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

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St James's 1864

[Report of the Medical Officer of Health for St James's, Westminster]

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49
dence to carry out the provisions of the Vaccination
Act, and as far as possible to secure the vaccination
of every child born in the Parish. I am sorry to
say that this plan has failed. To bring up the
arrears of neglected vaccination, and to keep up
constant visits to those who were newly born,
required the whole time of the Inspector, and I was
reluctantly obliged to give up any further attempt at
keeping up an Inspector for Vaccination.
I hope however the failure of this attempt will
not induce the Parish to abandon the plan I
sketched out. The appointment of a separate
Inspector for Vaccination would repay the community
ten-fold, besides sparing life, which never ought to
be regarded from a money point of view. During
the time the Sanitary Inspector was engaged in his
labours, above 100 children were discovered who
were unvaccinated. At the same time a very large
number who were born in the Parish had removed
to other Parishes, and of course an equal number
of children born in other Parishes had taken their
place. This shews the necessity of united action
in the Parishes of the Metropolis. It is vain for
this and other sanitary purposes that one Parish
should exert itself. United action is demanded,
and it is I believe a question well worthy of consideration
whether for sanitary purposes, it would
not be wise to have a Board of Health for London
alone, whose duty it would be to supervise and direct
all sanitary measures that required unity of action.