Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Paddington, Borough of ]
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The period of exemption for infants, except when smallpox
was prevalent, would be extended to six months, and the vaccinators
would be given greater powers of discretion to extend the period of
exemption.
At every vaccination the choice between calf and humanised
lymph would be given, each class of lymph having undergone a
special treatment to exclude extraneous germs.
After vaccination at least two inspections would be made for
the purpose of ascertaining whether the operation has been successful,
and for any treatment which the case might require. In the
event of any mischance, the necessary treatment, medicines, &c.r
would be given free of charge.
If a child were not vaccinated within the prescribed period, the
parent, or guardian, would be proceeded against, and, if no declaration
of objection were made, such person would be fined, the fine
being presumably fixed at a minimum sufficient to be deterrent to.
the indifferent.
The form of certificate to be given after vaccination would be
altered so as to show the quality of the result, and not be a simple
statement of "success" which may depend on the whim of the
certifier.
The notification of smallpox and the provision of hospital
accommodation for that disease, would be compulsory throughout
the country.
Large powers would be given to the sanitary authorities for the.
purpose of adequate supervision over common lodging.houses,,
charitable shelters, &c., including the medical examination of the
habitues thereof, with, if thought necessary, powers of detention and
vaccination. The guardians to have similar powers with respect to
casuals.
Having regard to the loopholes allowed by the
limit to prosecutions, and the proposed exemption
to objectors, it seems desirable that some means
should be provided to secure the vaccination of the
children of such persons at some subsequent date.
This might be done by requiring all children, on
admission to the public elementary schools, to produce
certificates of efficient vaccination, and to cause