No compulsory enactment, however comprehensive and stringent; no alteration in the mode of appointing public vaccinators, however desirable; no additional remuneration and encouragement to them, however necessary, will be sufficient to secure the grand object to be had in view, the Universal diffusion of Vaccination and the Extinction of Smallpox, unless there be some competent and energetic Medical Officer to harmonise the whole system and keep it in constant activity; to examine continually its working, that what is defective may be immediately supplied; and, in cases in which it is required, to enforce the law, whether against those who refuse to submit themselves to Vaccination, or against those who, by travelling about, diffuse Smallpox throughout the Kingdom.

It was further said, “The changes thus proposed have long been looked forward to by the president and council of the Epidemiological Society as essential to a proper system of public vaccination”—of which, indeed, there was no doubt; for to effect the said changes was the chief end of the Society and of its ruling spirit, Dr. Edward C. Seaton. Though it may seem incredible, it will not surprise any who have studied the habit of the thorough-bred quack, that the designated commander-in-chief, “the keystone of the system,” the miraculous combination of scientific and administrative ability, was none other than the projector, Dr. Seaton himself! He it was who in fancy saw himself the elected head of the New Vaccination Office, with place and pay at his disposal, and power to examine and vaccinate every resident upon English soil.

The Memorial concluded with the opinion that in view of “the continued high rate of mortality from smallpox,” some measure should be concerted “for carrying out the alterations suggested during the present (1855) session of Parliament.”

It goes without saying that the project developed in the Memorial was an impracticability; and that it should have been “long looked forward to by the president and council of the Epidemiological Society” proves what manner of dreamers they were. The mortality from smallpox in England and Wales constituted, they said, 2 per cent. of the national mortality; but not even the reduction of the 2 per cent. could have reconciled the people to the New Vaccination Office with its ruling spirit, its expenditure, and its inquisitors. Bad as smallpox may be, there is worse than smallpox; and much worse would have been Dr. Seaton with his pernicious quackery and his intrusive myrmidons. The recrudescence of similar projects from time to time attests the existence of visionaries who not only misunderstand the temper and traditions of their countrymen, but the constitution of human nature itself.

The year 1855 was one of war and excitement, but a bill drawn on the lines of the Memorial was introduced to the House of Commons providing that from the 1st of January, 1856, the vaccination of the people should be committed to a medical superintendent with a medical staff, drawing their salaries from the Treasury, who would take over the existing local administration from the Poor Law authorities, and organise and develop it afresh. Further, it was provided—

That every adult person resident in England and Wales on 1st January, 1856, who had not already been successfully vaccinated, nor had Smallpox, be vaccinated by a duly qualified practitioner, or by a public vaccinator, within three months of that date, and submit to an inspection by the medical man, or public vaccinator, eight days after vaccination, under a penalty of £1.

That adults not born in England and Wales, and coming to reside therein, be vaccinated (if not already vaccinated) within three months of their arrival, under a penalty of £1.

That children be taken by their parents to be vaccinated within three months after 1st January, 1856, and be inspected eight days after vaccination, under a penalty of £1.

That children brought to England and Wales from other parts be vaccinated in like manner within three months of their arrival.