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" In this way, although the staff for the town consisted of 6 vaccinators, the opera-
tions were prolonged over a period of not less than 36 days, namely, from the 20th October
to the 25th November 1883, during which period 1,030 children were vaccinated in all.
None of the members of the Municipal Committee accompanied the vaccinators in their
work. The Committee ordered one chaprási named Atar Bég to assist the vaccinators
while at their work, whose presence, I believe, in the respectable mohallas was always
found to be worse than useless. The ten localities as mentioned above were appointed only
nominally, very few of them were made use of, and the vaccinators had to go to almost
every street for vaccinating children. Had the members been active in giving assistance
to the vaccinators, and no unnecessary delay occurred in consequence, the work of vaccina-
tion would have been finished in the town in less than five days."
Dr. Shand does not agree with Assistant Surgeon Fatteh Singh's
experience of the fixed-site system for municipal towns, and says—
" It was quite unnecessary, in my opinion, to select ten places for the town of Siálkot
two or three would have been quite sufficient; and had I been in charge of the civil station
at the time I should not have permitted 6 vaccinators to waste 36 days in vaccinating 1,03(
children, for during the month of March one vaccinator vaccinated in the city of Siálko
and cantonment no less than 605 children."
Two sites were only selected in the city of Siálkot, the vaccinator wa
kept constantly at his work, which was closely supervised by Assistant Surgeor
Sadá Nand, and the Civil Surgeon himself. At some of his inspections Dr
Shand has seen nearly 100 children collected for vaccination at one of the sites
The plan adopted has been essentially arm-to-arm by punctures, neve
by scratching. In crossing the Chenab it was necessary to use glass slides t-
convey the lymph. The counterfoil ticket-system was introduced for the firs
time during the vaccinating season, commencing in October 1883. It worke-
very well. The people seemed to think that something had been done whe
they received a ticket signed by a member of the Municipal Committee, or be
the Civil Surgeon, who usually signed the ticket himself when a member was
not present, and, at the same time, added the number of perfect vesicles in each
case. Vaccination is exceedingly popular in this district. At inspections the
parents of children may be seen crowding forward to get their children vaccinated
as quickly as possible. At Zafarwál inspection the Civil Surgeon noticed a man,
whose child had 5 vesicles on its arms, come up to a vaccinator and ask for
another puncture to bring the number on his child up to the number he saw
on the children around him.
During the period Dr. Shand was in charge of the civil station,
namely, up to the 15th October, and from the 13th November to the end of the
year, there was very little time for inspection of vaccination, for the branch
dispensaries had to be inspected ; besides, there were other civil and regimental
duties to be performed. From the beginning of the year up to nearly the
end of the vaccination season, being in medical charge of only 2 small detach-
ments of troops, he was able to deyote much more time two vaccination than he
had been able to do towards the end of the year 1883, and was thus able to go
into the district and inspect the vaccination operations in the Pasrúr, Zafarwál
and Siálkot tahsíls, whilst the Assistant Surgeon Sadá Nand overhauled the
tahsíls of Raya, Daska and part of Siálkot,
Assistant Surgeon Sadá Nand went out frequently to inspect the work of
vaccination in the district: he inspected the work performed in 37 villages : 1,235
children were vaccinated, all were primary vaccination, and of which 1,223 were
found successful and 12 unsuccessful.
Assistant Surgeon Sadá Nand has taken great interest in vaccination.
He has made frequent inspections, and has helped the Civil Surgeon consider-
ably in the investigations into the outbreak of small-pox.
Native supervisor Sultán Ahmed reports that he had some difficulty
in one or two places in getting lymph taken from children to vaccinate others.
Sarbuland, Zaildár of Jassar, Raya tahsíl, and the lambardár of Ralioke
in Daska tahsíl, and of Khalílpur in Zafarwál tahsíl would not allow the
vaccinators to take lymph from the children in their respective villages. In
this manner the work of vaccination was seriously interfered with in the neigh-
bourhood of these villages.