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From these statistics the protective power of vaccination
amongst adolescents of 10 years and under 15 has diminished
to one-fourth of what it was amongst children under 10
years of age, and therefore shows the great importance of
re-vaccination after that age.
Not one of the 68 cases of 10 and under 15 years of
age was stated to have been re-vaccinated.
Of the many accounts of nurses of Small-pox Hospitals I
have not read of a single case of small-pox occurring amongst
those who had been re-vaccinated.
The strongest practical evidence that small-pox can be
stamped out by vaccination and re-vaccination is supplied
by Germany. For since the year 1874 re-vaccination before
leaving school has been compulsory, and during the last ten
years small-pox has been almost extinct, being at the rate
of only one case per million inhabitants ; and these few
cases are those of foreigners or natives who have not
been re-vaccinated.
The Royal Commission on Vaccination is now meeting
weekly to draw up its final report, which it is expected
will be presented to Parliament before this season closes.
It is to be hoped that this will give a stimulus to
increased vaccination and re-vaccination.
Scarlet Fever or Scarlatina.—There were 33 cases notified,
and no death; 31 of the 33 cases were removed to hospital.
In London the notifications were 20,654 in number, and the
deaths from the complications of this disease were 829.
During the last half of the year the Hospitals of the