Apart from that problematic special effectiveness, still more effective in supporting Tanchouism was no doubt LeConte's further return to the charge, in 1888. By then he had been re-elected president of the University of California; and now his medium of publication was the Tenth Biennial Report of the California State Board of Health (Sacramento). On page 181 of the report, President Le Conte uses almost the same words he had used forty-two years before as a young doctor in Georgia: “It is the opinion of M. Tanchou that cancer, like insanity, increases in a direct ratio to the civilization of the country and of the people ...”

On page 182 of the Board of Health report there is a mixture of the old wording and a new, and there are new statistics: “Perhaps the habit of making necroscopic examinations may be more common in the French metropolis than it is in England, and thus a greater number of internal cancers may be detected and registered. But it is hardly reasonable to suppose that the disparity growing out of this circumstance would amount to the enormous proportion of 4 to 1.

“In view of M. Tanchou's idea, that the mortality from cancer is in direct ratio to the intensity of human civilization, it may be to some extent consolatory to the inhabitants of England to discover that their recent mortuary records, from 1860 to 1867, indicate a very remarkable increase in the death rate from this disease.”