698 SUPPLEMENTARY APPENDIX. 



a sanitary authority has received notification of a case of small-pox, 

 we think the fact should be at once communicated to the vaccination 

 authority of the district in which the case of the disease has occurred. 



Reguhitions ax fn Tramps, IiiniatPs of Lodging-houses, etc. 



Our attention has been drawn to the circumstance that outbreaks of 

 small-pox have not unfrequently had their origin in the introduction 

 of the disease to common lodging-houses by tramps wandering from place 

 to place. In view of this we make the following recommendations : — 



(i.) That common shelters which are not now subject to the law 

 relating to common lodging-houses should be made subject 

 to such law. 

 (ii.) That there should be power to the local authority to require 

 medical examination of all persons entering common lodging- 

 houses and casual wards to see if they are sufEering from 

 small-pox, and to offer a reward for prompt information of 

 the presence of the disease. 



(iii.) That the local authority should have power to order the keeper 

 of a common lodging-house in which there has been small- 

 pox to refuse fresh admissions for such time as may be 

 required by the authority. 



(iv.) That the local authority should be empowered to require the 

 temporary closing of any common lodging-house in which 

 small-pox has occurred. 

 (v.) That the local authority should have power to ofEer free 

 lodgings to any inmate of a common lodging-house or casual 

 ward who may reasonably be suspected of being liable to 

 convey small-pox. 



(vi.) That the sanitary authority should give notice to all adjoining 

 sanitary authorities of the occurrence of small-pox in 

 common lodging-houses or casual wards. 



(vii.) That where the disease occurs, the Public Vaccinator or the 

 Medical Officer of Health should attend and vaccinate the 

 inmates of such lodging-houses or wards, except such as 

 should be unwilling to submit themselves to the operation. 



Relaxation of the Vacrhiatio?t Law. 



After careful consideration and much study of the subject, we have 

 arrived at the conclusion that it would conduce to increased vaccination 

 if a scheme could be devised which would preclude the attempt (so often 

 a vain one) to compel those who are honestly opposed to the practice to 

 submit their children to vaccination, and, at the same time, leave the law 

 to operate, as at present, to prevent children remaining unvaccinated 

 owing to the neglect or indifference of the parent. When we speak of 

 an honest opposition to the practice, we intend to confine our remarks to 

 cases in which the objection is to the operation itself, and to exclude 



