VACCINATION.

No. 12 of 1923.

2739

FORM No. 6.

[ss. 14 (8) and 24.]

Hongkong.

Certificate of insusceptibility of successful vaccination of child,

is

I, the undersigned, hereby certify that I am of opinion that [fill in name, if any, date of birth, sex, and parentage of child] is insusceptible of successful vaccination.

Dated the

day of

19

(Signed.)

Superintendent, Deputy Superintendent or Registered Medical Practitioner.

N.B.-This certificate must, within seven days after the date thereof, be produced by the guardian of the child to the Head of the Sanitary Department.

FORM No. 7.

WARRANT FOR DETENTION.

[s. 16 (2).]

Hongkong.

Vaccination Ordinance, 1923.

To the Captain Superintendent of Police and to each and all of the police officers and sanitary inspectors of the Colony, and to the officer in charge of the Government quarantine station at

Whereas

of

has in my opinion

been subjected to the risk of infection from small-pox, and has refused to be vaccinated (or re-vaccinated) forthwith:

These are therefore to command you to take the said

and to remove him to the Government quarantine station at

and to detain him at the said station for a period not exceeding

ten days from the date hereof.

Dated the

day of

19

(Signed.)

Medical Officer of Health.

[s. 17 (2) and 4.]

Hongkong.

FORM No. 8.

WARRANT FOR DETENTION.

Vaccination Ordinance, 1923.

To the Captain Superintendent of Police and to each and all of the police officers and sanitary inspectors of the Colony, and to the officer in charge of the Government quarantine station at

Whereas

of

has been required

under the provisions of section 17 (1) of the Vaccination Ordinance, 1923, to be vaccinated (or re-vaccinated), and has refused to be so vaccinated (or re-vaccinated), (or has landed in the Colony without the permission of the Health Officer of the Port):

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