No. 75.
Seventh Annual Report of the Ranchee Circle of Vaccination for the year 1873-74, by SURGEON
J. J. WOOD, M.B., Superintendent.
Establishment.
Work done during
the year compared
with 1872-73.
THE usual establishment of three head vaccinators and 20 vaccinators was employed
The work of the establishment is represented by 37,411 cases and 35,177 successful
cases, or 97.491 per cent., and the cost of each successful case was five annas very nearly. In
the year 1872-73 there were 36,518 cases with 35,206 successful, or 97.77 per cent., at
five annas six-tenth pie per case.
Cause of the
smaller percentage
of success.
2. There is thus an increase of 893 cases and a decrease of 29 successful cases.
The percentage of success is slightly lower, but the cost of each successful case is a little less.
The smaller percentage of success compared with last year is accounted for by the
comparatively large number (1,578), and necessarily small success (76.71), in the non-working
season of 1873-74, which reduced the working season's figure of percentage from 97.81 to the
total percentage of 97.49. In 1872-73 only 525 cases were done, with 74.63 per cent. success-
ful in the non-working months, and the figures for the working season were less affected.
Non-working
season.
3. The non-working season.—Those vaccinators who were not on leave were attached to
civil dispensaries, and were thence sent out when small-pox was reported in the interior. We
have just seen that 1,578 cases were got with 76 71 per cent., or 1,160 successful. They
were got in districts Lohardugga and Hazareebagh, whence, as usual, outbreaks of small-pox
were reported. The result was rather better than last year. August was the only month in
which no vaccination was done.
Working season—
selected areas.
4. The working season—areas selected.—Before the beginning of the season, and with the
approbation of the Commissioner of Chota Nagpore, two thanas in Lohardugga district, and
three thanas in Hazareebagh district, were chosen for the year's operations.
They were Tamar thana, of Lohardugga, which lies to the south-east of areas under-
taken in previous years, and Sillee thana, which lies east from Ranchee. In Hazareebagh
district, again, the contiguous thanas of Ramghur, Kashmar, and Goomea, were selected in
order that the thanas undertaken might be close together and near those in Lohardugga, and
because small-pox had appeared in them during the year.
Tamar, Sillee, Kashmar, and Goomea, lie from south to north in the order named,
and bound the west of Manbhoom district. Ramghur lies west of Kashmar and Goomea.
Arrangement of
parties.
5. Arrangement of parties.—One party of six vaccinators under Native Superintend-
ent Elahi Bux was sent to Sillee thana, whence they were to proceed southward, so as to
work Tamar thana.
Another party of seven vaccinators under native superintendent
Mukhun Lall was sent to Ramghur, whence they were to work eastward into Kashmar, and
the third party was placed in Goomea thana, under native superintendent Mahomed Ishak.
6. The party sent to Sillee worked in that thana until January. It is still too frequently
the case that, in large villages particularly, certain classes, such as mahajuns and kaisths, are
little open to conviction as to the benefits to be derived from vaccination, and therefore the
village of Sillee itself was not so well vaccinated as could be wished.
The party next entered Tamar jurisdiction, and there worked well till the end of the
season. The Rajah of Tamar, although otherwise friendly, placed some difficulty in our way
in spite of repeated interviews with myself and much persuasion used. His lady feared to
have their son vaccinated, and so they kept the whole village of Tamar waiting.
It still
remains unvaccinated. As in Sillee so in Tamar, these exceptional cases of refusal to be
vaccinated occurred. In Bundu also, a large village in the north of the thana, but few were
done.
Palamow
sub-division.
7. From Palamow sub-division some desultory work* was returned by the vaccinator,
who was employed there attending to small-pox. No returns have been received of the work
of local vaccinators who are known to be " about" in Palamow.
Lohardugga
district.
Ramgurh party.
8. The party in Ramgurh thana, of Hazareebagh division, consisted of native superin-
tendent Mukhun Lall and seven vaccinators. Much of Ramghur had been visited by
Operations were conducted in 310 villages of Lohardugga district, and 16,388 cases were
done, of which 99.65 per cent. were successful. The average of cases per vaccinator was
2,731. One man did 3,566 cases.
Ten inoculators and eight apprentices with this party did 12,135 cases more, of which
99.90 per cent. were successful. The average of cases per man was 674.1, and the greater
number done by one individual was 2,101.
* About 500 cases, the details of most of which are wanting through their loss by the vaccinator.