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The remedy for this is that the description of successful vaccination as set out
in Clause 7 of the Instructions to Vaccinators under the Third Schedule of the
General Order of October 18th, 1898, made under the Vaccination Acts, be inserted
in, and form part of, the Medical Certificate of successful vaccination, Form E,
Fifth Schedule of the General Order; and also that the Medical Certificate of
successful vaccination be amended by the addition, after the words "has been
successfully vaccinated by me," of the words "that is to say, the results have
been (here insert number of) separate good sized vesicles or groups of
vesicles, and a total area of vesiculation of not less than . . . (here insert
area)," or words to the like effect.
The parent or guardian should be required to notify the fact of vaccination,
and the medical expert should be required to certify the kind and result of such
vaccination, that is, the precedent of the Infectious Diseases (Notification) Act
1889, should be followed, and one standard of "efficient vaccination" should apply
to rich and poor alike.
Strangely enough the strongly anti-vaccination Board of Guardians of King.
Norton Union take the same view, but with a different object. They say that
vaccination is embittered by class distinctions, and that "the first step to the
removal of this bitterness of feeling must be the placing of all classes on a footing
of strictly equal treatment in regard to vaccination."This of course referring to the
fact that the minimum amount of vaccination is not rejected as insufficient by the
Local Government Board, that persons who can afford to pay can bring such pressure
to bear as to whittle the amount down to the very minimum, whereas those who
cannot afford to pay must be subjected to the regulation amount, both being
regarded by the Local Government Board as successful vaccination. In other words,
there are two standards, a private and a public standard, and both are justified by
the Board.
Morally, socially, medically, the position is at present a false one, and for the
public benefit the sooner it is altered the better.

Mr. Bush, who resigned at the end of 1897, was succeeded by Mr. Rackham
in January, 1898; and Mr. Hartnoll, who resigned in November, 1898, was
succeeded by Mr. Newlyn in the same month.