FIG. 6. Vaccination on the tenth day, showing a severe type of infection in a little child. Note wide-spread inflammation over the arm at the “areola” around the vaccine pustule and the bad eruption on the face which sometimes spreads all over the body. This is, of course, a clear case of pus infection and septicemia in which lockjaw, meningitis, pneumonia, or other diseases may find their essential conditions for producing their deadly work in killing the child as a direct or indirect result of the vaccination and the double infection caused by it. ] In Fig. 6, also taken from the work of Drs. Welch and Schamberg, is shown the photograph of a vaccinated boy, illustrating a severe form of vaccination which is very common in susceptible children. In this case the pustule is not much different from Fig. 2, but the areola is very severe and like erysipelas and has spread over a large part of the arm and up to the shoulder, indicating a severe infection of the system with a more extensive and serious blood poisoning which is further aggravated by a bad rash of pimples which has broken out upon the face and about the mouth like the first form of the eruption in smallpox. This eruption may be in the form of papules, vesicles or pustules, or may go through the three forms successively, as in smallpox, or abort at any of these stages; and these eruptions, either of the pimples or the areola, may sometimes extend over a large part of or even over the entire body and quickly kill the child by general blood poisoning and exhaustion. Where the external or skin eruptions are not very bad, however, the child usually recovers, with or without permanent constitutional injury. The worst cases of vaccinal infection are not, however, those which have external skin eruptions but in which there is little or no indication externally of purulent infection, except possibly at the sore itself, and in which the suppuration or infection extends _inwardly_ and attacks one or more of the internal organs and kills by general internal suppuration known as “Pyæmia” or “Septicemia,” which may show itself by serious suppurations in lungs, bronchi, pleura, heart, brain or spine, or in the digestive or other organs. Thus by its very extensiveness this blood poisoning may give to the falsifying vaccinator ample and plausible excuse to make a false and deceptive report on the death of the vaccinated child and to deny and conceal the primary responsibility of vaccination for the infection and death by reporting in death certificate or autopsy that the child died from one or other of the terminal diseases or results of the vaccine infection, such as “Pneumonia,” “Broncho-Pneumonia,” “Pleurisy,” “Meningitis” or “Endocarditis,” or even perhaps by some form of intestinal inflammation and obstruction which, with a whole series of other complications, may of course also result from the