Reports of the Royal Commission for those of our own country, is very remarkable and instructive.
| Name of Town. | Year. | Small-pox Death- rate per million. |
| Hamburgh | 1871 | 15,440 |
| Rotterdam | 1871 | 14,280 |
| Cork | 1872 | 9,600 |
| Sunderland | 1871 | 8,650 |
| Stockholm | 1874 | 7,916 |
| Trieste | 1872 | 6,980 |
| Newcastle-on-Tyne | 1871 | 5,410 |
| Portsmouth | 1872 | 4,420 |
| Dublin | 1872 | 4,330 |
| Liverpool | 1871 | 3,890 |
| Plymouth | 1872 | 3,000 |
The small-pox death-rate in the case of the lowest of these towns is very much higher than in London during the same epidemic, and it is quite clear that vaccination can have had nothing to do with this difference. For if it be alleged that vaccination was neglected in Hamburgh and Rotterdam, of which we find no particulars, this cannot be said of Cork, Sunderland, and Newcastle. Again, if the very limited and imperfect vaccination of the first quarter of the century is to have the credit of the striking reduction of small-pox mortality that then occurred, as the Royal Commissioners claim, a small deficiency in the very much more extensive and better vaccination that generally prevailed in 1871, cannot be the explanation of a small-pox mortality greater than in the worst years of London when there was no vaccination. Partial vaccination cannot be claimed as producing marvellous effects at one time and less than nothing at all at another time, yet this is what the advocates of vaccination constantly do. But on the sanitation theory the explanation is simple. Mercantile seaports have grown up along the banks of harbours or tidal rivers whose waters and shores have been polluted by sewage
