Third (-Fourth-Fifth) Report of the Royal Commission appointed to inquire into the subject of vaccination; with minutes of evidence and appendices.

Great Britain. Royal Commission on Vaccination.

Date:: 1890-1893

Credit: Third (-Fourth-Fifth) Report of the Royal Commission appointed to inquire into the subject of vaccination; with minutes of evidence and appendices. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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$WAYLEN, Mi{. ALFRED 'ROBT^i'RT—continued. Epidemics of measles in the Colony, 9948, '9950; the absence of epidemics of scarlet fever, 994'9. WESTERN AUSTRALIA: The Compulsory Vaccination Act in force in Western Australia since 1879, 9871-5, 9942-7, 9951-3. _ The ahsence of opposition to the Act, 9875, the proyisions of which are in general readily obeyed, 9874, 9884, 9933, 9945-7. 9951-3. The lymph employed, 9926-7. The general absence of re-vaccination, 9876, 9831-2. The arrangements made prior to 1879 for vaccination, 9883; the reasons for the introduction of the compulsory law, 9896-8, 9904-8. The population of the Colony and the birth-rate, 9934-7; the absence of any statistics show- ing the proportion of vaccinated and unvaccinated among the population, 9929-41. The quarantine regulations in force against ships coming from a port infected with small-pox, 9876-9, 9885-8, 9920-4 ; and the powers of isolation in case of outbreaks in the Colony itself, 9879-80. The general immunity of the Colony from small-pox, 9881-2, 9897, 9899-903, 9916-24; in Dr. A. R. Waylen's opinion due to quarantine with vaccination, 9904-15. Epidemics of measles in the Colony, 9948, 9950 ; the absence of epidemics of scarlet fever, 9949, WHEELER, Me. ALEXANDEJS (analysis of his evidence): Is a mercantile clei'k at Darlington, 7754. Has been repeatedly summoned and fined both uuder the Vac- cination Act of 1867 and the Act of 1871, 7756, 7760-5, and has since taken an active part in opposition to com- pulsory vaccination, 7766-67. The resolution passed by the House of Commons in 1883 with reference to vaccination aud the Vaccination Acts, 7768, 7843. 7867, 8167, 8193-6. The report of the Select Committee of 1871 on the Vaccination Act (1867), 7768, 7843, 7867-9, 7931-9, 8420, 9050. The resolution passed in 1808 in favour of the establishment of a national vaccine institution, 7771-2. Dr. Jenner and his op- ponents, 7776-80. The mortality from small-pox and from all causes in London during the years 1629-36 and 1647-1831, accord- ing to Dr. W. A. Guy's jjaper on Two hundred and fifty years of small-pox in London (Journal of the Statistical Society, 1882. page 399), 7781-887, 7905-26, 7951-8053, 8150-6, 8661-71, 8979-89, 8992-9006, 9024-30, 9070-86, 9207. Dr. Guy's conclusions in his paper, 7782, 7786, 7798, 7879-86, 8266, 8420, 8879-89; and witness's opinion as to the value of Dr. Guy's compari- son between the mortality in London from small-pox and the mortality from measles and from whooping- cough, 7782, 7786-98, 8266, 8627-8, 8632-5, 8654-60. Sydenham on small-pox in London in the years 1667- 9, 8277. Dr. Farr on small-pox in London during the periods 1760-79 and 1780-99, 8333, 8997. The small- pox mortality in London during the eighteenth century, 8990-9006, 9024-30. The mortality from plague in London in the seventeenth century, 7798-806, 7817, 7843, 7863, 7867-9. The annual death-rate by '' fevers (scarlet fever, fever, spotted fever and plague) in London during the years 1629-1864, 7888-905. As to the trustworthiness of the London Bills of Mor- tality, 7844-8, 7920-1, 8124, 8661-71, 9207. The popu- lation of London within the Bills, 7905-26, 8030-6, 8668-9, 9028-9. The number of deaths from small-pox in London in each of the nineteen years of its greatest prevalence during the period 1838-85, and the death-rate from all causes per thousand of the living in the same years, 7781, 7783-5, 7927-42, 8026-8, 8992-6, 9024-30. Wit- ness's opinion as to the proportion of the inhabitants of London who are now vaccinated, 9094-7. Witness's opinion as to the period of the prevalence in London of inoculation for small-pox, 7820-42, 7874-7, 7962-89, 8068-76, 8080-100, 8860, 9002-3, 9027, 9040-2 ; and as to the effect of the practice of inocula- tion on small-pox and its mortality, 7773-5, 7819-42, 7871-87, 7966-8, 7960-1, 7975-80, 7989-93, 8057-76, 8080-122, 8128, 8131-6, 8149, 8270, 8299-321, 8835-6, 8849-50, 8979-89, 9001-6, 9011-3, 9027, 9070, 9073-8, 9081, 9083-6. Dr. Haygarth's system for preventing small-pox, 8067. Mr. D. Sutton's inoculation house at Pishergate, Yorkshire, 8066-71, 8401-3, 9041. Inocula- tion and natural small-pox in Boston, Massachusetts, U.S.A., 8100-22 ; inoculation and small-pox in Algeria, 8128, and in India, 8128-9. Witness's opinion as to the present isolation of cases of small-pox compared with the practice in the last century, 9074, 9193, 9208-11. WHEELER, Mr. ALEXA'N'DIl'R—continued. Witness's opinion that the reduction by itself of the mortality from small-pox has no effect on the total morality from all causes, 7940-3, 7946, 7948, 8]91a-227, 9008-10; his opinion as to the influence of war on the small-pox mortality, 7959, 7976, 7994-8057, 8149, 8270, 8843, 9004-5, 9027, 9070-1, and the causes, other than inoculation and war, which increased its death-rate, 8046-8, 8054, 8149, 8270, 8849, 9004-5, 9070, 9078-80. Small-pox mortality in the United States of America during the civil war, 8054-7; and in the French army in Metz in 1870, 8057. Witness's opinion that vaccination has no influence on small-pox and its mortality, 7768, 7949, 8149, 8168, 8229-4-9, 8269-70, 8405-6, 8489-618, 8550-1, 8558-73, 8608, 9083-4, 90S7-9, nor on small-pox epidemics, 8192, 8227-49, 8269; and as to the eff'ect of sanitation on small-pox and its mortality, 8078-9, 8270-6, 8849, 9004-6, 9070. Witness's opinion as to the probable amount of vaccination in England before the year 1821, 9058-69, 9198, 9200, and the causes of the decline in the small-pox mortality during the first quarter of the 19th century, 9070-1, 9198-201. Witness's opinion as to the immunity of hospital nurses and attendants from contracting small-pox, 8750-804, 9011-3, 9072, 9134-6, 9138-44, 9146-64, 9194-8; and as to the protection aflorded by an attack of small-pox against a succeeding attack, 8782, 9011-7, 9072, 9142-4. Mr. Frank Thorpe Porter's statement as to the re-vaccination or otherwise of the attendants employed at the South Dublin Union hospital-sheds during the emall-pox epidemic of 1871, 9148-54. Wit- ness's opinion as to the fact that the death-rate from small-pox amongst medical men is less than the rate amongst the general population, while the death-rate from fever is higher, 8805-20, 9190-3. As to cases of small-pox after re-vaccination, 9134-9, 9144-5, 9202-6. The decline since compulsory vaccination in England and Wales in the share of small-jDOx mortality borne by children, 8506, 8570-93, _ 8608, 8611-53, 9212, and ivitness's opinion that this is due not to vaccination but to the reduction of the birth-rate, 8570-97, 8608, 8614-47 ; births and deaths from all causes in England and Wales, during the years 1856-86, 8593-87, 8617-26, 8647. Witness's opinion as to Dr. Thorne Thome's table showing, since compulsory vaccination and during its completer enforcement, the general decline in small-pox mortality among the infantpopu- lation, and the fluctuations of small-pox mortality among the population above infancy, 8570-3, and as to Dr. Thorne Thome's diagi-am showing for England and Wales the average annual death-rate per million living at all ages during the three decennia 1851-60, 1861-70, 1871-80, and during the seven years 1881-7, from small-pox, measles, scarlet fever and whooping-cough ; and in each instance the share of the all-age mortality borne by children under five years of age, 8614-66. The opinion quoted of Dr. Lettsom (in 1805) on small-pox and vaccination, 8124-8; of Dr. Seaton, 8406; of Dr. Ballard, 8407, 8420; and of Dr. Browning, 8429-31; of Sydenham on epidemic diseases generally, 8277, and on small-pox, 8277-84,8288, 8294-8; and of Van Swieten on small-pox, 8130, 8299, 8336-7, 9163, 9188-90. The leaflet on Vaccination issued by the Local Government Board in February 1888, 8407, 8420 -1, 8494. Dr. Barry's report on the Sheffield small- pox epidemic of 1887-8, referred to, 8191a, 8447-56, 8473-8, 8482, 8503-5, 8507, 8539-41, 8551, 8676, 8719- 49, 8771, 8775, 8809, 8829, 8835-6, 9038-40. Dr. Keller's statistics of small-pox and vaccination, 8472, 9105-33. Witness's opinion as to the penal provisions of the Vaccination Acts, 7939-50, 8249, 8608, 9007-10, 9019-23 ; and as to the probable efl'ect of the withdrawal of com- pulsion on the amount cf vaccination performed in England, 9019-23. The number of public vaccinations in England and Wales per hundred thousand of the living in each of the years 1862-87, 8250-2, 8266-9, 8663. The inclusion up to the year 1872 of re-vaccina- tions in the statistics of public vaccinations in England and Wales, 8260. The general prevalence of small-pox in the last cen- tury, 8130, 8990-9006, 9024-48. As to blindness result- ing from small-pox, 8407-22. Dr. Haygarth's opinion (in 1778) on the general prevalence of small-pox and the proportion of mankind exempted, 9031-42. Wit- ness's opinion as to the date at which small-pox first appeared in England, 9043. Small-pox mortality and vaccination in Boston, Massachusetts, during the years 1811-60, 8122-3, 8157-91. Small-pox mortality in$