Show VACCINATION IS UPHELD IViedicai Society Unanimously Favors it IT PREVENTS SMALLPOX f Members of the Society Very Emphatic Em-phatic in their Advocacy of Vaccination Vac-cination Would Have it Made Compulsory if Possible Approve of the Board of Education Preventing I Prevent-ing Unvaccinated Children from I Attending School Mr Critchlow Says Such Action is LegaL i The Medical society met In special session last evening to receive the report re-port of the special committee on the smallpox situation and to dfccuss means oC preventing the spread of the disease Dr Root presided besides whom the following were present Drs JSMerbcck Fisher S Hughes S Ewing Boatty Bowers Croxall Pluto T Jones King McKenna Snow Witcher Mac lean Scott Lyons Plummer Plough Hosmer E O Jones of Murray REPORT ON SMALLPOX The committee composed oC Drs E S Wright S Ewing and A C Behlo submitted Its report on the smallpox situation which was read by Dr Fisher as follows Your committee to whom was referred re-ferred the question or vaccination and statistics bearing upon the subject beg leave to make the following report As an introductory we find an article by Dr Ernest Hart now deceased who was editor of the British Medical Journal Jour-nal and an acknowledged authority on preventive medicine and hygiene very pertinent I Impartial students of the history of medical ogress readily admit that vaccination which has now stood the test of practice for a century r malns today one of the greatest medical prophylactics the world has cer Unown Like all other measuresifor Improving the general health ofrlhc community It emanated from andhas een fostered by the medical profession profes-sion But tho assertion so frequently made by Ignorant or unscrupulous laymen lay-men that the profession has been Influenced In-fluenced in Its exertions to maintain the practice by motives of pecuniary benefit is so obviously ungenerous as to only call for a passing notice The number of octors ho derive any substantial L sub-stantial benefit from the practice of vaccination Is I very small and those who consider that the bulk of medical men arc so Inordinately mercenary as to lend themselves to the j jipport of a false system for the sake v L a few dollars dol-lars a year should remember that it Isj the prevalence of disease and not Its prevention which best pays the practitioner prac-titioner A widespread outbreak of S smallpox must prove far more remunerative remu-nerative than the small fees to be earned by vaccination If people would hut bear in mind that the sanitary science sci-ence of which England is today BO justly proud and which has led during dur-ing the last llfty years to a marvelous reduction In the mortality from lllth diseases and an Increase In the average length of life owes its origin and development de-velopment to medical mon they would the more leadlly understand that had vaccination not possessed the powers claimed Cor it the met Itn I profession would IMVP been the tlrsl to cast It ffIic1tcYt 1 l tHfcy ImerrejcclcafOlhfcr false practfees CAUSES OF PRESENT DEFAULTS IN VACCINATION This falling off of vaccination is no doubt largely due to the absence of any widespread epidemic of smallpox throughout tho country within recent years The feeling of false security thus created has led a number of perSons per-sons to put off for the moment the temporary tem-porary Inconvenience of being vaccinated vacci-nated As might well be expected un del these rlreumstanoeH whenever smallpox theratrns to spread In a district dis-trict there is a rush for vaccination I nmong the unprotected which by straining the local resources to their utmoHt limits Is not calculated to secure se-cure the most elllclent protection In all j casoB Moreover J experience has show that with the subsidence of the Immediate I Imme-diate danger the rule of apathy again I SetS in INFLUENCE OP ANT1VACCINA TORS But although Individual apathy has imifh to do In the 1 falling off of the amount of vaccination some of thr baneful Influence Is attributable to the opponent of the system who persistently I persis-tently disseminate gross misrepresentations I misrepresenta-tions calculated to create a dlsltust of vaccination It I has been truly ald thil If I persons who so readily neglect van l I na lion I at the bidding of a few cncrg > tir but not too scrupulous agitator could look on the night common In every Kinallpux epidemic of a family living together In the same house and under precisely the same conditions Invadi by smallpox the unvacclnated niembei developing the disease In all Its loath Honic virulence the recently vaccinated or revaielnatcd escaping altogether and those liu yeais previously have been vaccinated more or less olllclently escaping es-caping with it few spots and slight constitutional con-stitutional disturbance the perverted j 4 HtRtlsilea and the sophistries of the an tlacrniatoru would bo brushed aside forever ci 1 NECESSITY OF EFFICIENT VAC CINATIQN g It has already been shown that In the variety of lcons l taught by careful i study of rocont statistics and a comparison com-parison of them with the older figures 2 the mol obvious and Important inS in-S allowing of course for a few exceptions which prove the rule that efilclont vucciiwuon in mrancy uuorus un ui most absolute Immunity from smallpnx xip to about ten years of age and that after that date the operation must be cflUlently repeated Eflltlcney however how-ever IK cswentlnl Certain antlvacrl natois assume that all vaccination KodSi5htl and indifferent must be n KaidiSltiH J equally protective or rather unprotfctlvf against umallpox It would be scarcely lean 1 absurd to argtle that the mere visit to a doctors ofllci should be regarded as proper vaccination vaccina-tion Vaccination may and does vary very much In quality and the more closely the vaccination vaccina-tion t In recent epidemics has bw n studied the more obvious has It become that a deplorably large proportion propor-tion of the t nominally vaccinated today have been most inefficiently vaccinated and are coniciqueni1y In many ease almost unprotected against an attack < f smallpox Pur not vaccinate than plaro them in a state of false security and at tho wime time endanger the jTiutko of one of the greatest proph Iaillc8 of modern times The evil Tf f KUltH io often referred toby antlvac ntioru can easily be traced to faulty method In vaccinating urh as cnr < lsnficm l in employing modern methwlH of tif ptic work the election of proper vaccine matter and subsequent management man-agement of the case THE INFLUENCE OF VACCINATION In mltlffntlnff thi severity of smallpox small-pox U well shown In the official rPl onlM of pUtlng or permanent dH UKUf mi nt folloulng tin dltwt1w again by tho length l of tay of patients In the hospital From Doctor Baryx report rm tim ShcfU > Ul i lilP > nIe of 18S7S W i find that nui rl ljt icrinntud children ndll 10 v i Ir pk attacked by Hiivillpnx ni 1 tvci iifiu showed any ulttlns on fN n iv xiinUf n n nrly all the children of the unvaccinated I class who were incidentally Inspected I In the course of the Inquiry the attack of smallpox was of a severe type and Jn a majority of cases was followed by considerable pitting I STATISTICS AND DIAGRAMS No fact is better attested than this I protection in the case of smallpox The proof of the degree of It Is seen at a glance by observation of slatistiej In countries and cities where they arc most accurately kept J Thus in Sweden the mortality from smallpox in the twenty four years before the introduction I of vaccinia 1801 was L050 per lOOOOCO annually an-nually after vaccination 15S per 1000 I 000 Drysdale says of Berlin that the mortality in that city during the epl I I domic of 187371 rose to 2KJ and 252 I respectively per 100000 inhabitants Thereupon vaccination the first year of life was made compulsory and revac clnation In the twelfth year of life l with the result that in the first year of enforcement 1S7G the mortality fell I to 3G h per 100000 to 31 In the year lSiGto 03 JnlS77 and so on for succeeding I suc-ceeding years down to 1883 with an avcmgo of 17 per 100000 Corbally reports re-ports that the vaccinated children Shofllcld 1SS7S had as compared with the unvacclnated children a twenty fold immunity from attack and of aIIO fold security against death by smallpox small-pox These facts render further L statements state-ments superfluous but a few points may he added from army life Army sla llslics are especially valuable for their accuracy Thus Schultze shows that since the operation of the German law the annual average cases of smallpox ncr 100000 was in the army of Germany 491 of France Jim 72 of Austria 3710 During the FrancoGerman war 1S7071 > the mortality of smallpox In the unvacclnated French army wa 23 100 while that of the vatclnatcd German army was but = G1 1 As already slated elsewheie there has bepn re portnd but one case of death from smallpox in the German army since 1871 Morbidity shows the same results as mortality statistics for since the enactment of the compulsory law Ir Germany Sehultsp there have been attacked with smallpox annually In tim German nrniy up to 1JS7 v2 In the French irmy up to 1S6 1600 In the Austrian army up to 1Sl3175 TABUS VI I Mo r tall Ly Per Cent c Q 0 Qg Hospitals 2 n = nn ra 0 i COstreot JOst 718 27 Ilardwiclzo 112 7857 200 I cork 55 5S0 21 London smallpox 14loG2 ISS ampSlcnrl LoncJon 111 5li 195 IIampSlcnrl i 7 IG3 Chart 13Progrcss of smallpox in Prussia before and after the enforcement enforce-ment of general vaccination Death rate ncr 100000 of population 18461886 i i 9 b r C I Mj l f I f I = I I E f rr p 100 IMi f I I ijai i jf IJ 100 s I so I TO I 70 Ij I > 00 I 00 I I I II r i 60 60 I I ij Ii c il I JO I fil I l J JO > 30 I I J I I I i 11 8 J 0 4 o p o e iI1 AT i i i t tll HI I 10 11 J Ul dl Imi 11 I I co LfTM t JrL > i u i po T I 1 + JTLl 9 1 = n t YiITrYt l F1 rFjTnl H i I clT mTF I CURT 14 Prgrss of snialj5ox ri tusln Aacauij5ulsely TQed nawit uj lo rS8 DcatTalt r 100000 oj 4Luaffo IJ k > I Yc k b I I z d6 b T > r r h I lOQ IIiT 1tOO H I I z I i t 1 I 00 10 J = i j J t Lit t 10 o co J 00 I I I 1 i i I t I eo II I f u > DJ iI11llhulIkj I I I I l I I I 3 i I I I I I I t 6 I 1 I I II I I 11 I so IIk Ii I I J i I j I I so milll ill ± iilli I i i I I i i i Jllbh l JJ H lWjJ T1 1srrrrftniinrrrriarm 7 I lh IZrf TFn alluts 13 I and 14 i arc 1rlcr clT1h rnpfimg IntJicAc7J 111M mfftulni Berlin tS91 I = = TABLE VII dorta1ity Per Cent t I g 8 t o Died I i5 S r Total G1 I t too f = 8 ci I J I Per Cent t Dled cI I I 5 Total I J m1 2dortality 9 fIg fI-g i Per Cent H I ii e o I DIed I S CJ Total l ci Mortality i I = Per Cent M Ilcd ° > I If A h Total 1 rn I Q I Jt d I I cI 1 gQ I cJ I = J I p = t3 d = = cJ cI 0 cJ a c I f > > I I TABLE VHL Showing tho relation between vaccination I vaccina-tion and tho prevalence and severity of smallpox From April 1 1S7C to March 31 1SS1 Mortality i t c Per Cent IC 8 1 c i 1 I 0 Died I EI I Total 8 i MortalIty Per Cent Z2 I f g Dlc I C118 I r Total c = I M I 2iortality cr 1 = r Per Cent 11 0 1 1 I C Died I M I o IC 11 gR v Tola1 I chiIortahlty r 1 I r Died Per Cent I I l I 3 I Total II I t g tI I J i I rr I I B 3 I c d I t = 8 g c P I 8 8 L LCJ = t CJ I J p Table showing tho rate oT attack by smallpox among tho vaccinated and the unvaccinated under and over 10 years of ago respectively Under Overt I t 10 Yrs hO Yrs C = = = p I 5 n n 8 Q 8 p = = g = a 2 I r > I l rc c H Shcll1eld 79 llljj l 2S2153 tJ Lelccsler Of 2iy222 li1i ulrington 14 O 1 i1i L Dcwsbury to fU i j 5 I Gloucester SSi031322W 0 0 = 1 JpIzoJ = = t ciA I BerM 1 A > ChVAr7o I = ArrER j VACCNATON Jmnfjar cIJfdq 7OA raffc wilh AOJtr 1 i Smaflpar g fitIdm < > II J = CIipLr I c > cs J N ut < t > < > < > m 70 K < > I 1 I i T1i1i i r u 1k > O J I I > I 1000 < 0000 U4i 1 1IT r4t 000b o SOoo c + < 1 I r SOO 1 i FLj 1I 4j 1 0 I 1000 + tU I 0 < 0110 J J 1 ii H i 3000 o 0 H m iF 4 3 Ii H 3000 0 ii ite Z Y 5 J 1 0 H I ii t t 0 1 E f S t rl R 200 f M i HoIbMpL i 000 > > = I 1 W J > 1j I S F e r 1 m 1 II + > > d I 1000 i 4 l 1 t l = I 000 SOO 11 fi4 < r q S6 0 IL i > M1L 1 l YfW 1 > wM < fi W lO r = = r lJ Showing smallpox death rates for the Kingdom of Sweden for the ono hundred and seven wears 17491S5D Prom tho first report of th Royal Commission on Vaccination 1889 I Table showing by percentages what proportions of the cases amonr tho vuc cinated nnd nnvacclnatcd respectively woro attacked by the milder and by the severer types of smallpox en 2Co 2 n Co 00 10a = n 2d 5 g cod 01 rtID m c Shcllleld VaccInated 528 12 Unvaccinated 186 815 I Leicester rncclnntc < l 811 8G Unv1cclnatc 272 i2S v nrrlnglon VaccInated 82 218 Unucclnated 91 iOG Dowshury VaccInated 20 180 Unvaccinated 2jl 769 l I Philo T Jones moved that the report re-port be accepted indorsed the sentiments sen-timents of the society and that the papers be requested to publish it in full COMPULSORY IN ENGLAND Dr Bowers asked if it was a fact that compulsory vaccination had been abolished In England Dr S Ewing said the law was modified mod-ified to the extent that persons satisfying satis-fying a 1 court that they had conscientious conscien-tious scruples against vaccination would be relieved from the requirement require-ment The law had also been amended amend-ed In that It prescribed that vaccinations vaccina-tions should be done by a public vac clnator and In the most improved scientific sci-entific way which Is prescribed The effect of the new act was that evasions eva-sions of vaccination since it was I passed two years ago were 10 per cent less than in any year for the past forty years and vaccination was more general I gen-eral in England now than it had ever been before ROASTS THE DESERET NEWS Dr Fisher In referring to the publication publi-cation the report suggested that the Deseret News be asked either to pub lih it In full or not at all as he expected ex-pected that paper would if it under I took to synopsize it make a garbled report of It Dr BeattY said It was desirable that the News should publish It In full because be-cause that paper reached a class of reaxlers that no other paper did The News and the News editor the doctor said had done more harm In this matter than they could atone for in a thousand years and rather than not have the report appear In its entirety he would pay for It himself at advertising adver-tising rates Di S Ewing said IfJ dont believe in paying money to a paper which has so misrepresented vllllfled and insulted insult-ed the members of the society The other papers are much more entitled to be paid than the News I suggest the society buy sufilclent copies of the other papers which have offered to publish the report free and send one to each subscriber of the News J believe be-lieve however the News will publi hit h-it Penroso thinks he is equal to demolishing de-molishing it in a minute This society cant down Penrose All the medical societies In America couldnt do that A motion that the society pay the News advertising rates IC that paper would not publish it in full was lost Dr Hough said the News had done untold Injury to the community in the matter but if people didnt want to be protected the best thing to do was to let them take the consequences The motion of Dr Jones was unanimously unani-mously adopted HEALTH BOARDS ACTION Dr Fisher said the local Board oC Health had done everything in Its power to have vaccination made compulsory com-pulsory and he thought the proper I thing would be for the City Council to pass a compulsory vaccination ordinance l I ordi-nance He also thought the society should go on record as upholding the Board of Education In its action to prohibit unvaccinated children from attending the schools It was the best thing that could be done under existing exist-ing circumstances A discussion on the merits of vaccination vacci-nation was had and all who spoke strongly Indorsed it and it was stated I by Dr Ewing Dr Scott and others I that there was not a member of the society who did not approve of It and that there was not a reputable physician physi-cian In the State who did not indorse it i UPHOLD SCHOOL BOARD Dr Philo T Jones moved that it be the sense of the society that the Board of Education require all children attending at-tending the public schools to show satisfactory sat-isfactory signs of successful vaccination vaccina-tion as a condition to their being allowed al-lowed to attend and that the society require the proper health authorities to take such action as will sustain the Board of Education In that course and that the society does not approve of closing the schools The resolution was carried unanimously BOARD WILL STAND BY IT E B Critchlow a member of the Board of Education who was present was asked for his vIews qs to whether the 1 board would maintain the stand it had taken in regard to excluding unvaccinated children from the schools Sir Critchlow said that the Board of Education felt that If the local Board of Health instructed the Board of Education Ed-ucation to allow only vaccinated children chil-dren to attend the schools such would be done But the Board of Health to make the action legal must do so His opinion as a lawyer was that If the Board of Health did so no successful action could be taken against the Board of Education for denying un vaccinated children admission to the schools |