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I at once advised that prompt measures should be taken to secure efficient vaccination
and re-vaccination throughout the Borough. I wrote to the Boards of Guardians of St. Giles
and Bloomsbury and of Holborn, suggesting that they should give directions for a house-tohouse
visitation in order to endeavour to secure this. I also saw the clerks and vaccination
officers of these Boards.
I alluded to the results of the inspection of the arms of children attending Voluntary
Schools in the Borough of Marylebone, and suggested that the Council should endeavour to
secure this in tha Board and Voluntary Schools throughout the Borough.
The Board of Guardians of St. Giles and Bloomsbury very promptly took action. The
Board had placards respecting Small-pox and Vaccination posted throughout the Parishes, and
similar handbills distributed in the house-to-house visitation ; also the leaflets of the Jenner
Society on the subject of Vaccination and Sanitation.
An assistant Vaccination Officer was also appointed to assist in the house-to-house
visitation. By the 24th December, 1901, every house, tenement, common lodging-house, factory,
laundry, &c., had been visited, 13,000 hand-bills and 3,000 Jenner leaflets had been distributed.
The number of Vaccinations performed by the Public Vaccinator, Dr. Hallen, up to the
30tli December, 1901, was:—
Primary Vaccinations 469
Re-Vaccinations 1,714
Total 2,183
Including these the totals to the 30th June, 1902, were:—
Primary Vaccinations 692
Re-Vaccinations 5,132
Total 5,824
The numbers diminished very much during the second quarter of the year, as the outbreak
was then abating.

At the last school in the list, the examination was not made until the 9th January, 1902,
as the Managers of the School at first refused to allow this to be done.
The percentage of children found to be unvaccinated was 21.4.
Of the 568 children found unvaccinated, 398 have been successfully vaccinated.