“Swelled to three times his size, black as bacon”

Here’s another account of anti-epidemic measures from the Adams family papers, this one a 17 Apr 1764 letter from John Adams to his fiancée, Abigail Smith.

John had gone into Boston to be inoculated with smallpox under the care of Dr. Nathaniel Perkins, and he reported:

Messrs. Quincy’s Samuel and Josiah, have the Distemper very lightly. I asked Dr. Perkins how they had it. The Dr. answerd in the style of the Faculty “Oh Lord sir; infinitely light!” It is extreamly pleasing, says he, wherever we go We see every Body passing thro this tremendous Distemper, in the lightest, easiest manner, conceivable.

The Dr. meaned, those who have the Distemper by Inoculation in the new Method, for those who have it in the natural Way, are Objects of as much Horror, as ever.

There is a poor Man, in this Neighbourhood, one Bass, now labouring with it, in the natural Way. He is in a good Way of Recovery, but is the most shocking sight, that can be seen. They say he is no more like a Man than he is like an Hog or an Horse—swelled to three times his size, black as bacon, blind as a stone. I had when I was first inoculated a great Curiosity to go and see him; but the Dr. said I had better not go out, and my Friends thought it would give me a disagreable Turn.

My Unkle [Dr. Zabdiel Boylston?] brought up one [John] Vinal who has just recoverd of it in the natural Way to see Us, and show Us. His face is torn all to Pieces, and is as rugged as Braintree Commons.

This Contrast is forever before the Eyes of the whole Town, Yet it is said there are 500 Persons, who continue to stand it out, in spight of Experience, the Expostulations of the Clergy, both in private and from the Desk, the unwearied Persuasions of the select Men, and the perpetual Clamour and astonishment of the People, and to expose themselves to this Distemper in the natural Way!—

Is Man a rational Creature think You?—Conscience, forsooth and scruples are the Cause.—I should think my self, a deliberate self Murderer, I mean that I incurred all the Guilt of deliberate self Murther, if I should only stay in this Town and run the Chance of having it in the natural Way.

Smallpox continued to spread well into the age of photography, so there’s graphic documentation of how victims look when the blisters break out. I don’t recommend it.