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The Ministry of Health suggests that, until the Council have gained experience of the
administration of public vaccination, they may find it convenient to maintain the present districts
and to make contracts with the same public vaccinators, and on the same conditions as to
remuneration, etc., as are provided for in the contracts determined by the Guardians. At a later
date it will be open to the Council to review the arrangements, and to submit for the Minister's
approval such re adjustments, if any, as may seem to be necessary.
The fees at present paid to public vaccinators are as follows:—
1. A sum of 1s. in respect of every child whose birth has been registered in his district or who is
resident in his district and whose birth has been registered in some other district, or has not been
registered at all, except in the case of a child who has died or has been removed from the district
before attaining the age of four months, or who has been duly certified to be successfully vaccinated
otherwise than by the public vaccinator, or to be insusceptible of vaccination, or to have had smallpox,
before reaching that age, or with regard to whom a statutory declaration under Section 1 of
the Vaccination Act, 1907, has been made.
2. A sum of 4s. in respect of each case of successful vaccination performed by the public vaccinator
at his surgery or elsewhere than at the home of the person vaccinated where the case is that of—a
l>erson other than a child, or a child whose age exceeds twelve months and in whose case the parent
or person having the custody of the child has requested that the child may be vaccinated elsewhere
than at the home of the child.
3. A sum of 4s. for every successful re-vaccination by the public vaccinator at his surgery or
elsewhere than at the home of the person vaccinated.
4. A payment in respect of each case of successful vaccination or of successful re-vaccination
performed by the public vaccinator at the home of the person vaccinated or re-vaccinated of a sum
of 5s. or 4s. respectively.
Nothing in the paragraphs numbered (2), (3) and (4) shall apply in any case in which during a
period of twenty-four consecutive hours successful vaccination or successful re-vaccination has been
performed by the public vaccinator upon two or more persons at one and the same house, or on any
premises (other than the surgery of the public vaccinator) whereon those persons were together
present at any time during the aforesaid period. In every such case the amount to be paid to the
public vaccinator shall be, in respect of the first person vaccinated or re-vaccinated, a sum of 5s. or
4s., and in respect of every other person vaccinated or re-vaccinated a sum of 2s. 6d.
Public Vaccinators are not full time officers of the Council, their conditions of service are
governed by contract determinable by notice (1 month), and they are not subject to the provisions
of the Poor Law Officers Superannuation Act.
Institutional Public Vaccinators.
The Institutions of the Guardians are also constituted Vaccination Districts, and the medical
officer of each institution acts as public vaccinator. These officers are under the same obligations
as the public vaccinators of ordinary vaccination districts. Their services are governed by contract,
which can be terminated in the same manner as that of an ordinary public vaccinator, although the
form of contract which is laid down in the new Order differs somewhat from the ordinary form.
The payments have been regarded as emoluments of the office, and therefore subject to deduction
under the Poor Law Officers Superannuation Act.
Vaccination Officers.
These are officers of the Poor Law Authority and on the appointed day, April 1st, will bo
automatically transferred to the Borough Council. Their appointment can only be determined with
the Minister's consent, and their transfer is governed by the provisions of the Act relating to the
transfer, superannuation and compensation of Poor Law Officers.
The Council are required to appoint such number of suitable persons to act as Vaccination
Officers as the Minister shall consider sufficient.
The Council may, from time to time, appoint such assistants to Vaccination Officers, and
employ such temporary substitutes for Vaccination Officers absent from duty on account of sickness
or other reason, as the Council may consider necessary.
No alteration in the district of a Vaccination Officer shall be made by the Council without the
prior approval in writing of the Minister.