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local establishments would exceed 60,000 per annum ; for the first two years after
the creation of the local establishment, viz., 1865 and 1866, the total vaccinations did
considerably exceed that number, being respectively 62,415 and 67,720; but the arrears
of unprotected children in the province have been worked up faster than I anticipated,
as is shown by the decrease in the past year. The chief cause of the decrease, then, is
the reduced number of unprotected persons in the province ; but there is also
another reason which deserves notice: it is that many thinly-populated parts of this
Circle have been more carefully gone over than it was formerly possible to do with the
inadequate number of Vaccinators in the Government establishment, and the men
employed in those parts have done much less work than in former years. Still I am
not quite satisfied with the amount of work done by the Government establishment,
and think a few of the Government Vaccinators could have done more work by a
little more exertion. I shall endeavour to stimulate them to exert themselves more
during the present year. I am quite satisfied with the quantity of work done by the
members of the local establishment.
2. I think it worth while to say something here on the subject of the numbers
which, I think, may be annually available for vaccination in Sind in future years. I
may say that this question has engaged my best attention, and during the last five years
I have been gathering information to arrive at a conclusion on this subject; but to enable
me to give a correct answer to it, I should require much more precise information
than is at present obtainable from any source whatsoever; in fact, precise information
does not exist. However, my own knowledge of the province is now considerable,
and I have received such information as the Revenue and Political Officers are able to
give me. To start with then, I estimate the population of Sind, including the Khyr-
poor State, at 2,500,000. But the populations of the Sudder Stations are not vacci-
nated by my men; there is a Vaccinator under each Civil Surgeon, who provides for
the wants of his station; the medical subordinates in charge of Dispensaries vaccinate
in the towns where they are stationed. His Highness Meer Ali Murad has his own
Vaccinator ; the Kotree Municipality maintains a Vaccinator for Kotree and its environs,
and there are some vaccinations done at the Civil Hospital of Jacobabad ; these com-
bined provided for about 500,000 of the population, thus leaving 2,000,000 to be pro-
vided for by my Vaccinators. The annual births in a population of 2,000,000, taking
the birth-rate at 1 in 30 per annum, should be 66,666. But it is quite impossible to
vaccinate all who are born, because there are (a) still-births ; (b) deaths which occur
in (say) two years, that is about the space of time which should elapse between the
visits of the Vaccinator ; (c) children protected by natural small-pox ; and (d) children
who from various causes do not come under the influence of the Vaccinators. I do not
think I over-estimate these at ten per cent.; thus reducing the available children for
my establishments to 60,000 per annum: and now that the arrears have been
worked off, it is probable that this is the maximum average number that can be annu-
ally, for any given series of years, vaccinated by the men under me. And, arguing in
the same way, the average maximum total of vaccinations, from all sources, in the