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18 As the tract bears no date, I cannot tell whether it is still issued; but it was in circulation up to the time when the Commission was sitting, and it is simply disgraceful that a Government Department should ever have given its official sanction to such a tissue of misrepresentations and palpable false statements. For these 785 deaths in fifteen years, and 390 in the preceding twenty-two years (classed as from erysipelas after vaccination), no one has been punished, and no compensation or even official apology has been given to the thousand sorrowing families. And we may be sure that these acknowledged deaths are only a small portion of what have really occurred, since the numbers have increased considerably in the later period, during which more attention has been given to such deaths and more inquests held. It is certain that for every such death acknowledged by the medical man concerned, many are concealed under the easy method of stating some of the later symptoms as the cause of death. Thus, Mr. Henry May, Medical Officer of Health, candidly states as follows: " In certificates given by us voluntarily, and to which the public have access, it is scarcely to be expected that a medical man will give opinions which may tell against or reflect upon himself in any way. In such cases he will most likely tell the truth, but not the whole truth, and assign some prominent symptom of the disease as the cause of death. As instances of cases which may tell against the medical man himself, I will mention erysipelas from vaccination, and puerperal fever. A death from the first cause occurred not long ago in my practice; and although I had not vaccinated the child, yet, in my desire to preserve vaccination from reproach, I omitted all mention of it from my certificate of death." (See Birmingham Medical Review, Vol III., pp. 34, 35.) That such suppressio veri is no new thing, but has been going on during the whole period of vaccination, is rendered probable by a statement in the Medical Observer of 1810, by Dr. Maclean. He says: "Very few deaths from cowpox appear in the Bills of Mortality, owing