17
18. If, therefore, the percentage of successful cases to total number vaccinated be
considered small, it also proves that the vaccinators were careful to note the exact results
of their operations, and were not influenced by any desire to show favourable results where
they did not exist, and I can certify that, so far as my inspection of their work went, the
results noted in their registers were accurate.
19. During my inspections the question of the almost absolute immunity from small-
pox which vaccination is believed to confer was frequently a subject of discussion with the
Malguzars and other influential people of the villages, and was of course doubted by the
majority, although in no instance were they able to produce a child who had good marks of
vaccination, in whom the natural disease had subsequently appeared. I always however,
explained to them that if vaccination did not entirely prevent small-pox, still it was quite
certain that at least ninety out of every hundred would escape from an attack of the disease if
well vaccinated, whereas in an outbreak of small-pox half the number die.
20. The proof of the efficacy of vaccination against small-pox can, however, be only
firmly established when the whole of the juvenile population of the district have been thorough-
ly vaccinated for a series of not less than five years, and any reduction to this limit to the
employment of the vaccine establishment, will, I fear, be attended with the same results as
have been noticed in former years by the premature withdrawal of the establishment
just at the very time when the effects of vaccination were beginning to be appreciated.
21. In addition to Return No 1, I also append Statements showing the work of each
vaccinator in every village of his circle, as well as the number inspected by me. I have been
enabled by making rapid journeys to the more distant posts to inspect the children of 261
villages, amounting in number to over 4,000, as well as personally to superintend the vaccination
of 1,260 fresh cases. The results of these inspections have been forwarded to you from time
to time during the season, and do not need repetition here.
22. The cost of the establishment during the season has been as follows :—
Pay of Native Superintendent and ten vaccinators ..
Travelling allowance to Civil Surgeon, Rs.239-0-0
Deduct travelling allowance to branch dispen-
sanes included in above bill, Rs. 80-0-0
Carrage of tent ..
Stationery and printing charges .. ..
Total ..
Rs.
847
179
30
4
1,060
A.
0
0
13
0
13
P.
0
0
11
0
11
23. The cost, therefore, of each operation amounts to 11 pies, and of every successful
case, including those successfully re-vaccinated, to a trifle more than one anna.
24. It may not be out of place to notice that if the plan of entering the date of birth of
a child with the father's name and other particulars in a register be adopted, it would greatly
facihtate the work of vaccination and enable the vaccinator to discover if all the children of a
village are brought for vaccination or not. In the register could also be entered in the
column of remarks the date of vaccination with the vaccinator's name. Registration, as at
present carried out in the district, is, I believe, as follows: The Kotwar (an irresponsible
village drudge) reports the birth of every child in his village, or rather is supposed to
do so. Neither the father's name or other particulars are given, and the Police are in
consequence only able to give the number of births reported to them. It is easy to see how
unreliable data furnished from such a system must be.
25 The conduct of the establishment during the time they have been under my orders
has been very good.
The Native Superintendent, Chitúrám, although possessing little or no educational ac-
quirements, has given me entire satisfaction. He understands his work well and does it
thoroughly and honestly. He has during the season visited every post frequently, and has
inspected the children from village to village. I have much pleasure in bringing him to
your notice.
Of the vaccinators, 1st Class Vaccinator Mohammad Tálib has done best of all. He is hard-
working, painstaking, and an extremely successful vaccinator.