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19
The quality of the vaccine scars was noted in 1876 of the children.

Proof has been repeatedly given, of the most extended and indisputable
kind, that the protective value of vaccination is greater according as the scars
left by the operation are numerous and well marked. Not half the vaccinated
children examined in the St. Giles's schools can be considered to have received
all the protection against small-pox that vaccination is capable of affording.
This is an important fact to which public attention should be directed.
Parents should know that the kind of vaccination that produces no constitutional
and hardly any local effect is very likely to leave their children
susceptible to an attack of small-pox.
At the time of inspection, those children whose vaccine scars were very
imperfect were urged to have the operation repeated. Hand bills were circulated
through the district, with the authority of the Board of Works, giving
information about the outbreak of small-pox, and urging revaccination as well
as primary vaccination for those who required it.
GEORGE BUCHANAN, M.D.
75, Gower Street.
June, 1864.