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35
(438)
We have come to the conclusion that it would be well at
all events to extend the age period, within which vaccination
is obligatory, to six months from the date of birth, as it is in
Scotland.
(442)
It is desirable that the Local Government Board should
draw up clear and simple rules for guidance in the care of
the vaccinated arm, and for the avoidance of any likely
source of injury or irritation of that part. If this were done
untoward incidents might, we think, be largelv diminished.
(443)
If children were vaccinated and inspected at their
own homes instead of being brought to a public station, we
believe the risk of injury would be sensibly lessened.
(448)
We think that safety would be increased by preserving
the lymph in tubes instead of on "dry points."
(449)
No instrument should be used for the operation which
has not been boiled or otherwise sterilised for the purpose,
and the simpler the instrument employed the better.
Care should be exercised, too, not to place the insertions
too near together, so as to injure the vitality of the tissues
between them.
(450)
A second inspection in the third week after vaccination
should be obligatory, and parents should have the right of
summoning the public vaccinator in case of any unfavourable
symptoms prior to the time fixed for inspection.
D,—As to what means other than vaccination can be used
for diminishing the prevalence of small-pox, and how far such
means could be relied on in place of vaccination.
The Commission thus sums up the first part of this inquiry:—
(499)
We think that a complete system of notification of the
disease, accompanied by an immediate hospital isolation of
the person attacked, together with a careful supervision or,