DESPATCHES FROM THE SECRETARY OF STATE

A.—No. la,

22

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. 3. All vaccinations and inspections under contract shall be performed by the contractor in person, or by some other contractor of the same Union or Parish acting for him, or by a deputy, duly admitted as above ; but at any station where the 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 Begister be duly prescribed, the person who performs any vaccination under contract shall, on the day when he performs it, legibly write in his register (as now provided) the letter E (for Be-vaccination) 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 Parishes, shall forthwith take measures to bring the performance of public vaccination into conformity with these regulations. Wm. L. Bathttest.

At the Council Chamber, Whitehall, the 29th day of July, 1871. By the Lords of Her Majesty's Most Honorable Privy Council. Present —Lord President, Mr. Secretary Bruce, Mr. W. E. Forster. 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 shall think fit for (among other things) securing the efficient performance of vaccination by the persons already or thereafter to be contracted with; and whereas their Lordships, on the first clay of December, "one thousand eight hundred and fifty-nine, ordered (among other things) that all vaccinations and inspections under contract should be performed in accordance with certain " Instructions to Vaccinators under Contract " annexed to the Order now in recital; and whereas by " The Vaccination Act, 1867," the Lords of Her Majesty's Council are authorized (among other things) to make regulations to secure the efficient performance of vaccination : Now therefore, it is hereby ordered by 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,) that— 1. The Order of the first day of December, one thousand eight hundred and fifty-nine, is hereby repealed, so far as the same required vaccinations and inspections under contract to be performed in accordance with the " Instructions to Yaccinators under Contract " annexed thereto. 2. All vaccinations and inspections under contract, whether the contracts may have been made before, or may be made after, the date of this Order, shall be performed in accordance with the " Instructions for Vaccinators under Contract " hereto annexed. John Simon.

Instettctions fob Vaccinatoes undee Contbact. 1. Except so far as any immediate danger of small-pox may require, vaccinate only subjects who are in good health. As regards infants, ascertain that there is cot any febrile state, nor any irritation of the bowels, nor any unhealthy state of skin; especially no chafing or eczema behind the ears, or in the groin, or elsewhere in folds of skin. Do not, except of necessity, vaccinate in cases where there has been recent exposure to the infection of measles or scarlatina, nor where erysipelas is prevailing in or about the place of residence. 2. In all ordinary cases of primary vaccination, if you vaccinate by separate punctures, make such punctures as will produce at least four separate good-sized vesicles, not less than half an inch from on& another ; 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 premature removal of the crusts. 4. Enter all cases in your register on the day when you vaccinate them, and with all particulars required in the register up to column 9 inclusive. Enter the results on the day of inspection. Never enter any results which have not been inspected by yourself, or your legally-qualified deputy. In cases of primary vaccination, register as "successful" only those cases in which the normal vaccine vesicle has been produced ; m cases of re-vaccination, register as " successful " only those cases in which either vesicles, normal or modified, or papules surrounded by areola;, have resulted. "When the vaccination of an unsuccessful case is repeated, it should bo entered as a fresh case in the register. * For these Instructions, see annexed Order of July 29, 1871.