Rabaut-Pommier, a neglected precursor of Jenner.

IN HER recent article on the history of smallpox, Lise Wilkinson recalls some observations on preventive transmission of cowpox to man made before Jenner.1 Among the names mentioned it is surprising not to find that of Jacques-Antoine Rabaut-Pommier (1744-1820), a French protestant pastor born in Nimes and living near Montpellier. Concerning Rabaut-Pommier, Beaulieu recalls (English translation): "About 1780 he had observed in the environs of Montpellier the fact that smallpox, sheep scabs, and cow blotches were regarded as identical diseases known by the name of pox. He noticed that the affection was least serious in cows and that when, by chance, the peasants had contracted it in milking the animals, they could go through the country, protected from smallpox by this alone. So he concluded this procedure to be as certain as 'inoculation' for smallpox and less dangerous."2 The important fact is that, through a mutual friend (a Bristol merchant called James Ireland), Rabaut-Pommier met an English physician, Dr. Pugh (or Pew), to whom he communicated his observations. Pugh promised to transmit these to his friend Edward Jenner, who was interested in the same problem. The outbreak of the French Revolution, in which Rabaut-Pommier and his family played an important part (his brother Rabaut-Saint Etienne, a deputy at the Assemblee Nationale, was beheaded in 1793), prevented him from proceeding with his observations on cowpox. But after the publication of Jennler's book on vaccination (1798) he was surprised not to find in it any reference to his earlier suggestions. Furthermore, he wrote to the Comite Central de Vaccine in 1810 to recall his observations without, however, gaining any support substantiating his claims.3 In 1811 James Ireland wrote to Rabaut-Pommier saying that he remembered very well his conversation on cowpox with Dr. Pugh in 1784, but that similar observations had been made in England before. In spite of this lack of support from the French and English doctors, "Rabaut-Pommier ought to have a large part of the glory which this great discovery has brought to the English savant".' All this has been mentioned