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11
"in the Medical Officer of Health's
"Vaccination Book.
"Third,—That in all cases where no return is
"made of the performance of vaccina"tion,
that the Sanitary Inspector shall
"call and ascertain whether such child
" has been vaccinated.
"Fourth,—That the result of such inquiries be
"registered in the Vaccination Book,
"and reported to the Board of Guar"dians
once in every month.
"Fifth,—That the Vestry be requested to sanction
"the payment of the usual fees to the
"Registrars and Vaccinators."
These recommendations were not carried into
effect at this time. Nor can I say if they had been
they would have been effectual for the prevention of
small-pox. When a parish is so surrounded by
other parishes as that of St. James's, Westminster,
it is almost impossible to secure immunity from
contagious diseases, unless the surrounding parishes
adopt equally effective measures for the repression
of these diseases. Since the spread of the present
epidemic of small-pox (1863) I have been much
*
impressed with the necessity of combined parochial
action. The necessity of this has been especially
shewn in the want of accommodation for the
separation of persons attacked with small-pox from
their families. Although each parish has done what