both in terms of gathering detailed information on the populations encountered, and in the use of practical medical knowledge as a means of gaining credit and prestige, and establishing diplomatic relations.[2]

The use of medical preparations and practices in diplomacy was certainly not an invention of the expedition: in North America, for example, there were cases of vaccinations by a delegation from Shawnee and Delaware in Washington in 1802, and material sent to the Five Nations in Canada by Jenner himself.[3] The circulation of knowledge in the field of medicine and public health between the eighteenth and nineteenth centuries was – at various levels and latitudes – part of the cultural and administrative apparatus of European colonial expansion around the world.[4]

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«in the raging time of the small pox»

A new series on smallpox and the documentation of American otherness in the late Eighteenth century

The series in brief

This post inaugurates a series focussing on the perception of the effects of smallpox on the demographic decline of the native North American populations by some English-speaking writers in the eighteenth century. The series will highlight the awareness expressed by contemporary observers of the circulation of new infectious diseases imported from Europe into North America, and of the effects of these diseases – of which smallpox is a critical but far from unique case – on the decimation or incipient extinction of native peoples.

The aim of this series is to show how this awareness favoured, in English-speaking observers, the agglutination of the category of “European”, and an urgent need to document American human diversity before its disappearance.

Works by John Lawson, John Brickell, James Adair, and Cadwallader Colden are considered before dwelling on the Lewis and Clark expedition and on Thomas Jefferson’s role in the expedition’s cultural aims and interests in medicine.

Redman Coxe, Practical observations on vaccination, or, Inoculation for the cow-pock, Philadelphia, Printed and sold by James Humphreys at the corner of Walnut and Dock-streets 1802. illustration preceding the title page, comparison of the development of smallpox and vaccine sores
Redman Coxe, Practical observations on vaccination, or, Inoculation for the cow-pock, Philadelphia, Printed and sold by James Humphreys at the corner of Walnut and Dock-streets 1802. illustration preceding the title page, comparison of the development of smallpox and vaccine sores at 3, 6, 8, 10, 12, 14, 18-20 days after inoculation or contraction. In the same volume appear a letter by Jefferson in support of the vaccine practice and the data recorded by Jefferson during the Monticello experiments. Copy at Yale University, Cushing, Whitney Medical Library, no known restrictions on reproduction for academic use.

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