or the vaporings of the demagogue who was playing to the gallery of ignorant prejudice and obstinacy?"

In the last Annual Report of the State Health Officer, mention was made of vaccination alone and nullifying every effort by guards as a method of management, and although no recommendations were suggested for further enactment by the legislature of this nature, yet it was then stated that this had been the policy of the State Health Officer for the past few years and unless the legislature, soon then to assemble, saw fit to forbid such management, that there would be no quarantine and no guards, but a gratuitous offer of vaccine, with free administration, would be the future course of action of the executive office. The legislature of 1911 met and adjourned, and it is supposed that the report of the State Board of Health for 1910 was read and approved, and as no negative legislation to this ruling was enacted at that session, it may be taken for granted that the wisdom of this plan for the management of smallpox in this state is approved of and sanctioned.

Much more could be written and could be said on this subject, which has so much to recommend it for simplicity of management and so much real sense to commend it, but the topic has been discussed at length in the Health Notes very frequently during the year and it will be sufficient to say in conclusion that unless the Board shall direct otherwise the State Health Officer will place his main reliance for the control of smallpox on vaccination, and that it may as well be understood first and last that he is unalterably opposed to the use of the word quarantine in the management of any of the communicable diseases, but he will enforce segregation and isolation wherever and whenever cases of communicable disease designated by the statute are brought to his attention or knowledge.

Smallpox Tides:

Smallpox runs in tides. We have high tides alternating with low tides. Jacksonville is having a high tide now during the late winter. Within a few weeks it will be low tide. The time from tide to tide is from six to twelve years.

Not only do cities have their high tides and low tides, but the state has its high tides and low tides. There is a tendency for all the cities to have high tide at about the same time, and that makes a high tide for the state.

Then in

Florida had a high tide in 1900-about 3000 cases. 1902 and 1903 there were less than 300 cases. But in 1911 there was another high tide, reaching nearly 3500 cases. confidently expected to drop in a year or two.

It may be

Vaccination, like smallpox, has high tides and low tides. Vaccination runs a perfect parallel with smallpox. When the smallpox tide rises, the vaccination tide rises. When the smallpox tide falls, the vaccination tide falls. The higher the smallpox tide, the higher the vaccination tide rises. The lower the smallpox tide, the lower the vaccination tide is.

The reason for it all is easy. When the smallpox tide runs up, people get vaccinated. And that runs the smallpox tide down. People don't have smallpox when they get vaccinated. Then when the smallpox tide runs down, people stop getting vaccinated. People won't get vaccinated except in the presence of smallpox. When they don't get vaccinated, a non-immune population grows up, and soon are ready for another smallpox tide. Thus up and down it goes, up and down, up and down. Up and down for the city, up and down for the state, up and down for the nation. Up when we cease vaccinating, down when we vaccinate.

Explanation of the Accompanying Chart:

The green lines in chart on opposite page represent the number of cases of smallpox reported in the State Board of Health by years, from 1896 to 1911. The red lines represent the vaccinations done by years. In a general way there are about twenty vaccinations to a case of smallpox.

Please note the parallel of the two lines. Note how in 1900 smallpox mounted up to 3000 cases. Note how the same year there were 34,000 vaccinations done. Note then the rapid decline of

smallpox. Then note the rapid decline of vaccination. Don't be ignorant of smallpox when it is so easy to be informed. vaccinated or not, just as you like.

Then get