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78 THE AMERICAN MONTHLY rApr 
its horrors, does not even protect from small-pox, He had 
“four fatal cases of tetanus develope after vaccination. It 
seemed to be a secondary infection but no one can doubt 
that there is some connection between tetanus and vacci- 
nation. Vaccination seems to prepare the soil for tetanus 
by causing suppuration.’’ ‘These are not the words of an 
anti-vaccination crank but of a Health Officer confronted 
with an epidemic of small-pox. Something had to be done. 
The anti-vaccination people do nothing. ‘They simply lay 
around and howl. 
In 1898, Cleveland had 48 cases; in 1889, it had 475; in 
1900, it had 993 cases; and, in eight months of 1901, it had 
1230 cases. The city was frightened ! A new Health Officer 
was but four weeks on duty. Christian Science had in- 
creased in about the same ratio but affirmations and deni- 
als had no effect upon the spread of small-pox ; neither did 
vaccination ! | 
Dr. Friedrich, whose name ought to go down to posterity 
with that of Jenner, DROPPED VACCINE, but took up formal- 
dehyd. He drilled a squad of 40 medical students and sent 
themintoevery house where small-pox had been or was even 
suspected. He paid particular attention to nooks and cor- 
ners, closets of all kinds,—every place where exposed per- 
sons had been. Clothing, particularly winter-wear liable 
to contain germs, was disinfected. It must be remembered. 
that to fill a house with this deadly gas, people are turned 
out of doors for from three to ten hours, and yet few ifany 
rebelled. Along with this work, went the enforced cleans- | 
ing of barns, stables, cellars, dumps, vacant lots, puddles 
and stagnant pools. Unpaved streets and unsewered places 
had 1o receive special attention. ‘The city was induced to 
co-operate in all these ways and small-pox was annihilated 
in Cleveland inside of a few weeks without a single case of 
enforced vaccination. It is not to be supposed, however, 
that vaccination is a thing of the past. But vaccination 
with the usual commercial virus by old methods is a thing 
of the past so far as concerns the most intelligent physi- 
cians. Why should not the new discovery of the uses of 
formaldehyd replace to a large extent cruder means of 
