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matter of vaccination they left undefined, or differently defined. Whatever was called vaccination was taken for vaccination, and the reduction of smallpox ascribed to it. In Jenner's hands it was first horsegrease cowpox, then cowpox, and lastly horsepox. According to Simon true vaccination was effected with smallpox inoculated on the cow. Which, we demand, was the virus that wrought the numerous miracles we are summoned to believe? Is it indeed true that there is nothing certain about vaccination save the vaccinator's fee? Is it that, as in other thaumaturgical performances, virtue resides in the performer, described by Simon as "the duly educated medical practitioner?" Is it argued that vaccination is a species of incantation, and that it matters little what is the vehicle of the rite, its efficacy being dependent on the credentials of the administrator? Or that what is believed to be good against smallpox is good against smallpox, the charm consisting in the faith wherewith it is received?

The belief in vaccination and its proofs is much akin to the belief in witchcraft and its proofs. To argue about witchcraft, and to answer its proofs, was to become a sort of partner in the delusion. Deliverance lay in the unqualified denial of the imposture; and from that firm ground difficulty was solved and the inexplicable disappeared. As soon as the position of absolute disbelief is taken up, the plausibilities in favour of vaccination resolve themselves into the element of phantasy, so powerful and yet so evanescent. The arts of its advocates then become manifest with all the dodges, conscious and unconscious, whereby the light of truth is shut out, and the gloom requisite for visions provided. The story of vaccination is the story of many other impostures which have bewildered and afflicted mankind, and the study of one is the revelation of others.

CHAPTER XLI.

COMPULSION INTENSIFIED-1861 AND 1867.

THE Vaccination Act of 1853 imposed a forfeit not exceeding 20s. on any parent or guardian who failed to have a child vaccinated within three months of birth; but experience revealed a grave defect in the law. There was no provision for the prosecution of defaulters; and those who had no faith in vaccination, or accounted it a nuisance, enjoyed immunity without serious annoyance. To meet this defect a bill was introduced to Parliament in 1861, providing that "the guardians or overseers of any parish may appoint some person to institute and conduct proceedings for enforcing obedience." The bill was passed through the House of Commons under the care of Mr. Robert Lowe, meeting with little resistance, and with less in the Lords. In vindicating the measure, 10th July, 1861, Mr. Lowe observed

Parliament in 1853 passed an Act for Compulsory Vaccination, but owing to a defect in the provision of expenses for prosecution, it has fallen into desuetude. When the present Government was formed in 1859, a clause was introduced to the Public Health Act correcting the defect; but under pressure of the Member for Finsbury [Mr. Thomas Duncombe] I surrendered it. It has been to me a bitter reflection that I did so; for I am convinced that the sacrifice of that clause has occasioned the loss of thousands of lives in this country.

The question is sometimes asked, Why is it that association with horses is so prejudicial to morality? This interrogation might be accompanied with another, namely, Why is it that the advocacy of vaccination is so frequently associated with romance and rant? That public vaccination had fallen into desuetude was untrue. There were fluctuations from year to year, but the rate was maintained without practical abatement. That in 1861 it could be said that thousands of lives had been lost because prosecuting officers were not provided in 1859,

was romance and rant without mitigation. In England and Wales there died of smallpox

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Where then were the thousands of lives lost from the formation of the Government in 1859 to 1861 ? and where were the lives saved after the enactment of the vital clause ? But who that knew Mr. Robert Lowe , could believe that he was convinced that the surrender of the clause occasioned the loss of thousands of lives, and that the loss was to him a bitter reflection? Would not the vulgar version of the invocation, O mihi beate Martine! have been appropriate to the situation?

Further, continued Mr. Lowe

From 1837 to 1840 the deaths from Smallpox amounted to 12,000 a-year. From 1840 to 1853, during which period Vaccination was provided by the Poor Law Boards, the annual average of deaths was only 5,200. Thus by the diffusion of Vaccination, the mortality of Smallpox was reduced by more than one-half. Then in 1853 the Compulsory Law came into operation, and its first effect was remarkable. The number of vaccinations enormously increased and the deaths diminished. In 1854 they sank to 2,808, and in 1855 to 2,525. Afterwards they gradually increased up to the present time [When in fact they never were lower!], the Act having, as I already explained, fallen into desuetude. Thus is the efficiency of Vaccination established!

Into such stuff may a clever man descend! The statement was rotten with untruth. It was gross misrepresentation to set forth the average mortality of 12,000 for the years 1837-40 as permanent mortality which the Act of 1840 reduced to 5,200. The years 1837-40 embraced a severe epidemic, following years of quiescence during which vaccinators had been singing pans over their imaginary victory. Holding as we do that smallpox comes and goes with indifference to vaccination (unless in so far as it keeps the disease alive) the figures cited by Mr. Lowe as completely illustrate our contention as they nullified his. By no contrivance can the fluctuations of smallpox be associated with more or less vaccination.

Probably Mr. Lowe was inspired by his medical staff, but, if so, he made the inspiration his own, evolving as from personal certainty, such fancy-work as this

Out of 1000 who take Smallpox without being vaccinated 350 die; while out of 1000 badly vaccinated only 150 die; but out of 1000 well vaccinated only 5 die.

To which the conclusive answer would have been, that a mortality of 7 in 20 of the unvaccinated was about double that of smallpox in the time when all were unvaccinated; and that disregarding the factitious classification, the mortality over all cases continued as it was in the prevaccination era. What smallpox was, smallpox has remained-discrete, confluent, malignant; each type being qualified as slight, dangerous, and deadly; the relation of vaccination to the type being wholly irrelevant.

Further, he proclaimed without reserve, that smallpox was transmuted to cowpox in the cow

There was a theory started that the efficacy of Vaccination was wearing out; but the valuable discovery of Mr. Ceely has set any apprehension on that score at rest for ever. Mr. Ceely has proved that Smallpox, when taken from the human body and introduced to that of the cow, produces Cowpox. It is thus evident that we have the means of obtaining Cowpox of the requisite strength to any extent. The beautiful discovery has also been made that the security of Vaccination may be almost indefinitely increased by multiplying the number of punctures.

Thus was mystery dispelled! Cowpox was smallpox diversified in the cow, and the lost security of Jenner's single puncture was recovered in tattoo!

Appealing to the sentiment of medical men in favour of vaccination as exhibited in the replies to Simon's queries in 1857-a fallacy for conviction which Mr. Lowe would have been quick to detect if advanced for any clerical, scholastic, or other trading interest, he observed—

The terrible malady falls heavily upon young children: in Vaccination is their defence. Consider, then, what a painful responsibility will rest upon us, if, in the face of almost unanimous medical testimony, we leave them to perish, and communicate a dreadful contagion throughout the country. These children have no discretion of their own; and it is a profanation of liberty and selfgovernment to say that any man has a right to set up his own

sordid and brutal prejudices against such medical opinion, and expose his child to disease and death.

Words, ferocious words; but how do they bear examination ? Why should disbelief in vaccination be stigmatised as sordid and brutal prejudice? Why should parliamentary affection for children surpass parental affection? The argument, if valid, would equally apply to any matter in which the conviction of a minority was at variance with that of a majority; and if in such circumstances the minority is bound to submission, where is the substance answering to civil and religious liberty? If the clear scientific persuasion of the smallest minority concerning such a matter as vaccination is to be subjected to vulgar medical dictation by the brute force of the majority, what form of tyranny may not be justified?

The Bill [continued Mr. Lowe] which I wish to pass into law is very simple. All that it enacts is that Poor Law Boards may appoint persons to prosecute those whom the medical officers report ought to be prosecuted.

And the bill was passed without division. Mr. Duncombe and Mr. Coningham protested, but neither had mastered the question so as to offer effective opposition. Mr. Coningham observed that figures might be made to prove anything; and as concerned the unanimous opinion. of medical men, they had to bear, in mind the saying, "There is nothing like leather." If smallpox had fallen off, there were extensive sanitary improvements to account for the fall; and, for his part, he placed his trust much more in better conditions of life for the people than in a prescription like vaccination.

The Act obtained did not fulfil the expectations of its promoters. Mr. Lowe's bitter regret for thousands of lives lost in consequence of his concession to Mr. Duncombe proved to be wasted emotion. Guardians did not exercise their powers as inquisitors and persecutors with adequate energy. Sir Morton Peto, in the House of Commons, on 14th March, 1864, asked

Whether the registration of Vaccination is not a total failure, alike for statistical purposes and for the prosecution of offenders

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