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

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Islington 1905

Fiftieth annual report on the health and sanitary condition of the Metropolitan Borough of Islington

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172
1905]
The Stations being abolished, the Act decreed by sections 1 (2) that the
Public Vaccinator shall visit the home of the child if the parent or other
person having its custody so requires for the purpose of vaccinating it; and in
the succeeding sub-section (3) that if a child is not vaccinated within four
months after its birth, the Public Vaccinator shall visit its home and shall
offer to vaccinate with glycerinated calf lymph. He, however, is not to
vaccinate the child if the home is such that the child cannot be safely
vaccinated, or if there is, or has been, a recent prevalence of infectious disease.
When he has vaccinated the infant, he will be obliged to call at the house
a second time, not less than six days nor more than fourteen days after the
operation, to see if the vaccination has been successful. If after the operation
the child requires medical treatment, he shall attend the child, if the parents
or guardians consent, and prescribe such treatment as may be necessary.
Thus the Public Vaccinator must attend the child at least twice, and may
have to attend oftener, generally taking one case with another, about four
times.
For these services the Act prescribes :—
1. A birth Fee of not less than one shilling for every birth in his
district.
2. A payment of not less than five shillings in respect of every
successful primary vaccination or re-vaccination performed at the
home of the person vaccinated.
3. A payment of not less than two shillings and sixpence in respect of
every successful primary vaccination of any person other than a
child, or of any successful re-vaccination performed by him at his
surgery or elsewhere than at the home of the person vaccinated.
Such professional fees must be considered reasonable for such services and
responsible work, which there is every reason to believe is carried out in
Islington most conscientiously and with the greatest care.
The increased payment is more than compensated for by the advantages
resulting to parents and children from the abolition of the vaccination stations
and the substitution therefor of home vaccination.
1. Parents are saved the trouble of taking their children twice to a
station, first for the operation itself, and secondly to enable the
Public Vaccinator to inspect the results and give a certificate of
successful vaccination.