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vaccination was made compulsory, the deaths per million
were:—
1866-74 620 432 188 194 175 2,432 2,624 357 95
Re-vaccination compulsory in 1874. After several
years working the rates are:
1892 98 1.0 1.0 3.0 4.0 3.0 .08 0.2 0.2 0.4
In Austria, where vaccination is voluntary, the rates
are:
1892-96 250 290 260 250 110 47 35
In England, where vaccination is compulsory, with
exceptions:
1892-98 0.6 1.7 14.7 49.3 27.3 7.3 17.6 0.8 8.1
The recent epidemic is not included in these years.
None of the persons notified with Small Pox in this
town had been recently re-vaccinated, except one, after
Small Pox had been contracted, and one unvaccinated
person died.
DIPHTHERIA.
This disease still remains fairly constant. There have
been a great number of sporadic cases, untraceable to any
definite source. The history is usually somewhat as follows.
Child of three years; not attending school; not been with
other children; went out with mother to market, shopping,
or church, from two to seven days before onset of illness.
House in sanitary condition. It is known that the infection
of Diphtheria persists in persons apparently in good
health and the supposition is that a child in a susceptible
condition, if brought into temporary contact with a person
carrying the infective germ, may become infected very
readily.
In all cases recovered from Diphtheria and Scarlet
Fever, the parents are informed of the earliest date at
which it is safe for children to return to school, and the
Masters and Mistresses of the schools are notified at the
same time. It is usual to allow a lapse of about a