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56 small-pox mortality than London, which, has resulted in a continuous decline, especially rapid for the last fifteen years, till it is now reduced to almost nothing. For that period not only has small-pox mortality been continuously very low, but the zymotic diseases have also regularly declined to a lower amount than has ever been known before.

The second diagram (No. IX.) is even more important, as showing the influence of vaccination in increasing both the infantile and the total death-rates to an extent which even the strongest opponents of that operation had not thought possible. There are four solid lines on the diagram showing respectively, in five-year averages from 1838-42 to 1890-95, (1) the total death-rate per 1,000 living, (2) the infant death-rate under five years, (3) the same under one year, and (4), lowest of all, the small-pox death-rate under five years. The dotted line shows the percentage of total vaccinations to births.

The first thing to be noted is the remarkable simultaneous rise of all four death-rates to a maximum in 1868-72, at the same that the vaccination rate attained its maximum. The decline in the death-rates from 1852 to 1860 was due to sanitary improvements which had then commenced; but the rigid enforcement of vaccination checked the decline owing to its producing a great increase of mortality in children, an increase which ceased as soon as vaccination diminished. This clearly shows that the deaths which have only recently been acknowledged as due to vaccination, directly or indirectly, are really so numerous as largely to affect the total death-rate; but they were formerly wholly concealed, and still are partially concealed, by being registered under such headings as erysipelas, syphilis, diarrhoea, bronchitis, convulsions, or other proximate cause of death. Here, then, we have indications of a very terrible fact, the deaths by various painful and often lingering diseases of thousands of children as the result of that useless and dangerous operation termed vaccination.