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"9. That a minimum standard of vaccination and of re-vaccination should be prescribed
by the Local Government Board, such standard to state the number, area, and description of
marks to be produced.
"10. That the Local Government Board should prescribe forms of certificate for vaccination
and re-vaccination, which, when filled up, should state the results obtained as to the number,
area, and description of marks produced.
"11. That every registered medical practitioner giving a certificate of vaccination or
re-vaccination should do so by properly filling up the form prescribed.
"12. That calf lymph, guaranteed by the Local Government Board, should be supplied on
demand to every registered medical practitioner.
"13. That stations for the preparation of vaccine should be established under Government
supervision in the large provincial centres.
"14. That the tenure of office of all officials under the Vaccination Act should be on
similar lines to those conditions under which Poor Law Medical Officers are appointed."
Note.—Poor Law Medical Officers are appointed under an Order of the Poor Law Board
(now the Local Government Board), dated May 25th, 1857, Article 2 of which is substantially as
follows :—" Every District Medical Officer duly qualifie at the time of his appointment, and then
being, or within two months after his appointment becoming, resident within the district for
which he shall be appointed to act, shall hold his office until he shall die or resign, or be proved
to be insane (by evidence which the Poor Law Board shall deem sufficient), or become legally
disqualified to hold soch office, or be removed by the said Board, or cease to reside within such
district."
"15. That a Medical Officer of Health should be given power to detain contacts under
observation.
"16. That Medical Officers of Health should have power to cause to be vaccinated or
re-vaccinated contacts at the expense of the Sanitary Authority, or, in emergency, himself to
vaccinate such contacts.
"17. That a penalty should be provided against false information being given by any
person in connection with an outbreak of small-pox—e.g., false names and incorrect addresses.
"18. That in the opinion of this Society all vagrants should be required to be vaccinated,
unless they can show the marks of recent vaccination, or produce a certificate of re-vaccination."
chicken-pox.
In my Annual Report for 1901 I included my report on the notification of chicken-pox,
and on the 9th October, 1901, the Council unanimously agreed to the notification of chicken-pox,
which came into force one week after the advertisement on the 12th October.
During the year 1902, 226 cases of chicken-pox were notified, 90 belonging to Bloomsbury
and St. Giles, and 136 to the Holborn Sub-District. The notification of chicken-pox was continued
until January 6th, 1903, inclusive, and during the whole period that the notification was
in force 282 notifications were received, 114 belonging to St. Giles and Bloomsbury, and 168 to
the Holborn Sub-District.
I was called in consultation by many medical practitioners before many doubtful cases of
chicken-pox or small-pox were notified. All the eases of chicken-pox notified were also visited,
and in a few cases it was found that the patients were really suffering from small-pox, and they
were removed to the hospital ships.