Andrea Rusnock
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Charitable accounting
The Royal Jennerian Society and vaccine production
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This chapter examines the mutually reinforcing nature of financial and medical accounts in medical charities through a detailed analysis of the Royal Jennerian Society for the Extermination of the Small Pox, established in London in 1803. The Royal Jennerian Society created three types of accounts: financial (revenues and expenses), medical (numbers of individuals vaccinated and of vaccine packets sent to correspondents), and epistemological (a chronological register of names and residences of vaccinated individuals and sources of vaccine). The last type – the vaccination register – introduced an innovative method for reconstructing the lineal descent of a vaccine, and enabled the Royal Jennerian Society to investigate alleged claims of failed vaccinations. The vaccination register marked an important shift in the presentation and use of case histories from narrative prose to enumerated table, the modern constitutive form of medical knowledge.

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Accounting for health

Calculation, paperwork, and medicine, 1500–2000

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