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He must not, except of necessity, vaccinate in cases where there has been recent exposure to the infection of measles, scarlatina or diphtheria, nor where erysipelas is prevailing about the place of given by the public vaccinator in the form prescribed by the Local Government Board or to the like effect: (a) If in his opinion the child is not in a fit and proper state to be vaccinated, or (b) if in his opinion the child cannot be safely vaccinated on account of the condition of the house in which it resides, or because there is or has been a recent prevalence of infectious disease in the district; and in any such case the public vaccinator is required forthwith to give notice of such certificate to the medical officer of health for the district in the proper form. You can have this sensitive condition as well with as without these obstructions.