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society permits. Every endeavour is made to identify and
treat contacts of patients, and welfare workers are also used
for tracing those patients, relatively few in number, who
default before treatment is completed.
Mr. Duffy, the borough's health education officer, is
engaged on a comprehensive educational programme in the
senior schools of the borough concentrating his efforts on
all vulnerable young people of fourteen years and upwards.
He also lectures and shows films to many parent-teacher
associations and other groups of people in the borough,
who request his services.
Vaccination and Immunisation
Smallpox vaccination
Vaccination against smallpox was withdrawn during the
year following receipt of Department of Health and Social
Security Circular 54/71 which stated that the Joint
Committee on vaccination and immunisation had advised
that vaccination against smallpox need no longer be
recommended as a routine procedure in early childhood.
Vaccination continues to be recommended for travellers
to and from countries where smallpox is endemic or where
eradication programmes are in progress and for health
service staff who may come into contact with patients.
Rabies vaccination
The Secretary of State for Social Services in Department of
Health and Social Security Circular 55/71 gave his approval
to arrangements under section 26 of the National Health
Service Act, 1946, for vaccination against rabies of those
exposed to special risk.
The schedule of immunisation used is as follows:
Diphtheria, tetanus, 1st dose at 6 months
whooping cough and 2nd dose at 8 months
oral poliomyelitis 3rd dose at 14 months
Measles 15 months
Diphtheria, tetanus, 3Vi - 5 years
oral poliomyelitis booster
German measles (girls only) 11-13 years
B C G 13 years
Vaccination and immunisation is provided both by
familv doctors and local health authoritv services.

The following table shows the percentage vaccinated in
this borough together with the equivalent national figure.
18
B C G Vaccination

General
The local authority does not provide vaccination against
yellow fever, cholera, typhoid or paratyphoid fevers and
persons desiring such protection should consult their own
doctors.
Yellow fever vaccination is carried out at the following
centres
Hospital for Tropical Diseases 4 St. Pancras Way London
N W 1 Tel: 01 387 4411 Ext. 137
Medical Department Unilever House Blackfriars E C 4
Tel: 01 353 7474 Ext. 2841
55 Great Cumberland Place W 1 Tel: 01 262 6456.
Patients are seen by appointment only. No charge is
made.
Health Centre Grange Road Kingston Surrey
Tel: 01 546 7261.
Cholera, enteric fever and typhus vaccination is also
available by appointment only at the Hospital for Tropical
Diseases 4 St. Pancras Way N W 1
Tel: 01 387 4411 Ext. 137.
Anthrax vaccine is available from the Central Public
Health Laboratory Colindale Avenue N W 9
Tel: 01 205 7041.