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Provided also that no payment shall be made in respeet of the
re-vaecination of any person who shall be less than ten years
old, or who shall have been previously re-vaceinated within a
period of ten years.
Articles 6 to 9, inclusive, deal with the duties of the
public vaccinator, which are further specified in the third
Schedule. His domiciliary visits must be made between
9 a.m. and 4 p.m., and he must give twenty-four hours'
notice. His visit must be made within a fortnight after
receiving the notice from the vaccination officer or a
request from the parent.
The public vaccinator must keep such record of the
lymph he uses for vaccinating as will enable him always
to identify the origin of the lymph used in each operation.
He must not employ lymph supplied by any person who
does not keep an exact record of its source.
The public vaccinator must keep in good condition the
lancets or other instruments which he uses for vaccinating,
and he must not use them for any other purpose whatever.
When he vaccinates he must cleanse and sterilise his
instruments after one operation before proceeding to
another and must always, when vaccinating, have with
him the means of doing this. When once he has unsealed
a tube of lymph he must never attempt to keep
any part of its contents for the purpose of vaccination on
a future occasion. Under no circumstances should the
mouth be applied directly to the tube in which the lymph
is contained for the purpose of expelling the lymph. In
the case of ordinary capillary tubes an artificial blower
may properly be used for this purpose.
Vaccination should at every stage be carried out with
aseptic precautions. These should include: 1st, the
cleansing of the surface of the skin before vaccination;
2nd, the use of sterilised instruments; and 3rd, the protection
of the vaccinated surface against extraneous
infection both on the performance of the operation and on
inspection of the results.
Advice as to the precautions to be taken in this respect
until the scabs have fallen and the arm has healed should
always be given to the person having the custody of the
child.
In all ordinary cases of primary vaccination the public
vaccinator must aim at producing four separate good-sized
vesicles or groups of vesicles not less than half an inch