page 246 note * Kritik der Vaccinations—Statistik und Neue Beiträge zur Frage des Impfschutzes. Josef Körösi: Berlin, 1889.

^{page 246 note †} Vaccination and Small-pox. E. J. Edwardes, M.D. Lond. J. and A. Churchill, 1892.

page 247 note * Or, to be precise, from the " vesicle," as it would now in its earlier stage be called.

page 253 note * In the year 1885, the mortality from small-pox in Basle was 105·6 per 100,000 population.

page 255 note * Two Hundred and Fifty Years of Small-pox in London. (J.R.S.S., xlv, 399).

page 263 note * Dr. Kubler's Geschichte. Der Pocken und der Impfung.

page 268 note * This analysis bears out the opinion expressed by the late Sir George Buchanan, as long ago as 1884, that vaccination has only a protective influence for a limited time, and that its general effect has been to reduce the number of cases of small-pox in early life.

page 277 note * Klinger: The Small-pox epidemic of the year 1871, and Vaccination in Bavaria, Nuremberg, 1873.

page 278 note * Pistor: Report on Public Health in Oppeln, for the years 1871-1875. Vaccination in Oppeln, 1876.

^{page 278 note †} The mortality curve for the Prussian Army, with the exception of the year 1884, in which there was one death from small-pox, has been identical with the base line since 1873.

page 282 note * The Elements of Vital Statistics.—Arthur Newsholme, M.D. Lond. Swan, Sonnenschein & Co., Ltd., 1899.

page 285 note * The total number of certificates of conscientious objection received during 1898 amounted to 203,413. Most of these related to children born and registered before 1898, and were granted under section 2, sub-section 2, of the Act, which gave to all parents with unvaccinated children, no matter when they were born, the option of obtaining certificates of conscientious objection within four months from the passing of the Act.

page 287 note * The recent decision in the case of Moore v. Keyte is of considerable importance. This was an appeal from a conviction by the Magistrates of Leicester, under the Vaccination Acts, the Appellant having been prosecuted by the Vaccination Officer, as such, against the orders of the Leicester Guardians, and fined 1s. and costs, for neglecting to have his child vaccinated. The Lord Chief Justice, in giving judgment, said that there was no ground for saying that the consent of the Guardians was made a condition precedent to the prosecution. The Vaccination Officer was bound to obey the order of the Local Government Board, and any order of the Guardians, interfering with that order, would not be a legal order that he would be bound to obey.

page 289 note * I have no means of estimating the numbers that have been vaccinated or revaccinated during the present epidemic. Our local papers, in February 1902, mentioned the “rush” to be vaccinated; the people outside the house of the public vaccinator being on some evenings of such proportions as to put one in mind of the pit crowds outside some of the more popular London theatres.

^{page 289 note †} The present feeling, on the question of vaccination, obtaining among the various Urban District Councils throughout the country is shown in the response obtained by the Beckenham Council to their circular asking for resolutions in favour of a repeal of the Conscientious Objector Clauses of the Vaccination Act of 1898. As a result, 94 Councils passed similar resolutions, 46 decided to take no action, 73 sent a formal acknowledgment, and 936 made no reply.

page 290 note * If practicable, a clinical test, also, would be advisable.

^{page 290 note †} British Medical Journal, 2 November 1901, page 1380.

page 291 note * I Office charges extra if life has not been revaccinated.