The Hawaiian gazette., 1869-01-13
DIR. Esiliebrand.s Report.

D
Or THE GENERAL VACCINATION OF THE Ma
TIVE POPULATION OF HONOLULU.
To The hesideat aud Members Of the Board o
| Hedln:
GENTLEMEN: l herewith beg leave to lay
before you the results Of the general vacci
nation of the town of Honolulu and envi
rons, as carried out pursuant to the Boards
Resolution of October 18th:
RESOLVED, That Dr. VIM. Hillebrand be
/ appointed Committee of one, TO make such
arrangements with the Marshal of the Islands
/ as may be necessary to insure the vaccination
/ or re-yaecinatiOn Of the people of Honolulu,
/ giving him thereby all powers TO act accord
ing TO his best judgment"
Immediately after the passage of the Res
olution, conferred with the medical
gentlemen of this place, every one of whom
expressed the warmest sympathy with the
work in contemplation, and their readiness
to concur in carrying il out At meeting
called the day after, uniform plan of opera
tions was agreed upon, the principal features
of which were;
L The portioning ont of the town in eight
districts, each TO be taken charge of by one
of the gentlemen as vaecinating officer.
. That all vaccinations should only be
practiced by fresh lymph taken directly from
the arm of healthy child on the Sth day
after vaccination.
5. That all persons vaccinated or re-vae-
cinated should re-appear for examination one
week after the performance Of the operation /;
that in case Of failure of first vaccination,
the operation should be repeated again and
again, until it should take, but OF re-vaccina-
tions only the first result should be recorded,
and further re-vaeeinations dispensed with.
4. A clerk and police officer were to be
adjoined to each vsccinator for the purpose
of recording aud of enforcing the law with re-
gard to re-appearance. Those excluded from
vaccination should only be persons that have
had the smallpox, and children already sue
eessfully yaeGinated below the age of twelve
years.
The following gentlemen consented to
take charge Of vaccinating districts: Drs.
Hoffman,, McGrew, Buffnm, R. McKibbin,
Jun, Kennedy, and Judd, and Mr.. Lang
bern, besides myself Mr. Doiron, the pub
lie vaccinator, was to continue his operations
in the meantime, as before, and supply the
various officers with lymph to make a start
with.
Under this system, there have been vac
cinated, from Oct 18th to Dec ID, 1857 per-
sons, according to the records now before
me- OF this number, 9, 124, or 2s per cent,
are first vaccinations; and 5,463, or ~ per
cent, are re-vacciDations. All first yaecina-
tions are recorded as having taken, in such
as presented themselves for re-examination,
which was the case with at least 40 per cent.
Of these.
With regard to re-vaeeination it is impossi-
bic to come to an accurate result from an anal
ysis of the records and the figures extracted
by the native clerks. Only two of the rec
ords are kept with sufficient accuracy to al
low any reasonable conclusions to be made
from them. From these and from q careful
weighing and comparing the figures given by
the Others it would appear that about one-half
Of those re-vaccinated presented themselves
for REORGANIZATION, and that about 60 per cent
of these exhibited pustules of more or less
perfect Development, which would give 1888
successful re-yaceinations as ascertained by
examination 1t is supposed that the greater
majority of successfully vaccinated persons
presented themselves for re-vaccination, and
it would not be admissible to apply the same
proportion of successful operations to those
who did not reappear, but we shall not be
far on the wrong side if we assume that 200
re-vaccinafions out of 5463, or PIP. Il per
cent were successful more or less. As near
ly all old vaccinations on adults date from
the great small pox epidemic in 1858, we
have here the important result that within
Is years. vaccination has lost its protective
power to greater or less degree in Il out
of 100 of our native population, lesson
which ought not TO be lost by our authorities
Ia future contingencies Of Ike nature.
The result thus obtained talIies in re-
markable manner with that obtained By Gin
rscas given in the Gazstts des Hospifarz, July
lIth, 1851 In population of26O0 vaecinated
By him the re-vaccinations were success
full In 4S5< per cent -