But it happens not unfrequently that irregular and dangerous symptoms appear, and at other times a different disease attacks the patient at the same time, with some unusual complaints while under Inoculation; these situations would certainly require the assistance of a person who could judge well of the symptoms, and distinguish the diseases properly, and know how to treat them, which a man unacquainted with the principles or the practice of physic could not pretend to, and consequently the patient would be exposed to great danger. Should an Act of Parliament be procured, it would be necessary to provide for the following circumstances. That every parish (with the exception of such large places as should be thought too populous to be included) should be enjoined to offer Inoculation to all their poor who should be willing to admit of it[6]; that the patients and their families should be maintained during their illness; that the person employed to inoculate should have had some education in medicine as physician, surgeon, or apothecary; and that once in five years the same offer should be renewed, leaving the time of year and other circumstances to the option of the parish. ----- Footnote 6: Vide Page 3, &c. ----- If these obligatory clauses were obtained, general Inoculations in the country might be carried on at a very moderate expence. ------------------------------------------------------------------------ CONCLUSION. On a review of what has been advanced it will appear, that the practice of Inoculation has been upon the whole rather hurtful than advantageous to the city of London, and that the mortality from Small Pox has lately increased to an alarming degree: that it may be presumed this loss has not been sustained by the wealthy, who have availed themselves of their easy circumstances, and by timely Inoculation have secured their families; but that the loss has fallen principally among those who are not the least useful members of the community, viz. on young persons, the offspring of inferior trades-people, and the labouring poor. It has been shewn, that to encourage partial Inoculations among such of the poor as might be willing to accept the offer, and should be found in a proper state of health, would be to increase the evil, by spreading the disease in a destructive manner among their neighbours, and be on other accounts dangerous and intolerable. An hospital for the purpose of Inoculation _only_ has been rescued from the unjust charge of being unhealthy, and has been proved to enjoy superior advantages in that respect, and many others; and that a well-regulated plan of this kind would effectually answer the purposes of abating the mortality, and securing the community from being infected by the patients.