Sixth 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:
1897
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Licence: Public Domain Mark

Credit: Sixth 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.

    878/896 (page 768)
    App. No. 16. (Enclosure.) ' Ministry of the Interior. (Department of Public Health.) Special Regulations as to the Preservation of Lymph* and Compulsory Vaccination. The Secretary of State for the Interior having regard to Articles 51, 52. 53 and C2 of the Law for the Protection of Hygiene and Public Health after consultation with the Board of Health decrees that these consolidated Special Regulations as to the Preservation of Lymph and Com- pulsory Vaccination have received his approval. G. Nicotera, Rome, 18 June, 1891. Home Minister. of supervising its use in the interests of the Province. This officer is also required to collect the statistics of vaccination and siiiall-pox in the several Communes of the Province, according to the reports to be furnished to iiim Ijv the sanitary officials of the Communes. (See Articles 19-22.) Article 9.—The said sanitary inspector who shall act as the representative of the Province in matters of vaccination shall be nominated by the Prefect after consultation with the Provincial Board of Health, and shall recen-e a salary from the lunds of the Province proportionate to the im'- portance of his work and officially his post shall be subor- dinate to that of the Medical Officer of the Province. Article 10.—The procedure to be followed in obtainino- the lymph from the National Vaccine Establishment and in reimbursing out of the Provincial funds the cost to the Treasury is set out in the instructions contained in the Memorandum of the Department of Public Health to the Ministry of the Interior. Special Regulations for the Preservation of lAjmph and for Compulsory Vaccination. I. Preservation of Lijmpli. Article 1.—By the terms of Article 52 of the Law for the Protection of Hygi'jiie and Public Health the Lymph shall be preserved by the Medical Officer of the Adminis- trative Sanitary Authority for the Province under the direct super\'ision of that Authority and the expenses incident thereto shall be charged to the Province. Article 2.—-The provincial authorities are empowered to preserve and provide both animal and humanised lymph to the Communal Authorities and to private medical practi- tioners. Article 3.—Animal lymph may be preserved by the aforesaid Medical Officer of the Province, either at an Institute for the Production of Lymph established by the Provincial Authority, or at an existing private Institute for the Production of Lymph which has received official recognition from the Provincial Authority. In either case the Institute must be put under the direct supervision of the said Medical Officer. The Medical Officer is also em- powered to make use of the National Vaccine Establish- ment at the office of the Department of Public Health (in Rome). Article 4.—The Provincial Authorities desirous of estabhshing an Institute for the preservation and pro- duction of animal lymph must take care to provide premises with proper stabling for the animals to be inoculated, and with suitable accommodation for the pro- cess of inoculation and the collection, preparation ana nreservation of vaccine. The Institute shall be under the direction of a doctor aided by a veterinary surgeon and a staff of assistants and servants proportionate to the amount of vaccine \vhich it is intended to produce. Article 5.—The provincial authoi'ities who desire to give official recognition to an already existing private Institute, shail before giving their recognition obtain a written certi- ficate from the Medical Officer of the Province to the effect that the Institute fulfils the requirements as to the premises and staff referred to in the preceding Article, and that ir, can produce vaccine of good quality and sufficient in amount to meet the wants of the locality. Article 6.—Bye-laws approved by the Prefect, after con- sultation with the Medical Officer of Health of the Province, will regulate the administration of the Institute, whether established by the Provincial Authority or merely recognised by it, setting out the technical rules and administrative principles of its management. Article 7-—The Provincial Authorities desirous of making use of humanised lymjjh shall provide the requisite staff, premises, and materials according to the instructions given for that purpose by the Medical Officer of the Province. The same officer shall supervise or cause to be supervised the selection of children from whom the lymph is to be obtained, and shall see that proper precautions are taken to ensure a good quality of lymph and its perfect pre- servation. /irfieZe 8.—The Provincial Authorities who intend to obtaiti animal lymph from a private Institute or from the National Establishment in Rome shall entrust to a specially selected sanitary inspector the duty of obtaining and dis- tributing the ymph according to local requirements, and 'sL Artide 'ii^imal and liuinaniaetl lymph II. Vaccination. Article 11.—By the terms of Articles 51 and 52 of the Law for the Protection of Hygiene and Public Health, it behoves the Communal Authority in every contingency to jirovide for the vaccination of all the inhabitants within their area and to take care that the obligation to undergo this practical jirophylactic treatment which has bcpn im- posed by the law is respected by all according to the instructions in these Regulations. Article 12.—The Sanitary Regidations for the Commune shall impose the resjionsibility for the observance of this legal obligation upon the parents (or their representatives) of all children born in the Commune till they are of age. Jrficle 13.—All children must be vaccinated within the solar half year subsequent to the date of their birth (see Article 18), with the exception :— (1.) Of such children as have in the meanwhile been attacked by small-pox. (2.) Of children with regard to whom a medical certifi- cate can be produced to the effect that they are in such a state of health as renders it dangerous for them to undergo the operation of vaccination. Article 14.—Children who owing to ill-health were dispensed from vaccination during their first year of life must be submitted for vaccination during their second year. In cases where there may he doubt as to whether a child can be safely vaccinated, the official vaccinator must decide upon the case after having first him.self examined the child. Article 15.—Children who have been vaccinated for the first time without showing favourable results must be agjim \'ac. mated at the latest within the ensuing year, and this repeated ^/accination must be performed by the official vaccinator. Article 16.—After the age above referred to, every indi- vidual must offer himself for re-\accination whenever the Sanitary Authority considers that owing to the existence of special dangers of epidemic such re-vaccination is necessary. Article 1/.—No child can be admitted into a public or private school or to public examinations or into any educa- tional or benevolent institutions public or private or into any factory or v/orkshop of any kind if being 11 years of age Or older he cannot produce an authentic certificate from the Communal Authority to the effect that he had been re-vaccinated since he reached eight years of age. The directors of schools, institutions, factories, or work- sho]}s or whoever may be at the head of any body of jjersons having the superv'ision of children of any age above that of 11 must be held responsible for the observance of this regulation. Such ]iersons must also take care that all children between the ages of 10 and 11 that are likely to remain under their supervision are rc- vaccinated according to the requirements of the law. The ])ersons designated must at every request of the Communal Authority show the certificates of re-vaccination of the children entrusted to them. Article 18.—In every Commune there shall be annually two gratuitous public vaccinations, one in each solar half year at such jjeriod as shall be considered best to facilitate the largest attendance of children. There shall be extraordinary gratuitous public vaccina- tions wherever it is held that such extraordinary vaccinations are necessary for the more complete oi.iservance of the law or where owing to the appearance of cases of small-pox in the Commu'oe, there may be danger of the spread of the disease. Article 19.—The Communal Authority shall in all cases provide the necessary funds to maintain a staff of sanitary