Show i v cciiTI IMPERATIVEe I v Full Statement of the Situation i and the Needs r by Dr Beatty Secretary of the State Board of Health Dr T 13 Beatty secretary of the State Board of Health has prepared < or general distribution a statement and argument on the present smallpox situation situ-ation and what needs to be done I ito ia ito i-to be circulated in pamphlet form and k will have diagrams slalistlca1 tables and the olllclal curd of the First Presi ilency of the Mormon church commending com-mending vaccination as published In the Dcscrct News In November last Dr BeattyH circular for the State Board of Health is as follows PRESENT SITUATION f For the past three years smallpox jian extensively prevailed I throughout t the United States having been Introduced Intro-duced it is believed by soldiers returning return-ing from Cuba The disease tlrst made I UK appearance in Utah about 0 year StVc has ago and since that time the hecn visited with an epidemic more extensive eX-tensive than that which has been experienced ex-perienced by any other State In the 6Union despite the favoring circumstance circum-stance that it Is I less densely populated There have been reported to the State Board of Health by the local I I boards moro than 3000 cases and through reliable sources oC Informa Mlun the conclusion Is warranted that there have been at least 1000 additional i1 cases which Jmve J not been reported There have been twentysix deaths and i several hundred eases of the severe lcomluent type of the disease The percentage per-centage of the latter Is constantly In creasing1 and there Is grave reason to fear that the epidemic will sooner or later resume a malignant type The I disease has occurred In 100 towns and villages and In all but four counties Aside from the suffering disfigurement disfigure-ment and death which have been occasioned oc-casioned the State IIIH sustained severe Jlnanilal loss and today Is confronted with the most serious problem In Its history I becomes the duty of all good citizens as well ns Boards of Health to earnestly consider the situation situa-tion and do all in their power to combat com-bat and stamp out the terrible pest which has Insidiously gained such 0 firm foothold that only the adoption of the most efficient and radical measures will prevent its continuance and increased In-creased spread for years to come at the cost of lives suffering and treasure Jjeyond calculation COMPARISON y In this connection it Is Important to F E ptudy the probable causes for the ex r i ccHslve prevalence of the disease In Utah compared with that oC the other f I more populous States In the first N place It 1 found that many people because k > be-cause of Its generally mild character i have ignored and discredited the diagnosis f diag-nosis of the medical profession and assuming p as-suming that It was what they styled jT Manila itch Cuban itch and varl P ous other Imaginary diseases have f been disposed to regard It lightly con V f coaling Its presence and deliberately c f exposing others Chlelly responsible t however for the difficulty and failure I in suppressing the outbreak has been I the SURPRISING ATTITUDE of the people generally toward vacclna Sencral vaccna tlon the only recognized preventive I Jn other States tho laws and public Liflcntlmcnt arc such that when small jj pox appears there Is an immediate re < Vfiorc for the most cart voluntary universal vaccination and revacclna r tlon resulting in a very short period oC time In the complete eradication of the malady owing to the fact that no sus i ccptlblc persons aro permitted to remain re-main Jn the community J is J apropos to quote from a recent ieditorial by Dr George F Shrady of the Medical Record who Is one of the most eminent medical Authorities In the world WOlIIho The outbreak of smallpox on tho west side of this city although so far not especially alarminG will doubtless tend to Impress upon the minds of Its inhabitants the need of vaccination and revacclnatlon Indeed If it has this effect the activity of the disease restricted re-stricted though i bewill prove a blessing in disguise I speaks volumes vol-umes for the Intelligence of the American Ameri-can people us a whole and of this State In particular that there has never been evidence of an organized opposition to vaccination Among a minority of the Inhabitants of the United States a certain cer-tain prejudice against vaccination exitS lf ex-itS but with the bulk of the population popula-tion the sentiment with regard to the operation la one of apathy or rather i of Indifference I la so long since an epidemic of smallpox on a large scale l und In a virulent form appeared in this part of the country that many persons nrc skeptical as to the dangers to be feared from such an occurrence Without I With-out wishing In any way to act the part oC alarmlsls wo would nevertheless sound a npte pf warning and advise parents not to be lulled into a state oC false security The fact that a a community com-munity we arc well protected cannot be denied but IC the practice of vaccination vac-cination beallowed to fall Into disuse it IK Impossible to say for how long this linppy condition of affairs will last Following the appearance of the cases < r to which ho refers more than 1000000 Y < people were vaccinated In New York in Jf thri0 weeks during December last j without lie occurrence of n single fell I CUB complication When the fact is home In mind that this Is about four times as many people UI there are In Utah it furnishes a commentary on the safety of the procedure CAUSE OF ATTITUDE The testimony oC Dr Shrady to the Intelligence of the American people ann an-n whole and tho statement that the chief sentiment Is one ajniply of apa C e thy or Indifference arising from long immunity from smallpox epidemics ap 1 plied a year ago to the people of this Stale as much as to those In other jmiiH ui me country and there would have been no unusual dllllculty in f unutun1dltculy securing se-curing the voluntary protection by vaccination of the bulk of the people and consequent prompt arrest of thu outbreak had It 1 not been for tho unexpected unex-pected virulent opposition which wan Inaugurated and vigorously pursued by p a certain newspaper There Is Indisputable Indis-putable l eldonre that through the one Bided pervnj ed representations of this L paper flu ancral apathy concerning ncChlto was changed Into active antagonism intcnslllod und wpurred on < by other fanatical agitators known as f antlvarcInatlonlKtM J Is not the proxunt purpose to crlti else or comment on the course pursued l > y the editor of the paper Juuel hut It Is only Just to suite that tho proprietors pro-prietors of the paper and the organlza lion uhlth they represent are not party to tho ablation but on the con trary have Issued n public declaration Indorsing vaccination as n prevuntivc I of smallpox and smaJux recommending the people of the State to avail thcniBclvcK of It for their Droloctlon I Is I earnest 1 > desired that tbou who may have 1 been prejudiced shall tho TJ 8hal sludy question ques-tion dispassionately and impartially and decide it upon Us merits not upon the unsupported statements ofe un known und Irresponsible pprwon even though hlRhtsoundlng til lea be at tached to their names The danger Is too gteat and the Issue at stake too vital to the welfare of all to Justify any one in hastily forming l conclusion anti actIng Don It ad vmttftly to the opinions and < advice of thOR whose life study It la I t acqulro nnwl lodge upon thu Plbj i r f Caving hlvcs nnd protPnlug i xlth u pL rut What pasata for Oictu son are the I i 1 I tales everywhere heard of the dire results of the operation No one stops I rculs opeluLon I to Inquire us to the source ot the stories but passes them on perhaps unconsciously adding his conlrl hut onto on-to their horrors On no other question o public discussion or concern is so much credulity displayed PREJUDICE I The prejudice having been acquired people seem oager to hear anything that will conrni It and glad to accept and repeat It without questioning its authenticity No clamor was ever mOl unfair or unreasoning The most I reliable evidence In support of tht harmlessnens and efficacy of vaccination I vaccina-tion if t absolutely I unheeded hile the I fable of the Individual who lost an armor arm-or the mythical vaccinated person who I was the only member of the family I who acquired smallpox Is fatuously cherished being used as allsufficlenc arguments Il Is urged that this prejudice shall be put aside Let people consult the authentic sources of information on the subject let them also investigate and observe without prejudice the actual results and experiences In their own communities requiring that any slate ment on cither side of the qeustion I I hal be substantiated I this plan bo followed there can be no doubt as to ho result THE PROTECTIVE INFLUENCE The protective influence of vaccination vaccina-tion has been strikingly demonstrated In this State during the past year in nearly every affected community It has invariably resulted that in families where tho disease has appeared and the remaining well members have been immediately or within recent years I successfully vaccinated have escaped infection On the other hand I t has almost Invariably happened that In un vacclnattd families the disease when Introduced has attacked all members sparing none The observation of this fact has been the means of converting many persons prejudiced against vaccination Names of many of these cases can be furnished fur-nished if desired It Is also a fact that not one person In a hundred of those in the State who have had the disease has been vaccinated vacci-nated within the protective period claimed for vaccination and not five In a hundred have ever been vaccinated vacci-nated When the records of the worlds experiences for the past century are searched the evidence revealed is overwhelmingly over-whelmingly conclusive THE VERDICT OF THE ROYAL VACCINATION COMMISSION I The Royal l Vaccination commission composed of fifteen eminent sel ntlstf appointed by the English Parliament made a remarkable and exhaustive Investigation In-vestigation of the subject their labois extending over a period at seven years and their report coverfijg J many volumes vol-umes They patiently and Impartially sifted all the stories of alleged failures and shortcomings of vaccination including in-cluding rumors of shocking Injuries and diseases resulting from it These are the stock In trade of the socalled anlivaccinatlonists and jvere weighed in the scales and found wanting yet ire still used on all occasions by those whose purpose they may subserve aa witnessed In the columns of the newspaper news-paper before referred to The summary > f the commission re port was to tho effect that vaccination Is I a preventive of smallpox that It Is the only preventive and when properly Performed Is an entirely safe operation TiE OPINION PROFESSION OF THE MEDICAL The medical profession throughout the world who should be conceded to occupy a position fitting them to Intelligently In-telligently study the qoustlon consider that there Is i no fact in science which is better established than that vaccination vaccina-tion is 1 preventive of smallpox and that when properly performed Is entirely en-tirely safe They universally vaccinate and revaccinate themselves and their families and because of the protection afforded fparlcssly visit the most ma Ignant cases of smallpox I Isnot claimed that a single vaccination will afford protection for life in all persons although it Invariably modifies the severity se-verity should the disease at any period be contracted Experience has shown that the protective Influence is I gradually ually weakened and revaccination is recommended and In some countries compelled by law Vaccination In infancy in-fancy and after puberty will usually afford Immunity for life but t9 be entirely en-tirely safe a person should be vaccinated vacci-nated every ten years or whenever smallpox appears VACCINIA I Is a positively established fact that a properly revacclnated person revnccn has an equal Immunity from smallpox to that afforded by a previous attack of the disease 1 produces vaccinia which is i smallpox robbed of its vlru hence or attenuated by Its passage through the resistant tissues of the cow through successive generations of animals Modern science has discovered discov-ered the explanation for the fact first observed by Jcnner a hundred years ago The same principle s now applied In the treatment and prevention of diphtheria hydrophobia and other diseases dis-eases INOCULATION FOR OTHER DISEASES DIS-EASES fl is now found possible after Inducing In-ducing some of these dlseascn in certain cer-tain animals to obtain tom those animals ani-mals material which Introduced Into the body of another animal produces in it a milder form or the original disease dis-ease by which protection against future fu-ture attacks Ts secured as surely aa though the disease with Its usual virulence vir-ulence had been experienced I Is I possible pos-sible to weaken the virusby the inoculation inoc-ulation from one to another several animals without destroying Its protective protec-tive nature Practically this Is accomplished ac-complished by the cultivation of vac 1 1 1 IIU ill IU JUI lDZUC AS TO ALLEGED DANGER Any person not blinded by prejudice will quickly be convinced of the harm leBaneas of vaeclwiMon when ho Investigates Inves-tigates the mutter Even In former times when the urmtonrin method was In use und no aseptic precautions observed It seldom happened that any serious complication uribijed Today the use of pure bovine lymph from I hiftllhy oolvcfl provided In hermetically hermetical-ly scaled tube together with aseptic methods of operating baa rendered the procedure perfectly safe Tho stories of Injuries and diseases resulting arc absolute fabrications as will bo discovered dis-covered If I traced to their source Millions Mil-lions of people in the United States hay been vaccinated within the past three yeans and there Is ItO record of any dfith or serious accident resulting re-sulting The United States military authorities In Porto Rico uthorltea nIcc wore confronted con-fronted with an epidemic of smallpox raging upon the Island They instituted insti-tuted general vaccination und In eight monthst hAd vaccinated 800000 person per-son under the most unfavorable conditions con-ditions No aerrioiiB complications resulted re-sulted In a single case and the result aH that at the end of the period no case of smallpox existed in the Island Thin Is from the official report HOW WILL UTAH MEET CRISIS Can Utah at this grave crisis afford lo Ignore the testimony of the history and experience of the past 100 years thn opinion ant Judgment of all Ylar U1 ItarnW professions and scientific bodies throughout the world and at the Instigation uf a few fanatically prrjudlced perform refuse to accept 1 UK most beneiu nt gift ever conferred upon humanity and reject the only measure which human intelligence has devised by which the threatened calamity calam-ity may with certainty be averted 1 THE ANSWER The answer must be in the negative The better Judgment of her citizens will surely prevail They will stand with those of other States and civIlized countries They will not deny their defenseless de-fenseless children I theypro cqtlon to whIch hey I are entltled liyjthc J presence of a threateningert < fifywrhey aa Individuals In-dividuals will nut > Vefijsc1 to protect themselves but wjll discharge a duty which they owe to themsolves and to society Tb they lUll do because they will study the question rationally and calmly and will arilve at tho j truth If this reasonable hope is soon verified then tho days of smallpox In out midst are numbered A few statistics are appended taken I from the volumes of official records the authenticity of which is unquestioned One of tho most vivid penpictures of the devastation wrought by smallpox before the introduction of vaccination is given by Prof Wernhcr in his worlc entitled WH Zur Impffrage I Js as folio Before the Introduction of vaccina ton smallpox had become n permanent I disease which never entirely ceased in any one year and every three or five years became a u great epidemic In nonepidemic years onetenth of all mortality was from variola In epidemic epi-demic years onehalf Very few men escaped smallpox till old age almost every one sickened at least once in his life of this horrible murderous discAse Countless mortals were maimed by loss of sight Of newborn children onethird died of smallpox before their first yoai onehalf before their fifth year of life There was no family which had not heavy losses to deplore In the country the mortality was greater than It was In the city Physicians and government possessed pos-sessed no means against this abominable abomina-ble evil Isolation was impracticable from the widespread nature of the disease Men accepted the pest as an I unavoidable fate The loss which Europe suffered from this one disease amounted to nUn millions I was the principal factor which deterred or kept back the population popu-lation from progress and to lead us back to these conditions are the efforts of many ignorant mortals directed Comparing the present conditions I with those just stated tho author goes on to say We now find no child mortality among vaccinated children Also among adults whenever vaccination and revaccination 1 re-vaccination are maintained mortality from smallpox IH at an end One of the bestprotected countries Is Germany where 1 law was passed in 3874 making vaccination obligatory in the first year of life and also icvac cinatlon obligatory at the tenth cuaton oblgalol year This law in Germany resulted from tho epidemic In 1871 with Its 113000 deaths from smallpox among a population In which vaccination had been allowed to die ouL Prior to 1ST I the yearly loss was 15000 to 20000 The present rate Is less than 11C per year and these cases occur on her borders where there is constant mingling with the I poorly vaccinated of other countries During the FrancoGerman war the unavoidable mingling of tho two people peo-ple sprend smallpox which was epidemic epi-demic The German had made vaccination vaccina-tion optional for Its civil population but compulsory for Its army the French having made it optional alike for both army and population The French lost from smallpox 23000 menthe men-the Germans 27S Occupying the same hospital tents with the same surroundings sur-roundings the French wounded lost many from smallpox the Germans not any Tho French prisoners of war died by the hundreds while their German Ger-man guards who had been vaccinated 1 and revacclnatcd suffered not at all In Denmark Sweden and Norway I where as well as in Germany vaccination I vac-cination Is compulsory the annual death rate is from one to three per million annually that before compulsory compul-sory vaccination having been 2050 per million 1 There has been but from t one death from smallpox In the German army where revaccination every five years is obligator I ob-ligator since 187i |