among countries "without compulsory vaccination." (See table and diagram opposite p. 238 in the 2nd Report.)
In the city of Berlin we have indicated two epidemics, that in 1864, with a death-rate a little under 1,000 per million, while that in 1871 rose to 6,150 per million, or considerably more than twice as much as that of London in the same year, although the city must have contained a very large male population which had passed through the army, and had therefore been re vaccinated.
I give one more diagram (No. VII.) of small-pox in Bavaria, from a table laid before the Eoyal Commission by Dr. Hopkirk for the purpose of showing the results of long-continued compulsory vaccination. He stated to the Commission that vaccination was made compulsory in 1807, and that in 1871 there were 30,742 cases of small-pox, of which 95'7 per cent, were vaccinated. (2nd Report, Q. 1,489.) He then explains that this was because " nearly the whole population was vaccinated "; but he does not give any figures to prove that the vaccinated formed more than this proportion of the whole population; and as the vaccination age was one year, it is certain that they did not do so.[1] He calls this being " slightly attacked," and argues that it implies " some special protection." No doubt the small-pox mortality of Bavaria was rather low, about equal to that of Ireland; but in 1871 it rose to over 1,000 per million, while Ireland had only 600, besides which the epidemic lasted for two years, and was therefore very nearly equal to that of England. But we have the explanation when we look at the line showing the other zymotics, for these are decidedly lower than those of England, showing better general sanitary conditions. In Bavaria, as in all the other countries we have examined, the behaviour of smallpox shows no relation to vaccination, but the very
- ↑ The small-pox deaths under one year in England have varied during the last fifty years from 8.6 to 27 per cent, of the whole. (See Final Report, p. 154.)
