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Digitized by the Internet Archive
in 2014

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THE

VACCINATION ACT, 1867,

AND

THE VACCINATION ACT, 1871;

WITH

INTRODUCTION, NOTES, AND INDEX.

THIRD EDITION.

BY

ALGERNON C. BATJKE, Esq.,

c

OF THE LOCAL GOVERNMENT BOARD.

LONDON :

SHAW AND SONS, FETTER LANE,

1871.

london: shaw and sons, fetter lane.

INTRODUCTION.

The prejudice existing against vaccination too often
extends beyond the labouring and less instructed
classes ; there is a feeling that the preventive remedy
may turn out to be worse than the disease it is in-
tended to guard against, and this feeling has a more
wide spread influence than the community generally
are aware of. Consequently, those who have been
engaged in the administration of the repealed Vac-
cination Acts have found considerable opposition in
carrying their provisions into effect, and there can be
no question that public vaccinators have experienced
great difficulty in persuading parents to submit their
children to the operation. The attention of the Legis-
lature has been frequently drawn to the subject with
the view of rendering the law of compulsory vaccina-
tion more effectual to prevent the spread of Smallpox.
The disease in itself is so fearful, that any means by
which it can be alleviated should be readily embraced.

The first Vaccination Act, passed in 1840 (3 & 4 Vict,
c. 29), and amended in 1841 by 4 & 5 Vict. c. 32, while
it provided the means of vaccination, at the public cost,
for every person in England and Wales, left it entirely
at the option of every person whether he would resort

iv

INTRODUCTION.

to the public vaccinator for tbis purpose or not ; but
in tbe year 1853, tbe 16 & 17 Vict. c. 100, made vac-
cination compulsory. By it guardians and overseers
were required to divide their unions and parishes into
districts for the purpose of affording increased facili-
ties for the vaccination of the poor, and stations were
to be established in each district, at which the medical
officers should attend to perform the operation, and to
inspect the result of the vaccination performed by them;
and a penalty was inflicted on parents and others having
the care of children, who, after notice, should fail to
cause children under their control to be vaccinated,
or when vaccinated, to take them to the vaccinator
for subsequent inspection.

In 1858 a further step was taken by the Legisla-
ture, by the 21 & 22 Vict. c. 97, (which was passed for
one year only, but made perpetual by 22 & 23 Vict,
c. 3), in conferring on the Privy Council certain
powers for promoting and superintending the execu-
tion of the Vaccination Acts, and in 1861 an Act (24
and 25 Vict. C. 59), was passed, which authorized guar-
dians to appoint some person to institute and conduct
proceedings for the purpose of enforcing obedience to
the Acts, and gave power to justices to certify for
expenses incurred by any one so appointed, or by any
registrar of births and deaths, or by any medical
officer of health appointed under an Act of parliament,
and the statute further declared that proceedings for
enforcing penalties, on account of neglect to have -a
child vaccinated, might be taken at any time during
which the parent or guardian of the child was in default.

A difficulty however arose in enforcing penalties
against a parent, who, having been once proceeded
against and fined, contumaciously persisted in his re-

INTRODUCTION.

V

fusal to have his child vaccinated. In Pilcher v.
Stafford, 33 L. J. M. C. 113, an information was
preferred by Pilcher, a registrar of births and deaths,
appointed by the, guardians to institute and conduct
proceedings for the purpose of enforcing obedience to
the Vaccination Acts, against Stafford, for neglecting
within three months alter the birth of his child, to
take it to one of the medical officers appointed for that
purpose, for the purpose of being vaccinated pursuant
to the statute, although due notice had been given to
him requiring him so to do. At the hearing of the
summons, the notice and noncompliance having been
clearly proved, the defendant pleaded in answer to the
charge, that he had already been previously convicted
upon a similar information laid against him for not
having the child vaccinated in compliance with the
requirements of the Act, and had been fined, and had
paid the penalty and costs, and that, therefore, he was
entitled to the protection extended to the persecuted by
the old maxim nemo debet bis pitniri pro uno deketo.
The case was argued before the court of Queen's
Bench, and it was contended that the object of the
16 & 17 Vict, was to make vaccination compulsory;
that the 2nd section of that Act imposed a positive
duty upon the parents and guardians of children to
have them vaccinated ; that such obligation continued
so long as such parent or guardian had the custody of
the child; that the 9th section was intended to enforce
this obligation, and imposed a penalty for neglect. It
appears difficult, it was argued, to conceive that the
legislature ever intended to exonerate parents and
guardians from a duty imposed upon them by the
statute, if once the penalty of 20s. should be paid,
much more reasonable would it seem that such liability

vi

INTRODUCTION.

should accrue toties quoties, so long as the parent
or guardian remained in default ; and this argument
would certainly appear to receive support, from the
enactment before referred to in the 24^& 25 Vict. c. 59,
which treats of penaltiesin the plural, incurred by reason
of neglect to have a child vaccinated, and provides that
proceeding's may be taken at any time during which
the parent or guardian is in default. But the court,
whilst agreeing with the assertion that the continuous
neglect to have a child vaccinated was as much within
the mischief intended to be remedied by the statute,
as the not doing it within the prescribed time, re-
cognized but one offence, and said that when once the
notice had been given, and the duty remained un-
performed after the prescribed time, the nonperform-
ance was the offence arising and punishable under the
Act, and that when once the offence was complete
and had been dealt with, and the person offending
punished, no further offence could be committed, but
now under the Vaccination Act, 1867, it has been held
in Allen v. Worthy, that a parent may be convicted on
a second, and subsequent proceedings, and fined until
he obey the statute. (See the opinion, however, at which
the Select Committee on Vaccination (Sess. 1871,)
arrived upon this point, post.)

In 1866, a bill was brought before the House of
Commons to consolidate and amend the law relating
to vaccination, but it did not pass. During the Session
of 1867 a similar bill was brought forward, and after
havingbeenreferred to select committees of both Houses,
was passed, and received the royal assent on the 12th
August, 1867. The Act 30 & 31 Vict. c. 84,
repeals all former Acts relating to vaccination, and
requires (s. 2) the guardians to divide unions and

INTRODUCTION.

vii

parishes into Vaccination Districts or to consolidate or
alter them, subject to the approval of the Poor Law
Board (i.e. Local Government Board). If (s.3) theBoard
do not approve of the scheme prepared, another is to be
prepared by the guardians, and when approved, the
guardians are to contract with some medical practitioner
for tbe performance of vaccination within the district
assigned to him, and he is only to be paid (s. 11) for
vaccinating those persons resident in his district. The
qualification of the vaccinators is to be prescribed (s. 4)
by the Privy Council, who are authorized (s. 5) to make
allowances to public vaccinators, and the statute spe-
cifies (s. 6) the minimum fees to be paid.

It should be borne in mind that the fees prescribed
by section 6 cannot be paid to vaccinators under con-
tracts entered into before this Act came into operation.
Where it is desired to pay such fees the guardians
should enter into new contracts in accordance with
the form prescribed by the Poor Law Board, in their
General Order, dated the 15th February, 1868. (See
Form in Appendix, p. 41).

Provision is made (s. 7) for conditions to be inserted
in contracts (see Form in Appendix, p. 41) to facili-
tate vaccination, for re-vaccination (s. 8), and for
the granting of certificates of successful, or insus-
ceptibility of, vaccination, and for the payment of
expenses (s. 28) incurred by the guardians in carrying
the Act into effect. When the vaccination is per-
formed by a medical practitioner, not being a public
vaccinator, he is to sign a certificate (s. 23) which the
parent is, under the Vaccination Act, 1871, (34 & 35
Vict. cap. 98), to forward to the Vaccination Officer
of the district, who is required to take all the required
proceedings for the enforcement of the Act.

viii

INTRODUCTION.

The Act provides (s. 29) that every parent or person
having the custody of a child, who shall neglect to
take it to be vaccinated, or to be inspected after vac-
cination, without rendering a reasonable excuse for
such neglect, shall be guilty of an offence, and be
liable to be proceeded against summarily, and upon
conviction to pay a penalty not exceeding 20s. ; and
(s. 31) gives power to a justice of the peace, upon re-
ceiving an information in writing, made by the officer
appointed by the guardians, under the 34 & 35 Vict,
cap. 98, to enforce the provisions of the Vaccination
Act, 1867, that such officer has reason to believe that
any child under the age of fourteen }'ears has not
been vaccinated, and that notice has been given to
the parent or person having the custody of such child
to procure its being vaccinated, and that such
notice has been disregarded, to summon such parent
or person to appear before him with the child.
Upon investigation the justice may, if he think fit,
make an order directing the child to be vaccinated
within a certain time, and if at the expiration of such
time the child shall not have been so vaccinated, or
shall not be shown to be then unfit to be vaccinated,
or to be insusceptible of vaccination, the person upon
whom the order shall have been made shall be pro-
ceeded against summarily, and unless he can show
some reasonable ground for his omission to carry the
order into effect, shall be liable to a penalty not ex-
ceeding 20s. The clause contains a proviso that if
the justice shall be of opinion that the person is im-
properly brought before him, and shall refuse to make
any order for the vaccination of the child, he may
order the informant to make to such person a fair
compensation for his expenses and loss of time in at-

INTRODUCTION.

ix

tending- before the justice. This proviso gives to
the parent or guardian a locus penitentite, and it
certainly will be a protection against unfounded
charges.

Any person (sec. 32) who shall, after the passing
of this Act, attempt to produce smallpox by inocu-
lation, shall be guilty of an offence, and liable to be
proceeded against summarily, and upon conviction to
be imprisoned for any term not exceeding one month.

The Act provides (sec. 33) for the mode in which
proceedings are to be taken, and for the jurisdiction of
the justices in certain cases. The guardians may pay,
out of the funds in their hands, the reasonable costs of
■ all prosecutions undertaken by them or their officers
under the Act, and further provides that all such ex-
penses are to be charged to the common fund of the
union.

It is not necessar}' (sec. 34), in any prosecution to
prove the delivery by the registrar of births of the
notice of the requirements of the Act.

In the Session of 1871, a Select Committee was ap-
pointed to inquire into the operation of the Vaccination
Act, 1867, and reported that after a careful considera-
tion of the evidence taken by them, they agreed with
the general opinion that the Cow-pox affords, if not
an absolute, yet a very great protection against an
attack of smallpox, and an almost absolute protection
against death from that disease, and that it is the duty

the State to endeavour to secure the careful vacci-
nation of the whole population. The committee were of
opinion that, with regard to repeated convictions and
oenalties to which the parent was liable for not al-
owing his child to be vaccinated, whenever in any
case two penalties or one full penalty have been im-

a 3

X

INTRODUCTION.

posed upon a parent, the magistrate should not impose
any further penalty in respect of the same child.

The Committee also recommended that the appoint-
ment of an officer to promote vaccination, and to
prosecute persons offending- against the Act, should,
instead of being- permissive, be made obligatory on
the guardians. The Committee were also strongly of
opinion that the registration of vaccination should be
simplified, that the vaccination oificer should keep the
vaccination register, and, therefore, that the certifi-
cates under the Act should be sent to him ; and also
that the registrar of the district should forward to him
a monthly return of births, and of the infants that
have died.

"With a view to carry out the recommendations of
the Committee, a bill, embodying their suggestions,
was introduced into and passed by the House of Com-
mons ; but in the House of Lords a clause proposing
to relieve recalcitrants from all further penalties after
the payment of 20s. in fines was struck out.

When the Bill, as amended, came before the House
of Commons, Mr. Forster stated that the House of
Lords had struck out of this Bill the tenth clause,
which mitigated the penalties. He should have had
no hesitation whatever in asking the House to dis-
agree to the amendment if the period of the session
would allow of such disagreement being made without
loss of the Bill ; but as this was not the case he feared
the House had no choice but to accept the amend-
ment. Although the clause was, doubtless, an im-
portant one, he might remark that it was not necessary
to the other parts of the Bill. The right hon. gentle-
man concluded by moving that the House should
agree to the Lords' amendment, which was agreed to.

INTRODUCTION. xi

Any difficulty which the guardians may experience
in regard to repeated proceedings against recalcitrants
may, however, be met by the guardians refraining from
prosecuting in cases where they are satisfied that the
objection to have vaccination performed arises from
conscientious motives.

The Vaccination Act, 1871 (34 & 35 Vict. c. 98),
received the Koyal Assent on the 21st August, 1871,
and is to come into operation on the 1st January,
1872, and is to be construed as one with the Vaccina-
tion Act of 1867, and both Acts may be cited together
as the Vaccination Acts, 1867 and 1871.

By sect. 5 of the Act the guardians of every union
and parish shall appoint and pay one or more vac-
cination officers, and shall divide the union into
districts for the purpose of the duties of such officer,
so that the district of one vaccination officer shall
coincide either with a vaccination district or with a
district or districts of a registrar of births and deaths.
The Local Government Board may make rules and
orders for the guidance of the officers, and are to pro-
vide appropriate books and forms for the vaccination
officers, public vaccinators, and medical practitioners.

The vaccination officer is, by sect. 6, to perform all
the duties imposed by the Vaccination Act, 1867 (see
post, pp. 15, 16), on the registrar of births and deaths,
except the duties of giving the notices mentioned in
sect. 15 of that Act. All fees received by the vaccina-
tum officer are to be accounted for to the guardians,
and paid to the fund out of which the expenses of the
guardians under the said Act are paid.

( (Ttificates of unfitness or insusceptibility of suc-
cessful vaccination, and every certificate of successful
vaccination, are, by sect. 7, to be transmitted to the

xii

INTRODUCTION.

vaccination officer instead of to the registrar of births
and deaths, as was heretofore required under sect. 21
of the Vaccination Act, 1867 (see p. 14), and every
person failing- to comply with any provision of sect. 7
shall be liable to a penalty not exceeding 20s.

Persons wilfully signing a false certificate, or dupli-
cate, shall be guilty of a misdemeanor, and be liable to
a fine and imprisonment, with or without hard labour,
for a period not exceeding two years. No fee shall be
payable for the registration of any certificate of vac-
cination under this or the Vaccination Act, 1867.

Under sect. 8 the registrar of births and deaths is
required to transmit, once a month, to the vaccination
officer for his district, a list of all births and of all
deaths of infants under twelve months of age. Sect. 27
of the Vaccination Act, 1867, which required a return
to be made to the guardians of cases in which cer-
tificates of successful vaccination had not been trans-
mitted to the registrar has been repealed. The registrar
is to receive a fee of twopence for every birth or death
entered in such return.

Where any person has been re-vaccinated by a
public vaccinator, and fails to attend for the purpose
of inspection, or refuses to permit the vaccinator to
ascertain the result of the vaccination, he shall, under
sect. 9, pay a fee for such re-vaccination of 2s. 6d. to
the guardians of the union or parish in which such
public vaccinator acts.

A penalty of 20s. may, by sect. 10, be imposed
upon every person who prevents any public vaccinator
from taking lymph from any child.

Sect, 11 amends the legal proceedings for penalties
which, under sect. 31 of the Vaccination Act, 1867
(see p. 18), required the child to be within the union,

INTRODUCTION.

xiii

and also that it must be summoned to appear with the
parent, and enables such proceedings to be taken with
respect to any child who is not within the union
or parish for which a vaccination officer acts, if either
the child or its parent was within the union or parish
at the time of the information being- given, and if the
parent fails to produce the child when required, he is
liable to a penalty not exceeding- 20s.

Any complaint may be made and any information
laid for an offence under either Act, at any time
within twelve months from the time when the com-
plaint or information arose.

Heretofore, proceeding's under the Vaccination
Act, 1867, were required to be taken in the metro-
polis within six months, because Jei'vis's Act, under
which such proceedings were taken, did not apply
to the metropolis, which is governed by the Police
Act.

If a person is charged with the offence of neg-
lecting to take any child to be vaccinated, and it
appears to the justices having cognizance of the
case, that such person is not guilty of that offence,
but is guilty of not transmitting any certificate re-
quired by either Act, the justices may convict such
person of the latter offence. In any proceedings under
the Vaccination Acts, 1867 and 1871, the defendant
may appear by any member of his family, or any other
person authorized by him.

Sect. 12 enables a public vaccinator to give, on
the request of the parent, a certificate of successful
vaccination, in respect of any child who he may have
examined and found to have been successfully vacci-
nated, although he may not have performed the opera-
tion.

xiv

INTRODUCTION.

It is provided in sect. 13, that the Poor Law-
Medical Officer, when in attendance upon a person sick
of smallpox, may vaccinate or re-vaccinate any person
resident in the same house with the patient, and such
Medical Officer is entitled to be paid the same fee as he
would be entitled to receive if he were the public vac-
cinator.

By sect. 14, the powers of the Local Government
Board, under sect. 9 of the Vaccination Act, 1867,
(see p. 8), with respect to contracts for vaccination,
is extended to contracts for vaccination entered into
under any other Act, and under sect. 15 power is
given to that Board to repeal or alter forms con-
tained in the schedule to the Vaccination Act, 1867.

The Local Government Board is, by sect. 16,
to be substituted for the words Poor Law Board, or
Lords of Her Majesty's Privy Council.

This was already provided for by the Act 34 & 35
Vict. cap. 70.

It is requisite to observe that the Vaccination
Act, 1871, repeals sect. 14 of the Vaccination Act,
1867 (see p. 11), so much of sect. 23, see p.
14), " as requires a parent to submit any certificate or
prescribes the time within which any certificate is to
be transmitted," and the following words in sect. 24
(see p. 15), namely, " and another fee of threepence
jn respect of every such child whose certificate he shall
have registered as herein provided, and he shall receive
a fee of one penny in respect of each child whose
certificate he shall have registered without having
registered the birth," and the whole of sect. 27
(see p. 16.)

The Form of Contract prescribed by the Poor Law
Board, the Regulations and Instructions relating to

INTRODUCTION.

XV

Vaccination issued by the Lords of the Privy Council,
the Form of Notice to be given by the Registrars of
Births, with the certificates to be signed by the Public
Vaccinator or Medical Practitioner ; and the extracts
from a letter upon the subject of vaccination, addressed
to the Poor Law Board by the Medical Department of
the Privy Council, together with the Circular issued by
the Poor Law Board on the 20th February, 1869,
suggesting the arrangements which should be made
for vaccination, will be found in the Appendix.

It should, however, be borne in mind that under the
34 & 35 Vict. cap. 98, the Local Government Board
are empowered to repeal, alter, and add to the forms
in the schedule, and the Vaccination Act, 1867.

Whitehall,

Sept. 1871.

AN ACT

TO

CONSOLIDATE AND AMEND THE LAWS
RELATING TO VACCINATION.

30 & 31 Victoeia, Cap. 84.
[August 12th, 1867.]

Whereas it is expedient to consolidate and amend the
statutes relating to vaccination in England (a) : Be it
therefore enacted by the Queen's most excellent Ma-
jesty, by and with the advice and consent of the Lords
spiritual and temporal, and Commons, in this present
Parliament assembled, and by the authority of the same,
as follows : —

I. From and after the day when this Act shall come Acts and
into operation as hereinafter provided, the statute of herein°naiiw
the third and fourth years of the reign of Her p^nJfafter
Majesty, chapter twenty-nine, that of the fourth and January l,
fifth years of the same reign, chapter thirty-two, that of 186s'
the sixteenth and seventeenth years of the same reign,
chapter one hundred, the seventh section of the statute
of the twenty-first and twenty-second years of the same
reign, chapter twenty-five, the second section of the
statute of the twenty-first and twenty-second years of
the same reign, chapter ninety-seven, and the statute of
the twenty-fourth and twenty-fifth years of the same
reign, chapter fifty-nine, shall be repealed, —

Except, in regard to the divisions and districts of Exceptions.

(a) England includes Wales, &e., 20 Geo. 2, cap. 42, sect. 3,
(Glen's Poor Law Statutes, vol. 1, p. 74).

2

Vaccination Act. [30 31 Vict.

unions and parishes previously made, and to all contracts
under the said statutes then in force (J), and to all acts and
proceedings duly commenced under the same, and not
then completed, and except in regard to all liabilities and
responsibilities incurred under the same, all which shall
remain in as full force as if the same statutes had not
been repealed, unless they be in any respect inconsistent
■with the provisions herein contained.

II. The guardians of every union or parish where
unions and the same shall not have been divided into districts for the
Tacclnation0 purpose of vaccination shall, unless such union or parish
districts, or respectively shall be of so limited an area as not to re-

to consoh- . ~ . .

date or alter quire subdivision (c), in which case the same shall be
jecTto ap-~ treated as a vaccination district within the meaning
provsa of the hereof, forthwith divide the union or parish for which
board. they act into districts for the performance of vaccination ;

and when the poor law board shall by their order (d)
require any districts for the time being to be consoli-
dated or otherwise altered, the guardians shall proceed

Guardians
to divide

(b) Contracts entered into before the 1st January, 1868,
will remain in force until put an end to by either parties. The
fees prescribed in such contracts can only be paid for primary
vaccinations; as to re- vaccination see section 8, post. If, how-
ever, the guardians propose to increase the rate of payment
for primary vaccination according to the scale prescribed in
the 6th section, post, p. 5, it will be necessary for the guardians
to terminate the existing contracts, and after due notice enter
into fresh contracts. See however section 14 of 34 & 35 Vict,
cap. 98, post, p. 35, which enables the Board to put an end to
contracts entered into before the passing of the Vaccination
Act, 1867.

(c) As regards this subdivision of a district, see Memoran-
dum of the Privy Council " on the subdivision of Public Vac-
cination as affecting the supply of Lymph," the Extracts from
a Letter addressed to the Poor Law Board by the Medical
Department of the Privy Council, and the Regulations of the
Privy Council, dated the lbth February, 1868. Appendix,
post.

{d) Although the Act requires that the poor law board
" shall by their order" require any districts, &c, to be altered,

Cap. 84.] Vaccination Act.

3

to consolidate or alter the same, and they shall in every
such case of division, consolidation, or alteration report
their proposal to the poor law hoard (c) for their approval,
which board shall approve or disapprove of the same as
they see fit ; and the guardians of every union or parish
may with like approval, from time to time as they shall
find it requisite, alter the districts heretofore formed or
hereafter to be formed for the purpose of vaccination.

III. If the said hoard disapprove of the proposal (/), J™1^"1

the guardians shall forthwith proceed to prepare another, prove an-

and submit the same to the said board for approval, *ep*cme

and so on from time to time as shall be requisite until pared; when

_ ... , approved
their proposal shall be approved, and when the said board, guardians to

shall have approved of the same the guardians shall ™X™nce
enter into a contract (g) with some duly registered (7t) °fo™ccina
medical practitioner (i) for the performance of vacci-
nation of all persons (A) resident within each dis-

the board will, doubtless, only issue an order in the event of
guardians refusing or neglecting to carry out the recommen-
dation made to them by the board. In the first instance, the
board will Submit any suggestions they may deem necessary,
in an official letter addressed to the guardians.

(e) i.e. Local Government Board (34 & 35 Vicl. cap. 70.)

{/) The ordinary course has been for the guardians to confine
the vaccination to the medical officers of the union; but now
see sect. 2 of the Regulations of the Privy Council, dated 18th.
February, 1868. Appendix, p. post, 70.

(g) As to the form of contract, see the General Order of
the late Poor Law Board, dated the 15th February, 1868,
Appendix, post. Forms of contract in accordance with this
order can be obtained from Messrs. Shaw & Sons, Fetter
Lane.

(h) The Medical Act (21 & 22 Vict. c. 90, s. 36), enacts
that no person shall hold any appointment as physician, sur-
geon, or other medical officer, in any lunatic asylum, house
of industry, parochial or union workhouse, or other public
establishment, body or institution, or as a medical officer of
health, unless he be registered under the Act.

(i) See sect. 4, and the Regulations of the Privy Council,
Appendix, post, p. 63.

(A) See sect. 26, post, p. 16, whereby it is declared that
vaccination shall not be considered to be parochial relief.

4

Vaccination Act. [30 31 Vict,

trict (/) ; and every such medical practitioner shall be
termed the public vaccinator of the district ; and as and
when the contracts now existing shall determine the
guardians shall enter into others, with such modifi-
cations as the circumstances shall render necessary,
subject to the like approval of the poor law board (to)
as aforesaid.

rfvacdn"011 IV' No Person sha11 be appointed a public vaccinator
tor to be or act as deputy for a public vaccinator, who shall not
by lords of possess the qualification heretofore prescribed (n) by the
coun^and lords of Her Majesty's council, or such as shall be from
other r'egu- time to time hereafter prescribed by them, except when
prescribedbe sucn l°rds shall upon sufficient cause sanction any depar-
by them. ture (o) from their directions and all such regulations

Every person of whatever grade or condition in life may 'take
his child to the public vaccinator to be vaccinated, for the
provisions of the Act are not confined to the poor, but extend
to all classes of persons resident within the district.

(I) The public vaccinator can now only vaccinate those
persons resident in the district for which he is vaccinator.
Heretofore he could, although he had a district assigned to
him, vaccinate any person resident in the union.

(to) i.e. Local Government Board.

(n) The qualifications prescribed by the privy council are
" the same qualifications as are required by the orders of
the poor law commissioners as qualifications for a district
medical officer," i. e. qualified by law to practice both medi-
cine and surgery. See also ante, p. 3, and the Regulations of
the Privy Council, Appendix, post. All medical gentlemen
who have been admitted to practice since the 1st January,
1860, before being appointed public vaccinators, must in
accordance with the regulations of the privy council, produce
a certificate of proficiency in vaccination, given by some pub-
lic vaccinator authorized for the purpose. A list of the gen-
tlemen authorized to grant the certificate in question will be
found in the Appendix. The fee to be paid on obtaining the
certificate is one guinea.

(0) Where the guardians of a union are unable to appoint
a medical officer possessing the full qualification, and the poor
law board assent to the appointment of a medical man having
but one qualification and the guardians contract with him for

€ap. 84.]

Vaccination Act.

5

as the said lords have heretofore made or shall hereafter
make, which they are hereby authorized to make, to
secure the efficient performance or vaccination or the
provision and supply of vaccine lymph by the public
vaccinator, and all such directions or regulations as the
said lords acting- under any Act (p) for the prevention of
diseases may issue in relation to smallpox, shall be duly
observed by the several persons to whom they apply ;
and the said lords may from time to time cause such
inquiries to be made relating- to the observance of such
regulations and to the execution of this Act as to them
shall seem fit ; and shall direct how any money here-
after to be provided by parliament for or towards defray-
ing the expenses of the national vaccine establishment,
or otherwise providing- for the supply of vaccine lymph,
shall be applied.

V. On reports (q) made to the lords of Her Majesty's As to
council with regard to the number and quality of the vac- to public
cinations performed in the several vaccination districts vacciliators-
of England, or any of them, the said lords may from

time to time, out of monies provided by parliament, and
under regulations to be approved by the lords commis-
sioners of Her Majesty's treasury, authorize to be paid
to any public vaccinators, in addition to the payments
received by them from guardians or overseers, further
payments not exceeding in any case the rate of one
shilling for each child whom the vaccinator has success-
fully vaccinated during the time to which the award of
the said lords of the council relates.

VI. Every such contract for vaccination shall provide As to fees

payable for

vaccination.

vaccination, the privy council consent to waive their regula-
tions in such a case.

(p) See Glen's Law of Public Health. Fifth edition.

(q) These reports are made to the medical officer of the
privy council by the inspectors of vaccination. The office
of the medical officer to the privy council is at 3, Parliament
Street, London.

Vaccination Act. [30 ^31 Vict.

for payment (p) in respect only of the successful vacci-
nation of persons, and so that the rate of payment for
primary vaccinations shall be not less than the follow-
ing1 ; that is to say, for every such vaccination done at
an appointed station situated at or within one mile from
the residence (q) of the vaccinator, or in the workhouse (r)
of the union or parish, not less than one shilling and six-
pence ; and for every such vaccination done at any
station over one mile and under two miles distant from
his residence, not less than two shillings ; and for every
such vaccination done at any station over two miles
distant from his residence, not less than three shillings ;
such distance being measured according to the nearest

(p) It has been held that, by the terms of the 5 & 6 Vict,
c. 57, s. 14, a public vaccinator in any union or parish would
be disqualified by the receipt of the payments made to him
under his contract for serving as a guardian of such union or
parish.— Off. Cir., vol. 3, p. 148.

(q) The word " residence " is used here in its ordinary sense,
as referring to the usual home, abode, or dwelling of the
medical man, and does not include a surgery or other place
at which he merely attends daily, or otherwise for the sole
purpose of exercising his profession.

(»•) Vaccination in the workhouse was part of the duty of
the medical officer of the workhouse, under Article 207, No. 5
of the General Consolidated Order, and workhouse medical
officers appointed before this Act came into operation will not
be entitled to the fee prescribed for vaccination in the work-
house, unless the guardians enter into a fresh arrangement
with them, agreeing to pay the fee for vaccination in addition
to the salary. In all appointments since 1st January, 1868,
the salary assigned to the workhouse medical officer will be
exclusive of vaccination, the payment for which should be pro-
vided for in the contract which he enters into with the guar-
dians as their medical officer, and not in a separate contract
for vaccination.

The poor law commissioners expressed the opinion that the
guardians have the right, without the permission of the parents,
to vaccinate any child in their custody, during any danger of
contagion from smallpox. — Off. Cir., vol. 1, p. 72. The poor
law board have also expressed an opinion, that if the guar-
dians and the workhouse medical officer think that any child
in the workhouse requires vaccination, the medical officer
should vaccinate such child notwithstanding the objection of
the parent.— Off. Cir., vol. 7, p. 204.

Cap. 84.] Vaccination Act.

7

public carriage road ; but in respect of successful vacci-
nations performed elsewhere (*•) than at a station or in
the workhouse as aforesaid, the payment (t) shall be
according to the terms («) specified in the contract as
approved of by the poor law board.

VII. The guardians shall, with the consent of the poor Conditions

i • i t- • may be im"

law board, make stipulations and conditions in their con- posed in the
tracts to secure the due vaccination of persons (x), the contiacts'

(s) With regard to domiciliary vaccination, see the Regula-
tions of the Lords of the Privy Council, post, p. 70.

(t) It should be borne in mind that by the terms of the
contract, (see post,) the payments are to be made within one
month of the usual quarter days, and that if the payments are
not promptly made, there may be a difficulty in recovering
them, as, by the 22 & 23 Vict. c. 49, sect. 1, if the guardians
do not pay the demand during the half year within which it
becomes due, or within three months afterwards, they cannot
subsequently do so without an order of the Local Government
Board, who, however, are not em powered to extend the period of
payment beyond twelve months from " the date of such claim
or demand." See Baker v. Billericay Union, 9 Jur. (N.S.)
1201 ; 9 L. T. (H. S.) 486; 33 L. J. (N. S.) M. C. 40 ; as
to the limitation of time for recovery of debts under that
statute. Fees due for the quarter ending, say 25th March,
will become due within one month afterwards, i. e.t during
the half year ending 29th September, and if they are not
paid during that half year, or within three months after its
termination, according to the terms of the Act, the guardians
will not then be empowered to pay them without an order
from the Local Government Board.

(u) This should be arranged between the guardians and the
vaccinator, as the Act places no restriction as to the fee for
vaccination elsewhere than at a station.

(ar) In carrying out this provision it will be necessary for
the guardians to consider the requirements of the district, and
to arrange the times and places for vaccination as may be
most convenient, and in accordance with the Regulations of
the Lords of the Privy Council of 18th Feb. 1868. Appendix,
p. 70. Except under special authorisation from the Privy
Council, or when there is immediate danger of smallpox,
vaccination under contract shall not bo appointed to be per-
formed at any station oftener than once a week ; see the
Extracts from a Letter addressed to tlio Poor Law Board by the
Medical Department of the Privy Council, in the Appendix,
post, p. 37.

8

Vaccination Act. [30 31 Vict.

observance of the provisions of this Act with regard to
the transmissions of the certificate of successful vacccina-
tion (i), and the fulfilment of all other provisions (k) of
this Act on the part of the public vaccinator, and shall
provide all stations (I) at which the vaccination shall be
appointed to be performed other than the surgery or
residence of the public vaccinator.

VIII. The provisions of the contracts entered into
before this Act comes into operation shall not, after the
thirty-first day of December next, apply to the cases of
persons who having been previously successfully vacci-
nated shall be re-vaccinated (m), but if the lords of Her
Majesty's council shall have issued or shall hereafter
issue regulations in respect of the re-vaccination of per-
sons who may apply to be re-vaccinated, which such
lords are hereby authorized to do, the guardians shall
pay in respect of every case of successful re-vaccination
performed in conformity with such regulations under
such contracts or under new contracts entered into after
the date hereof a sum amounting to two-thirds of the
fee payable upon each case of successful primary vacci-
nation.

Contract not ix. No contract for vaccination entered into under
valid unless

(i) See sect. 21, post, p. 13.

(7c) See sects. 18 and 19, post, pp. 12, 13.

(I) Although the guardians may appoint a station out of the
district, there must always be one station within the district.
The cost of hiring stations must be paid by the guardians
and charged to the common fund of the union, under the 28 &
29 Vict. cap. 79, s. 1. (Seo Glen's Union Chargeability Act,
second edition.)

(to) Under the former Acts much doubt was entertained as
to whether a public vaccinator was entitled under his contract
to charge for vaccinating persons who had previously been
successfully vaccinated. The practice of charging such cases
to the guardians often gave rise to misunderstanding and to
considerable irritation. Now, by this Act, cases of re- vacci-
nation performed in conformity with the regulations of the
Lords of the Privy Council will only be paid for at the rate
of two-thirds of the fee payable for successful primary vacci-
nation.

Provision
for re -vac-
cination.

Cap. 84. J

Vaccination Act.

g

the provisions of this Act shall be valid until the same approved of
shall have been approved of by the poor law board (n), l^Vl'oard"1
and such board may, at their discretion, upon the appli- ^mSe^he"
cation of the lords of Her Majesty's council or otherwise, same at any
at any time after the same shall have been approved of by
them, determine (o) it either forthwith or at a future clay.

X. No payment in respect of vaccination shall be No payment
made out of the common fund of any union, or out of *° tb°f™j|ge
the poor rate of any parish, or out of any other public poonate^
or parochial fund where the poor law board (n) shall not public fund
have approved of a contract for the performance po^'Yaw10
thereof, or after they shall have determined any such board have
contract ; and every payment made contrary hereto shall the 'contract,
be disallowed (/;) by the auditor in the accounts of every

board of guardians, or of the overseers, or of any officer
who shall have made the same.

XI. Where a district {q) shall have been or shall be No public
assigned to a vaccinator, he shall not be entitled to be ^be paid
paid a fee in respect of the vaccination or re-vaccination for ™ccina-

t> , Ml , ,,-|.n.. tl0n 0Ut 0f

or any child or other person resident out or his district, his district.

(») i. e., Local Government Board.

(o) Under the 29 & 30 Vict. ri. 113, s. 4, the mode in which
the approval or determination of a contract is to be signified
is by letter, signed by the secretary or assistant secretary. See
also section 14 of 34 & 35 Vict. c. 98, post, p. 35, which ex-
tends the provisions of this section to contracts entered into
before the passing of the Vaccination Act, 1867.

(p) Every person aggrieved by any disallowance or sur-
charge made by the auditor, can appeal under the 11 & 12
Vict. c. 91, s. 4, to the Local Government Board, and if they shall
find that any disallowance or surcharge shall have been or shall
be lawfully made, but that the subject matter thereof was in-
curred under such circumstances as makes it fair and equitable
that the disallowance or surcharge should be remitted, they
may remit it.

It is requisite for the appellants to apply for a copy of the
auditor's reasons for making the disallowance, which he is re-
quired to state in the book of account in which the disallow-
ance was made. See 7 & 8 Vict. c. 101, s. 35.

(q) See sec. 3, ante, p. 3.

B

10

Vaccination Act. [30 31 Vict.

except in case of a vacancy in the office of vaccinator in
any adjoining district, or of the default of the vaccinator
therein, of which default notice shall have been given
to him in writing by the guardians, or when a relieving
officer of his union or parish shall in writing refer any
child to him for vaccination.

Provision for XII. The guardians mav with the consent of the poor
districts in . , - , . ^ . , , . 1 .

particular law board (<?), provide in districts where the population is

scanty popu- scantv or much scattered, or where some peculiar che-
lation.' cumstances may render it expedient for them to do so,
for the attendance of the public vaccinator at the ap-
pointed places after intervals exceeding three months ;
and if by reason of such intervals the vaccination of any
child cannot be performed within the respective periods
herein prescribed (d), no parent or other person who
would otherwise be liable shall be liable to any penalty (e)
in respect of a neglect to procure the vaccination during
any such period ; but every such parent or other person
shall be bound to procure such vaccination to be per-
formed at the time and place so appointed, before the
commencement of the next interval, unless it be other-
wise performed by a medical practitioner as herein pro-
vided, or unless the child shall be certified (/) to be
then in an unfit state for or insusceptible of vaccination.

Guardians to XIII. When the guardians make any alteration in
Alteration a vaccination district, or otherwise in the local arrange-
in districts. ments for vaccination, they shall give public notice (g) of
such alteration by printed papers to be affixed in the dis-
tricts affected by such alteration for one month prior to
the alteration taking effect.

(c) i. e., Local Government Board.

(rf) See sects. 16, 18, 19 ; and the Circular of the poor law
board, post, p. 74.

(e) See sect. 29, post, p. 17.
(/) See sect. 18, post, p. 12.

(g) Forms of notices can be procured from Messrs. Shaw &
Sons.

Cap. 84.] Vaccination Act.

11

XIV. (h) The registrar general for England and Wales Tho registrar

■ \ / o o BTOUBFftl to

shall, when he shall deem it necessary, from time to time provide
as occasion shall require, after the passing1 of this Act, orm8,
frame and provide appropriate hooks, forms, and regu-
lations for the use and guidance of the registrars in
the exercise of their duties therein prescribed, and also
such forms as shall be required for the use of the puhlic
vaccinators, and the signature of the medical practi-
tioners under the provisions of this Act, and shall trans-"
mit the same to all registrars of births and deaths, who
shall retain such as relate to themselves, and distribute
among the vaccinators within their respective districts
such as relate to them, without any fee or reward.

XV. The registrar of births shall, on or witlnn seven Registrar of

days after the registration with him of the birth of any Jjiuvepno-

child not already vaccinated, give a notice, according to tice of vac-

the form in the schedule hereto annexed marked A., or to parentor

the like effect, to the parent, or in the event of the death, other Pe.rson
' . 1 . . ' ' registering

illness, absence, or inability of the parent, to the person birth,
having the custody of such child, if known to him, re-
quiring such child to be duly vaccinated according to
the provisions of this Act, and specifying the days,
hours, and places where the public vaccinator of the vac-
cination district wherein such child resides, or the vacci-
nator of any station (?) duly authorized by the lords of
Her Majesty7s council, will attend for the purpose of
performing the operation, to which notice forms accord-
ing to those in the said schedule marked B. C. and D.,
and also the address of the registrar giving the notice,
shall be attached in such form as the registrar general
shall deem most convenient.

XVI. The parent of every child born in England Parent or

other person

(/() This section is repealed by 34 & 35 Vict. c. 93, and pro-
vision for the -supply of forms is made by section 8, post. p. 32.

(i) See List of Public Educational Vaccinating Stations, in
the Appendix, post, p. 73.

B 2

12

Vaccination Act. [30 31 Vict-

tLPIv0accrina- sha11 witbin three months after the birth of such child,
tion of child or where by reason of the death, illness, absence, or ina-
within throe > ■■<■, n . , 7

months. unity ot the parent, or other cause, any other person

shall have the custody of such child, such person shall
within three months after receiving the custody of such
child, take it or cause it to be taken to the public vacci-
nator of the vaccination district in which it shall be then
resident, according- to the provisions of this or any other
Act, to be vaccinated, or shall, within such period as
aforesaid, cause it to be vaccinated by some medical
practitioner ; and the public vaccinator to whom such
child shall be so brought is hereby required, with all
reasonable despatch, subject to the conditions hereinafter
mentioned (a), to vaccinate such child.

XVII. Upon the same day in the following week
when the operation shall have been performed by the
public vaccinator such parent or other person, as the case
may be, shall again take the child or cause it to be taken
to him or to his deputy (5), that he may inspect it, and
ascertain the result of the operation, and, if he see fit, take
from such child lymph (b b) for the performance of other
vaccinations ; and in the event of the vaccination being
unsuccessful, such parent or other person shall, if the
vaccinator so direct, cause the child to be forthwith again
vaccinated and inspected as on the previous occasion.

XVIII. If any public vaccinator or medical practi-
untitness of tioner shall be of opinion that the child is not in a fit and
vacc.nation. proper state to be successfully vaccinated he shall forth-
with deliver to the parent or other person having the
custody of such child a certificate (c) under his hand ac-

Provision
for inspec •
tion of
vaccination.

Provision
for the

(«) See sects. 18 & 19.

(b) Deputies of contractors for vaccination must possess
the same qualifications as are required for contractors for
vaccination.

(b b) See the 34 & 35 Vict. c. 98, s. 10, ^hich imposes a
penal ty on any person preventing vaccinator from taking lymph.

(c) See the 21 & 22 Vict. c. 90, s. 37, which enacts, that
" no certificate required by any Act now in force, or that may

Cap. 84.] Vaccination Act.

13

cording- to the form in the schedule hereto annexed
marked B., or to the like effect, that the child is then in
a state unfit for successful vaccination, which certificate
shall remain in force for two months (d), and shall be
renewable for successive periods of two months until a
public vaccinator or medical practitioner shall deem the
child to be in a fit state for successful vaccination, when
the child shall, with all reasonable despatch, be vacci-
nated, and the certificate of successful vaccination duly
given if warranted by the result.

XIX. At or before the end of each successive period (t) Provision for

successive

the parent or such person as aforesaid shall take or cause certificates,
the child to be taken to some public vaccinator or medi-
cal practitioner, who shall then examine the child, and
give the certificate according- to the said form B. (e), so
long- as he deems requisite under the circumstances of
the case.

XX. If any such public vaccinator or medical practi- provision
tioner shall find that a child whom he has three times ["liu'ity'of °13"
unsuccessfully vaccinated is insusceptible of successful successful
vaccination, or that a child broug-ht to him for vaccina- vaccina 1 •
tion has already had the smallpox, he shall deliver to the

parent or other person as aforesaid a certificate (J') under
his hand, according to the form in the schedule hereunto
annexed marked C, or to the like effect ; and the parent
or such person as aforesaid shall thenceforth not be
required to cause the child to be vaccinated.

XXI. Every public vaccinator who shall have per- certificate of
formed the operation of vaccination upon any child, and vaccination

hereafter be passed, from any physician, surgeon, licentiate in
medicine and surgery, or other medical practitioner, shall he
valid unless the person signing the same be registered under
this Act."

(d) Two calendar months. See 7 & 8 Vict. c. 101, s. 74;
and 13 Vict. c. 21, s. 4.

(e) See sect. 18, supra.

(/) See note to sect. 18, p. 12.

14

Vaccination Act. [30 ^ 31 Vict.

to bo trans-
mitted to the
registrar,
and a dupli-
cate given
to the
parent.

No fee to he
charged for
certificate.

Parent, &c,
to transmit
certificate
of successful
vaccination
by medical
practitioner
to registrar
of district.

has ascertained that the same has been successful, shall,
within twenty-one days after the performance of the
operation, transmit by post (/) or otherwise a certificate
according1 to form D. in the said schedule, or to the like
effect, certifying that the said child has been successfully
vaccinated, to the registrar (ff) of births and deaths in the
district within which the birth was registered, but if such
district be not known to him, or if the birth of the child
shall not have been registered, to the registrar within
whose district the operation shall have been performed,
and upon request shall deliver a duplicate thereof to the
parent or other person as aforesaid.

XXII. No fee or remuneration shall be charged by
the public vaccinator to the parent or other person
for any such certificate or duplicate certificate as
aforesaid, nor for any vaccination done under his con-
tract, nor shall he be entitled to payment under his con-
tract for any vaccination in respect of which he shall
have been paid by the parent or other person for whom
or on whom it is performed ; and if he should have re-
ceived payment under his contract, he shall not be
entitled to recover payment for the vaccination from any
other person.

XXIII. Where the vaccination shall be successfully
performed by a medical practitioner not being1 a public
vaccinator, [the parent or other person as aforesaid caus-
ing the child to be vaccinated shall submit a certificate
according to the said form marked D . to such medical
practitioner (h), to be filled up and signed by him, and
shall within twenty-one days after the performance of

(/) The certificate may be transmitted without prepayment
of postage. No certificate will be requisite in cases of re-
vaccination.

(g) Or to the vaccination officer. See 34 & 35 Vict. c. 98,
s. 6, post, p. 30.

(Ji) The words in brackets have been repealed by 34 & So
Vict. c. 98. See sect. 7, post, p. 30.

Cap. 8i.] Vaccination Act.

15

the operation] transmit the same so signed by post ( i) or
otherwise, to the registrar (h h) of the district where the
birth of such child was registered, or if such child shall
not have been registered, or the district of the registra-
tion shall not be known to such parent or other person,
to the registrar (hh) of the district in which the opera-
tion shall have been performed.

XXIV. Every registrar shall keep a book in which Registrar to

... . .. , ; keep books,

he shall enter minutes of the notices or vaccination (/t) am\ register
given by him as herein required, and also register (I) "fonTo be"
the certificates transmitted to him as herein provided, open to
and shall at all reasonable times allow searches to be
made therein, and upon demand give a copy under his 1
hand or under that of his deputy of any entry in the
same, on payment of a fee of sixpence for each search and
threepence for each copy ; and every registrar shall re- Fees for
ceive a fee of one penny in respect of every child whose "p^g63
birth he shall have registered, and in respect of whom
he shall give the notice as aforesaid ill), [and another
fee of threepence in respect of every such child whose
certificate he shall have registered as herein provided,
and he shall receive a fee of one penny in respect of
each child whose certificate he shall have registered
without having registered the birth] : Provided that no proviso,
fee shall be charged for any search made by a public
vaccinator, or any officer of the guardians authorized by
them to make such search, or any inspector appointed by
the poor law board or the lords of Her Majesty's
council.

(hh) i. e., vaccination officer. 34 & 35 Vict. c. 93, s. G.
(i) It is not necessary to prepay the postage. See note to
sect. 21, ante, p. 14.

(h) See sec. 15, ante, p 11.

(I) The forms and registers are supplied by the rcgist rar
general. See, however, sect. 8 of 34 & 35 Vict. c. 98, post, p. 32.

(I I) The words in brackets have been repealed and another
fee provided. See 34 & 35 Vict. c. 98, s. 8, post, p. 32.

16

Vaccination Act. [30 ^31 Vict.

Registrar to
be paid fees
by the
boards of
guardians.

XXV. The registrar shall make out an account of the
fees to which he shall he entitled under this Act at the
usual quarter days of the year, and suhmit the same to
the guar dians of the union or parish, for which he acts,
and they shall, after examining the same and comparing
with the register of successful vaccinations kept by him,
and finding the account to he correct, forthwith pay
the amount of the same out of the funds (c) in their
possession.

XXVI. It is hereby declared, that the vaccination,
medical assistance incident to the

Vaccination
declared to

be not paro- 01" the Surgical 01"

so'as to'dis- vaccination, of any person in a union or parish, hereto-
quaiify. fore or hereafter performed or rendered by a public
vaccinator, shall not be considered to be parochial relief,
alms, or charitable allowance to such person or his
parent, and no such person or his parent shall by reason
thereof be deprived of any right or privilege or be
subject to any disability or disqualification.

Half-yearly
proceedings
by regis-
rars and
guardians.

XXVII. (d) The registrar of each district shall within
one week after the first day of January and the first day
of July in each year, make a list of all cases in which cer-
tificates of vaccination have not been duly received by
him during the last preceding half year, and shall submit
the same to the next meeting of the guardians of the
union or parish wherein he acts, and the said guardians
shall forthwith make inquiry into the circumstances of
the cases contained in the list, and if they find that the
provisions of the Act have been neglected, shall cause
proceedings to be taken against the persons in default.

(c) Under the 28 & 29 Vict. c. 79, s. 1, all charges incurred
by the guardians in respect of vaccination and registration
fees and expenses, shall be charged upon the common fund.
See 34 & 35 Vict. c. 98, s. 8, post, p. 31.

(rf) Repealed, and other provisions made. See 34 & 35
Vict. c. 98, s. 8.

Cap. 81. J Vaccination Act.

17

XXVIII. The guardians of any union or parish may *°™£*£a
pay (e) out of their funds all reasonable expenses in- to pay
curred by them in causing- notices to be printed and pens""^ of
circulated as to the provisions of this Act, and in and their funds,
about inquiries and reports as to the state of smallpox

or vaccination in their union or parish, and in taking
measures to prevent the spread of smallpox and to
promote vaccination upon any actual or expected out-
break of that disease therein, and may pay (/) any
officer appointed by them to prosecute persons charged
with offences against this Act, or otherwise to enforce its
provisions.

XXIX. Every parent or person having the custody g^g^
of a child who shall neglect to take such child or to neglecting
cause it to be taken to be vaccinated, or after vaccina- vaccination
tiontobe inspected, according to the provisions (ff) of ofthe chiId'
this Act, and shall not render a reasonable excuse (7i)

for his neglect, shall be guilty of an offence, and be
liable to be proceeded against summarily, and upon
conviction to pay a penalty not exceeding twenty
shillings.

(e) See note to sect. 33, post, p. 21.

(f) This section removes the difficulty heretofore ex-
perienced in enforcing the provisions of the Vaccination Acts ;
the 24 & 25 Vict. c. 59, empowered the guardians to appoint
an officer to conduct proceedings, but did not empower them
to pay any salary or other remuneration to the person so
appointed.

But now, under 34 & 35 Vict. c. 98, s. 5, it is obligatory
upon the guardians to appoint one or more vaccination officers
to enforce the provisions of this Act ; and the duties of such
officers are specially defined by section G of the Vaccination
Act, 1871. The Local Government Board are empowered to
make rules, orders, and regulations as regards vaccination
officers and their duties as they have with respect to Poor Law
officers. See post, p. 30.

(jr) See sects. 10 and 17, ante, pp. 11, 12.

(/t) See sects. 18, 19, 20, ante, pp. 12, 13.

B 3

18

Vaccination Act. [30 $ 31 Vict.

Penalty on XXX. Every public vaccinator, parent or person, as
vaccinator .1 -i nl . , , ' \ 1 '

and parent tne case shall require, who shall neglect to transmit any

"ol'ansmit certificate required of him by the provisions of this Act
certificate, completely filled up and legibly written to the regis-
signhig^aise trar (*) within the time herein specified, and every public
certificates, vaccinator who shall refuse to deliver the duplicate (i),
to the parent or other person, on request, and every
medical practitioner who shall refuse to fill up and sign
the certificate (A), of successful vaccination when sub-
mitted to him as aforesaid, shall be liable to pay upon
a summary conviction a penalty not exceeding twenty
shillings ; and every person who shall wilfully sign a
false certificate or duplicate under this Act shall be
guilty of a misdemeanor and punishable accord-
ingly.

makeCanmay XXXI- If any registrar (J), or any officer appointed (m)

order for the by the guardians to enforce the provisions of this Act,

of any chud shall give information in writing to a justice of the

under h peace that he has reason to believe that any child under
years. 1 J

the age of fourteen years, being within the union or

parish for which the informant acts, has not been suc-
cessfully vaccinated, and that he has given notice (n)to
the parent or person having the custody of such child
to procure its being vaccinated, and that this notice has
been disregarded, the justice may summon such parent
or person to appear with the child before him at a cer-
tain time and place, and upon the appearance, if the
justice shall find, after such examination as he shall
deem necessary, that the child has not been vaccinated,

(i) i.e., vaccination officer. See 34 & 3 5Vict. c. 98, s. 7.
(k) See sec. 23, ante, p. 14.

(I) The duties of prosecuting offenders which the registrar
was empowered to take is by sec. 6 of 34 & 35 Vict. cap. 98,
now conferred upon the vaccination officer.

(m) See sec. 28, ante, p. 17.

(k) The Act does not prescribe any particular form of notice.

Cap. 84.]

Vaccination Act.

19

nor has already had the smallpox, he may, if he see fit,

make an order under his hand and seal, directing such

child to be vaccinated within a certain time ; and if at

the expiration of such time the child shall not have been

so vaccinated, or shall not be shown to be then unfit to

be vaccinated, or to be insusceptible of vaccination, the

person upon whom such order shall have been made shall Penalty for
. r, , .1 i i t i disobedience

be proceeded against summarily, and unless he can show

some reasonable ground for his omission to carry the
order into effect, shall be liable to a penalty not exceed-
ing twenty shillings (o) : —

Provided that, if the justices shall be of opinion that Proviso for
the person is improperly brought before him, and shall goifimpro-"

refuse to make anv order for the vaccination of the child, periysum-

J / moned.

he may order the informant to pay to such person sucn

sum of money as he shall consider to be a fair compen-
sation for his expenses and loss of time in attending
before the justice.

XXXII. Any person who shall after the passing of penalty upon
this Act produce or attempt to produce in any person cuiatin^wUh
by inoculation with variolous matter, or by wilful expo- smallpox,
sure to variolous matter, or to any matter, article, or
thing impregnated with variolous matter, or wilfully by
any other means whatsoever, produce the disease of
smallpox in any person, shall be guilty of an offence,
and shall be liable to be proceeded against summarily (p),

(o) It was held in Pilcher v. Stafford, 33 L. J. (N. S.) M. C.
113; 9 L.T. (N. S.) 75'J, that under the 16 & 17 Vict. c. 100,
s. 9, a person could not be convicted a second time for neg-
lecting to have a child vaccinated ; but now under the
Vaccination Act, 1867, it has been held in Allen v. Worthy,
34 J. P. 203, that he may be convicted on a second and sub-
sequent proceedings and fined, until lie obey the statute See
also tho opinion expressed by the select committee on vacci-
nation, sess. 1871, as to repeated convictions for neglecting to
obey tbo Act. Introduction, ante.

(p) See Glen's Jcrvis's Acts, third edition.

Vaccination Act. [30 ^ 31 Vict.

and upon conviction to be imprisoned for any term not
exceeding one month (z).

(z) It may be convenient to notice here the following sec-
tions of the Sanitary Act, 1866 (29 & 30 Vict. c. 90), which
bear upon this subject.

Penalty on person suffering from infectious disorder en-
tering public conveyance without notifying to driver that he
is so suffering. — Section 25. If any person suffering from
any dangerous infectious disorder shall enter any public con-
veyance without previously notifying to the owner or driver
thereof that he is so suffering, he shall on conviction thereof
before any justice be liable to a penalty not exceeding five
pounds, and shall also be ordered by such justice to pay to
such owner and driver all the losses and expenses they may
suffer in carrying into effect the provisions of this Act; and
no owner or driver of any public conveyance shall be required
to convey any person so suffering until they shall have been
first paid a sum sufficient to cover all such losses and ex-
penses.

Removal of persons sick of infectious disorders and with-
out proper lodging, in any district. — Section 26. Where a
hospital or place for the reception of the sick is provided
within the district of a nuisance authority, any justice may,
with the consent of the superintending body of such hospital
or place, by order on a certificate signed by a legally qualified
medical practitioner, direct the removal to such hospital or
place for the reception of the sick, at the cost of the nuisance
authority, of any person suffering from any dangerous con-
tagious or infectious disorder, being without proper lodging
or accommodation, or lodged in a room occupied by more
than one family, or being on board any ship or vessel.

Penalty on any person, with infectious disorder, exposing
himself, or on any jjerson in charge of such sufferer causing
such exposure. — Section 38. Any person suffering from any
dangerous infectious disorder who wilfully exposes himself,
without proper precaution against spreading the said disorder,
in any street, public place, or public conveyance, and any
person in charge of one so suffering who so exposes the
sufferer, and any owner or driver of a public conveyance who
does not immediately provide for the disinfection of his con-
veyance after it has, with the knowledge of such owner or
driver, conveyed any such sufferer, and any person who with-
out previous disinfection gives, lends, sells, transmits, or
exposes any bedding, clothing, rags, or other things which
have been exposed to infection from such disorders, shall, on
conviction of such offence before any justice, be liable to a
penalty not exceeding five pounds : Provided that no pro-

Cap. 84.] Vaccination Act.

21

XXXIII. The statute of the eleventh and twelfth ^J^'-

c* '"''i except

Victoria, chapter forty-three, except section eleven (a), sect. n;
.shall apply to all proceedings to betaken under this Act ; 7 & 8°Vict.
and the justices for the county, city, borough, or other j^*0* :g of
place where the offence shall have been committed shall 28 & 29 Vict,
have jurisdiction to hear and determine the complaint, ^ppiy to
and where a union or parish shall be comprised in seve-
ral jurisdictions the complaint as to any matter arising
in such union or parish may be heard and determined
in any one of such jurisdictions ; and all prosecutions
undertaken by the guardians or their officers, or
any registrar under this Act, shall be deemed to be
within the operation of the seventh and eighth Vic-
toria, chapter one hundred and one, section fifty-nine (5),

cecdings under this section shall be taken against persons
transmitting with proper precautions any such bedding,
clothing, rags, or other things, for the purpose of having the
same disinfected.

Penalty on persons letting houses in wldch infected
persons have been lodging. — Section 39. If any person know-
ingly lets any house, room, or part of a house in which any
person suffering from any dangerous infectious disorder has
been to any other person without having such house, room,
or part of a house, and all articles therein liable to retain in-
fection, disinfected to the satisfaction of a qualified medical
practitioner, as testified by a certificate given by him, such
person shall be liable to a penalty not exceeding twenty
pounds. For the purposes of this section the keeper of an
inn shall be deemed to let part of a house to any person ad-
mitted as a guest into such inn.

(a) See Glen's Jervis's Acts, third edition, and 34 & 35 Vict,
c. 98, sec. 11.

Xb) The 7 & 8 Vict. c. 101 , s. 59, enacts that it shall be law-
ful for any board of guardians or district board to pay out of
the funds in their hands the reasonable costs of the apprehen-
sion, and of the prosecution of any person who, according
to the laws in force at the time being, is charged with re-
fusing or neglecting to maintain himself or his family, or with
running away and leaving his family chargeable, or whereby
such family has become chargeable, or with wilfully neglect-
ing or disobeying the rules, orders, and regulations of the
poor law commissioners, or with any offence or misbehaviour
in any workhouse, or with deserting or running away from

Vaccination Act. [30 31 Vict.

and the Union, Chargeability Act of 1865, section
nine (c).

any workhouse and carrying' away clothes, linen, or other
goods or things belonging to any workhouse, or given, or
procured, or provided as or for relief, or with neglect or dis-
obedience of the reasonable and lawful orders of justices or
guardians, or of any district board, in the administration of
the laws relating to the relief of the poor, or with obstructing
or assaulting any officer engaged in the administration of the
laws for the relief of the poor, or with fraudulently obtaining,
stealing, purloining, embezzling, wasting, or injuring or wil-
fully misapplying any property applicable to or connected
with the relief of the poor, or with any offence directly affect-
ing the administration of the laws for the relief of the poor,
and the reasonable costs of apprehending and prosecuting any
officer who may have been employed in the administration of
the laws for the relief of the poor, for any neglect or breach of
any duty of his office, or for any maltreatment or abuse of
any poor person, and subject to the approval of the said com-
missioners, every board of guardians or district board shall
pay the costs of all legal proceedings taken by any auditor, or
under his direction, for the protection of the poor rates or
property of any parish, union, or district, or taken by any
other person whom the board of guardians or district board
have authorized or directed to institute such prosecution or
legal proceedings, and to the extent to which any such costs
may not be repaid by the offending or other party, or from
the county, liberty, or borough rates, the guardians of any
union then may, in any of the cases aforesaid, having due
regard to the circumstances of the case, and subject to the ap-
proval of the poor law commissioners (see sect. 9, Union
Chargeability Act) , charge such expenses either to the common
funds of the union, or to any parish or parishes comprised
therein, and the district board of any district may, having
like regard to the circumstances of the case, and subject to
the like approval of the poor law commissioners (see sect. 9,
Union Chargeability Act), charge such expenses cither to the
funds of the whole of such district, or on any one or more of
the unions and parishes comprised therein. (See Glen's Poor
Law Statutes, vol. 1, p. 601.)

(c) The '28 &29 Vict. c. 79, sect. 9, enacts that the costs and
expenses lawfully incurred in and about the prosecution of
any person for which the guardians of the union may be liable,
or which they undertake to pay under the fifty-ninth section
of the seventh and eighth Victoria, chapter one hundred and
one, shall in all cases be charged to the common fund. (See
Glen's Union Chargeability Act, second edition.)

Cap. 84.] Vaccination Act.

23

XXXIV. In any prosecution for neglect to procure £°£ece ™Jed
the vaccination of a child, it shall not be necessary in by prosecu-
support thereof to prove that the defendant had received fSes^be
notice (d) from the registrar or any other officer of the defence,
requirements of the law in this respect, but if the defen-
dant produce any such certificate as herein before de-
scribed, or the register of vaccinations kept by the regis-
trar as herein before provided, in which the certificate of
successful vaccination of such child shall be duly en-
tered, the same sha1! be a sufficient defence for him

except in regard to the certificate (e) marked B., when
the time specified therein for the postponement of the
vaccination shall have expired before the time when the
information shall have been laid.

XXXV. The word " Parent," shall include the father Interpreta-
and mother of a legitimate child and the mother of an tl0n cIau8e•
illegitimate child : " Medical Practitioner " shall mean a
registered medical practitioner ; and the several words

herein contained shall be construed, except where any
inconsistency would ensue from such construction, in
the same manner as in the several Acts for the Amend-
ment of the Law for the Belief of the Poor (/).

XXXVI. The seventh section of the Public Health As to the
Act, 1858 (ff), shall apply to all the proceedings ordersby the

(d) See sec. 15, ante, p. 11.

(e) See sec. 18, ante, p. 12.

(/) See 4 & 5 Will. 4, c. 76, s. 109 ; 5 & 6 Vict. c. 57,
s. 18 ; and 7 & 8 Vict. c. 101, s. 74.

(g) The 21 and 22 Vict. c. 97, s. 7, enacts that all powere
vested in the privy council by this Act may be exercised by
any three or more of the lords and others of the privy council,
the vice-president of the committee of the said privy council
on education being one of them, and all orders, regulations,
directions, and acts of the privy council under this Act, shall
be sufficiently made or signified by a written or printed docu-
ment, signed by one of the clerks of the privy council, or such
officer as may be appointed by the privy council in this be-
half ; and all orders, regulations, directions, and acts made

24: Vaccination Act.

council. ancl acts °^ tlie *01'ds °^ Her Majesty's council herein
authorized. ^

Title of the XXXVII. This Act shall come into operation on the
first day of January next, and may be cited as u The
Vaccination Act of 1867."

or signed by any written or printed document purporting
to be so signed, shall be deemed to have been duly made,
issued, and done by the privy council, and every such docu-
ment shall be received in evidence in all courts and before all
justices and others without proof of the authority or signature
of such clerk or other officer, or other proof whatsoever, until
it be shown that such document was not duly signed by the
authority of the privy council.

Schedule of Forms.

SCHEDULE OF FORMS.

A. (a)

I, the undersigned, hereby give you notice to have
the child (insert name) whose birth is now registered,
vaccinated within three months from the date of its
birth, pursuant to the provisions and directions of the
Vaccination Act ; and that in default of 3rour doing so
you will be liable to the penalties thereby imposed for
neglect of those provisions.

If you intend to apply to the public vaccinator of your
district, I have to inform you that he will attend at
, on , at the hour of .

You are required to produce to the public vaccinator
o r medical practitioner who may be applied to the forms
herewith supplied for him to fill up and sign ; and if the
operation be performed by a medical practitioner who is
not the public vaccinator, you must transmit to me by
post or otherwise the certificate signed by him within
twenty-one days after the performance of the operation,
or you will be liable to a penalty of twenty shillings, to
be recovered on a summary conviction.

Dated thi3 day of , 18 .

(Signed) CD.

Registrar of births and deaths for the

sub-district of , in the

Union or Parish.

(«) See sect. 15, ante, p. 11.

Vaccination Act. Forms.

B. (b)

I, the undersigned, hereby certify, That I am of

opinion that , the child of , of , in the

parish or township of , in the county or borough of

, aged , is not now in a fit and proper state to

be successfully vaccinated. I do hereby postpone the

vaccination until the day of , 18 .

Dated this day of , (a).

(Signed) A. B.,

Public vaccinator of the Union

or Parish.

or A. B., of ,

Medical practitioner {i.e. M.D., L.A.C.,
or F.R.C.S., or otherwise, as thecasc
may be).

Mem, — This is to be kept by the parent or other person
to whom it is given.

(a) This must not exceed two calendar months from the
date of the certificate.

. C (c)

I, the undersigned, hereby certify, That I have

times unsuccessfully vaccinated , the child of ,

of , in the parish or township of , in the county

or borough of , aged , [or that the child has

already had smallpox, as the case may be,] and I am
of opinion that such child is insusceptible of successful
vaccination .

Dated this day of , 18 .

(Signed) A. B.,

Public vaccinator of the Union

or Parish.

or A. B., of ,

Medical practitioner (i.e.M.D.,L.A.C,
or RR.C.S.,or otherwise, as the case
may be).

Mevx. — This is to be kept by the parent or other person
to whom it is given.

(J) See sect. 18, ante, p. 12. (c) See sect. 20, ante, p. 13.

Vaccination Act. Forms.

D. (d)

I, the undersigned, hereby certify, That , the

child of , aged , of , in the parish or town-
ship of , in the county or borough of , has been

successfully vaccinated by me.

Dated this day of , 18 .

(Signed) A. B.,

Public vaccinator of the Union

or Parish.

or A. B., of ,

Medical practioner (j.e.M.D.,L.A.C,
orF.R.C.S.,0>- otherwise, as the case
may be).

Notice. — This certificate is to be transmitted within
twenty-one days from the performance of the operation
by the public vaccinator to the reyistrar of the district
in which the birth was registered, or, if that be not
known to him, to the reyistrar of the district in which
the operation was performed. A duplicate is to be given
to the parent, or other person procuring the vaccination,
if requested.

When the vaccination is performed by a medical prac-
titioner, not the public vaccinator of the district, he is
to fill up and sign the certifica te, and the parent or such
other person is within the same time to transmit it to
the reyistrar with whom the birth was registered, or, if
his district be not known to such parent or other person,
to the registrar of the distr ict in which the operat ion was
performed.

Tlic transmission may be by post or otherwise.

In each case the Vaccination Act of 1867 imposes a
penalty of twenty shillings for default.

(d) See sect. 21, ante, p. 13.

28

Vaccination Act (18G7) Amendment.

AN ACT

TO

AMEND THE VACCINATION ACT, 1867.

21st August, 1871.

Be it enacted by the Queen's most excellent Majesty, by
and with the advice and consent of the Lords spiritual
and temporal, and Commons, in this present Parliament
assembled, and by the authority of the same, as follows :

Preliminary.

I. This Act may be cited as " The Vaccination Act,
1871."

II. This Act, except as herein-after expressly provided
and except so far as relates to the formation of any
districts, or the making of any rules, orders, or regula-
tions, shall come into operation on the first day of
January one thousand eight hundred and seventy-two,
which day is in this Act referred to as the commence-
ment of this Act.

Construction mm This Act shall be construed as one with the
Vaccination Act of 1867 (a), in this Act referred to as
the principal Act, and those Acts and this Act may be
cited together as " The Vaccination Acts, 1867 and
1871."

Commence-
ment of
Act.

(a) See ante pp. 1 — 24.

Si $ 35 Vict. Chap. 98.

29

IV. In this Act the term " parent " (I>) includes any Definition of
person having- the custody of a child.

Vaccination Officer.

V. Whereas under the principal Act the Guardians Appointment

* of vnccinn-

of any union or parish may (c) pay any officer appointed tion officer,
hy them to prosecute persons charged with offences
against that Act or otherwise to enforce its provisions,
and it is expedient to render obligatory the appointment
of such an officer : Be it enacted that the guardians of
every union and parish shall appoint and pay one or
more of such officers (in this Act referred to as " vacci-
nation officers ").

The provisions (d) of the principal Act with respect
to the division of unions and parishes into vaccination
districts shall extend to authorise the division of such
unions or parishes into districts for the purpose of the
duties of vaccination officers, so however that a district
of one vaccination officer shall (unless the Poor Law
Board otherwise direct) coincide either with a vaccina-
tion district or districts under the principal Act or with
a district or districts of a registrar of births and deaths.

Subject to the provisions of this Act, the Poor Law
Board (e) shall have the same powers with respect to
guardians and vaccination officers in matters relating- to
vaccination as they have with respect to guardians and
officers of guardians in matters relating to the relief of
the poor, and may make rules, orders, and regulations
accordingly, and all enactments relating to such powers,
and to such orders, rules, and regulations, shall apply
mutatis mutandis ; and the Poor Law Board (e) shall

(&) See also ante, p. 23.

(c) See 30 & 31 Vict. c. 14, s. 28, ante, p. 17.

(d) See 30 & 31 Vict. c. 84, s. 2, ante, p. 2.

(e) See sect. 16, post, p. 35, and 34 & 35 Vict. c. 70,
establishing the Local Government Board, which board was
established on the 19th August, 1871.

30

Vaccination Act (1867) Amendment.

also from time to time frame, provide, and distribute
appropriate books and forms for the use of vaccination
officers, public vaccinators, and medical practitioners
under the principal Act and this Act.

Duties of VI. The vaccination officer shall perform all the duties
officer.atl°n imposed by the principal Act on the registrar of births
and deaths (/), except the duty of giving- the notices
mentioned in section fifteen of the principal Act (o ),
and the principal Act shall be construed as if the words
" vaccination officer " were substituted for the words
" registrar of births and deaths " throughout that Act,
except section fifteen and any other part of that Act
relating to that section, and except that all fees received
by the vaccination officer as such shall be accounted for
to the guardians and paid to the fund out of which the
expenses of the guardians under the principal Act are
paid.

Transmis- VII. Every certificate of a child being unfit for or
ficates to " insusceptible of successful vaccination (h) if given by
office™"011 a Puu^c vaccinator shall, instead of being delivered by
him to the parent, be transmitted by such public vac-
cinator, and if given by any other medical practitioner
shall be transmitted by the parent of such child, to
the vaccination officer, in like manner as if it was a cer-
tificate of successful vaccination, and within seven days
after the examination of the child upon which such
certificate is founded, and the public vaccinator shall
upon request, and without fee or charge, deliver to the
parent a duplicate of any such certificate transmitted by
him.

Every certificate of successful vaccination (i) shall be
transmitted within seven days after it is ascertained

(/) See sects. 24, 25, 27, ante, pp. 15—16.

(g) See ante, p. 1 1.

(h) See sects. 18, 19, 20, ante, pp. 12—13.

(i) This supersedes part of sect. 23, ante, p. 14.

34 $ 35 Vict. Chap. OS.

31

that the operation has been successfully performed ; and
where a medical practitioner who is not a public vacci-
nator inspects a child to ascertain the result of the opera-
tion of vaccination, such medical practitioner, as soon
as he has ascertained that the operation has been suc-
cessfully performed, shall deliver to the parent causing
the child to be vaccinated a certificate of successful
vaccination, in the proper form, and duly filled up and
signed by him (7i).

Every person who acts in contravention of or fails to
comply with any provision of this section shall be liable
on summary conviction to a penalty not exceeding twenty
shillings ; and every person who wilfully signs a false
certificate or duplicate under this section shall be guilty
of a misdemeanor, and be liable to fine or to imprison-
ment with or without hard labour for a period not
exceeding two years.

No fee shall be payable for the registration of any
certificate of vaccination under the principal Act or this
Act.

VIII. Every registrar of births and deaths for any Transmission
place shall, once at least in every month, transmit, by tion officer" of

post or otherwise, to each vaccination officer whose list°f bi';ths
t • • n • and deaths,

district is wholly or partly comprised in such place, a

return, (i) certified under the hand of the registrar to be
a true return, of all births and of all deaths of infants
under twelve months of age which have, since the date
of the last return (or in the case of the first return since
the passing of this Act), been registered by such regis-
trar as having occurred in the district of the vaccination
officer to whom the return is sent.

(g) If vaccination is performed by an unqualified medical
practitioner, the certificate of vaccination given by him will
not protect the parents of children who knowingly obtain
such certificates, from being liable to prosecution.

(A) This return is in lieu of that required to be mado under
section 27 of the Vaccination Act, 1807; ante, p. 16.

32

Vaccination Act (1867) Amendment.

The registrar shall, whether he is or is not also the
vaccination officer, be entitled to a fee of twopence for
every birth or death entered in such return ; and such
fee shall be paid to him out of the same funds and by
the same persons, and in the like manner as the fees for
giving the notices under section fifteen of the principal
Act (i).

The returns under this section shall be made in such
form and contain such particulars as may be from time
to time prescribed by the Registrar General of births
and deaths in England, with the approval of the Poor
Law Board (k) ; and forms (I) necessary for such purpose
and for the purpose of the principal Act shall be supplied
by the said Registrar General to every registrar of
births and deaths.

Payment of IX. Where the operation of re-vaccinating any per-
vaccumted son is performed on the application of such person by
notmspected6 Pu^uc vaccinator without charge to such person, the
public vaccinator shall deliver to such person a notice
requiring him to attend at the same place on the same
day in the following week, in order that he may be
inspected and the result of the operation ascertained,
and stating that in default he will be liable as in this
section mentioned, and the public vaccinator, if required,
shall deliver to the person re-vaccinated a certificate of
the result of the operation of re-vaccination ; and if such
person fail to comply with such notice or to permit the
public vaccinator or his deputy to ascertain the result of
the operation, he shall pay a fee for such re-vaccination
of two shillings and sixpence, which fee shall be a debt
due from him to the guardians of the union or parish in

(i) Ante,?. 11. „
(k) Local Government Board, 34 & 35 Vict. c. 70.
(I) See sect. 5, ante, p. 29, which requires the Poor Law
Board, (i. e. Local Government Board,) to provide the forms
to vaccination officers, public vaccinators, and medical prac-

titioners.

03 ^ 34 Vict. Chap. 98.

33

which such public vaccinator acts, and all such fees shall
be paid to and all expenses of the guardians incurred
under this section shall be paid out of the fund out of
which the expenses of the guardians under the principal
Act are paid.

Penalties.

X. Every person who prevents any public vaccinator Penalty for
from taking from any child lymph as provided by section

vaccinator

seventeen (/) of the principal Act shall be liable, on [^aking
summary conviction, to pay a penalty not exceeding
twenty shillings.

XI. Proceedings under section thirty-one (m) of Amendment
the principal Act may be taken and proceeded with "eedings for
respect to any child who is not within the union or penalties,
parish for which a vaccination officer acts, if either the

child or its parent was within such union or parish at
the time of the information being given by such vac-
cination officer.

Where any parent of a child fails to produce such
child when required so to do by any summons under
the principal Act, such parent shall be liable on sum-
mary conviction to a penalty not exceeding twenty
shillings.

Any complaint may be made and any information
laid for an offence under the Vaccination Acts, 1867 and
1871, at any time not exceeding twelve months from
the time when the matter of such complaint or informa-
tion arose and not subsequently.

Where a person is charged with the offence of neglect-
ing to take or cause to be taken any child to be vac-
cinated, and on the defence made by such person it

(I) Sec ante, p. 12.

(jn) See ante, p. 18.

(«) See sect. 03, ante, p. 21.

C

34

Vaccination Act (1867) Amendment.

appears to the justices having- cognizance of the case
that such person is not guilty of such offence but has
been guilty of the offence of not transmitting- any cer-
tificate required by the principal Act or this Act with
respect to the vaccination of such child, the justices may
convict such person of the last-mentioned offence in like
manner as if he had been charged therewith.

The defendant in any proceedings under the principal
Act or this Act, may appear by any member of his
family or any other person authorised by him in this
behalf.

Miscellaneous.

Certificate of xil. Where it appears to the public vaccinator of any

successful . ■> . „ J

vaccination, district, upon personal examination of any child resident

in such district who has not been successfully vaccinated

by him, that such child has been successfully vaccinated,

the public vaccinator may, on the request of the parent

of such child, grant a certificate to that effect, and such

certificate shall be transmitted and have the same effect

as if it were a certificate of successful vaccination by the

public vaccinator who gave the certificate.

Vaccination XIII. Where the medical officer of any board of
medical LiW guardians is in attendance as such medical officer upon

officer of per- a pers0n sick of small-pox, and vaccinates any person

sons in the f . . , . r ' ... . ,

house with a who is resident in the same house with the sick person

?maiTpox?f and nas never been vaccinated or had the small-pox, or
re- vaccinates any person who is resident in the same
house with the sick person and has never been re-vac-
cinated, and is of the age at which successful re-vaccina-
tion by a public vaccinator is paid for under the regu-
lations of the Lords of Her Majesty's Council for the
time being in force, such medical officer shall, upon
transmitting the same certificates as he would be
required to transmit if he were the public vaccinator for
the district, be entitled to be paid in respect of every
such case of vaccination and re-vaccination the same

34 S; 35 Vict. Chap. 08.

35

sum out of the same fund as lie would be entitled to
receive if he were the public vaccinator for the district.

XIV. The powers of the Poor Law Board («), under Extension of

sect 9 of 30

section nine (o) of the principal Act, with respect to and' 31 Viet,
contracts for vaccination entered into under the pro- ^ntr'acts *?<»
visions of that Act, shall extend to contracts for vaccina- vaccination,
tion entered into under the provisions of any other Act.

XV. The Poor Law Board (•«) may, by order, from ^1,j£*tion of
time to time repeal, alter, and add to the forms con-
tained in the schedule to the principal Act, and the
reference in the principal Act or this Act to the forms in

such schedule or to any forms shall be construed to refer
to the forms prescribed by any such order.

XVI. After the establishment of the Local Govern- Substitution
ment Board under any Act («) passed in the present Government

session, this Act shall be construed as if the words Local Board for
' . . Poor Law

Government Board were throughout it substituted for Board and

the words Poor Law Board or Lords of Her Majesty's ci"vy Coun"

Privy Council respectively.

XVII. After the commencement of this Act, the As to repeal
principal Act shall be repealed to the extent specified principaiict
in the third column of the schedule to this Act : Pro-
vided that this repeal shall not affect anything done or
suffered before the passing- of this Act, or any right,
interest, or liability accrued before the passing1 of this

Act, or any remedy or proceeding- in respect of any such
thing, right, interest, or liability.

(n) See the 34 & 35 Vict. c. 84. The Local Government
Board was established on the 19th August, 1871.
(o) See ante, p. 8.

36

Schedule.

SCHEDULE.

Session and Chapter.

Title.

Extent of Eepeal.

30 & 31 Vict. c. 84.

The Vaccination
Act of 1867.

Section fourteen (p) ; so much of
section twenty-three (q), " as
" requires a parent to submit
" any certificate, or prescribes
" the time within which any
" certificate is to be trans-
" mitted ; " and the following
words in section twenty -
four (r), namely, " and another
"fee of threepence in respect
" of every such child whose
" certificate he shall have re-
" gistered as herein provided,
" and he shall receive a fee of
" one penny in respect of each
" child whose certificate he
" shall have registered without
" having registered the birth ;"
and section twenty-seven (s).

(p) See ante, p. 11. (r) See ante> P* 15-

(9) See ante, p. 14. (*) See ante, p. 16.

APPENDIX.

CIRCULAR, LETTER ON THE VACCINATION
ACT, 18G7.

(A.)

On the 31st December, 1867, the Poor Law Board issued a
Circular Letter, calling attention to the Vaccination Act, 1867 ;
as however the various points adverted to in that circular will
be found in the notes to the several sections in this work, it is
not necessary to print it here in extenso, but the following
Extracts from a Letter from the Medical Department of the
Privy Council, addressed to the Poor Law Board, dated
7th December, 1867, in the Appendix to that circular are
important.

1. — It seems in their Lordships' opinion important, first of
all, to impress very distinctly upon the guardians that now
under section 27 of the Act, they are bound to ascertain at
stated intervals whether the Act has or has not been complied
with by the parents, &c. of children whose births have been
registered within the union, and, in cases of neglect, to take
such steps as shall ensure compliance.

For this purpose, as will be seen, lists of persons presumed
to be in default are to be delivered half-yearly to the guar-
dians by the registrars of the respective districts in the first
week of January and first week of July in each year. The
first of these lists will be due in July next ; and guardians
ought to consider in the meanwhile how the requirements of
the Act as to dealing with such lists may best be carried out.
It appears to their Lordships that in any district it will be
difficult, and in any populous district impossible, for guar-

Appendix.

dians to give full effect to the intention of the legislature,
unless they appoint a paid officer or officers to make the
requisite inquiries and to take such further proceedings as the
statute requires. The services of such an officer are desirable,
moreover, and in fact almost indispensable for giving proper
effect to section 31. For in most districts there will be found,
in larger or smaller numbers, unvaccinated children whose
births have escaped registration, unvaccinated children who
have come in from other districts, and (for some time to come)
unvaccinated children born before this Act comes into opera-
tion ; and the duties of a vaccination officer will apply to all
these cases. He ought to find them out, to give notice to the
parent, &c. requiring the vaccination to be done within a
certain period, and to take such further course as may be
required to give effect to the section.

My Lords further think that if the Act is to succeed fully
according to its intention, every officer appointed as above
should be instructed to keep himself constantly informed of
the progress of vaccination in his district as compared with
the local birth registers. If this were systematically done, and
if the practice were adopted of sending a notice of default to
every parent as soon as the default arose, few cases would
remain to be reported half-yearly to the local authority. It
is evident that a registrar of births has, from the nature of
that appointment, peculiar facilities for acting as vaccination
officer to the guardians. But, of course, in certain cases there
may be reasons why this appointment should not be made.
And for cases where the vaccination officer of the guardians is
not the registrar of births, it'is to be remembered that under
section 24 of the Act the vaccinating officer, as such, has
access to the registrar's vaccination book.

The instructions of vaccination officer should have special
reference to any proceedings that may be necessary for carry-
ing into effect clause 17.

Hi — Next, as regards the local arrangements for vaccina-
tion : —

(a) By sections 2 & 3 the guardians of any union may be
required to revise the present divisions of their respective

Appendix.

unions, and to consolidate or otherwise alter existing districts.
The class of unions that will be chiefly affected by these
sections are urban unions, at present so sub-divided as in-
juriously to affect the performance of public vaccination ; and
my Lords presume that local arrangements will have now to
be brought into conformity with the principles laid down in
the memorandum issued by the council office " on sub- divi-
sion of vaccination : " —

(1.) That, except at times when there is immediate
danger of smallpox, vaccination be not appointed
to be performed at any station oftener than once
a week ;

(•2.) That, except at times when there is immediate
danger of smallpox, or for special reason in in-
dividual cases, vaccination in town-districts (unless
it be of private patients) be performed only at the
public station j

(3.), That as opportunity offers, especially in urban
unions and parishes, all unnecessary sub-division of
public vaccination among many districts or stations
be discontinued ; and that in populous towns, unless
under special circumstances, sub-division be not
made beyond the point where each vaccinating
station will have annually at least 500 applicants for
vaccination.

^ ^ ^*

(b) The intention of the Act (sections 3 and 11) is to have
for each vaccinating district one responsible public vaccinator.
This arrangement is at present the usual one ; and in cases
where it does not yet prevail the guardians ought at once to
consider the expediency of determining the present contracts,
and of making new contracts to the effect intended by the
present law.

^ ^f*

(c) The duties which devolve upon public vaccinators under
the contracts will no doubt be defined by the contracts; but
here again, with particular reference to the tendencies speci-

Appendix.

fied in the schedules, my Lords hope that the guardians
will not be permitted to overlook the rules essential for the
proper performance of vaccination .

(1.) Vaccination should not be appointed to be per-
formed at any station oftener than once a week.

*****

(2.) Where, as in rural and wide-spread districts, pro-
vision has to be made for attendance at more than
one station in a district, it is only at the principal
station that a weekly attendance should be given,
and the attendances at the other or subsidiary
stations should be for a certain number of con-
secutive weeks at two or three stated seasons of
the year ; and

(3.) Where the population of the district is so sparse
that there is not a resident public vaccinator, the
Poor Law Board will, my Lords presume, sanction
an arrangement (under clause 12) for attendancesat
fixed periods of the year only. An essential con-
dition of success of a vaccination station is that the
attendances shall be in fair proportion to the number
of children likely to be brought annually to the
station for vaccination.
*****

In addition to the reasons advanced there is another why
the schedules should be revised. The new law is very
stringent in requiring the attendance of parents ; and it is of
the utmost importance that the attendances of the vaccina-
tors, in conformity with the announcement made to parents,
should be punctually given. To effect this my Lords are of
opinion that the attendances to be fixed in contracts should
be such as vaccinators can reasonably be expected to adhere
to.

Appendix.

(B.)

GENERAL ORDER PRESCRIBING THE FORM
OF CONTRACT UNDER THE VACCINATION
ACT OF 18G7.

To the Guardians of tiie Poor of the
several unions named in the (schedule C.)
hereunto annexed ; —

To tho clerk or clerks to the justices of the petty
sessions held for the division or divisions
in which the said unions are respectively
situate ; — ■

And to all others whom it may concern.
Whereas the poor law board, by a general order bearing
date the thirtieth day of November one thousand eight hun-
dred and fifty-three, and divers other orders in that behalf,
addressed to the guardians of the poor of the several unions
named in the schedule (C.) hereunto annexed, did prescribe
certain forms of contract which tho said guardians should
adopt in making contracts with the medical officers of the
said unions, or other legally qualified medical practitioners,
under the provisions of the Act of the sixteenth and seven-
teenth years of the reign of Her Majesty, intituled "An Act
further to extend and make compulsory the Practice of
Vaccination,"

And whereas by reason of the passing of" The Vaccination
Act, 1867," it is expedient that such forms of contract should
be altered and modified, and that, with respect to all future
contracts, the said several orders should be rescinded.

Now, therefore, we, the poor law board, in pursuance of
" The Poor Lata Amendment Act, 1834," and the several
other statutes in that behalf, hereby order and direct, that in
respect of all contracts to be entered into by the guardians of
the said several unions after the date hereof, the said orders
shall be rescinded.

And we hereby further order and direct, with reference
to all the said unions, that the following form of contract,

c 3

Appendix.

with such modifications as the guardians, with the approval
of the poor law board, may determine upon, shall be adopted
by the said guardians in making future contracts with the
medical officers of the said unions, or other legally qualified
medical practitioners therein, under the provisions of the
above recited Acts :

Articles of Agreement entered into this

day of one thousand eight hundred and

between of the one part, and the guardians

of the poor of the union, in the county of

of the other part.

V hereas the said guardians have, in pursuance of the seve-
ral statutes in that behalf, with the approval of the poor law

board, divided the union aforesaid into districts for the

purpose of vaccination, one of which districts comprises the

parishes and places following ; that is to say, and have

appointed the places mentioned in the schedule (A.) hereto
annexed as convenient for the performance of such vaccina-
tion; and the said guardians have agreed with the said

to enter into a proper contract for the performance of the
vaccination :

Now, therefore, the said doth hereby covenant and

agree with the said guardians and their successors, that from

and after the ■ day of he will attend by himself, or

some medical practitioner legally qualified, for that purpose,
as his substitute, at the times and places mentioned in the
said schedule (A.) or at such other times and places as the
said guardians shall, with the consent of the poor law board,
determine and cause to be indorsed hereon, and will then and
there duly and according to the requirements of the law, vac-
cinate every person resident in the district aforesaid, who
shall apply to, or be brought to him for the purpose of
being vaccinated, and will do and perform all such acts and
things as to the best of his judgment, and in accordance with
such requirements, shall seem necessary for the purpose
of causing such vaccination to be successfully terminated;

Appendix.

And will in like manner vaccinato any child resident out of
his district whom any relieving officer of the said union shall
in writing refer to him for vaccination ;

And will attend at the times and places mentioned in the
said schedule (A.) to inspect the results of such vaccination in
the persons so vaccinated, and will duly inspect such persons
accordingly, and do such acts and give such directions and
otherwise treat the cases as upon such inspection shall appear
to him to be necessary.

And will keep a book to be termed " The Vaccinator's
Register," to be provided for him by the said guardians, and
will, as soon as practicable, after ho shall have vaccinated any
person to whom this contract shall apply, and as soon as
practicable after he shall have inspected the results of the
vaccination of such person, make the entries respectively ap-
plicable to the vaccination and the inspection of the results
described in the form set forth in the schedule (B.) hereto
annexed, and will on the day next before the first ordinary
meeting of the said guardians in every calendar month [or,
quarter of the year, as may be agreed upon betioeen the par-
ties], deliver or cause to be delivered to their clerk the book
in which he shall have made such entries during the interval
preceding such meeting.

And the said guardians do, for themselves and their suc-
cessors, covenant and agree with the said as follows;

that is to say,— to pay to him, his executors or administrators,
within one calendar month after Lady Day, Midsummer Day,
Michaelmas Day, and Christmas Day respectively, during
the subsistence of this contract, and within one month after
its termination, for every person to whom this contract shall
apply upon whom, in accordance with the regulations of the
lords of the council in force at the time, and all other require-
ments of the law, the operation of primary vaccination shall
be successfully performed by the said , at the within men-
tioned station at , the same being situated at [or within

one mile from] his residence by the nearest public carriage
road, the sum of [here insert the sum agreed upon, not less
than Is. Gd.], and for every such person so vaccinated at the

c 8

Appendix.

within mentioned station at , the same being situated over

one mile and under two miles distant from such residence, the
sum of [here insert the sum agreed upon, not less than 2a.] ;
and for every such person so vaccinated at the within men-
tioned station at , the same being situated over two miles

from such residence, the sum of [here insert the sum agreed
upon, not less than 3s.] ; and further, to pay to him, his
executors or administrators, at the times hereinbefore men-
tioned, the sum of in respect of every person to whom

this contract shall apply upon whom the operation of primary
vaccination shall be successfully performed in accordance with
such regulations and requirements as aforesaid by the said
elsewhere than at a station herein mentioned.

And it is hereby mutually agreed by and between the par-
ties hereto, that no sum of money shall be paid to the said

in respect of any person whose name, together with the

other particulars relating to the case, shall not be duly entered
in the said register, except in the case of any omission, which
shall be explained to the satisfaction of the said guardians.

And it is hereby mutually agreed that this contract may be
put an end to by either of the parties hereto on giving twenty-
eight days' notice in writing to the other party respectively of
the intention to put an end to the same.

[Here must be inserted some other stipulation or condi-
tion to which the poor law board shall consent to secure the
due vaccination of persons, the observance of the provisions
of the Vaccination Act with regard to the transmission of
the certificate of successful vaccination, and the fulfilment of
all other provisions of the said Act on the part of the public
vaccinator,']

Appendix. 45

SCHEDULES referred to in the above Articles of Agreement.

SCHEDULE (A.)

Times and Places appointed for Vaccination and Inspection respectively.

Times.

Places.

Day o( Attendance

Ilours of the Day.

for
Vacci-
nation.

for
Inspection.

At the residence of the
said
at
At
At

This must
be the s?ne
day in the

following
week-

46

C3

-a

o

W

O
CO

~ 5
*-» ft*

ft!

a
S

•uoijrjupoiiA-oy; jnj

2 -SS3D0US JO OSBD ipUD
JO !|99dS3J UI Slip Od&

•UOIJ

^, -iimoot?A Ajisuiud inj
l"H -ssooans jo osua qorcg
jo joadsg.i ui anp oo,j

ti

n MBJisiSaa oi[-| o) 9juoy
"H Sntpuog jo 9}«(I

Total

12
Result.

Unsuc-
cessful.

Success-
ful.

_ 'Snpoadsut
1-1 U0SJ9<£ oqi jo sibijiui

.'pajoads
-ui gjsqii pun u3qAi

•uoijuu

os -idsua. aqj Smuuoj
^J3d uosjgj jo sjbijiui

•AUB JI '30JU0S

J3qio JO — 'lusuiqsiiq

-BJS5I 3U1031SA IBUOI}

3qj iq }U3S sq
qdtniTSqura-A'N:

}J3SUI JO — 'P3UJJ0J

-jad si uoiiuuiooua
a\\i qdra^i asoqAi
qjlAv psfqns aqi JO J3J
-siSajI ui -0(J_ jo surest

t- ,-p9JT!Il!90t!A 9J3^1M.

cd 'aaugptsaa jo aauid

CO

lO bo

<;

•sqjuopi

•SJB3A

■}I jfjuui 'ojn il."J9
ui poiutnoouA £\\nj
•* -SS909US s^noasappy
puG 'sjinpv jo uoi;
-BUiODOA-aH }° asva UI

OS •9U1B.K

O •UOIITJUIOOBAJO 9)T!a

•p3)T33d3.I

sq 0} usqi puts '005 °1
aAijnoasno.T osua jo -0N

Appendix.

47

In witness whereof tho said — hath hereunto set his hand and seal,
and tho said guardians their common soal, tho day and year first abovo
written.

Signed, soaled, and delivered by the above-named
in the presence of .

Tue common seal of the guardians of the above-
named union was hereto affixed at a meeting of the
board of guardians, held on the day of the date hereof

by chairman of the board at the said meeting, in

the presence of

Clerk to the Guardians of the said Union.

46

SCHEDULE (C.)

Names of Unions referred to in the foregoing Order.

A llPffl PT ATI

Aylesbury

Bierley, North

A liPro*fi\7pnn v

Aylsham

Biggleswade

A hprvcfwi t Yi

A UC1 y O i VV 1 ILL

Billericay

A hinprlnn

Bakewell

Billesdon

A Inane At

JllUdU^ Ola

Bala

Bingham

A 1 ppef fii»

Banbury

Birkenhead

A lflPT'luiT'V

Bangor and Beaumaris Bishop Stortford

A In toipIc

Barnet

Blaby

Alrp^fTrrfl

111 i LOlul U

Barnsley

Blackburn

Alton

Barnstaple

Blandford

J 11 1 1 UJClldLLL

Barrow-upon-Soar

Blean

A in p,rs n n m

J A 1 1 1 o 1 Ou 4.1 III

Barton-upon-Irwell

Blofield

Amesbury

Basford

Blything

Ampthill

Basingstoke

Bodmin

Andover

Bath

Bolton

Anglesey

Battle

Bootle

Asaph, St.

Beaminster

Bosniere and Claydon

Ashbourne

Bedale

Boston

Ashby-de-la-Zouch

Bedford

Boughton, Great

Ashford, East

Bedminster

Bourn

Ashford, "West

Bedwellty

Brackley

Ashton-under-Lyne

Belford

Bradfield

Aston

Bellingham

Bradford (Wilts)

Atcham

Belper

Bradford (York)

Atherstone

Berkhampstead

Brain tree

Auckland

Berwick-upon- Tweed

Bramley

Austell, St.

Beverley

Brampton

Axbridge

Bicester

Brecknock

Axminster

Bideford

Brentford

Appendix.

Bridge

Chester-le-fetreet

Doncaster

Bridgend and Cow-

Chesterton

Dorchester

bridge

Chippenham

Do re

Bridgwater

Chipping Norton

Dorking

Bridgnorth

Chipping Sodbury

Dover

Bridlington

Chorley

Downham

Bridport

(Jhorlton

Drayton

Brixworth

Christchurch

JJrirheld

Bromley

Onurcn otretton

Droitwich

Bromsgrovc

Cirencester

Droxford

Bromyard

Cleobury Mortimer

Dudley

Buckingham

Clitton

Dulverton

Builth

Clitneroe

Dunmow

Buntingford

Cam

Durham

Bu ley

Clutton

Dursley

Burton-upon-Trent

Cockermou th

Bury

Colchester

Easington

column, fat. Major

Easingwold

Caistor

Congleton

Eastbourne

Calne

Conway

East Grinstead

Cambridge

Cookham

Easthampstead

Camelrord

Corwen

East Retford

Cardiff

Cosrord

Eastry

Cardigan

C ran brook

.bast wara

Carlisle

Crediton

Ecclesall Bierlow

Carmarthen

Crickhowel

Edmonton

Carnarvon

Cricklade and Wootton

Elham

y~i j.1 _ tit-— 1

Castle Ward

Bassett

Ellesmere

Catherington

Croydon

Ely

Caxton andArrington

Cuckheld

Epping

Cerne

Epsom

Chailey

Darlington

Erpingham

Cnapel-en-le-rnth

JJarttord

Eton

Cnard

Daventry

Evesham

Cheadle

Depwade

Chelmsford

Derby

Faith, St.

Cheltenham

Devizes

Falmouth

Chepstow

Dewsbury

Fareham

Chertsey

Docking

Faringdon

Chesterfield

Dolgelly

Farnham

50

Appendix.

T?n vpi* r! i n m

• *' > * I i- IKllII

xiacneiu.

Keighley

"Pp >i f i n i n cr

Havant

Kendal

.riegg, .cast ana west

Haverfordwest

Kettering

Foleshill

jidwai uen

Keynsham

TTfiTr

Hay

Kidderminster

JLUl UI1UU

Hayneld

Kingsbridge

x"i etJui luge .Lynn

Headington

Kingsclere

"F i*o m 6

Helmsley Blackmoor

King's Lynn

x ill II a in

Helston

King's Norton

"Fvlflp TItp

Hemel Hempstead

Kingston

Hemsworth

Kington

ijmnsDoroug u

Hendon

Kirkby Moorside

flnvctiinfr

Henley

Knaresborough

i . olncnnn fT

vjd cesiie ad

Hensteau

Knighton

1 » nil TT1 OTia Q-f-

V it_ 1 1 1 1 (1 lib, ou

Hereford

Glanford Brigg

Hertford

Lampeter

Glendale

TT 1

Hexham

Lancaster

Glossop

Highworth and Swin-

Lanchester

Gloucester

(Ion

Langport

I Z- /~\ r\ c t r\ >a
uUUoLUllc

Hinckley

Launceston

Goole

Hitchin

Ledbury

Gower

Hoioeacn

.Leek

Gran th am

Hoi born

Leicester

irrdvebenu dnu iviiicoii

Hollingbourn

Leigh

Greenwich.

Holsworthy

Leighton Buzzard

(jruiiatorcL

IT 1 1 J

Holyhead

Leominster

Guiltcross

TT — 1 11

Holywell

Lewes

Guisborough

Honiton

Lewisham

H00

Lexden and Winstrea

Hackney

Horncastle

Leyburn

Hail sham

Horsham

Lichfield

T-T nlifO %r

Hough ton-le-Spring

Lincoln

T-T ' 1 1 l* 1 /"\ o /"i

Howden

Linton

xiaiLvvnistie

Hoxne

Liskeard

U o tv\ af\ f\n

ii tti 1 1 uieuuii

T-T iinnnncnalfi
11 UUilul M 1 u 1U

JUldUUllU 1 dWl

Hardingstone

Hungerford

Llandovery

Hartismere

Huntingdon

Llanelly

Hartlepool

Hursley

Llanfyllin

Hartley Wintney

Llanrwst

Haslingden

Ipswich

Loddon and Clavering

Hastings

Ives, St.

London, City of

Appendix.

51

London, East
London, West
Longtown
Loughborough
Louth
Ludlow
Luton

Lutterworth
Lyniington

Macclesfield
Machynlleth
Madeley
Maidstone
Maldon
Mailing
Malmsbury
Malton
Mansfield
Market Bosworth
Market Harborough
Marlborough
Martley
Med way
Melksham
Melton Mowbray
Mere
Meriden
Merthyr Tydvil
Midhurst
Milderihall
Milton
Mitford and Launditch
Monmouth
Morpeth

Mutford and Lothing-
land

Nantwich
Narbcrth

Neath
Neots, St.
Newark
Newbury

Newcastle-in-Emlyn
Newcastle-under-Lymc
Newcastle-upon-Tyne
Newent
New Forest
Newhaven
Newmarket
Newport (Monmouth)
Newport (Salop)
Newport Pagnell
Newton Abbot
Newtown and Llanid-
loes
Northallerton
Northampton
North Aylesford
Northleach
Northwich
North Witchford
Norwich
Nottingham
Nuneaton

Oakham
Okehampton
Olave's, St.
Oldham
On gar
Ormskirk
Orsett
Oundle

Ouseburn, Great

Pateley Bridge
Patrington
Pembroke

Penistone

Penkridge

Penrith

Peuzar ce

Pershore

Peterborough

Petersfield

Pet worth

Pewsey

Pickering

Plomesgate

Plympton, St. Mary

Pocklington

Pontefract

Pontypridd

Pont-y-pool

Poole

Poplar

Portsea Island

Potterspury

Prescot

Presteigne

Preston

Prestwich

Pwllheli

Radford

Reading

Redruth

Reeth

Reigate

Rhayader

Richmond (Surrey)

Richmond (Yorkshire)

Ringwood

Ripon

Risbridge

Rochdale

Rochford

Romford

52

Appendix.

Romney Marsh

Romsey

Ross

Rothbury

Rotherham

Royston

Rugby

Runcorn

Ruthin

Rye

Saffron Walden

Salford

Samford

Saviour's, St.

Scarborough

Sculcoates

Sedbergh

Sedgefield

Seisdon

Selby

Settle

Sevenoaks

Shaftesbury

Shardlow

Sheffield

Sheppey

Shepton Mallet

Sherborne

Shiffnal

Shipston-upon-Stour

Skipton

Skirlaugh

Sleaford

Solihull

Southam

South Molton

South Shields

South Stoneham

Southwell

Spalding

Spilsby

Stafford

Staines

Stamford

Stepney

Steyning

Stockbridge

Stockport

Stockton

Stokesley

Stone

Stourbridge
Stow

Stow-on-the-Wold
Strand

S tratford-up on- Avon

Stratton

Stroud

Sturminster

Sudbury

Sunderland

Swaffham

Swansea

Tadcaster

Tamworth

Taunton

Tavistock

Teesdale

Tenbury

Tendring

Tenter den

Tetbury

Tewkesbury

Thakeham

Thame

Thanet, Isle of

Thetford

Thingoe

Thirsk

Thomas, St.

Thornbury

Thorne

Thrapstone

Ticehurst

Tisbury

Tiverton

Todmorden

Tonbridge

Torrington

Totnes

Towcester

Tregaron

Truro

Tunstead and Happing
Tynemouth

Uckfield

Ulverstone

Uppingham

Upton-upon-Severn

Uttoxeter

Uxbridge

Wakefield

Wallingford

Walsal

Walsingham

Wandsworth & Clapham

Wangford

Wantage

Ware

Wareham and Purbeck

Warminster

Warrington

Warwick

Wetford

Wayland

Weardale

Appendix.

53

Wellingborough

Wellington (Salop)

Wellington (Somerset)

Wells

Welwyn

Wem

Weobley

Westbourne

West Bromwich

Wcstbury-upon-Severn

Westbury and Whor-

welsdown
West Derby
West Firle
West Ham
West Hampnett
West Ward
Wetherby
Weymouth
Wharfedale

Whoatonlmrst
Whitby

Whitchurch (Salop)
Whitchurch (South-
ampton
Whitechapel
Whitehaven
Wigan

Wight, Isle of
Wigton
Williton
Wilton

Wimborne and Cran-

borne
Wincanton
Winchcombe
Winchester, New
Windsor
Winslow
Wirrall

Wisbeach
Witham
Witney
Woburn
Wokingham
Wolstanton and Burs-
lem

Wolverhampton
Woodbridge
Woodstock
Worcester
Worksop
Wortley
Wrexham
Wycombe

Yeovil
York.

Given under our hands and seal of office, this Fifteenth day of
February, in the year One thousand eight hundred and
sixty-eight.

i

Devon,

President.

Gathorne Hardy.
Marlborough.

G. SCLATER-BOOTH,

Secretary.

Appendix.

(C.)

On the 1st November, 1867, the Registrar General issued a
Circular to the Registrars of Births and Deaths, pointing
out their duties under the "Vaccination Act, 1807, and en-
closed the following Forms, to be used in accordance with
the provisions of that Act.

NOTICE TO BE GIVEN BY THE REGISTRAR OF BIRTHS TO
THE PARENT OR PERSON REGISTERING A BIRTH.

NOTICE OF THE REQUIREMENT OF VACCINATION.

[To be given by the Registrar at the time of registering the
birth, or within seven days after, pursuant to sect. 15.]

I, the undersigned, hereby give you notice to have the child
named {insert name) , whose birth is now registered, vacci-
nated within three months from the date of its birth, pur-
suant to the provisions and directions of the Vaccination Act ;
and that in default of your doing so, you will be liable to the
penalties thereby imposed for neglect of those provisions,

(a) If the notice be given to the father, strike out the word
" mother " and the following line ; if to the mother, strike out
" father," and also the said line ; if it be given to any other
person, strike out only the words "father " and " mother."

SCHEDULE (A.)
THE VACCINATION ACT OF 1867.
(30 & 31 Vict. Cap. 84.)

To the Father (a)
Mother . . ,

Copy hereunder the No.
of the entry of the
child's birth from the
Register Book.

Person having the
custody of the
child herein named'

Appendix.

You are required to produce to the public vaccinator or
medical practitioner who may be applied to, the Forms here-
with supplied, for him to fill up and sign ; and if the operation
bo successfully performed by a medical practitioner who is
not the public vaccinator, you must transmit to me, by post
or otherwise, within twenty-one days after the performance
of the operation, the certificate signed by him, or you will be
liable to a penalty of twenty shillings, to be recovered on a
summary conviction.

If you intend to apply to the public vaccinator of your dis-
trict, I have to inform you that he will attend at the following
times and places : —

Times and places of attendance of Public Vaccinator.

Times.

Places.

Day of the week.

Hours of the day.

(»)

at

I further give you notice, that when the operation shall
have been performed by the public vaccinator, the chil d is to
be taken to him upon the same day in the following week for
his inspection and for the purposes set forth in section 17.

Dated this day of 18 .

(Signature of Registrar)

Registrar of births and deaths for the

sub-district of , in the district

of

A ddress by -post

(b) The blanks in this form are to be filled up by the
registrar, pursuant to sect. 16.

Appendix.

FORM (B.)
THE VACCINATION ACT OF 1867.
(30 & 31 Viot. Cap. 84.)

MEDICAL CERTIFICATE OP UNFITNESS FOR SUCCESSFUL
VACCINATION.

[To be delivered (pursuant to section 18) to the father or
mother of an unvaccinated cbild, or to the person having
the custody of such child.]

I, the undersigned, hereby certify that I am of opinion

that1 the child of2 of 3 (and residing at No.

j in street) in the parish or township of in the

county or borough of aged 4 is not now in a fit and

proper state to be successfully vaccinated. I do hereby post-
pone the vaccination until the 5 day of (a).

Dated this c day of 18 .

(Signature of the person certifying)

Add *' public vaccinator of the union or\

parish of ," or "medical practitioner

of and add professional titles (i. e. "

M.D., LA.C, or F.R.C.S., or otherzoise,

as the case may be).

Mem. — This is to he kept by the parent or other person to
whom it is given.

Directions for filling up this certificate. — Insert in tho
several blank spaces the following particulars : —

1 Child's name and surname.

2 Father's, or (if the child be illegitimate), mother's name
and surname.

3 Parent's residence [if in a town, insert No. of the house,
the street, and the town] and county or borough.

Child's age.

Date to which the vaccination is postponed.
G Date of certificate.

(«) This must not exceed two calendar months from the
date of the certificate.

Appendix.

57

FORM (C.)
THE VACCINATION ACT OF 1867.
(30 & 31 Vict. Cap. 84.)

MEDICAL CERTIFICATE OF INSUSCEPTIBILITY OF
SUCCESSFUL VACCINATION.

[To be delivered (pursuant to section 20) to tlie father or
mother of the child, or to the person having the custody of
such child.]

I, the undersigned, hereby certify that I have1 times

unsuccessfully vaccinated2 the child of3 of4

(and residing at No. in street), in the parish or

township of in the county or borough of , aged5

[or that the child has already had smallpox, as the case

may be'], and I am of opinion that such child is insusceptible
of successful vaccination.

Dated this 6 day of , 18

(Signature of the person certifying)

Add " public vaccinator of the union or \

parish of ," or "medical practitioner ■

of "and add professional titles (i. e. -

M.D., L.A.C., or F.R.C.S., or otherwise,

as the case may be). '

Mem. — This is to be kept by the parent or other person to
whom it is given.

Directions for filling up this certificate. — Insert in the
several blank spaces the following particulars : —

1 The number of times.

2 Child's name and surname.

3 Father's, or (if the child be illegitimate) mother's name
and surname.

4 Parent's residence [if in a town, insert the No. of the house,
the street, and the town] and county or borough.

8 Child's age.

0 Date of certificate.

D

Appendix.

(FORM D.)
THE VACCINATION ACT OF 1867.
(30 & 31 Vict. Cap. 84.)

The Registrar
to insert the No.
of the entry of
the child's birth
in the Register
Book.

Entry No.

I, the undersigned, hereby certify, that 1 the child of 2

, aged3 [stated to have been born at 4 No. in

street, in] the parish or township of in the county

or borough of has been successfully vaccinated by me.

Dated this 5 day of 18 .

{Signature of the person certifying)

Add "public vaccinator of the union or

parish of ," or " medical practitioner

of and add professional titles (i.e.

M.D.,L.A.C.or F.R.C.S., or otherioise, as
the case may be).

Directions for filling up this certificate. — Insert in the
several blank spaces the following particulars: —

1 Child's name and surname.

2 Father's, or (if the child's be illegitimate) mother's name
and surname.

3 Child's age.

4 The place of the birth [if in a town, insert the No. of the
house, the street, and the town], and also the county or
borough.

5 Date of certificate.

Notice. — This certificate is to be transmitted within
twenty-one days from the performance of the operation by
the public vaccinator to the registrar of the district in which
the birth was registered, or, if that be not known to him,
to the registrar of the district in which the operation
teas performed. A duplicate is to be given to the parent or
other person procuring the vaccination, if requested.

MEDICAL CERTIFICATE OF SUCCESSFUL
VACCINATION.

Appendix.

When the vaccination is performed by a medical practi-
tioner, not the public vaccinator of the district, he is to Jill
up and siijn this certificate, and the parent or such other
person is within the same time to transmit it to the registrar
with whom the birth was registered, or if his district be not
known to such parent or other person, to the registrar of the
district in which the operation was performed.

The transmission may be by post or otherioise.

In each case the Vaccination Act of 1867 irnposesa penalty
of tiventy shillings for default.

For name a7id address of registrar who registered the
birth, see the other side hereof.

INDORSEMENT.

To Mr.

Registrar of Births and Deaths for the Sub-District of

( Unpaid.)

D

Appendix.

(D.)

VACCINATION.

ON THE SUB-DIVISION OF PUBLIC VACCINATION,
AS AFFECTING THE SUPPLY OF LYMPH.

There is reason to believe that the performance of public
vaccination in England is disadvantageously affected by its
present extreme sub-divison.

For the satisfactory working of a public vaccinating station,
it is requisite that systematically on each vaccinating day
two groups of cases should assemble there ; — on the one hand
infants, who, having been vaccinated on the day-week pre-
ceding, are now (as the law requires) brought back for
inspection, and are ready to furnish the vaccinator with lymph
for his present proceedings ; on the other hand infants
brought for vaccination, who, if now vaccinated, will on the
day-week following be brought back for inspection, and then
in their turn contribute lymph for the benefit of further
applicants. By the coming together of these two groups of
cases, the vaccinator is enabled to vaccinate from arm to
arm j — a mode of proceeding, which (as a rule) is of great
importance to his success.

It is also requisite that each group of cases should not be
too restricted in number. The careful vaccinator does not
indifferently vaccinate from the arms of all infants brought
back on the eighth day, but exercises selection among them;
and facility for this selection cannot be afforded him, unless
there be on each vaccinating day an average return of several
vaccinated cases. If his share of the local vaccination be
either too small or too much sub-divided among different
stations and different days, the cases returning to him for

Appendix.

eighth-day inspection will on many vaccinating days be too
few for his purpose. On all such occasions, he must either
omit to vaccinate those who apply to him, or (unless he have
recourse to less eligible sources) must vaccinate them with
preserved lymph, and incur the much greater chances of
failure which belong to the usual modes of thus vaccinating.

Ill-frequented vaccinating stations (stations, that is to say,
where the total number of vaccinations, as compared with the
number of vaccinating days, is too small for the local lymph-
supply to be continuously and properly maintained) are now a
very prominent feature in our system of public vaccination.
And this state of things is one of serious consequence; not only
as implying that at present a large proportion of the vaccina-
tions in England are performed under disadvantageous cir-
cumstances; but also because, if it continue, the general
lymph supply of England can scarcely fail to become insuffi-
cient or deteriorated.

The excessive sub-divivision which leads to this result,
arises in various ways. Sometimes, no doubt, the quantity of
vaccination to be performed within one jurisdiction has been
divided among too many performers. But still oftener it
is the case, that individual vaccinators have distributed their
respective shares of the public duty among too many stations,
or too many vaccinating days ; and in some cases the vac-
cinator developes the inconvenience to its greatest extent by
almost or entirely disusing the appointed station, and habitu-
ally performing his vaccination under contract at the several
private dwellings of his patients ;— a mode of proceeding,
which in thinly-populated rural districts may be convenient
and even necessary, but which in town districts can never
be necessary, and scarcely ever can fail to be disadvan-
tageous.

It cannot be questioned but thai local authorities, in
adopting the arrangements here animadverted on, have been
actuated by the very laudable intention of giving the utmost
possible facility to persons desirous of becoming vaccinated. To
any one who has not studiod the subject, it naturally appears
that the greatest facilities for vaccination must be

Appendix.

the largest number of stations, and the largest number of
surgical attendances there ; whereas in fact (from circum-
stances which have been here explained) any multiplication of
attendances beyond a certain point, can only give spurious
facilities for its purpose ; and public vaccination in a district
may often be difficult or inefficient, merely because the
stations are too numerous, or the attendances at them too
frequent.

The inconveniences adverted to are not altogether re-
movable. In rural districts, from obvious and unavoidable
causes, it never can be as easy as in populous towns to
maintain effective vaccination at one common centre ; and
in many of such districts the medical officer exercises a wise
discretion in vaccinating, as opportunities offer, at the scat-
tered dwellings of his patients. Again, in instances where
smallpox breaks out amongst a population which presents
considerable illegal arrears of vaccination, the emergency,
while it lasts, requires exceptional arrangements.

Exception being made of these, and perhaps other special
cases, it seems certain that the public vaccination of England
would be greatly improved by judicious consolidation of its
present too diffuse arrangements. And to effect this object
it seems desirable that guardians and overseers, where there
is no special reason to the contrary, should regulate the
details of their respective contracts in uniformity with the
following General Rules : —

(1.) That, except at times when there is immediate
danger of smallpox, vaccination be not appointed
to be performed at any station oftener than once
a week ;

(2.) That, except at times when there is immediate
danger of smallpox, or for special reason in in-
dividual cases, vaccination in town-districts (unless
it be of private patients) be performed only at the
public station ;

(3.) That, as opportunity offers, especially in urban
unions and parishes, all unnecessary sub-division of

Appendix.

public vaccination among many districts or stations
be discontinued; and that in populous towns, unless
under special circumstances, sub-division be not
made beyond the point where- each vaccinating
station will have annually at least 500 applicants
for vaccination.

(E.)

REGULATIONS RELATING TO VACCINATION.

AT THE COUNCIL CHAMBER, WHITEHALL,

THE 1ST DAT OF DECEMBER, 1859.

BY THE LORDS OF HER MAJESTY'S MOST HONOURABLE
PRIVY COUNCIL.

To the Guardians of the Poor of all Unions and Parishes,
to the Churchwardens and Overseers of all Parishes,
Toionships, and Places in which the Relief to the Poor
is not administered by Guardians, in England and Wales,
and to all Medical Practitioners.

Whereas by the Public Health Act, 1858, and by an Act
since passed to perpetuate the same, it is enacted that the
privy council may from time to time issue such regulations as
they think fit, for securing the due qualification of persons to
be thereafter contracted with by guardians and overseers of
unions and parishes in England for the vaccination of persons
resident in such unions and parishes, and for securing the
efficient performance of vaccination by the persons already or
thereafter to be contracted with as aforesaid : —

Now, therefore, it is hereby ordered, by the lords and others
of Her Majesty's Most Honourable Privy Council (of whom
the Vice-President of the Committee of tho said Privy Council

G4

Appendix,

on Education is one) tliat on and after the first day of January,
1860, the following Regulations shall be in force, viz. : —

Qualification 1. Except where the Privy Council, for reasons brought to

ofcoutrac- ... „, . * , ' . ,,

tors. their notice, see nt, in particular cases otherwise to allow, no

person shall in future be admitted as a contractor for vacci-
nation, unless he possess the same qualifications as are required
by the orders of the Poor Law Commissioners as qualifications
for a district medical officer, and produce a special certificate,
given, under such conditions as the Privy Council from time
to time fix, by some public vaccinator whom the Privy Coun-
cil authorize to act for the purpose, and by whom he has been
duly instructed or examined in the practice of vaccination,
and all that relates thereto : —

but the production of this special certificate on occasion of
the contract being made may be dispensed with, if the certi-
ficate, or some other which the Privy Council judge to be of
like effect, have been among the certificates or testimonials
necessary for obtaining any diploma, licence or degree, which
the candidate possesses ; —

and also, in respect of persons legally admitted to practice
before this regulation comes into effect, the special certificate
may be dispensed with, on condition that the contract, during
one year from its making, continue subject to the approval of
the Poor Law Board ; —

and all persons now contracted with shall be deemed to be
qualified to be again contracted with.

Qualification 2. Under the same conditions as are appointed for the ad-

of deputies mission of a contractor, any person qualified to be a Con-
or contrac- ' * ' .

tors. tractor may, on the contractor's application, be admitted by

the guardians or overseers to act as his occasional deputy ; —
but, if this admission be not part of the original contract,
it must be notified by indorsement upon the contract ; and at
least fifteen days before it is intended to take effect, a copy of
the proposed indorsement, together with all requisite evidence
of the qualification of the person whom it is proposed to admit
must be transmitted to the Poor Law Board.

Vaccination 3. All vaccinations and inspections under contract shall be
Uon m9pee* performed by the contractor in person, or by some other con-

Appendix.

65

tractor of the same union or parish acting for him, or by a
deputy, duly admitted as above ; —

but at any station where tho contractor is authorized (as
above) to grant certificates, pupils and other candidates, aged
not less than eighteen years, may, in his presence and under
his direction, take part in vaccinating.

All vaccinations and inspections under contract shall be
performed in accordance with the annexed " Instructions for
Vaccinators under Contract."

4. Until some new form of vaccination-register be duly pre- Register of
scribed, the person who performs any vaccination under con- cases"
tract shall, on the day when he performs it, legally write in

his register (as now provided) the letter R. (for re-vaccina-
tion) against the name of every person, adult or adolescent,
who, having in early life been successfully vaccinated, is re-
vaccinated ; and shall also enter in some column, or in the
margin of the register, the source whence the lymph used in
the vaccination was obtained ; —

thus : the name, or number (if any) in the register, of the
subject from whom the lymph was taken ; or " N.V.E.," if
the lymph was sent by the National Vaccine Establishment;
or the name or description of any other source ;

and where the vaccination or the inspection is done by a
person acting as deputy for the contractor, the deputy shall
write the initials of his name in the register side by side with
the entry of the case ; viz., in the left margin of the page, if
it be a vaccination which he performs, or in the right margin
of the page, if it be an inspection which he performs.

5. Guardians and overseers, in their respective unions and Contracts,
parishes, shall forthwith take measures to bring the perform-
ance of public vaccination into conformity with these regu-
lations.

WM. L. BATHURST.

D3

Appendix.

INSTRUCTIONS FOR VACCINATORS UNDER
CONTRACT.

1. Except there be immediate danger of smallpox, vacci-
nate only subjects who are in good health. Satisfy yourself
that there is not any eruption behind the ears, or elsewhere
on the skin ; nor any febrile state ; nor any irritation of the
bowels. Under no circumstances vaccinate a subject to whom,
from the state or prospects of his health, vaccination is likely
to prove injurious. Do not re-vaccinate persons who in in-
fancy have been efficiently vaccinated, unless they be more
than 15 years of age, or, if during any immediate danger of
smallpox, more than 12 years of age.

2 In all ordinary vaccinations, vaccinate by four or five
separate punctures, so as to produce four or five separate
good-sized vesicles ; or, if you vaccinate otherwise than by
separate punctures, take care to produce local effects equal to
those just mentioned.

3. Direct care to be taken for keeping the vesicles uninjured
during their progress, and for avoiding afterwards the prema-
ture removal of the crusts.

4. Register the results of vaccination only after having
yourself inspected the cases. Register as " successful " no
case of primary vaccination, unless the course of the vesicle
have been strictly regular according to the subjoined descrip-
tion, A. ; and register as " successful" no case of re-vaccina-
tion, unless either the regular vaccine vesicle have ensued, or
the results have been normally modified according to the sub-
joined description, B. Or if in either case you register as
" successful" any result which does not agree with the sub-
joined descriptions, write also the word " irregular" in the
column of the register where you record the result.

Appendix.

5. Endeavour to maintain in your district such a succession
of cases as will enable you uniformly to vaccinate with liquid
lymph directly from arm to arm ; and do not, under ordinary
circumstances, adopt any other method of vaccinating. To
provide against emergencies, always have in reserve some
stored lymph; — cither dry, as on thickly-charged ivory
points, constantly well protected from damp ; or liquid, ac-
cording to the method of Dr. Husband, of Edinburgh, in
fine, short, uniformly capillary (not bulb) tubes, hermetically
sealed at both extremities. Lymph, successfully preserved by
either of these methods, may he used without definite restric-
tion as to time ; but with all stored lymph caution is neces-
sary, lest in time it have become inert, or otherwise unfit for
use. If, in order to vaccinate with recent liquid lymph, you
convey it from case to case in a vial or in other like manner,
without its being hermetically sealed, do not let more than
18 hours, and in very hot weather not more than 12 hours,
intervene before it is used.

6. Consider yourself strictly responsible for the quality of
whatever lymph you use or furnish for vaccination. Take
lymph only from subjects who are in good health; especially
satisfying yourself that they are free from eruption on the skin.
Take it only from well characterised, uninjured vesicles. Do
not take it from cases of re-vaccination. Take it (as may be
done in all regular cases on the day-week after vaccination) at
a time when the vesicles are plump, either just before the for-
mation of the areola, or, at the latest, not more than twenty-
four hours after the areola has begun to form.

7. In vaccinating from arm to arm, and still more in pro-
ceeding to store lymph, avoid draining any vesicle which you
puncture. From such a vesicle as vaccination by puncture
commonly produces, do not, under ordinary circumstances,
take more lymph than will suffice for the immediate vaccina-
tion of five subjects, or for the charging of seven ivory points,
or for the filling of three capillary tubes ; and from larger or
smaller veaicles take only in like proportion to their size.

8. Scrupulously observe in your inspections every sign
which tests the efficiency and purity of your lymph. Note

Appendix.

any case wherein the vaccine vesicle is unduly hastened or
otherwise irregular in its development, or wherein any undue
local irritation arises ; and if similar results ensue in other
cases vaccinated with the same lymph, desist at once from
employing it.

9. If from any cause your supply of lymph ceases, or be-
comes unsuitable for further use, take immediate measures
for obtaining a new supply.

10. Keep in good condition the lancets or other instruments
which you use for vaccinating, and do not use them for other
surgical operations.

N.B. — Supplies of lymph guaranteed by the National Vac-
cine Board, are furnished on application to all medical prac-
titioners. Letters of application for this lymph should be ad-
dressed " To the Registrar of the National Vaccine Establish-
ment, Privy Council Office, London, S.W."

Signs of successful Vaccination and of successful
Re- Vaccination.

(GREGORY, revised by CEELY and M ARSON.)

(A.) " When vaccination has been successfully performed
on a healthy infant, the puncture may be felt elevated on the
second or third day, and soon afterwards, if examined with a
magnifying glass, appears surrounded by a slight redness.
On the fifth or sixth day a distinct vesicle is formed, having
an elevated edge and depressed centre. On the eighth day
it appears distended with a clear lymph. The vesicle on this,
its day of greatest perfection, is circular and pearl-coloured ;
its margin is turgid, firm, shining, and wheel-shaped. Late
on the seventh, or early on the eighth, day an inflamed ring
or areola begins to form around the base of the vesicle, and,

Appendix.

with it, continues to increase during the two following days.
Thisareola is of a circular form, and its diameter extends from
one to three inches. When at its height, on the ninth or tenth
day, there is often considerable hardness and swelling of the
adjacent cellular membrane. On the tenth or eleventh
day the areola begins to subside, leaving, as it fades, two or
three concentric circles of redness. The vesicle now begins to
dry in the centre, and acquires there a brownish colour. The
lymph which remains becomes opaque, and gradually con-
cretes; so that about the fourteenth or fifteenth day, the vesi-
cle is converted into a hard round scab of a reddish brown
colour. This scab contracts, dries, blackens, and, about the
twenty first day falls off. It leaves a cicatrix which com-
monly is permanent in after life, circular, somewhat depressed,
dotted or indented with minute pits, and, in some instances,
radiated. The above described local changes, while in active
progress, are attended by feverishness ; first, from the fifth to
the seventh day, so slighly that often the fact passes unob-
served ; and again more considerably during those days when
the areola is about its height ; the infant now being restless
and hot, with more or less disturbance of stomach and bowels.
About the same time, especially if the weather be hot, children
of full habit not infrequently show on the extremities, aud less
copiously on the trunk, a lichenous, roseolar or vesicular
eruption, which commonly continues for about a week. When
vaccination is performed on such adults or adolescents as have
not previously been vaccinated, and likewise when lymph is
employed which has recently been derived from the cow, the
resulting phenomena, as compared with the preceding descrip-
tion, are somewhat retarded in their course ; and the areola
is apt to be much more diffuse. There is also more feverish-
ness; but eruption is less frequently seen."

(B.) " When persons who have once been efficiently vacci-
nated are, some years afterwards, re-vaccinated with effective
lymph, there sometimes result vesicles which, as regards their
course and that of the attendant areola?, cannol be distinguished
from the perfect results of primary vaccination. But far
more usually the results are more or less modified by the in-
fluence of such previous vaccination. Often no true vesicles
form, but merely papular elevations surrounded by areola? ;

Appendix.

and these results, having obtained their maximum on or be-
fore tho fifth day, afterwards quickly decline. Or if vesicles
form, their shape is apt to vary from that of the regular vesi-
cle, and their course to bo more rapid ; so that their maturity
is reached on ov before the sixth day, their areola? decline on
or before the eighth day, and then scabbing begins corre-
spondingly early. In either case the areola} tend to diffuse
themselves more widely and less regularly, and with more af-
fection of the cellular membrane, than in primary vaccination ;
and the local changes are accompanied by much itching, often
by some irritation of tho axillary glands, and in some cases
on the fourth or fifth day by considerable febrile disturbance."

(F.)

AT THE COUNCIL CHAMBER, WHITEHALL,

THIS 18TH DAT OF FEBRUARY, 1868,

BY THE LORDS OF HER MAJESTY'S MOST HONORABLE
PRIVY COUNCIL.

Present :

Lord President. Lord Robert Montagu. Mr. Cave.

To the Guardians of the Poor of all Unions and Parishes,
to all Public Vaccinators, and to all others lohom it may
concern.

The Lords and others of Her Majesty's Most Honorable
Privy Council (of whom the Vice-President of the committee
of the said privy council on education is one) acting under the
authority of the Vaccination Act of 1867, and all other autho-
rities in'that behalf, do hereby make and issue the following
regulations, in addition to those already in force, for securing
the efficient performance of public vaccination, and in respect

Appendix.

71

of the re- vaccination of persons who apply to be re-vaccinated,
that is to say :

I. — Places and Times for Vaccination under
Contract.

1 . Except where the privy council, for reasons brought to Public vac-
its notice, sees fit in regard of any particular district to sane- "'^l°v'
tion a system of domiciliary vaccination, every vaccination- ordinary
district shall have in it at least one public station appointed circum-
for the performance of the vaccinations under contract; and slanj^'lg°
where any such station has been provided for a district, no o^y1^"'
person resident within two miles thereof, and not being an public 5
inmate of the workhouse, shall be vaccinated under contract stations ;
elsewhere than at such station, unless the vaccinator in the
particular case be of opinion (which, if so, he is hereby re-
quired to note in his register) that, for some special reason,
the person whom he purposes to vaccinate cannot properly be
vaccinated at the station.

2. Except under special authorisation from the privy coun- and not
cil as aforesaid, or in so far as may be expedient at times when oftaner
there is immediate danger of small-pox, vaccination under weaek°y.Ce
contract shall not be appointed to be performed at any station
oftener than once a week.

3. And in any future contract concerning a vaccination- and if in a
district which is partly or wholly within a town, there shall town-dis-
not, except under special authorisation as aforesaid, be ap- at'one"^
pointed within the town more than a single station for the station
performance of the vaccinations of the district. therein.

II. — Vaccination Districts in Towns.

No part of the metropolis, or of any city, or municipal Limitation,
borough, or town corporate, or other town, shall, in respect of as regards
any future contract, form by itself, or with any rural place, a
separate district for vaccination, except with the approval of smallness
the privy council, unless it contain an estimated population of of districts
at least 25,000 persons, or else be as much of the metropolis, for yacci-
city, borough, or town, as is for purposes of vaccination under lla,tlon-
the control of one board of guardians.

III. — Office of Public Vaccination.

After the expiration of the month of June next, no two or Each dis-
more persons shall be allowed to act severally as vaccinators trictto bavo

Us own

72

Appendix.

cinator/10" under contract in any one anfl the same part or district of any
union or parish.

Extent to
which re-
vaccination
at public
expense
may be
given.

IV. — Re-Vaccination.

The performance of re-vaccination by the public vaccinator
on persons applying to him for that purpose shall be limited
in each case by the following conditions: — (1) that, so far as
the publie vaccinator can ascertain, the applicant has attained
the age of 15 years, or, if during any immediate danger of
small-pox, the age of 12 years, and has not before beeu suc-
cessfully re-vaccinated ; and (2) that, in the public vac-
cinator's judgment, the proposed re- vaccination is not for any
sufficient medical reason undesirable ; and (3) that the public
vaccinator can afford vaccine lymph for the purpose without
in any degree postponing the claims which are made on him
for the performance of primary vaccination in his district.

(Signed) ARTHUR HELPS.

[All letters for the Privy Council relating to these
Regulations should be addressed to —
The Medical Officer of the, Privy Council,
8, Richmond Terrace, London, S. TP.]

(G.)

EDUCATIONAL VACCINATING STATIONS.

In order to provide for the granting of those special certi-
ficates of proficiency in vaccination, which, under the regu-
lations of the privy council, are required to be part of the
medical qualification for entering into contracts for the per-
formance of public vaccination, or for acting as deputy to a
contractor, the following arrangements are made : —

(1.) The Vaccinating Stations, enumerated in the subjoined
List, are open, under conditions appointed by the privy council,
for the purposes of teaching and examination ;

(2.) The Public Vaccinators officiating at these Stations are
authorized by the privy council to give the required certi-
ficates of proficiency in vaccination to persons whom they
have sufficiently instructed therein ; and

(3.) The Public Vaccinators, whose names in the subjoined
List are printed in italic letters, are also authorized to give
such certificates, after satisfactory examination, to persons
•whom they have not themselves instructed.

Educational Vaccinating Station*.

73

Cities and Towns
having Educa-
tional vaccinal
ing Stations.

London

Birmingham .
Bristol
Leeds . .

Liverpool

Manchester . .

Nev/castle-on-

Tyne
Sheffield
Edinburgh . .

Glasgow

Places used as
Educational Vaccination
Stations.

(Principal Station) Sur-
rey Chapel, Black-
friars-road.
(North- West Station) 13,
Lisson-grove,

(West Station) 9, St.
George's-road,Pimlico.
S.W.

(East Station), 1, Well-
street, Wellclose-
square.'
(North Station), Totten-
ham Court Chapel, Tot-
tenham Court-road.
(South- West Station), 40,
Marsham -street, West-
minster.
The General Dispensary .

7, St. Augustine's Place

23, Boynton - street,
Quarry-hill.

The Ladies' Charity,
Parr-street

159, Rochdale-road
11, Pilgrim-street . .

The Royal Dispensary . .

The Hall of the Faculty
of Physicians and Sur-
geons.

Public Vaccinators
authorized to give certifi-
cates of Proficiency
In Vaccination.

Mr. James Furness
Mar son

Mr. James George
Garrans

Dr. Edward Lowe
Webb

Mr. William Jones
Lewis

Mr. William Edwin
Grindley Pearce

Mr. William Edwin
Grindley Pearse

Mr. John Gardner

Mr: William Yeo-
man Sheppard

Mr. Frederick
Holmes

Mr. Arthur Broione
Steele, Mr. John
Henry Wilson, and
Mr. John Fenton,
acting conjointly , or
at least two of them
together

Mr. Ellis Southern
Guest

Mr. G. C. Gilchrist

Dr. William Hus-
band
Dr. James Dunlop

Days and hours
of attendance of
the Public
Vaccinators.

Tuesday,

Thursday ;

1—3.
Monday,

Thursday ;

10—12.
Monday ;

10—12.

Tuesday ;
9-11.

Monday,

Wednesday;

1—2.
Monday,

Thursday ;

9— 11.
Monday ;

10— 12.
Tuesday,

10—12.
Tuesday; 2.

Friday; 2.

Monday ;

2—4.
Tuesday ;
2—3".

Wednesday,
Saturday ; 12.
Monday 12.

By direction of the Lords of the Council,

(Signed) JOHN SIMON.

Privy Council Office,

October 27, 18G5.

Appendix.

Circular issued by the Poor Law Board, suggest-
ing the arrangements which should be made
for Vaccination.

Poor Law Board,

Whitehall, S.W.

20th February, 1869.

Sir,

The Poor Law Board have, received communications
from the Lords of Her Majesty's Council, representing that
unsatisfactory arrangements have been proposed to be made
by the Guardians of several Unions, in reference to the at-
tendances of the Vaccinators at the different stations for the
performance of vaccination. The Board, therefore, think it
right to draw the attention of the Guardians to the subject.

The Board are informed that it is of essential impor-
tance to the success and efficacy of the operation, that vaccina-
tion should, as far as possible, be performed from arm-to-arm
of the children, instead of by the means of preserved lymph.
Under ordinary circumstances, the arm of a child on which
the operation has been performed is, at the end of a week, in
a state in which the lymph can be taken from it to vaccinate
another child ; and the Board further learn, that the lymph
used in vaccination should be carefully selected from the best
formed vesicles upon the healthiest children. The best vac-
cination is, therefore, to be obtained when attendances are
given at weekly intervals, and when the children brought to
be vaccinated are met by a sufficient number of other children,
vaccinated the week before, from whom some can be selected
to furnish lymph.

In proceeding to make arrangements for these weekly
attendances it is essential for the Guardians to consider whe-
ther the circumstances of the District to which a Station is
assigned are such as to permit of vaccination being performed
there in every week of the year, or only in certain series of

Appendix

weeks. This generally is a question as to the number of
children who may be brought tor vaccination, which again is
principally a question depending upon the amount of popula-
tion. It is only in very populous districts that efficient
vaccination can be maintained at weekly intervals throughout
the whole year. The Regulations of Her Majesty's Council
provide that no Town shall be divided into Districts for vac-
cination, unless each District contain a population of, at least,
25,000 persons ; that there shall be only oue Station in each
Town District ; and that vaccination shall not be performed
oftener than once a week ; and in Towns sufficiently populous,
their Lordships think it desirable that a population of 40,000
or 50,000, or even more, should be assigned to each Station.
Stations which are appointed for such populations as these
can doubtless maintain continuous weekly vaccination through-
out the year.

But in the less populous districts of the country, the
object of procuring arm-to-arm vaccination with due selection
of lymph cannot be obtained, if weekly attendances through-
out the whole year are appointed. The limit of population at
which it becomes expedient to restrict attendances for vac-
cination to certain periods of the year, will vary in different
cases according to various circumstances ; such as the amount
of private vaccination performed in the District; and the fre-
quency with which the District is exposed to chances of
smallpox infection. But at all events it may be said that,
when the District which can supply cases to any Station has a
smaller population than 10,000 persons, the Guardians ought
to consider whether the number of applicants for vaccination
at that Station will be such that weekly vaccination through-
out the whole year ought to be attempted. In proportion as
the population attached to a Station falls below 10,000, so it
will be found more and more probable that vaccination cannot
be satisfactorily performed there at weekly intervals throughout
the whole year.

When vaccination cannot bo performed at weekly in-
tervals throughout the year, it is recommended by the Lords
of Her Majesty's Council that the attendances for vaccination
should be given either quarterly (in January, April, July, and

Appendix.

October), or half-yearly (in April and October), for so many
successive weeks as the circumstances of the District may
seem to require. Section 12 of the Vaccination Act of 18G7
permits Guardians, with the consent of the Poor Law Board,
to fix attendances in places with a scanty population at longer
intervals than three months ; and the Board will always be
ready to consider any proposal submitted by the Guardians to
give effect, when required, to the provisions of this section.

The Board are also of opinion that, in Districts in
which there is more than one Station, it may be desirable to
arrange that, so far as practicable, the attendances at the
several Stations, instead of being appointed for different days
in the same week, should be appointed for the same day in
successive weeks, but at different hours, as for instance —

For Vaccination. For Inspection.

At Station A. 1st ~\ Monday 2nd "\ Monday

By this means the Vaccinator might take the lymph
fresh from the arms of the children inspected at Station A. to
vaccinate children at station B., and so on.

The Board are not unaware of tho difficulty which
there may sometimes be on the part of parents in bringing
their children to be vaccinated when the days for vaccination
are few in the course of the year. To obviate this, as far as
possible, care should be taken that, in addition to the printed
Notice, which the Registrar of Births and Deaths is required
by the 30 & 31 Vict. cap. 86, sec. 16, to give to every person
registering a birth, printed Notices of the times and places at
which the Vaccinator will attend should be kept continually
exposed at the places in each Parish where Parish Notices
are affixed.

At Station B.

At Station C.

Appendix.

Tho Board request that these observations may receive
the consideration of the Guardians, and that thoy will endea-
vour to make such arrangements for tho Union as may, at the
same time that they promote the practice of Vaccination, and
secure its performance in the most efficient manner, be also
most convenient to the Medical Practitioner contracting for
its performance.

The Board desire to add that persons living within two
miles of a Station cannot, under the Regulations of Her
Majesty's Council, be vaccinated by the Public Vaccinator
elsewhere than at a station, " unless for some special reason,"
(to be noted in the Vaccinator's Register), " the person whom
the Vaccinator proposes to vaccinate cannot properly be
vaccinated at the Station," but that persons residing at a
greater distance than two miles from the Station may, when
circumstances require it, be vaccinated at their own homes.

In conclusion, the Board request that the Guardians,
before they proceed to enter into any new contracts for
Vaccination, will [communicate with the Board as to any
alterations which they may propose to make in the existing
arrangements.

The Board will, upon receipt of such information,
transmit to the Guardians a form in which the arrangements
may be clearly set forth for the final decision of the Board
before the Contracts are executed.

I am, Sir,

Your obedient Servant,

H. FLEMING,
Secretary.

To

The Clerk to the Guardians.

INDEX.

Allowances to public vaccinators, 5.

Alteration in vaccination district to be reported to Poor Law
Board, 3.

Alterations in districts, guardians to give due notice of, 10.
Amendment of legal proceedings, 33.

Appointment of vaccination officer obligatory on guardians,
29.

Approval of Poor Law Board required to all contracts, 9.

Births, return of, to be sent monthly to vaccination officer, 31.
Books required by Act to be supplied by registrar-general, 11.
Books and forms required by vaccination officers and others
to be supplied by local government board, 30.

Cases cited : —

Allen v. Worthy, 19.

Baker v. Billericay Union, 7.

Pilcher v. Stafford, 19.
Certificates must be signed by a registered medical practi-
tioner, 12.

Certificate of vaccination to be sent to vaccination office, 30.

Certificates of successful vaccination, 13 ; to be sent to vacci-
nation officer by vaccinator, 14 ; no fee to bo charged
for, 14 ; duplicate to be given to parent, 14 ; when parent
is to transmit samo, 30 ; forms of it, 54-57.

Certificates of vaccination may be sent without prepaying
postage, 14.

Certificate of proficiency in vaccination, by whom to be ob-
tained, 4 ; from whom, 72.
Child, penalty for failing to produce when summoned, 33.
Children, age within which they must be vaccinated, 12.

Index.

Children in workhouso, vaccination of, G.

Complaints of offences against Act, within what time they

may be laid, 33.
Conditions to secure vaccination may be inserted in contracts,

7.

Contracts for vaccination, form of, 4] ; not valid unless ap-
proved by Poor Law Board, 9.

Conviction of person for offence against Act, although not
charged with particular offence, 33.

Deaths of infants, return of to be sent monthly to vaccination
officer, 31.

Defendant in legal proceedings under Act may appear by

proxy, 34.
Deputy vaccinator, qualifications for, 11.
Disallowance of vaccination payments, 9 ; appeal against, 9 ;

proceedings requisite for, 9.
Distance, in calculating fees, to be measured according to

nearest public carriage road, 6.
District, vaccination to be confined to persons resident in, 9.
Districts of scanty population, provision for vaccination in, 10.
Districts of vaccination officer to be defined, 29.
Districts, guardians to give notice of alterations in, 10.
Division of union into districts, 2, 29.
Duties of vaccination officer, 30.

Educational Vaccinating Stations, list of, 73.
Establishment of local government board, 35.
Expenses incurred in execution of Act, provision for, 17, 21.
Extension of powers of local government board to contracts

for vaccination entered into previous to Vaccination Act,

1857, 35.

Fee, not payable for certificate of successful vaccination, 14.
Fee, not payable for the registration of any ceitificate of vac-
cination, 31.

Fee to be paid by re-vaccinated person where not inspected,
32.

Fees for registration to be paid by guardians, 15 ; to what

fund they should be charged, 16.
Fees for vaccination, 5 ; time within which to be paid, 7.

Index.

Fees payable to registrar of births, 32.

Fees received by vaccination officer to be paid over to guar-
dians, 30.

Fees, to be paid for re-vaccination, 8 ; only under certain con-
ditions, 8.

Forms required by Act, to be supplied to registrars by registrar-
general, 32.
by Local Government
Board, 30

General Order prescribing form of contract, 41.

Glen's Poor Law Statutes, reference to, 1.

Glen's Law of Public Health, reference to, 5.

Glen's Jervis's Acts, reference to, 19, 21.

Guardians of the poor, to divide union into districts, 2.

to consolidate districts, if required, 2.
to report alterations in district to Poor

Law Board, 3.
to prepare, if required, another scheme

for Poor Law Board's approval, 3.
to enter into contracts with medical

practitioner, 3.
may insert conditions in contracts to

secure vaccination, 7.
to provide stations for vaccination, 8.
to give notice of alteration in districts,
10.

may pay expenses of execution of Act,
17.

must appoint a vaccination officer, 29.
• Guardian, public vaccinator disqualified from serving as, 6.

Hospital, removal to of persona suffering from infectious dis-
order, 20.

Houses, penalty on persons letting, in which infected persons
have been lodging, 21.

Infectious disorder, penalty on person suffering from entering
public conveyance without notifying same to driver, 29;
removal of persons suffering from, 20 ; penalty on person
exposing himself who has been suffering from, 20.
E

Index.

Inoculating with smallpox, penalty for, 19.

Inspection of vaccination, provision for, 12.

Inspection after vaccination, penalty for neglecting to take

child for, 17.
Insusceptibility of vaccination, certificate of, 13.

Justices' power to order child to be vaccinated, 18 ; course if
order is disregarded, 19; may award compensation to
person improperly summoned, 19.

Limit of lime within which fees can be paid, 7.

Local Government Board, to approve of alteration in vacci-
nation district, 2; of vaccination arrangements proposed
by guardians, 3 ; of conditions imposed in contracts,
7 ; to approve of contract, 8 ; General Order prescribing
form of contract, 41 ; circular letter as to Vaccination Act,
37-74.

Local Government Board to provide books and forms required
under Vaccination Act, 30 ; to make rules and regula-
tions as to vaccination, 29 ; to approve of forms issued
by registrar general, 32 ; may alter forms in schedule to
Vaccination Acts, 35.

Lymph, penalty for preventing vaccinator from taking, 33.

Lymph, supply of, money voted by Parliament for, 5.

Medical officer may vaccinate persons in house where small-
pox occurs, 34 ; to be paid fee for doing so, 34.

Medical officer of workhouse, duty of as regards vaccination,
6 ; fee for vaccination, when it can be paid, 6.

Medical practitioner to sign certificate of successful vaccina-
tion, 14; or certificate of unfitness of child for vacci-
nation, 12 ; or certificate of insusceptibility of vaccination,
13; definition of, 23 ; penalty on, for signing false cer-
tificate, 18.

Neglecting to take child to be vaccinated, penalty for, 17.
Neglecting to take take child after vaccination for inspection,
penalty, 17.

Notice of vaccination to be given by registrar of births, 11 ;
to be entered in vaccination register, 15.

Offences against Vaccination Act, conviction for, 33.
Official circular, reference to, 6.

Index.

Paront, to take child to be vaccinated, 12 ; and aftor vaccina-
tion for subsequent inspection, 12 ; to receive certificate
of unfitness of child for vaccination, 12; or insusceptibi-
lity of vaccination, 13; definition of, 23.

Parent, when to send certificate of successful vaccination to
registrar, 14.

Parent to transmit certificate of vaccination to vaccination
officer if given by ordinary medical practitioner, 30 ; to
produce child when summoned to do so, 33.
Parochial relief, vaccination declared not to be, 10.
Payment for vaccination illegal unless contract approved, 9.
Penalty for giving false certificate, 31.

for preventing vaccinator from taking lymph, 33.
for failing to produce child when su mmoned to do
so, 33.

Penalty for neglecting to take child to be vaccinated, 17 ; or
for inspection after vaccination, 17; for disobeying order
of justices, 19; signing false certificate, 18; on persons
inoculating with smallpox, 19 ; on person suffering from
infectious disorder entering public conveyance without
notifying the same to driver, 20 ; on person with in-
fectious disorder exposing himself, 20 ; on any person in
charge of such sufferer causing such exposure, 20 ; on
persons letting houses in which infected persons have
been lodging, 21.

Postage need not be prepaid in transmitting certificates, 14.

Private patient, vaccinator cannot charge guardians for vac-
cinating, 14.

Private practitioner, vaccination performed by, parent to

send certificate, 14.
Privy council, orders made by, proof of, 23.

memorandum on subdivision of vaccination, 60.
regulations relating to vaccination, 63, 70.
instructions to vaccinators under contract, 66.
Educational Vaccination Stations, 72.
Prosecuting officer, provision for payment of expenses of, 17.
Prosecutions, notice of requirements of Act not to bo proved

in, 23 ; certificates to be a defence in, 23.
Proxy defendant may appear by, in proceedings under Act, 34.
Public conveyance, penalty on person with infectious disorder
entering, 20.

Index.

Public vaccinator may give certificate of successful vaccina-
tion although child has not been vaccinated by him, 34.

Public vaccinator not to be paid for vaccination out of his
district, 9.

Public vaccinator, qualification for office of, 4; allowances
to, 5; disqualified for serving as guardian, 6; fees to
under contract, 6.

Qualifications of public vaccinator, 4 ; by whom prescribed,
4 ; to be the same as for district medical officer, 4.

Registered medical practitioner, certificates must be signed
by a, 12.

Registrar, fee3 to be paid by guardians, 16.

Registrar-General to provide forms required by Act to regis-
trars, 11 ; copies of, 54, 57.

Registrar of births and deaths, to make monthly return of
births and deaths of infants to vaccination officer, 31.
fees payable to, 32.

Registrar of births, to deliver notices of vaccination, 11.

Registration of vaccination certificate, no fee payable for, 31.

Regulations of privy council relating to vaccination, 4, 63,
70 ; by whom to be issued, 4; when, 4.

Repeal of old Vaccination Acts, 1.

Residence, definition of, 6.

Re-vaccination, payment of fee by re-vaccinated person where
not inspected, 32.

of persons in house where smallpox occurs, 34.
Re-vaccination, provision for, 8.

Scanty population, provision for vaccination in districts of, 10.
Special certificate of proficiency in vaccination, when to be

obtained, 4 ; from whom, 4, 72.
Stations for vaccination to be provided by guardians, 8.
Statutes cited:— 20 Geo. 2, c. 42, s. 3, p. 1.

3 & 4 Vict. c. 29, p. 1.

4 & 5 Vict. c. 32, p. i.

5 & 6 Vict. c. 57, s. 14, p. 6.
7 & 8 Vict. c. 101, s. 35, p. 9.

s. 59, p. 21.
s. 74, p. 13.

Index.

Statutes cited — continued : —

11 & 12 Vict. c. 43, p. 21.
11 & 12 Vict. c. 01, s. 4, p. 0.
13 Vict. c. 21, s. 4, p. 13.
16 & 17 Vict. c. 100, p. 1.
21 & 22 Vict. c. 25, s. 7, p. 1.
21 & 22 Vict. c. 00, s. 36, p. 3.

21 & 22 Vict. c. 07, s. 2, p. 1.

22 Sc 23 Vict. c. 49, s. 1, p. 7.
24 & 25 Vict. c. 50. p. 1.

28 & 20 Vict. c. 79, p. 8.

s. 0, p. 21.
20 & 30 Vict. c. 20, s. 25, p. 20.

s. 26, p. 20.
s. 38, p. 20.
s. 30, p. 21.
20 & 30 Vict. c. 113, s. 4, p. 0.
Subdivision of vaccination, memorandum of privy council
on, 60.

Successful vaccination, certificates of, 13.

Termination of vaccination contracts, 4.

Time within which vaccination is to be effected, 12.

Unfitness for vaccination, provision for, 12; certificates of, 13.
Union to be divided by guardians into vaccination dis-
tricts, 2.

Vaccination Acts, repeal of, 1.

Vaccination certificates to be sent to vaccination office, 30 ;
how if given by private medical practitioner, 30 ; prose-
cution of persons for neglect of, 20 ; by medical officer
of persons in house where smallpox has occurred, 34.

Vaccination contracts to be entered into, 3 ; termination
of, 4.

Vaccination declared not to be parochial relief, 3, 16.
Vaccination, fees for, 6 ; not to be paid unless contract ap-
proved, 0.

Vaccination, insusceptibility of, provision for, 13.
Vaccination, notice of, to be given by registrar of births, 1 1 .

Index.

Vaccination officer, appointment of by guardians, obligatory,
29 ; duties of, 30 ; certificates of vaccination to be trans-
mitted to, 30 ; list of births to be sent to, 31 ; return of
deaths of infants to be sent to, 31 ; fees received by to be
paid over to guardians, 30.

Vaccination of child, justices may make an order for, 18.

Vaccination of children, time within which to be effected, 12.

Vaccination, provision for inspection of, 12.

Vaccination, subdivision of, memorandum of privy council
on, 60.

Vaccination to be confined to persons resident in district, 3.
Vaccinator, not to be paid for vaccination out of his dis-
trict, 9.

Vaccinator not to charge guardians for vaccinating private
patient, 14.

Vaccinator, penalty on, for neglecting to send certificate, 18 ;
for refusing to deliver duplicate to parent, 18.

Workhouse, vaccination in, fees for, 6.
Workhouse vaccination of children in, 6.

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