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

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Hackney 1896

[Report of the Medical Officer of Health for Hackney]

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60
(527). . . . "At the same time we think it would be well to make
tbe change a temporary one in the first instance, say, for a period of five
years, and that in the meantime its effects should be carefully watched."
(528) "Whatever diversity of opinion there may be on the point just
discussed, there can be no doubt that every effort should be made to remove
the causes which now render vaccination burdensome and tend to its
discouragement, and that such changes in our vaccination system should
be made as would be calculated to promote vaccination and diminish the
number of cases in which the practice is neglected."
(529). ... "We think that where a certificate of successful vaccination
is not received within the prescribed time, a notice should be
served upon the parent that a public vaccinator will attend on a day named
for the purpose of vaccinating the child, unless the operation has been
already performed, and that the only offence rendering the parent liable to
prosecution should be the refusal to permit the child to be vaccinated by
the public vaccinator when he attends for that purpose."
(530). ... "We think it would tend to promote vaccination if
every duly qualified medical man who vaccinated a child successfully were
entitled to the fee which is now paid to the public vaccinator."
(533) "We have already adverted to the importance which we attach to
re-vaccination." . . . "After full consideration of the question we are,
however, deterred by the considerations to which we have adverted from
proposing that re-vaccination should be made compulsory. At the same
time, in view of the great importance of re-vaccination, we think it should
be in every way encouraged. If an adequate fee were allowed in every case
of successful re-vaccination, by whatever medical man it was performed,
we think there would probably be a large extension of the practice. We
think steps should be taken to impress on parents the importance of having
their children re-vaccinated not later than at the age of twelve years. We
recommend further that when Small Pox shows signs of becoming epidemic
special facilities should be afforded, both for vaccination and re-vaccination."
(534) "We think that notification of Small Pox should everywhere be
compulsory, and, whenever the disease shows a tendency to become epidemic,
a notice should be served by the sanitary authority upon all persons
in the neighbourhood who would be likely to come within the reach of
contagion, urging them to submit to \ accination or re-vaccination, as the
case might be, if they had not been recently successfully vaccinated or
re-vaccinated; and attention she uld be called to the facilities afforded for