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APPENDIX.

The following witnesses were examined by the Committee.

Sir John Mullens, Messrs. Mullens, Marshall, Steer, Lawford & Co. A. H. Stokes, Esq., Messrs. W. Mortimer & Son, Stockbrokers to the Supreme Court.

O. R. A. Simpkin, Esq., C.B., C.B.E., Public Trustee.

J. A. Longley, Esq., Assistant Paymaster-General.

F. Phillips, Esq., H.M. Treasury.

I. G. Gibbon, Esq., C.B.E., Ministry of Health.

F. H. Owers, Esq., County Councils' Association.

J. R. Johnson, Esq., F.S.A.A. Association of Municipal Corporations. E. W. Lloyd, Esq., F.S.A.A.Association

J. A. Simpson, Esq., LL.B., Urban District Councils' Association.

C. D. Johnson, Esq. Institute of Municipal Treasurers and AcArthur Collins, Esq. S countants (Incorporated).

O. B. Steward, Esq., Derwent Valley Water Board.

J. Colenso Jones, Esq.

F. J. Alban, Esq., F.S.A.A. South Wales Water Boards.

H. F. Carpenter, Esq., Conference of Joint Electricity Authorities, Joint Advisory Boards and Joint Committees.

(5/28) (66853r) Wt. 6718--609 250 7/28 H. St. G 7i

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REPORT OF THE COMMITTEE ON

(i) matters relating to the preparation,
testing and standardisation of vaccine
lymph;

(ii) the practical methods which are avail-
able in the light of modern knowledge
to diminish or remove any risks which
may result from vaccination;

(iii) the methods of vaccination which are
most appropriate to give protection
against risk of smallpox infection in
epidemic and non-epidemic periods.

Presented by the Minister of Health to
Parliament by Command of His Majesty,
July, 1928.

LONDON:

PRINTED AND PUBLISHED BY HIS MAJESTY'S STATIONERY OFFICE. To be purchased directly from H.M. STATIONERY OFFICE at the following addresses: Adastral House, Kingsway, London, W.C.2; 120, George Street, Edinburgh; York Street, Manchester; 1, St. Andrew's Crescent, Cardiff;

15, Donegall Square West, Belfast;

or through any Bookseller.

1928

Price 7s. net.

Cmd. 3148.

COMMITTEE ON VACCINATION.

We (the Minister of Health in conjunction with the Medical Research Council) hereby appoint :

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Sir Humphry Rolleston, Bart., K.C.B., M.D., P.R.C.P.

F. R. Blaxall, Esq., M.D.

G. F. Buchan, Esq., M.D.

A. E. Cope, Esq., M.D.

Mervyn H. Gordon, Esq., C.M.G., C.B.E., M.D., F.R.S.
Professor J. C. G. Ledingham, C.M.G., F.R.C.P., F.R.S.
J. R. Perdrau, Esq., M.B.

to be a Committee to inquire and report from time to time :(i) on matters relating to the preparation, testing and standardisation of vaccine lymph;

(ii) on the practical methods which are available in the light of modern knowledge to diminish or remove any risks which may result from vaccination ;

(iii) on the methods of vaccination which are most appropriate to give protection against risk of smallpox infection in epidemic and non-epidemic periods;

and to co-ordinate the work of investigation on these questions in this country and abroad, having regard to corresponding work undertaken by international health organisations.

And we appoint Sir Humphry Rolleston, Bart., K.C.B., M.D., P.R.C.P., to be Chairman and J. R. Hutchinson, Esq., M.D., to be Secretary of the Committee.

N. CHAMBERLAIN.

For the Medical Research Council,
WALTER M. FLETCHER,

Secretary.

4th February, 1926.

To the Right Honourable NEVILLE CHAMBERLAIN, M.P., Minister of Health,

and

to the Medical Research Council.

GENTLEMEN,

By a minute, dated 4th February, 1926, you appointed a Committee to consider matters relating to the preparation, testing and standardisation of vaccine lymph; the practical methods which are available in the light of modern knowledge to diminish or remove any risks which may result from vaccination; the methods of vaccination which are most appropriate to give protection against risk of smallpox infection in epidemic and non-epidemic periods; and to co-ordinate the work of investigation on these questions in this country and abroad, having regard to corresponding work undertaken by international health organisations.

We, the Committee, have the honour to present a report as follows:

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We have held 36 sittings and examined ten witnesses; in addition we have had the advantage of conferences with Surgeon-General Hugh S. Cumming of the United States. Public Health Service, and Dr. Amyot, Deputy Minister of Health of Canada. We are indebted also to Dr. L. Bouman, Professor of Neurology and Psychiatry in the University of Utrecht, Dr. S. T. Bok, his assistant, Dr. F. S. van Bouwdijk Bastiaanse, Neurologist to the Hospital of St. Jean de Dieu, The Hague, and Dr. A. B. S. A. Pondman, Vice-Director of the State Serological Institute, Utrecht. All these gentlemen have special knowledge of certain aspects of the subject of our inquiry and were good enough, while on a visit to this country, to give us the benefit of their experience.

The report is divided into two parts.

Part I deals with each reference in turn; but from the report on reference (ii) the consideration of the nervous conditions which occasionally follow vaccination is excluded. Part II deals exclusively with this subject.

The Committee wish to express their sense of the invaluable services of the Secretary, Dr. J. R. Hutchinson, throughout the period of their sittings. His researches into the literature and his indefatigable labours have greatly aided the work of the Committee. They desire to place on record their unanimous appreciation of his efforts.

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