In the country parishes where vaccination [for smallpox] is not the custom, with no physician near, where the colored children are poorly fed and clad, and much exposed, they sicken, die, and are buried, without a record of their numbers. It is respectfully suggested that an order declaring vaccination to be a military necessity, would save many lives among these poor people. If physicians and surgeons were required to vaccinate all who apply, at a moderate public charge, and all were required to apply, it might arrest the ravages of this dreadful scourge