The theory of “subsequent infection” needs extensive “bracing” in this instance; and then there is Case 19 with onset in 12 days; Case 24, onset in 11 days; Case 25, onset in 11 days; unquestionably paralysis cases, with practically identical incubation periods, all contributing evidence of a common and simultaneous infection. What other possible common origin except the vaccine virus is it possible to place under suspicion? It is unthinkable that these children, widely scattered in different portions of the State, with no history of near-by paralysis cases, could have each accidentally acquired the germ in the vaccination wound exactly ten or eleven days from vaccination. Such a theory presupposes a universal distribution of the poliomyelitis germ entirely at variance with observation and experience. * * * * * _Note._ Vaccination is acknowledged to be one of the causes of Infantile Paralysis by a recent medical authority on this subject, Dr. Oskar Vulpius, in a book published by Wm. Wood & Company of New York, 1912.--C. M. H. MR. LOYSTER’S CONCLUSIONS It has been the intent of the writer to present facts rather than to participate in a controversy that is still unsettled after a century of argument; but as a result of the investigation of over fifty vaccination disasters and the almost constant study of vaccination literature for several months, it seems that the following conclusions are warranted and should be frankly stated: (1) Vaccination has been the cause, directly or indirectly, of the death of at least fifty children in New York State in 1914. The record herewith printed gives only the cases occurring in rural or suburban districts. Neither the time nor means were at hand to make a canvas of the cities. While only 27 fatalities are here recorded, some of which are not clearly proven, it is believed that were the figures from the cities obtainable, possible errors in the list would be more than offset and enough reported to swell the total to the number given. (2) In addition to the deaths an appalling trail of illness has followed vaccination. It has been entirely beyond the scope of this publication to print even a partial record of these cases. (3) The cost in illness and destruction of child life is entirely out of proportion to the amount of protection against smallpox that is attained or needed. There were but three deaths from smallpox in the entire State, including Greater New York, in 1914. In one rural district twenty miles in diameter, where four children died from vaccination, there has not been a single case of smallpox within the memory of any person now living.