FAILURE OF VACCINATION. VARIOLOUS INFECTION AN ILLUSION; VACCINATION AN IN- JURY TO HEALTH AND A DANGER TO LIFE, AND AS A PROTECTION AGAINST SMALL-POX, A VANITY. CARL SPINZIG, M. D. (Read before tlie St. Louis Medical Society, January 16, 1881.) Reprint from the St. Louis Clinical Record for February and March, 1881. FAILURE OF VACCINATION CARL SPINZIG, M. D. Prognostication:—“ Small-pox is eradicated!”—Aug. Friedr. Hecker, 1803(f). Experience :—“ Ars medendi non nisi tardo pede progreditur.”—Htinrich Rehl/a, 1879. Within the compass of this but chanced essay it might have appeared sufficient only to prove by statistics the truth of the propo- sitions enunciated in the heading, but as statistical data generally, and those of vac- cination in particular, admit of any desired flexibility, either to sustain arguments in its favor or totally to condemn it, it is essen- tial primarily to obtain a correct under- standing of the nature of small-pox, of the patho-chemical processes, and of the physi- cal laws that determine its occurrence. preventive power over the “small-pox poison ” in its properly diluted state when applied to a perfectly healthy person, com- pares, in proportion, to an inflammation excited by the prick of a pin in the cutis intended to prevent e.g. pneumonia. The “ scientific proof ” of the infectious nature of variola, controlable by vaccina- tion, is then submitted in form of tabulated evidence, and intended to exhibit the “ ad- vantages ” (here already advantage in lieu of protection) manifested by those who had taken, small-pox and were previously vac- cinated, over those who also had taken small-pox and never had been vaccinated. Pursuant to some reports (Philadelphia, Berlin, etc.), the vaccinated cases exhibit a rate of mortality only of one against three of those unvaccinated, and that in proportion to the number of plain and full vaccination marks the severity of small- pox slides from the maximum to the mini- mum. But such statistics are liable to have recorded incidentalities, and are open to numerous other and grave objections, yet the convenience thereby- afforded spares the trying efforts of the scientific investigation of physiologic© or patho-chemical and physical research. The phrase, the “variolous poison is a specific entity, sui generis,” has, at the present state of physiological science, no other significance than being a contradictio in adjecto, having no other means of sup- port as an established truth, except an indiscriminating credulity, or interested motives identified with the spoils of vac- cination. In harmony with the doctrine of specific infection, nothing is required to be known of the nature of variola. The mysterious “ poison of infection ” is beyond the limits of physical analysis, and its action on the human organism is hence regarded also beyond explanation. It is, therefore, essential, in this “ enlightened mystery,” to employ another mystery, viz : vaccination, as the intellectual antidote, (analogous to the principles of homoeo- pathy—similia similibus, etc.) which, by means of dilution, is claimed to be posses- sed of the requisite ability" to afford protec- tion. With gossip of this kind the multi- tude is then lulled into dormancy-, but alas, of a deceiving surity ! Vaccination appears equaled by the “ thirty-second dilution” of Hahnnemann’s wisdom, for, its claimed Ultimately, after the originally claimed “protection,” the controlling influence of vaccination over small-pox is, even statisti- cally, not sustained. Refuge is then taken in another assertion, that vaccination (re- vaccination and frequent repetitions or sub- sequent vaccination) exercises a mitigating influence over the intensity of small-pox, and thus, it is asserted, small-pox epi- demics, at the present (t. e., in the latter decades) have been but light and of less 4 FAILURE OF VACCINATION frequent occurrence.* In substance, this dernier pretext is literally crashed by the weight of the evidence from the destruc- tive epidemics that devastated Europe and America in 1870, 1871-72. Moreover, the arguments in its favor are partly invalidated by the facts that the social state and the hygienic conditions of those suffering from small-pox are of marked difference, and prove in favor of those vaccinated (demon- strated by the records of Philadelphia, Berlin and Vienna), for the suffering prole- tary contributed most extensively to the rate of mortality, and among whom vaccin- ation, as a rule, is usually neglected. To indicate, in chronological succession, the stages of these processes and the space of time elapsing for the completion of each, would, in this place, be only a repetition of what has been submitted in extenso in our pamphlet on Variola, of 1878. Here it may suffice once more to state the fact, since corroborated, that the eruptive charac- ter of small-pox is the outward manifesta- tion of a process of decomposition of the blood, produced by the disproportionate quantity (from an excess of .05 to .08 per cent.) of urea. By reliable chemical analysis in physio- logical research, ,extending over a period of more than two decades, the fact is now fairly established, as is stated by most eminent that normal human blood does not contain more than .01 to .02 per cent of urea, but variolous blood .08 per cent, and over.-j- The accumulation of urea in the blood is owing to structural changes of the glands of secretion (kidneys, etc.), which thus fail properly to functionate, and from decomposed nitrogenized and albu- minous matter throughout the human organ- ism. I Its immediate augmentation is due, in a great measure, to the proneness to de- composition, which is effected by even a slight increase of individual caloric, thereby evolving gases (carbonic acid, carburetted hydrogen and ammonia), some of which are highly expansible and unduly increase the pressure of the blood, particularly in the In correct inquiry, in medical science, the nature of the object, here small-pox, must be understood before remedial meas- ures can be recommended with propriety; the study, therefore, of the nature of small- pox, and, eo ipso, of “infection,” must be first in order. In consequence of the facts derived from the morbid anatomy in variola, especially when the period of development of the morbid structural changes is compared with the space of time allotted to it by the doc- trine of specific infection, the “infectious” origin and “specific” nature of small-pox must unceremoniously be rejected. The lesions, revealed by the autopsy, can not assume the degree of morbid alterations presented during the period of “incuba- tion ” and duration of the disease to date of death, a period of about two to three weeks,* the grave forms, lardaceous degen- eration and disintegration of the glandular- tissue, require, by far, a longer period. Thus the true nature of the small-pox pro- cess can only be comprehended after imag- inary morbid causes are excluded from consideration, and the elements engaged therein are recognized as physiological component parts of the human organism, changed by the surrounding physical influ- ences into pathological compounds. *Gorup-Besauez, Physiologische Chemie. fCoze et Feltz, Maladies infectieuses. t A healthy man voids about half an ounce of urea in twenty four hours.—Golding Bird, Uri- nary Deposits, p. 77. Urea is also derived from the decomposition of uric acid, which already takes place at 680 Fahr. Here is the equation: Uric AcidC. N. H. O. 10 4 8 16 cleaving into two atoms of urea; and six of €O2, viz: C. N. H. O. 4 4 8 4 6 12 * Compare author’s pamphlet on Variola, etc., 1878, p. 38. C. N. H. O. 10 4 8 16 Compare Preyer, Pflueger’s Archiv, 1868, p. 424, and Golding Bird, 1. c. p. 87. FAILURE OF VACCINATION 5 capillary circulation. Thus the functions of the kidneys are greatly interrupted and a high degree of a uraemic (azoturic) pois- oning of the blood will be the result. It is obvious, and, in this connection, perhaps, proper to observe that, in the winter season, merely limited meteorological fluctuations are sufficient to promote such processes in the human organism, and which, in their outward reaction, produce exanthematous manifestations. Moreover, by the degree of intensity of the meteorological variations and by the potency of uraemic reaction, the species of the eruption is determined, as this regressive action is analogous to that produced by fibrinous fermenting matter (fibrinfermente—Koehler) which from the energetic absorption of oxygen lead, in the reaction of small-pox, to the formation of vesicles upon those surfaces to which atmos- pheric air ha? uninterrupted access. These facts, relating to the natural his- tory of variola, grow in importance when we remember that urea is found in the human system in a higher per centage in the winter than in summer, and that it is more predominant in the male than in the female ; in the child more than in the adult, but in the aged less than in either.* More- over, we should remember the clinical fact that males are more numerously affected by small-pox than females, children more than adults, and the aged the least of all.f Further, that in geographical distribution the same law is found in operation, viz : in hot regions, small-pox prevails chiefly in high elevations (from six to ten thousand feet) and in the plains it nearly disappears. These facts of observation are chief!}7 no- ticed in Mexico, Central America, South America and Africa (Egypt). \ It is, hence, fully evident, from the general facts and statistical data adduced, that the law is established, and as these facts precisely Small-pox, like scarlatina and rubeola, according to their etiology, appertain to that class of diseases which prevail in the wintry season, when, from the intensity of the variations of meteorological influences, an epidemic prevalence results.* * Compare Gorup-Besanez. 1. c., pp 587 and 690. fTo corroborate this clinical fact, the following tabular statements of mortality, which is a fair index of the percentage of morbidity, of sex and age, may here be reproduced : * Most convincing evidence, in behalf of these propositions, occurred h re in St. Louis, some few weeks since. Within one week, three daughters in one family died of scarlatina that could not be traced to infection ; the residence of the family is located healthfully and conforms with ordinary sanitary regulations. The first daughter, aged five years and three months, died Nov. 27th; the sec- ond, aged seventeen years and two months, died on the 28th of November; the third, aged two years and eleven months, died Dec. 1, 1880. Now it may be borne in mind that the wintry weather here set in on the 6th of November and continued, with only quotidian interruptions until the 12th of December, and from then until now. The above mortality coincided with the period of the greatest meteoiological fluctuation, viz: when the barometrical ranges were equaling those ex- tending over a period of an entire year. And in ■conformity with the barometrical fluctuation, the temperature fluctuated as a matter of consequence. The meteorological records are as follows : Tears. Per cent. Tears. Per cent. 0-10 47.27 50-60 2.36 10-20 15.01 60-70 1 32 20-30 19 15 70-80 0.31 30-40 8 98 80-90 0.04 40-50.......... 5.20 Of 175 children under ten years of age, 97 were males and 78 females. Ot 588 deaths from small- pox, the age is represented in the following table: Tears. Number. Tears. Number. 0- 1 157 35-40 21 1- 5 226 40-45 5 5-10 65 45-50 5 10-15 14 50-55 3 15-20 20 55 60 5 20-25 28 60-65 4 25-30 20 65-90 0 30-35 15 . /Males, 56 83 per cent. /Females, 43.17 “ Barometer. Degree. Time. Maximum 30 786 Nov. 22, 7a. m. Minimum 29 329 Dec. 4, 11 p. m. Range, in thirteen days, 1.457 inches. Thermometer- Degree. Time. Minimum 10 F. Nov. 22, 7 a. m. Maximum 60 F. Dec. 4 11 p. m. Fluctuation, in thirteen days, 50 deg. F. The first two tables are copied from the Annual Report of the Board of Health, Philadelphia for the year 1872, and the third one from the Jahres- bericht des Wiener Stadt Fysikates, for 1879. J Compare Lombard, Climatologie medicale, Yol. 111, pp. 357 to 389 and 560; also Muehry, Klimatologische Untersuchungen, p. 277. In Mo- rocco, where nothing but filth is met with, and a total absence of medical knowledge, small-pox is not destructive, owing to the mild climate (G. Rohlfs, Arch. Yol. I, p, 190). 6 FAILURE OF VACCINATION correspond in elucidating a fundamental truth, that the nature of small-pox is found in the reaction of urea on the blood, and that small-pox will occur and prevail when and where the reaction of urea is intensified by the nature of physical surroundings. are intended to exhibit the “small-pox poison,” and which is supposed to be bac- terii and bacteridii that have entered the system from without, as by injecting blood fronvvariolous patients, either in the liquid or dried state, the same kind of bodies are subsequently visible on microscopic exam- ination. Many of the rabbits thus experi- mented on died soon afterward. From the physical nature of urea we know that it is readily dissolved by the warm animal fluids (warm water dissolves it in any proportion), and thus, from its proneness to decomposition, it acts on the blood corpuscles as a deoxidizing (reduc- ing) agent.* But similar, if not identical, effects are produced by mixing blood from healthy rabbits with a solution of chemically pure urea, and keeping the mixture in a warm room (65° to 70° F.) for eight or twelve hours. A great many of the blood cor- puscles have then become granular, and have serrated or thorny edges. The liquor sanguinis contains large numbers of “danc- ing” granules of urea wduch resemble most perfectly micrococci and shreddy bacterii. The spectroscopic analysis of variolous blood, executed by Coze et Feltz, prove also nearly identical with those of Prof. Preyer (compare Pflueger’s Archiv, Vol. I), with uric acid on hsemoglobin. In both examinations the haemoglobin impressions had vanished. Oxygen is then at first attracted in the formation ef septic matter, as a matter of consequence, and which again energetically absorbs additional oxygen from the atmos- phere, analogous to “fibrinous ferments,” and thereby the capillary vessels of those surfaces to which atmospheric oxygen is most readily accessible, are infiltrated with septic matter, and there terminate, by way of diapedesis, into the formation of the con- tents of the subsequent small-pox vesicles, which, in their phases, constitute septic abscesses on a small scale. In the study of the etiology of variola, and if the theory of infection is admitted, the belief appears to be entertained that the morbid alterations of the blood cor- puscles, as the peculiarities are found on microscopic examination, are a direct dem- onstration of the presence and form of the “ specific poison of infection.” But, in the limited compass of that mode of inquiry, the actual state of the facts is not realized. Those visible changes can be produced arti- ficialty by exposing healthy blood to the reaction of a solution of urea. This sub- ject is of uncommon interest, and it may, hence, not appear improper to allude to it here in detail. With the view that small-pox never originated except by conveyance or “infec- tion,” and that the supposed “infecting” agent is a form representation of the lowest degree of organic development (similar to the also supposed “ malarial poison”), it is intimated that atmospheric ozone, when acting in the normal mean, or even in an excess, would be the natural antidote also to variola, as the fact is well established that intermittent and remittent fevers dis- appear when ozone is predominant. But, as we know, variola can not be classified with fevers that originate and prevail in the summer and autumnal season when urea in the blood is reduced to the minimum, and glycogenic matter predominates. The pathogeny of those fevers is influenced by ozone, as by this agent it is reconverted into cheraico-physiological processes that are curative of the fevers. In variola. The lithographic representations of cor- puscles of variolous blood submitted by Coze et Feltz (Op. Cit., plate iv, fig. vii), f Urea reacts intensely on the blood corpuscles. —Rollet, vide Strieker, Lehre von den Geweben, page 290. FAILTRE OF VACCINATION 7 urea is in excess and glycogonic matter is almost entirely missing; ozone, therefore, does not influence the pathogeny of variola, and variola is, hence, found to prevail when ozone exists in the air even in marked excess. A direct proof is afforded by the records of Vienna, of the year 1877, when that place was subject to a rather light epi- demic of variola, and the monthly means of atmospheric ozone were in excess, as recorded in ihe following table (Annual Report d. Stadtfysikates for 1877) : Month. Variation. Month. Variation. Jan -f-4.5 July + 2.7 Feb —3.1 Aug + 7.4 March —0.5 Sept +16.6 April +6.1 Oct 0.2 May +5.2 Nov .+ 4.3 June —2.4 Dec + 4.4 Annual mean + 4.6 Annual mean rain-fall, var...—19.0 m. m. It will be seen that these variations are extreme. In their fluctuations and inten- sity of reaction, during the season in which they were irregular, is to be found the cause of the morbid phenomenon here under consideration. RELATIVE HUMIDITY. Month. Per cent. Month. Per cent. Jan 4.6 July 8.2 Febr 7.2 Aug 7.6 March 7.5 Sept 7.9 April 8.8 Oct 7.4 May 8.4 Nov 6.1 June 7.8 Dec 6.7 In order to compare the law of causation with the results of morbidity and mortality of variola, the following two tables are of great interest. They illustrate the verified fact that variola, in its occurrence and fatal effects, is on a parallel with the meteoro- logical seasonal influences, and that its pre- dominance is in a ratio with the intensity of reaction of their irregularities. Annual mean 7.35 To learn the approximate normal monthly and yearly means of ozone at Vienna, the rates for 1854 and 1855 are here repro- duced : Month. Per cent. Month. Per cent. Jan 5.23 July 5.23 Feb 7.90 Aug 3.60 March 5.71 Sept 2.70 April 4.25 Oct 5.01 May 4.30 Nov 2.90 June.. 3.75 Dec 3.90 Morbidity of variola at Vienna in the year 1877: Month. No. cases. Month. No. cases. Jan 233 July 78 Feb 191 Aug 60 March 287 Sept 46 April 198 Oct 91 May 158 Nov 129 June 94 Dec 184 Annual mean 4.06 But of the meteorological fluctuations which are essential to the origin and preva- lence of variola, ihe following variations are recorded at Vienna for the year 1877 : Total for the year 1,749 Mortality of variola at Vienna in the year 1877: BAROMETER. Month. Variation. Month. Variation. Jan —0.5 July —0.5 Feb —4.1 Aug —0.9 March —5.5 Sept —0.7 April —5.1 Oct + 1.1 May —2.3 Nov —1.7 June. +2.1 Dec ~..+0.2 Annual mean —1.5 Month. Male. Female. Total. January 47 38 85 February 36 33 69 March 44 41 85 April 38 37 75 May 23 25 48 June 23 18 41 July., 14 21 35 August 13 10 23 September 9 8 17 October 11 16 27 November 23 21 44 December 20 19 39 THERMOMETER. Month. Variation. Month. Variation. Jan + 1.3 July + 19.2 Feb + 2.7 Aug +21.0 March + 3.7 Sept +1.2.7 April + 8.1 Oct + 8.0 May +11.9 Nov 4.8 June + 19.7 Dec + 0.1 Annual mean 9.4 Totals 301 287 588 The meteorological variations at Vienna 8 FAILURE OF VACCINATION, for 1877 compare fairly with those of Phila- delphia at the time of the great epidemic of 1871-72. At both places, low borometri- cal pressure, high rates of temperature, also high rates of relative humidity and de- ficiency of rain-fall, are noted. But it may not be necessary here to represent the man- ner in which these influences react on the human organism. This has been, to some extent, already indicated, and is elucidated by the study of biology and Here it is only requisite to direct attention to their preexistence and co-existence with the occurrence and prevalence of small-pox. diseases, and their subtile modes of diffu- sion have, by infectionists, been designated the source of the propagation. But from the ‘ ‘ cylindrotsenium” to the ‘ ‘ globulated bacterii,” “ shreddy bacterii ” and “ bacte- ridii,” the entire series is now known as mere products of the process of decomposi- tion, forming the patho-chemical basis of one or the other epidemic disease. The fermentative process supposed to be produced by virtue of one or another fungoid growth, which, in consequence of its special characteristics, determines the re- spective form of any of the ‘ ‘ zymotic dis- eases,” is now demonstrated to be simply a process of oxidation, as “zymogen,” a non-fermenting substance of the pancreatic secretions, is converted into “ trypsine,” a highly fermentable substance, the in- crease of its equivalent proportion of oxy- gen ; and that “trypsine” is as readily reducible to “zymogen” by diminishing the quantity of its oxygen to the original chemical standard (Compare L. Hermann, Handbuch der Physiologie, Vol. V, p. 189). Whatever form representative of retrogres- sive growths is observed in fermentation can, hence, not be recognized as the cause, but only as a product of this process, of which oxygen is the agent and these growths, as material, only form a part of the agency for inducing an augmentation of fermentation. This fact is well founded in mycology by direct observation (Karsten, Hallier), and was abundantly corroborated by the late Dr. Theodore Hilgard, of this city, viz; the access of atmospheric air and the composition of the substrata or nutrient matter upon which the fungus is cultivated, determine its form representa- tion (Eidam, Mycologie, p. 187). The existence of the supposed agent of infection, the “ infectious X” is, under the focus of scientific inquiry, consequently, nowhere to be discovered, and the agency * active in the causation of epidemics, can not be admitted to be the asserted ‘ ‘ impor- tation ” and “ transmissibility from person to person or by things,” but can only be recognized according to the .evidence that we have produced, viz : that the nature of surrounding physical influences determines the line of demarcation of healthful or morbid action, and by the potency of their shadings, in the respective season and at the respective station, specialize the type of the prevailing epidemic. In the presence of these facts, the ques- tion suggests itself: what is to be under- stood by the nature of the supposed “poison of infection?” Although various efforts have been made, ai different periods, to demonstrate the nature and character of the “infectious agent,” yet so far as the results of inquiry are brought to general knowledge, nothing of a definite character or “ specific nature” can be demonstrated. Organic forms of the lower and lowest type of organization, whose nature is identified with that of retrogressive metamorphosis, were regarded as the true cause or the agents of several, at least, of the epidemic Owing to these cardinal points in natural history, the hjqjothesis of the ‘ ‘ specific nature of the “germs of infection” as the cause of diseases occurring epidemically, naturally proved contradictory in the ex- planation of the origin and diffusion of those diseases, and the proof supposed to * These terms are here employed upon a classi- cal definition of Dr. J. E. Tefft, Springfield; Mo., kindly suggested in a private letter. FAILURE OF VACCINATION, 9 be at hand in sustaining “ infection” as to origin and portability, or the mode of diffu- sion, was exploded as a fact of experience after every epidemic. But efforts are not yet spared to revive the theory of specific infection. It is suggested by the “germ doctrine,” although it is the ultimate rescue, that what are termed ‘ ‘ the Pasteur discov- eries” are direct evidence in its behalf. Inoculation (attenuation) was then aband- oned (Compare the Vaccination Inquirer, Nov. 1879, p. 105). However, all of these assertion can not be claimed as “Pasteur’s discoveries,” nearly the entire series have formed the basis of the nosolog}' of infection for sev- eral decades, and the doctrine upon which vaccination is based, has been in vogue, following similar ideas, for more than a century. Although the statements of Prof. Pasteur, made before the of Science, at Paris, during the year 1880, have, in this city, been accessible onty in fragments, yet the evidence is fully obtained that the exis- tence of a contagium vivum is admitted, by which the endeavor is made to explain the origin and propagation of epidemic diseases (small-pox as one of them). For cholera the microhion is claimed to be the “ cholera organism;” for anthrax micrococcus, spor- ules, bacterii, etc., etc., (according to Samuel, bacillus anthracis) to be the infect- ing poison ; for small-pox, as of old, the unknown “X,” and therefore it is, by Prof. Pasteur, confidently believed that variola and vaccine virus will prove to be identical (of which, however, there has of late been no more dispute). It is thus further inti- mated, that in the attenuation of the virus, vaccinating, small-pox and cholera(?), will be found the prophylactic power against the true disease, in conformity with the doc- trine, in the case of small-pox that an indi- vidual can be infected but once. Neither is the supposition of Prof. Pas- teur strictly original as expressed in regard to the “anthrax poison ;” that from buried animals, the poison would be brought to the surface again by the earth worms. It is stated that the bacterii would adhere to the surface of those worms, and would, in that manner, be brought again upon the surface of the earth, subsequently these being dried and carried off by air currents and thus be generally diffused for another infection. Prof. Pettenkofer claims to have first ex- pressed such ideas respecting the diffusion of cholera, based on a similar supposition. This writer was of the opinion more than fifteen years ago, that deposits from cholera patients, containing the “poison,” were absorbed by the ground, from thence again emitted into the air, and there generally diffused, and thus causing new infections. But at the present day this hypothesis is regarded as entirely obsolete even by radi- cal infectionists. If science lacks better information, clini- cal history alone could produce facts proving the contrary. That “attenuation” (i. e., “ vaccination ” or “ inoculation ”), is fol- lowed by a signal failure, may be learned from the fact that, in Paris, as early as 1756, inoculation was practiced, and that a small-pox epidemic devastated that city in 1763. Those inoculated contracted the disease as well as those who have been vac- cinated at the present day, and that Louis XV suffered from small-pox when fourteen yrears of age and died of the same disease in 1774, at the age of sixty-four years. To prove the illusion of Prof. Pasteur’s supposition in regard to the revivification and diffusion of the “anthrax poison,” as an illustration of infection, attention is invited to the fact that bacterii, bacteridii, sporules, micrococci, etc., etc., are found in myriads in the cesspools drained from dung piles; in ichorous fluids of decom- posed animal substance, and in manure. Now, mostly all over the earth’s surface, these substances are taken to the fields as fertilizers, particularly in close proximit}l- - most populous cities (here at St. Louis, for instance, by the gardeners), and the FAILURE OF VACCINATION 10 augmented crop, thus harvested in return, is there consumed without extermination of man and beast, as logically the result ought to be in accordance with the views of infec- tion potentializcd as suggested by the “Pasteur discoveries.” To illustrate fur- ther the illusion attending that doctrine, the city of Croyden(?), England, may be cited here, where all dejections, slops, and foul water are conveyed by sewerage to meadows under irrigation, for fertilizing, the crop of hay harvested in consequence thereof is increased many fold, and the live-stock is fed with that hr.y ; and now the butter and milk obtained from the stock and the meat of it is consumed by the inhabitants, yet it is not known that the}7 are subject to more frequent or more intense epidemics than the inhabitants of other English cities. Those abortive bodies, the supposed agents of “infection” as we know are of the lowest form representations in the regres- sive metamorphosis, and many of them have not even the power to propagate their own species. In “fermentation” they con- tribute to the augmentation of decomposi- tion. Through warmth and moisture, they energetically absorb oxygen and cause that process to take a more rapid and intensified course. In their reaction, in the process of fermentation, they are analogous to lepto- thrix cells, and in regressive actions of the human organism, if injected directly into the blood, to urea; they are agents accom- panying the fermentative processes, and by means of which they disintegrate. Their recurrence from decay and putrefaction proves, consequently, that they pertain to the products of these processes. Accord- ing to Karsten, “ they neither appertain to the animal nor to the vegetable world, their mission being only to contribute to the promotion of putrefaction and disin- tegration, like all septic bodies. They are only the constant companions of death” (compare Eidam, Mycologie, p. 186), hence they are totally devoid of The view that they are to be recognized as the source of “specific infection” must, therefore, be rejected, from the known facts of their natural history. They are not the seeds of fructification in the development of special diseases, but they simply constitute material which, in com- bination with other fermentable substances, undergo septic (regressive) actions, analo- gous to urea in combination with albumin- ates or plasma. Adverting now to vaccination, and bear- ing in mind the identity of vaccine lymph with that of the variola pustule, or that both contain merely the elements of pus (perhaps a higher percentage of urates re- spectively), the danger must be compre- hensible to every one conversant with physiological chemistry, to which a per- son is exposed, particularly in early child- hood, by being inoculated (i. e., vaccin- ated) with such material of decay; and the vanity of the “protective power” of “vaccine” matter over the fancied “poison of the specific infection” of small-pox is obvious. By the masterly and most exhaustive treatise of Keber* on vaccine lymph, and by the thorough investigations microscopi- cally, chemically and spectroscopically, of variolous blood, variola and vaccine lymph, by Coze et Feltz (L. C. p. 179), the iden- tity of vaccine and variola lymph is fully established; also by the inquiry of the author, submitted in his treatise on variola (published in 1878), in which the results of extensive and careful personal examina- tions of variolous lymph are narrated and the facts indicated of its identity with vac- cine lymph. Both contain the elements of common pus, and the origin of which is identical with that of the latter, according to the observations of Cohnheim (Entzuen- dung, pp. 66 and 67, Embol. Proc., p. 102). Now these substances of disintegration, *tleber die mikroscopisheu Bestandtheile der Pocken Lymphe, Virchow’s Archiv, Vol. XLII,. p. 112, etc. specific quality. FAILURE OF VACCINATION 11 if applied in a diluted form (attenuation), namely, by vaccination, it is asserted, in favor of vaccination, will “protect” against an influence of which the “ specific” nature and mode of action is, in harmony with the specific infection theory, also a supposition, and if the hypothetical “ specific” materies morbi of small-pox would thereby not be counteracted, a modifying effect would, at any rate, be the result. Pursuant to these suppositions, it is therefore suggested that two like processes can not transpire simul- taneously in our systems. epidermis by the operation designated vac- cination. and thus producing a slight septic poisoning, would not survive the ordinary course of morphological rotation. Admitting, for the sake of argument* that bv such septic poisoning the “ suscep- tibility ” to small-pox would be suspended {i. e., for the time being), its reaction on the blood, however, would in a very short period (within three or four weeks) be completely overcome, unless structural changes of other vital organs had followed. Thus the “ protection,” even if it be ad- mitted, would be but ephemeral. But on the contrary, is the system in such condition that an already uremic reaction may have matured, and its grave effects are ignited by access of septic matter from vaccinna- tion, either, as frequently is the case, a general and grave variolous eruption fol- lows, or a septic decomposition of the blood, ending in the death of the patient. It is surprising, as this doctrine is quite identical with the nosological views of Hahn- nemann and the actions of his therapeutics, that it could be (and is yet) endorsed by the “regular” profession. Moreover, as it is thereby admitted that homogenious sub- stances (humanized vaccine and variola lymph or pus) exercise a specific protec- tion for a number of years * (siviilia sim- ilibus). Whenever vaccination remains a mere local irritation, which is fortunate to those vaccinated, its effects are cast off again without having affected the constitution. No general impression is made, as no ab- sorption has taken place beyond the local sphere of the gangrenous inflammation. But when constitutional symptoms follow, septic inflammatory fever and deranged functions of the organs of secretion, in consequence of ensuing structural altera- tions, the danger is imminent that pulmo- nary tubercular deposits will also take place, fiom the morbid products which are not cast off by the cuticular local sores and are circulating through the system. They become in part arrested in the pulmonary capillaries, leading there to the formation of thrombi or embolisms, and finally, in consequence of chronic inflammatory irrita- tion, to tubercular nodules.* But, remembering that the of small-pox rests primarily in the prevalence of physical influences, which cause a uraemic patho-chemical reaction in our or- ganism, and that urea reacts on the blood analogous to septic matter—in case of its absence, or if not exceeding the normal proportion—the general effects of vaccina- tion, either from injecting minimum quanti- ties of septic matter into the blood current or introducing it in the usual way under the *ln this connection it is important to be aware that in the human organism (at least) nothing is at rest, “dormant” or “latent,” there is a continual progression (constructive metamorphosis, and re- gression (regressive metamorphosis) in ail its ele- ments and tissues. According to Mole schott, man has, on an average, about 24 pounds of blood, and the oxygen which is taken up in four to five days, by means of respiration, would be sufficient to oxi- dize all carbon and hydrogen of those 24 pounds of blood into carbonic acid and water, hence, the blood, being about one-fifth part of a grown person, if it were consumed (metamorphosed) within five days the entire body ought to be transformed in five times five (25) days. Artificially colored blood corpuscles of the sheep, introduced in large quan- tities into the circulation of a frog, disappeared on the seventeenth day entirely. Compare Dr. H. Rohlfs, Deutsches Archiv. fuer Gescbichte der Medician etc., Band I, Heft 1; pp. 120-121. These facts are verified directly by experi- ments in the physiological laboratory, by * Compare Yirehow, Cell Pathol , 4th Edition, pp. 261 and 245. Hueter Klin. Vortraege, No. 49, p. 288. Gerhardt, ibid. No. 91. Cless, Impfung und Pccken, pp. 10 and 11. 12 FAILURE OF VACCINATION clinical observation, and by occasional deaths from vaccination.* and the modus operandi determining the vesicular eruption is understood, the phan- tom “infection” has lost its significance; also the presumed value of the hitherto employed prophylactic, vaccination. And, if statistics had been computed correctly, vaccination, at the present day, would be doomed to oblivion. Reliable statistics, long ago, have proved it to be utterly futile, which, naturally, could not be otherwise. The maximum of tubercular mortality is found recorded for all localities where vac- cination is performed in the extreme, and the minimum where vaccination is also obseiwed in a minimum degree, or is omitted, f To facilitate a comparison on these pre- eminently important facts, the following list of localities, representing in the first column those of the maximum, and in the second those of the minimum, is here re- produced : But as vaccination is a convenient meas- ure for tyrannical police regulation, and simultaneously offers many opportunities for pecuniary aims (in England $1,500,000 are annually expended for it), a clamorous adherence for its maintenance is manifested by those who are interested, and utter- ances : “We have reduced even small-pox to human control ” * are purposely ven- tured and circulated. Faulty statistics are therefore submitted by the “ authorities.” Algiers, Berlin, Braunschweig, (city) Geneva, France, (in cities) London, Genoa, New York, Naples, Philadelphia, Rome, St, Louis, Turin, New Orleans, Venice, Richmond, Va., St. Helena, Baltimore, Ireland. Cincinnati. However,' vaccination had to be acknowl- edged as without scientific basis, and its practice to be simply an empiricism, by the most believers in it. It is there- fore evident, as there are only statistical data to be appealed to in its behalf, and which prove to be inadmissible as evidence, as they record mere convenient incidentali- ties, the claimed “protective power” of vaccination against small-pox is fictitious— na}r, it is a vanity ! Is it not, then, humili- ating, that after the proclamation : “ even small-pox is brought under human control ” by vaccination and revaccination, to see devastating epidemics of small-pox return- ing, befalling the vaccinated, revaccinated, and those who in addition had survived one or more attacks of variola ? Thus proving such assertions gratuitous gossip. Since the nature of variola and the eti- ology of this dire malady is no longer a mystery, the causes demonstrable upon which an epidemic occurrence is dependent, * Statistical data of the injuries from vaccina- tion have mostly, everywhere, been excluded from the records ; but since the agitation against vac- cination has become universal, at Berlin the facts could no longer be suppressed, that vaccination is followed by injurious results. Professor Finkeln- burg, member of the German “ Reichs Gesund- heitsamt” (National Board of Health), had to acknowledge, lately, as stated by Dr. H. Rohlfs, 1. c., p. 127, that twenty-five officially confirmed cases were brought to notice. On this continent, in San Francisco, Cal.; quite recently, a boy, age thirteen j ears, died from the effects of vacination. The points of vaccination had become a large sloughing sore, from which absorbtion of putrid matter had taken place. The patient was greatly emaciated, and died with symptoms of convulsion complicated with trismus. The lymph employed was obtained from the San Francisco Health De- partment.—Amerika, St. Louis, Mo., Dec. 15, ’BO. f Extreme heights; such as 15,000 feet altitude in the Andes, where pulmonary tuberculosis is said not to prevail (Muehry, Lombard), are here not considered. %In the year 1877, at Vienna, four hundred more died of pulmonary tuberculosis than iri the year previous, an increase of eight per cent. ( Vide “ Jahresbericht;” etc , 1877, pp. 176-77). In the agony of the contradicting evidence which exhibits more than a two-third plu- rality of the “ protected” to take small-pox * Compare Plumbers and Sanitary Engineer, N. Y., March 1. 1880, page 127. Further, Becker, Handbuch der Vaccinationslehre, p. 113, where is enigmatically stated; “Der Mensch hatte das Pockencontagium sich dienstbar gemacht, es gewissermassen gezaehmt. ” FAILURE OF VACCINATION 13 and frequently ending with grave mortality, some source of “ importation ” is sophisti- cally then traced up, but from which “ in- fection ” is said to be spreading, owing, as the excuse is added, to having been taken by surprise. At first one or more “unpro- tected ” are said to be affected, but subse- quently (wonderful philosophy !) others are found “infected” that have been vaccinated and revaccinated frequently and “ success- fully ” so as to be entirely “protected.” Relief is then sought in asserting, and with an air of indifference, that small-pox was imported to Berlin, Prussia, in 1871, by the French prisoners of war,* the offi- cial “ sworn enemies,”! being thereby disseminated. At Vienna, in 1872, it was suggested, in a similar mood, that the wave of small-pox infection came from Prussia via Bohemia.! may be more fully expressed by the details of the following tables : SMALL-POX EPIDEMICS IN ICELAMD.* 1347 great epidemic. 1380 do do 1430 8,000 deaths. 1511 great epidemic. 1555 do do 1574 do do 1580 a sort of varioloid. 1590 small-pox epidemic. 1616-’l7 do do 1632 do do 1636 do do 1655 do do 1658 do do 1670- 71 varioloid and small-pox. 1707-’OB-’O9 terrible epidemic, mortality 18,000. 1742 light epidemic. 1762-’63 do do 1785 do do 1786 epidemic, 1,237 deaths. 1787 do 113 do 1839-’4O epidemic from importation. By the statistical data of England, the But here, it must be asked, how and by whom was London, in England, “infected,” and how Philadelphia and other cities of the United States, in 1871, as there was no “ sworn enemy ” to these nations, and vaccination with all its variations had equally or decidedly failed in its claimed “protection.” Were they also taken by surprise ? evidence is produced that vaccination is also devoid of the mitigating effects over small-pox, the dernier claim of the advo- cates in its favor ; nay, they prove that the mortality of small-pox has constantly in- creased, particularly since the enforcement Small-pox epidemics come and go. Their reaction of intensity and periods of inter- mission prove, for the past centuries, to have been of no less nor greater dimen- sions than during recent periods (i. e., since the introduction of vaccination). Hundreds of years ago, to be sure, when vaccination was unknown, the records of Iceland show that several decades have elapsed in succession, and the island was free from small-pox ; so also, immediately prior and subsequent to the introduction of vaccination. The facts here mentioned of the compulsorj7 vaccination act. MORTALITY FROM SMALL-POX IN ENGLAND. Period. . Deaths. 1857—1859 14,244 1863—1865 20,059 1870—1872 44,840 It is further of interest to learn the rates of the vaccinated and unvaccinated having taken small-pox in 1870-72 in Germany (compare Becker, 1. c., chart at p. 261). The vaccinated cases ascend from 20 to 400 at the age of 1 to 15 years ; at the age of 15 to 25 years there is a decline from 400 to 372 ; at the age of 25 to 35 years a de- cline from 372 to 100, and at the age of 35 * Compare statement of Dr. Albert Guttstadt in Zeitscbrift des statistiscben bureaus, 1873. f Der officielle Erbfeind. Compare Carl Vogt, Die Wanderung der Thiere, Westermann’s Mo- natsbefte, Band 47;* page 49, etc. J Compare Jahresbericht des Wiener Stadtfysi- kates, 1877, page 62. * Compare Anti-Vaccination Publications, Ger- man edition, Hanover, 1880. It may be remem- bered that the climate of Iceland is hibernal and extreme. Infantile mortality is so great that not more than one-half of the children attain the age of fourteen years, hence smail-pox is frequent and grave.—Letters of Bayard Taylor. 14 FAILURE OF VACCINATION to 60 years a decline from 100 to nothing. Of the unvaccinated, the rates range in the following manner: At the age of Ito 7 years there is an ascent from 230 to 250 ; at the age of 7 to 25 years a decline from 250 to 210 ; at the age of 25 to 35 years a decline from 210 to 60, and at the age of 35 to 60 years a decline from 60 to nothing. facts apply alike to both localities. Those most comfortably situated, and embracing the more intellectual class of the popula- tion, suffered the least as to gravity, num- ber of cases and mortalit}', but among whom vaccination is not omitted, alone from fear. Hence it is indisputable that the minimum of mortality rates with the better educated and wealthier class which represents the vaccinated cases. The max- imum rates with the uninformed and prole- tary, or the class of the unvaccinated. Thus the facts are corroborated through the data submitted even by a most enthusi- astic advocate of vaccination, that the maximum rate of small-pox cases occur among those that have been vaccinated, At Paris, France, in 1870, vaccination was resorted to as perhaps never before, and in the great majority of instances the lymph was taken directly from the heifer, and yet one of the most destructive epi- demics raged there during the winter of 1870-’7l. In the four months, October, November, December and January, 6,423 persons died there of small-pox, and in the fifteen months from the Ist of January of 1870 to the 31st of March 1871, a total of 13,035. The validity of these statistics in proof of the mitigating effect of vaccination over small-pox mortality must even be rejected, as its basis is proved faulty. In London, 7,876 deaths from small-pox occurred in the year 1871, notwithstanding the compulsory vaccination law is in force in England since 1854, and is executed with an unparalleled cruelty and tyranny.* There an individual is punished for one and the same offense (omitting vaccination) to an unlimited extent, until the provisions of the law are complied with. In England there is no possibility of escaping vaccina- tion, and, in addition, the multitude is there grossly terrified about the danger of taking small-pox by neglect of vaccination and frequent revaccination. Officially, it is unhesitatingly asserted, that those vaccin- ated are “protected.”! In the city of Berlin, Prussia, during the year 1871, occurred 17,020 cases of small- pox, of which 14,287 were vaccinated and 2,733 were not vaccinated. The mortality of small-pox numbered 3,536 (according to Virchow, Sterbliehkeit Berlin’s, 5,215) of which 2,410 were vaccinated and 1,126 un- vaccinated cases. But as England, in 1871, and the United States, had no “ official sworn enemy” to whom the “importation of the poison of infection” could be attributed, yet, in both countries (London and Philadelphia as representative cities), in defiance of the “protection” of vaccination, small-pox An epidemic of small-pox devastating the population of Philadelphia in 1871- 72, numbered 15,629 cases, with 3,899 deaths. The statistics of “ successful” vaccination report for the same period the number of 48,724, of which 30,526 pertain to the year 1871. However, the statistics of Berlin and Philadelphia state the mortality among those not vaccinated to exceed that of those vaccinated by far. At Berlin, of the unvaccinated, the percentage of mortality was 41.2, and of the vaccinated 16.8. At Philadelphia, of the unvaccinated, 60.42, and of the vaccinated 28.78. But other * Mr. William Tebb, of London, prosecuted twelve times for refusing to have his children vac- cinated, stated before the American Anti-Vaccina- tion League, that in EngbndSO per cent, of small- pox mortality was from vaccinated cases.— Vaccin- ation Inquirer, Nov. 1879, p. 119. f See Bauke’s Vaccination Acts, p. ix. It may here be proper to remind pretension of the words of Prof. Prever, when he says : “ Das nie irgend Einer und sei er der EdeLte und Groesste, unges- traft die Wissenschaft irgendwo durch einen Machtspruch zuverbarricadiren versucht hat.”— Ursache des Schlafes, n. 27. FAILURE OF VACCINATION 15 originated and prevailed with an unsur- passed degree of intensity. surprising—nay, alarming—facts are dis- covered sthat this district suffered second highest as to the number of cases, and un- paralleled in the rate of mortality—96.2 At Vienna, Austria, in 1877, an epidemic of small-pox prevailed, numbering in the ten districts of that city, 1,749 cases and 564 deaths, as we have already seen, but as there was. on this occasion, no opportunity to charge this occurrence to an “ importa- tion,” in subserviance to the alma mater, it is stated, that it was one of the subsequent epidemics of which the ‘1 germs of infec- tion ” had remained over in several of the districts from 1872,* and again vaccination and revaccination had been urged, as also performed, most assiduously. But no bet- ter illustration could be adduced in proof of the signal failure of the “protective powrer” of vaccination against small-pox, than the reproduction of the statistical data contained in the annual report of the “ Stadtf3rsikat ” of Vienna for 1877, p. 45. There it is stated that 14,195 primary vac- cinations had been performed, and 1,022 revaccinations. The number of primary vaccinations exceeded that of the year previous (1875) by 4,368. Now in special reference to the fifth dis- trict, which is classified as the least cared per cent. These records of Vienna also corroborate the great truths that small-pox morbidity and mortality can not be affected by vac- cination, but that they are on a parallel— even proportionately—with poverty and ignorance, in comparison to where comfort of life and a higher rate of intelligence are enjoyed. These facts precisely correspond with those already indicated above, of Philadelphia and Berlin, and demonstrate the fallacy of indiscriminate statistical data which are based onty on the perform- ance or omission of vaccination. The observance of vaccination and revaccina- tion is a matter of incidentality, as the wealthier and better educated class does not omit it mainly from fear, as we know, and the class of the proletory and unedu- cated neglect it from want of means and from indifference. But the following table affords the proof that vaccination is devoid even of a shadow of prophylactic influence against small-pox, and the data of the fifth district, where the “ protective influ- ence ” of vaccination was with the greatest assiduity “ brought to those in need of protection,” the fact of the most untoward results is demonstrated. for, but it is reported that 1,457 primary vaccinations were there performed, against 784 the year previous, inducing to the self- congratulation : “ the spreading of small- pox was thus most energetically counter- acted,”! and then comparing the lists of small-pox morbidity and mortality, the Morbidity and mortality of small-pox at Vienna in 1877 of all the districts : Morbidity. Moi’tality. First District 39 4 Second District 290 56 Third District 356 70 Fourth District 163' 35 Fifth District 292 281 Sixth District 160 41 Seventh District 191 32 Eighth District 79 13 Ninth District 71 14 Tenth District 88 18 Totals .1,749 564 * Jahresbericht ect. 1877, page 62. These mis- representations find their analogy in the explana- tion of the reoccurrence of yellow feyer at Mem- phis; in 1879, by the national health authorities. By them it was also asserted that the “germs of infection ” had remained over from the epidemic of the year previous. Also bv the report of the “Scientific Commission” (Deputation), appointed for the purpose, to state that “ vaccination pro- tected and never injured,” to afford a basis for passing the compulsory vaccination law of the German Empire. f The importance of the subject will justify the reproduction of the whole sentence in the original tongue: “Es ist aber durch diesen Aufschwung in der oeffentlichen gerade in den von den aermsten Bewohnern die Wahlthat des Blat- terschutzes von den Sanitaetsorganen sozusegen entgegengebracht und dadurch der Blatternver- breitung in den verwahrlosesten und am dichtesten bewohnten Staelten energisch entgegengearbeited worden.” P. 48. Also compare pp. 45, 114, 116. Now, in conclusion, in view of the patho- chemical action of variola, and the danger and utter futility of vaccination, above abundantly set forth, must not, then, its claimed “ protection” against small-pox be regarded as a vanity, and its continued practice a crime ? St. Louis, 1302 S. Fifth street.