London's Pulse: Medical Officer of Health reports 1848-1972

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Fulham 1864

[Report of the Medical Officer of Health for Fulham]

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???cc, and in those the cases have been more severe and fatal. The vac???ded
however have not escaped. Several adults as well as children who have
???rgone this operation in early life have been affected, though with more or
???nodification of intensity. This circumstance would probably tend to shake
??? confidence in the prophylactic influence of vaccination, were it not capable
??? planation, in the fact that vaccination is not performed to that extent
??? assuredly is necessary to its full protective power. There is a prejudice
???ring still amongst the public of all ranksand classes against a free insertion of
???ccine Virus. The great desire on the part of Parents is as a rule, to have
??? effect as possible produced,rather than as much as experience has proved
???consistent with security. Two causes are in operation to produce this result.
??? the anxiety not to have what appears to them an unnecessary amount of
???shmcnt inflicted on the child; and, secondly the not unnatural fear lest
???uld be the means of propagating constitutional maladies from child to
??? It would be improper in this place to discuss the latter question, but
??? necessary for the public mind to be assured that experience does not favor
??? a supposition; it teaches us moreover that with proper care such appre???ions
need not be entertained, and that when carried to a due extent,
???ination does afford a manifest protection against the ravages of Small Pox.
???The Compulsory Vaccination Act even amended as it has been, fails to
???uce its anticipated good. Like almost every other Statute affecting personal
???ty and self control, a reluctance to comply with its provision by many
???exists, whilst the imperfections in its practical application have required
??? to illustrate. The Medical Officer of the Privy Council has reported to
??? body, "that the laws now in force for the purpose of extirpating Small
??? are not likely to accomplish their object, and that the system established
???aw for the provision of Public Vaccination, works in an unsatisfactory
???ner."
??? In a recent report of the Epidemiological Society of London, they say that
??? very large majority of deaths from Small Pox is in young unvaccinated
???dren, but there is, especially at Epidemic periods, a considerable mortality
???ng imperfectly vaccinated adults." Mr. Marson, the Surgeon of the Small
??? Hospital, also states "that out of 123 deaths from Small Pox in 1863, in
???eons who had been vaccinated, in only 3 had the vaccination been such as
???persons ought to receive for their ordinary protection, and that while the
???tality in the hospital among the unvaccinated Patients was at the rate of
???her cant., and among the imperfectly vaccinated 15 per cent., less than 1 per
???of those admitted who had been properly vaccinated, succumbed to the
???ase."
??? The Epidemiological Society therefore justly urge that " Nothing can be
???e certain than that if all were thoroughly well vaccinated in early infancy,
???ll Pox might be nearly banished from our death registers."
The supply of water for domestic purposes within the District, is still
???cient and unsatisfactory. No new mains have been laid down by the Water
???panies, and though the attention of the Government has been drawn to the
???cts of the existing law, on this and other important sanitary questions, no
???ement has been made in Parliament for the amendment either of the
???polis Local Management Act, or Nuisances Removal Act, in this respect.
The powers at present given by the Statutes for enforcing a supply of
??? for domestic use, are within the Fulham District all but inoperative. The