22
ABSTRACTS OF REPORTS BY CIVIL SURGEONS.
under some sections of the Penal Code. Their action gave rise to outbreaks of small-pox.
The vaccinators stamped out the disease.
Agency.
Inoculation.
Small-pox.
Comillah District.—Mr. Stork reports that two vaccinators on Rs. 10 each—one paid by
Government and the other partly by the municipality and partly from the dispensary funds—
were entertained throughout the year. The municipal vaccinator worked within municipal
limits; the other worked in thana Laksham, 20 miles from the sudder station. The system
of vaccinating one village after another was pursued. The work of both the vaccinators was
inpected by Mr. Stork, and found satisfactory. Vaccination is gaining ground: there is less
opposition now, and the people begin to seek after it. Inoculation is still prevalent in the
interior, and all attempts at training inoculators have failed. Mr Stork advocates the exten-
sion of Act IV (B.C.) of 1865 into the district—a matter which is never postponed after
the circumstances, as shown by a vaccine census, justify the enforcement of Act IV (B.C.) of
1865. There was no epidemic of small-pox. 85 isolated cases were reported.
Small-pox.
Brahmunberiah Subdivision.—Two vaccinators on Rs. 10 each, paid by Government,
were employed for six months. The villages in and around the municipality were selected,
and the work was inspected by the native doctor attached to the dispensary. The people
appreciate vaccination, but inoculation is still rife. No inoculators come for instruction.
A few sporadic cases of small-pox occurred in the subdivision.
BEHAR.—PATNA DIVISION.
Patna Division.—All the districts of this division are now included in the Behar circle of
vaccination, which has been recently formed.
People obstructive
to vaccination.
Patna District (Dinapore Cantonment).—One vaccinator on Rs. 10 per month, paid' out
of the cantonment fund, was employed from November to March. He worked in and about
the city and cantonment. Out of 814 cases operated, 190 were verified by the Staff Surgeon
and his hospital assistant. Dr. Jameson is satisfied with the work. The people are very
obstructive to vaccination, and it is believed inoculation prevails to some extent. No
inoculator was trained. Some sporadic cases of small-pox occurred.
Agency.
Patna City and District.—Vaccination was carried on by the staff of the new Behar
circle, and from the report submitted by the Superintendent, and countersigned by the Civil
Surgeon, it appears that 4,390 operations were performed, of which 3,466 were successful.
Out of this number the Civil Surgeon verified 260 cases.
Field of
operation.
Decrease of work
attributable to
failure of lymph.
Agency
Gya District.—Two Government and three municipal vaccinators on Rs. 10 each were
employed. The operations were confined to the town and its neighbourhood, and to the
subdivisions and their adjacent villages. The town work was inspected by the Civil Surgeon,
and that in the subdivisions by the native doctors attached to the several dispensaries. Out
of a total of 1,300 cases operated, the Civil Surgeon inspected 510. The town people are
against vaccination, while in the interior of the district there is not much opposition. Inocu-
lation is still rife however. Besides the five vaccinators mentioned above, who were old inocu-
lators, some inoculators from Tirhoot worked, but their work being found unsatisfactory, they
were prohibited from further practice. There was no great prevalence of small-pox. The
decrease of work is attributed by Dr. Macleod to the frequent failure of lymph, and to the
illness of one vaccinator.
Shahabad District.—Dr. Thornton reports that two Government and one municipal vaccin-
ator were generally at work in Arrah, though they sometimes went out into the district to
stamp out small-pox. The Civil Surgeon inspected the work and found it satisfactory. The
people of Arrah and its vicinity readily accept vaccination. Inoculation is declining. Nine
inoculators were certified to practise vaccination in the district, where they worked without
supervision—a principle which I consider as being full of risk, and, except under most excep-
tional circumstances, should not be sanctioned. There was no great prevalence of small-pox,
which however caused a few deaths.
Agency
Sasseeram Subdivision.—Two municipal vaccinators on Rs. 10 each worked—one in Sas-
seeram and another in Chinaree, from December to March. The Assistant Surgeon
inspected the work, which was rather loose and scattered about The people are opposed to
vaccination, and inoculation is prevalent. No inoculator could be found for training.
Agency
Jugdispore.—One municipal vaccinator on Rs. 10 a month, and seven converted inocu-
lators, together with the native doctor of the dispensary, worked in and around Jugdispore.
Vaccination is gaining ground, while inoculation is declining. A number of inoculators
were trained and granted certificates to practise vaccination. Out of a total of 1,407 cases,
856 were inspected.
Agency.
Inoculators
trained and
received
certificates.
Bhubbooah. — One municipal vaccinator on Rs. 10 worked from 15th November to 31st
March. The hospital assistant inspected the work and found it satisfactory. The people are
not in favour of vaccination : inoculation is rife. Seven inoculators were trained and received
certificates to practise vaccination, but it is not stated what measures, if any, were adopted
to inspect their work. Small-pox prevailed epidemically.