The Express.
London, England, 1860-01-19 00:00:00

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LONDON. THURSDAY. lAN. 19.

WIN! are we going to do about smallpox ? We
know very well that this disease is one of the evils
over which men hold a practical control, when they
think proper to exercise their understandings, and
take the nresesery trouble; yet in 1867 the return
of 4,000 deaths from smallpox was made by the
authorities, with expreerdons of regret at the unusual
largeness of the number—no less than 1,669 above
that of the preoedieg year ; in 1858 that number was
spoken of as now the mange in England ; and in
1869 we board from all quarters warnings of the
rapid Li-cream of mortality from this p able
came. The Smallpox Hospital has to provide ad•
. .

The disease u • oon-

evictions item in every contemporary sanitary re-
port i and the medical men everywhere have some.
thing to tell of en evil which wee considered a
few years ego almost extinct. Whet he. been
done? And what ought to be done next

Everybody's thoughts tarn int to vaccination.
Bisty years after 'laxities discovery, said Mr.
131310,4 of the year 1868, deaths by smallpox were
amounting, in many parts of Kegland, to a fourth
part of the entire district mortality. When
JENNEit's name is introduced, the amomption is that
there is • neglect of vaccination, and in fact the
registrars, while registering the births of 665,897
children, reoeived no more than 378,788 certificates
of vaccination. Under such eireernstences, it is no
wonder that a system of compulsory vaccination
fatted advocates, uncongenial aa that method is with
the free English spirit, and the wise jealousy which
narrows the sphere and the duties of government.
Suil we do not feel sere that the ordinary arguments
against meddling legislation apply in this case.
Clearly Government would be going as much beyond
its province in oompelliag any citizen to take mea-
sures against gout or rheumatism as in prescribing
what he should eat or wear; but in the ease of a
spreading disease which may amount to pestilence,
and which is mainly preventible by a safe
and easy process which out be rendered general
only by some central authority, it certainly seem
that there should be some effective means of
enforcing the precautionary method. A strong
demonstration against this view was mad* by
the Royal .7ennerian and London Vaccine
Institution last week. We know that that institu-
tion has done each good. It has =daubed the
practice of vaccination at its highest point of effi-
ciency when it was deteriorating elsewhere; and it
probably justified in its strictures on the quality
of other practitioners; but when the Report tells us
that the public only enabled the Institution to
vaccinate lees than 3,000 during the last year, its
expenses being 2231. 6e. 118., we do not feel
ecoonraged to leave the awe entirely to "the
" suasion of the moraliate.* If the public had leisure
to examine its interests, it would rather sewn an
association that is working well then icemen* the
number of state functionaries; but until it does so
we tear we cannot leave the prevention of smallpox
to voluntary exertions.

It is quite another question whether the legal pro.
visions for the purpose are good. It appears that