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

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St James's 1867

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

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39
proper remuneration for the requisite care
and attention demanded for successful vaccination.
3. That without compulsory registration of births
all attempts at compulsory Vaccination must
be failures.
In June, 1867, I again brought the subject of the
deficiencies of the Vaccination Bill before the Sanitary
Committee, and waited on Lord Robert Montague
to endeavour, if possible, to obtain efficient legislation
on the subject. On the 20th of June, I
repeated to the Vestry what I had expressed to the
Sanitary Committee, my “ conviction that any
“ attempt at legislation for Vaccination must be a
“ failure unless connected with a Compulsory
“ Registration of Births. Although compulsory
“ registration of birth exists in Scotland and Ireland,
“ no measure of this kind exists in England. The
“ want of such a measure is seen in the fact that,
“ although we have had Compulsory Vaccination Acts
“ for 25 years, Small Pox is more rife than ever.
“ In 1863-4-5 upwards of 20,000 persons died in
“ England and Wales of Small Pox. Where one
“ person dies, 20 at least take the disease and get
“ well. Taking the estimate of the cost of this
“ death and disease at its lowest money value of
“ ten pounds for each death, and five pounds for