296
THE NEW ZEALAND GAZETTE.

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. BATHURST.

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. Foster.

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 per-
formance of vaccination by the persons already or
thereafter to be contracted with; and whereas
their Lordships, on the first day 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 regula-
tions to secure the efficient performance of vac-
cination:

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 Com-
mittee 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   repealed, so far as the same required vaccinations and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 accord-
   ance with the "Instructions to Vaccinators 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.

INSTRUCTIONS FOR VACCINATORS UNDER CONTRACT.

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 not 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 scar-
   latina, 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 one 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; in cases of re-vaccination, register
   as "successful" only those cases in which either
   vesicles, normal or modified, or papules surrounded
   by areolæ, have resulted. When the vaccination of
   an unsuccessful case is repeated, it should be entered
   as a fresh case in the Register.

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;-either dry, as on thickly-charged
   ivory points, constantly well protected from damp;
   or liquid, according to the method of Dr. Husband
   of Edinburgh, in fine, short, uniformly capillary (not
   bulbed) tubes, hermetically sealed at both extremi-
   ties. Lymph, successfully preserved by either of
   these methods, may be used without definite restric-
   tion as to time; but with all stored lymph caution is
   necessary, lest in time it have become inert, or other-
   wise unfit for use. If, in order to vaccinate with
   recent liquid lymph, you convey it from case to case
   otherwise than in hermetically-sealed capillary tubes,
   do not ever let more than eight hours intervene
   before it is used.

6. Consider yourself strictly responsible for the
   quality of whatever lymph you use or furnish for
   vaccination. Never either use or furnish lymph
   which has in it any, even the slightest, admixture of
   blood. In storing lymph, be careful to keep separate
   the charges obtained from different subjects, and to
   affix to each set of charges the name, or the number
   in your Register, of the subject from whom the lymph
   was derived. Keep such note of all supplies of lymph
   which you use or furnish, as will always enable you,
   in any case of complaint, to identify the origin of the
   lymph.

7. Never take lymph from cases of re-vaccination.
   Take lymph only from subjects who are in good
   health, and, as far as you can ascertain, of healthy
   parentage; preferring children whose families are
   known to you, and who have elder brothers or sisters
   of undoubted healthiness. Always carefully examine
   the subject as to any existing skin-disease, and
   especially as to any signs of hereditary syphilis.
   Take lymph only from well-characterized, uninjured
   vesicles. Take it (as may be done in all regular
   cases on the day week after vaccination) at the stage
   when the vesicles are fully-formed and plump, but
   when there is no perceptible commencement of
   areola. Open the vesicles with scrupulous care to
   avoid drawing blood. Take no lymph which, as it
   issues from the vesicle, is not perfectly clear and
   transparent, or is at all thin and watery. From such
   a vesicle as vaccination by puncture commonly pro-
   duces, do not, under ordinary circumstances, take
   more lymph than will suffice for the immediate vac-
   cination of five subjects, or for the charging of seven
   ivory points, or for the filling of three capillary tubes;
   and from larger or smaller vesicles take only in like
   proportion to their size. Never squeeze or drain any
   vesicle. Be careful never to transfer blood from the
   subject you vaccinate to the subject from whom you
   take lymph.

8. Scrupulously observe in your inspections every