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48
the epidemic were laid on each borough in the same proportion the
inhabitants would probably appreciate the value of vaccination better
than they have done, but the bulk of the charges are spread over the
whole of London, and as Westminster has the largest rateable value and
is one of the few whose equalisation charge is in excess of the grant, it
will have to find about one-seventh of the total general expenses besides
its own. The Metropolitan Asylums Board reckon that their extra expenses
will amount to £800,000 (£596,000 of which has been charged
to the loan account, and will thus be spread over a number of years),
the County Council have spent on fees for diagnosis, gratuities to inspectors
of lodging houses, &c., about £700. Poor Law charges for
vaccination and re-vaccination will amount to a considerable item, but
as those for primary vaccinations have not been paid in full since 1886
(through the neglect of several Boards of Guardians to enforce vaccination),
these, at least, should not be reckoned as special expenses of the
epidemic.
The following (Table XVIII.) is a summary of the total primary
vaccinations performed in the City during 1901 and 1902, and of revaccinations,
in so far as these were made by the Public Vaccinators
from particulars kindly furnished me by the Vaccination Officers.

In addition, there were many persons re-vaccinated by private
medical practitioners. In a number of instances these persons were not
residents in the City, but were employed therein, but as payment is
made from a common fund it is immaterial in which part of London a
person is vaccinated.
As there were 3,237 children born in 1901 in the City, only 206
children were unaccounted for at the end of 1901 (and a like number in
the previous year), the above figures indicate that there was a considerable
surplus of unvaccinated children in the City. Some of these were
those left over from previous years, but 861 were children who had