| Per Million. | ||||
|---|---|---|---|---|
| Army | (1873-94) | small-pox | death rate | 37[17] |
| Navy | ” | ” | ” | 36·8 |
| Leicester | ” | ” | ages 15-45 | 14·4 |
It is thus completely demonstrated that all the statements by which the public has been gulled for so many years, as to the almost complete immunity of the revaccinated Army and Navy, are absolutely false. It is all what Americans call “bluff.” There is no immunity. They have no protection. When exposed to infection, they do suffer just as much as other populations, or even more. In the whole of the nineteen years 1878-1896 inclusive, unvaccinated Leicester had so few small-pox deaths that the Registrar-General represents the average by the decimal 0·01 per thousand population, equal to ten per million, while for the twelve years 1878-1889 there was less than one death per annum! Here we have real immunity, real protection; and it is obtained by attending to sanitation and isolation, coupled with the almost total neglect of vaccination. Neither Army nor Navy can show any such results as this. In the whole twenty-nine years tabulated in the Second Report the Army had not one year without a small-pox death, while the Navy never had more than three consecutive years without a death, and only six years in the whole period.
Now if ever there exists such a thing as a crucial test, this of the Army and Navy, as compared with Ireland, and especially with Leicester, affords such a test. The populations concerned are hundreds of thousands; the time extends to a generation; the statistical facts are clear and indisputable; while the case of the Army has been falsely alleged again and again to afford indisputable proof of the value of vaccination when performed on adults. It is important, therefore, to see how the Commissioners deal with these conclusive test-cases. They were appointed to discover the truth and to enlighten the public and the legislature, not merely to bring together huge masses of undigested facts.
What they do is, to make no comparison whatever with any other fairly comparable populations, to show no perception of the crucial test they have to deal with, but to give the Army and Navy statistics separately, and as regards the Army piecemeal, and to make a few incredibly weak and unenlightening remarks. Thus, in par. 333, they say that, during the later years, as the whole force became more completely revaccinated, small-pox mortality declined. But they knew well that during the same period it declined over all England, Scotland, and Ireland, with no special revaccination, and most of all in unvaccinated Leicester! Then with regard to the heavy small-pox mortality of the wholly revaccinated and protected troops in Egypt, they say, “We are not aware what is the explanation of this.” And this is absolutely all they say about it! But they give a long paragraph to the Post Office officials, and make a great deal of their alleged immunity. But in this case the numbers are smaller, the periods are less, and no statistics whatever are furnished except for the last four years! All the rest is an extract from a parliamentary speech by Sir Charles Dilke in 1883, stating some facts, furnished of course by the medical officers of the Post Office, and therefore not to be accepted as evidence.[18] This slurring over the damning evidence of the absolute inutility of the most thorough vaccination possible, afforded by the Army and Navy, is sufficient of itself to condemn the whole Final Report of the majority of the Commissioners. It proves that they were either unable or unwilling to analyse carefully the vast mass of evidence brought before them, to separate mere beliefs and opinions from facts, and to discriminate between the statistics which represented those great “masses of national experience” to which Sir John Simon himself has appealed for a final verdict, and those of a more partial kind, which may be vitiated by the prepossessions of those who registered the facts. That they have not done this, but without any careful examination or comparison have declared that revaccinated communities have “exceptional advantages” which, as a matter of fact, the Report itself show they have not, utterly discredits all their conclusions, and renders this Final Report not only valueless but misleading.
CHAPTER V
CRITICAL REMARKS ON THE “FINAL REPORT”
Before proceeding to sum up the broad statistical case against vaccination, it may be well here to point out some of the misconceptions, erroneous statements, vague opinions, and conclusions which are opposed to the evidence, which abound in this feeble Report.
And first, we have the repetition of an oft-corrected and obviously erroneous statement as to the absolute identity of the vaccinated and the unvaccinated, except on the one point of vaccination. The Commissioners say: “Those, therefore, who are selected as being vaccinated persons might just as well be so many persons chosen at random out of the total number attacked. So far as any connection with the incidence of, or the mortality from, small-pox is concerned, the choice of persons might as well have been made according to the colour of the clothes they wore” (Final Report, par. 213). But there are tables in the Reports showing that about one-seventh of all small-pox deaths occur in the first six months of life, and by far the larger part of this mortality occurs in the first three months. The age of vaccination varies actually from three to twelve months, and many children have their vaccination specially delayed on account of ill-health, so that the “unvaccinated” always include a large proportion of those who, merely because they are infants, supply a much larger proportion of deaths from small-pox than at any other age. Yet the Commissioners say the unvaccinated might as well be chosen at random, or by the colour of their clothes so far as any liability to small-pox is concerned. One stands amazed at the hardihood of a responsible body of presumably sensible and truth-seeking men who can deliberately record as a fact what is so obviously untrue.
Hardly less important is it that the bulk of the unvaccinated, those who escape the vaccination officers, are the very poor, and the nomad population of the country—tramps, beggars and criminals, the occupants of the tenement houses and slums of our great cities, who, being all weekly tenants, are continually changing their residence. Such were referred to, in the Report of the Local Government Board for 1882 (p. 309), as constituting the bulk of the thirty-five thousand of default, under the heading—“Removed, not to be traced, or otherwise accounted for.”