NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
45
Native
States.
Years.
1866
1867
1868
Annual number of
births.
Unknown.
.............
............
Vaccinations.
Under one year.
2,394
2,318
2,334
Above one year.
2,461
3,041
4,749
Percentage un¬
der one year.
49
43
32
6. The cost of each successful operation in the Punch Mahals was 4 Annas and
3 Pies, and in the Native States 4 Annas and 4 Pies. The latter sum was also about
the cost of each successful case throughout the Circle.
7. The percentage of successful operations in the Punch Mahals is 94.4, and in
the Native States 93.8. During my tour I took a note of the result in 3,310 of the
children inspected, whose names were all called from the monthly returns, and found
the percentage of success to be 88.7, which I considered very good work. Of the
unsuccessful and doubtful operations 33.5 per centum were under one year of age,
and 66.5 above it.
8. Of the total number of vaccinations 51.5 per centum were males, and 48.5
per centum females.
9. The pay of each of the five Government Vaccinators is Rs. 18 per month,
and each has a Peon at a monthly pay of Rs. 6. In the Native States one Vacci-
nator draws Rs. 20, one Rs. 18-6-0, one Rs. 14-14-0, and the remaining four
Rs. 18 each per month. Four of these men have permanent Peons, who draw
from Rs. 3-8-0 to Rs. 5 monthly. Major Barton, Polical Agent, is endeavouring to
get the pay of all the Peons increased, and he also hopes in a short time, to be
able to sanction the appointment of a third Vaccinator in Rajpeepla, and of a separate
Vaccinator for each of the States of Ballasinore and Loonawara, instead of one man
for both, as at present. Almost every Vaccinator finds it necessary to keep a pony,
to convey himself, bedding, &c., from village to village.
10. All the Vaccinators are now able to use Husband's capillary tubes, and in
the course of the year 578 tubes, charged by them, were forwarded to the Local
Superintendent of the Presidency Circle. The preserved lymph, however, is very
uncertain in its action, which possibly may to some extent be due to its not being
taken from the arm until the eighth day, when, generally speaking, it has begun to
degenerate. In future some of the tubes will be charged with seventh day lymph.
11. In October and November an epidemic of small-pox took place in Ramaisra
(Halole) and surrounding villages, and several children died. The disease had been
conveyed from the Guicowar's territory, where it was prevalent at that time. The
46
Vaccinator of the district, I regret to say, had been working very carelessly, and has
since been discharged from the service. In the hot weather small-pox broke out in
Jaitpoor, a village in the Oodeypoor district. On my visiting the village in November,
the thanadar kindly collected for inspection as many children as he could, and the result
was that of thirty children with good cicatrices on their arms, none had suffered from
small-pox ; of five children with doubtful cicatrices three had suffered slightly ; of eight
unsuccessfully vaccinated, three had been slightly attacked ; and of the unvaccinated,
seven in number, all had suffered more or less severely from the disease. I am not
aware that any other small-pox cases occurred during the year.
12. Inoculation is not practised in this Circle.
13. Within the last fourteen months I have examined the work of five of the
Vaccinators twice, and that of the remaining seven, once. I was highly satisfied with
the work of Jaithalal Gunputram (General No. 253), Ballajee Purbhooram (General
No. 254), Mahasunker Cassiram (General No. 255), Fuckeer Mohamed Mullangbhoy,
and Mahasook Kuddoojee : satisfied with the work of Pursotum Duyaram (General
No. 279) Heeralal Wishoonath, Chuggon Roopchund, Wishoonath Oomyasunker, and
Sobharam Sewuckram ; and was only disappointed with the work of two men, viz.,
Gunputrao Ramchunder (General No. 262), who has been dismissed for incompetency,
and Ramsunker Cassiram, dismissed for entering false names in his return.
14. The lymph has generally been good, and vaccination has been carried on
throughout the whole year by all the Vaccinators.
PRESIDENCY CIRCLE.
Local Superintendent.—Sub-Assistant
Surgeon ANANTA CHANDROBA.
Establishment—Six Vaccinators.
Population, 816,562. Total cost, Rs. 6,620. Average cost of each Vaccination,
9 Annas and 10 Pies.
Years.
1867
1868
Total Vacci-
nated.
10,985
10,757
Compared with the
preceding year.
Increase.
....
....
Decrease.
....
228
Successfully
Vaccinated.
8,428
8,149
Percentage of Success.
76.7
75.7
During the year ending 31st December 1868, the total number vaccinated amounted
to 10,757, being only 228 less than the number operated upon during the preceding
year.
48
VACCINATION UNDER CIVIL SURGEONS.
TANNA.
One Municipal Vaccinator, under the Civil Surgeon, Surgeon H. ATKINS.
Population, 10,581. Total cost, Rs. 213-5-6. Average cost of each Vaccination,
14 Annas and 8 Pies.
Years.
1867
1868
Total Vacci-
nated.
176
232
Compared with the pre-
ceding year.
Increase.
....
56
Decrease.
....
....
Successfully
Vaccinated.
103
191
Percentage of
Success.
58.5
82.3
I an glad to report this year that there has been an increase in the numbers vacci-
nated, attributable, in a great measure, to the diligence of the new Vaccinator appointed
at the beginning of the year.
Vaccination was carried on during the whole year excepting during the month of
May, when it was discontinued on account of the lymph becoming so bad that it had
to be obtained from Bombay. Great difficulty is found in keeping up the supply,
from the dislike of the natives to allow their children to be vaccinated from, to obviate
which they destroy the vesicles about the 6th day.
Small-pox was prevalent from January to June, and one case came into hospital
which was unprotected.
BANDORA.
Operations performed by Sub-Asistant Surgeon A. DESOUZA, in charge Dispen-
sary.
Population, 7,746. No cost.
Years.
1867
1868
Total
Vaccinated.
93
336
Compared with the
preceding year.
Increase.
.......
243
Decrease.
......
......
Successfully
Vaccinated.
64
286
Percentage of
Success.
68.8
85.1
49
During the year ending 31st December 1868 the total number of children vac-
cinated amounted to 336, which exceeds the number vaccinated in any previous year
since 1856. Vaccination was introduced into the Catholic Orphanage here in March
last, and a large number of children belonging to this institution were vaccinated, and
it was subsequently kept up both at the Dispensary and the Orphanage, on every suc-
ceeding Friday. The supply of lymph was obtained solely from the latter institution.
It is owing to this circumstance that the increased number of operations appears in this
year's return. The success was 85.1 per centum. Small-pox was not seen here, except
in a sporadic form in March last.
ALIBAUGH.
Operations performed by GUNGAJEE RAMJEE (General No. 330), Hospital Assist-
ant, in Medical charge Dispensary.
Population—4704. No cost.
Years.
1867
1868
Total Vacci-
nated.
200
335
Compared with the
preceding year.
Increase.
....
135
Decrease.
....
....
Successfully
Vaccinated.
180
263
Percentage of
Success.
90.0
78.5
During the year under report 335 children were vaccinated, being an increase of
135, as compared with the preceding year.
There were 200 males, 135 females; 16 Christians, 274 Hindoos, 16 Mussulmans,
and 29 other castes; 61 children were under one year of age, and 274 above one year ;
263 were successful, 56 unsuccessful, and 16 doubtful.
Fresh lymph was used, and the vesicles were mostly as large as gram or pea.
Vaccination has been carried on every Monday at 10 A.M. since I received charge, and
every exertion is made to induce parents to bring children for vaccination.
I applied for a Peon to the Mamlutdar of Alibaugh, to collect the children in the
town of Alibaugh, and bring them to the Dispensary every Monday for vaccination,
and my request has been complied with ; this assistance has enabled me to show the
above favourable result. Almost all the children in the town of Alibaugh have been
7 v
50
vaccinated, with the exception of infants within four months old, who were not allowed
to be vaccinated by their parents, and indeed great difficulty has been experienced in
performing this operation amongst Hindoos, particulary the Kolees (fishermen).
The largest numbers were vaccinated in the months of May, June, July, and
August, and the least in January, February, April and November.
Two Vaccinators were sent from Bombay in the month of May to vaccinate the
children in Alibaugh districts, and it would appear that they have vaccinated a large
number in the adjacent villages.
Small-pox prevailed amongst the children of Kolees in Vursolee, about a mile and
a half distant from this town, and slightly in Alibaugh among the Marathas at the end
of the month of December. One Mussulman boy about 14 years old was admitted
into hospital with small-pox in the month of May, and recovered.
BHEWNDY.
Operations performed by Sub-Assistant Surgeon SHAMRAO JAGHANATH, L.M.,
in charge Charitable Dispensary.
Population—10,000. No cost.
Years.
1867
1868
Total Vacci-
nated.
78
87
Compared with the
preceding year.
Increase.
....
9
Decrease.
....
....
Successfully
Vaccinated.
....
56
Percentage of
Success.
48.7
64.4
During the year under report in all 87 children were vaccinated in connection
with the Bhewndy Charitable Dispensary, of which 57 were male, and 30 female; of
these 31 were Hindoos, 29 Mussulmans, and 27 of other castes ; 21 were under one
year of age, and 66 above one year. In fifty-six only the operation was successful, in
11 doubtful, and in the rest unsuccessful.
The population of Bhewndy is about 10,000, but most of the children have been
vaccinated before the establishment of the Dispensary. Of the Hindoo population of
Bhewndy the Brahmins, Purbhas, and Vanees are not at all against vaccination, but
the Sutars, Lohars, and Hamals are very much against it, and cannot be prevailed
upon to get their children vaccinated. The Mahomedans, with few exceptions, are not
against it.
The cost of vaccination for the year under report has been nothing.
51
RUTNAGHERRY.
One Government Vaccinator, under the Civil Surgeon, Surgeon C. JOYNT, M.D.
Population, 67,488. Total cost, Rs. 134-8-6. Average cost of each Vaccination,
1 Anna and 5 Pies.
Years.
1867
1868
Total Vacci-
nated.
1,302
1,342
Compared with the pre-
ceding year.
Increase.
....
130
Decrease.
....
....
Successfully
Vaccinated.
1,008
1,080
Percentage of
Success.
77.4
75.4
The vaccinations performed during the past year exceeded those of the preced-
ing year by 130, and those of the year 1866 by 1,159, and this increase appears,
every thing considered, satisfactory.
2. Of the total number vaccinated, 596 were children under one year old,
showing, both, absolutely and relatively, a greater number of infants operated on than
in any preceding year.
3. The station Vaccinator extended his operations during the year to sixteen
villages, besides Rutnagherry, and extending in a radius of 6 miles from the station.
In these villages 1,190 children of various ages were vaccinated, and 242 in Rutna-
gherry. In the different villages the vaccinations varied from 153 in Pomendee to 5
in Sewry, the difference depending doubtless on the population of the villages.
4. Since my arrival at this station, I have regularly inspected the work of the
Vaccinator in the town of Rutnagherry, as well as in the village at the Fort about a
mile from the town. In many cases I found the lymph to be very indifferent, but by
a careful selection of good vesicles for the propagation of vaccine matter, an improve-
ment in the quality of the lymph has been effected.
5. As I am unable to visit the different villages in which the Vaccinator per-
forms his operations personally, I make him bring me every month a certificate from
the village Fouzdar in verification of his return.
6. The operations of the Vaccinator are attended with some difficulty up to
November, owing to the want of a Peon. A Peon was engaged on the 15th November
1868, and I trust that the amount of work done in 1869 will show that this assistance
has not been unnecessary.
52
VINGORLA.
Operations performed by the Apprentice, under Mr. Apothecary HANSON'S
supervision.
Population, 10,000. No cost.
Years.
1867
1868
Total
Vaccinated.
151
382
Compared with the
preceding year.
Increase.
......
231
Decrease.
......
......
Successfully
Vaccinated.
137
358
Percentage of
Success.
90.7
93.7
The number of the popuation among whom vaccination is carried on, is estimated
at about 10,000. The total number vaccinated during the year was 382, being an in-
crease of 231 over the preceding year ; 229 were male, and 153 female children;
65 were under one year, and 317 above that age. The successful vaccinations have
been 358, or 93.7 per centum on the total number vaccinated. The lymp was good and
the vesicles were in general characteristic. In some children, the vesicles were broken
before the eighth day, and the lymph dried up into irregular crusts. Such cases were
entered in the register as doubtful, and were afterwards either re-vaccinated, or allowed
to wait for another time. In April, vaccination could not be kept going, owing to the
loss of the lymph, which occurred by the removal of three children with the vaccine
vesicles, to another part of the district. In May lymph was obtained on glasses from
the Vaccinator at Malwan, but it did not take; it was subsequently taken from the
arm of a child which had been brought from Sawunt Warree, and proved effective.
Vaccination has since then been carried on regularly. There being no Vaccinator or
Peon attached to this station, the only expense incurred on account of vaccination
during the year is Rs. 1-12, being the value of two lancets and one lancet case,
which were used in vaccinating the children ; this sum divided among 358 successful
vaccinations, gives one pie nearly as the cost of each vaccination. Small-pox prevailed
to a small extent in the town of Vingorla during the months of April and May last.
The disease was confined chiefly to the Chumbars or Moochees, whose houses are situated
in a separate part of the town. The cases, with one exception, were all of the discrete
kind. All recovered ; 34 persons were attacked, of whom 17 were adults, and 17 chil-
dren between the ages of three and ten years. It was stated, that, of those attacked 23
persons had previously been vaccinated, but on inspecting a few of their arms, no
vaccine marks were visible.
53
KARWAR.
One Government Vaccinator under the Civil Surgeon, Assist. Surgeon J. DAVIES.
Population, 5,000. Total cost, Rs. 135. Average cost of each Vaccination,
6 Annas.
Years.
1867
1868
Total Vacci-
nated.
308
362
Compared with the pre-
ceding year.
Increase.
....
54
Decrease.
....
....
Successfully
Vaccinated.
277
306
Percentage of
Success.
89.9
84.5
The total number vaccinated is 54 more than in the previous year. Out of the
total of 362, fifty-six only were vaccinated under one year of age, and 306 above that
age. All classes here have still a great aversion to vaccination within the first year,
above that age they acquiesce in the operation, but show no anxiety to have it done.
Probably the absence of small-pox for some years back at Karwar and the adjacent
villages renders them indifferent to vaccination. The quality of the lymph has been
good and the vesicles are generally very well developed.
SURAT.
One Government Vaccinator, under the Civil Surgeon, Surgeon II. J. GANE,
(Acting).
Population, 85,000. Total cost, Rs. 172-1-0. Average cost of each Vaccination,
11½ Pies.
Years.
1867
1868
Total
Vaccinated.
1,631
2,840
Compared with the
preceding year.
Increase.
....
1,209
Decrease.
....
....
Successfully
Vaccinated.
1,395
2,370
Percentage of
Success.
85.5
83.4
54
2,8-10 children have been vaccinated during the year by the Native Vaccinator
under my supervision, being an increase of 1,209, as compared with the previous
year.
2,370 cases were successful, 112 were unsuccessful, and 358 were doubtful.
The percentage of successful cases being 83.4. 1,566 were males, and 1,274 were
females. 1,241 were under one year and 1,599 were above one year. 10 were
Christians, 1,882 were Hindoos, 759 were Mussulmans, 105 were Parsees, and 84
were other castes. A good supply of lymph has been kept up, and the vesicles
have been large and defined. The total cost of vaccination was Rs. 172-1-0. The
average cost of each vaccination was 11½ Pies. A large portion of Natives have
a great objection to vaccination, but during the months of February, March, and April,
when small-pox prevailed in the city, they readily brought their children to be vacci-
nated. The number of deaths in the city from small-pox was 367, of these 354 were
children, and 13 adults.
BROACH.
One Government Vaccinator, under the Civil Surgeon, Surgeon J. GLEN.
Population, 30,755. Total cost, Rs. 160. Average cost of each Vaccination, 2 Annas.
Years.
1867
1868
Total Vacci-
nated.
1,226
1,265
Compared with the
preceding year.
Increase.
....
40
Decrease.
....
....
Successfully
Vaccinated.
1,094
1,018
Percentage of
Success.
89.2
80.4
Since receiving charge of the Broach Civil Hospital, three months ago, vaccination
has been carried on steadily and efficiently. The numbers vaccinated have been some-
what greater than in the previous year, but the number of the successful cases is
considerably less.
The number of inhabitants in the city amounts to 30,755. The total cost of vac-
cination in 1868 amounted to Rs. 160, and the average cost of each vaccination
2 Annas.
55
POONA.
One Government Vaccinator under the Civil Surgeon, Major LORD, M.D.
Population, 30,000. Total cost, Rs. 168. Average cost of each Vaccination,
1 Anna and 7 Pies.
Years.
1867
1868
Total Vacci-
nated.
2,022
1,641
Compared with the pre-
ceding year.
Increase.
....
....
Decrease.
....
381
Successfully
Vaccinated.
1,736
1,387
Percentage of Success.
85.8
84.5
There has been a decrease of 381 in the total number of persons vaccinated, which
the tabular report shows to be divided over the different heads borne on the annual
return, with the exception of Christian children, and those over one year of age, in both
of which classes there has been an increase. The proportion of successful cases is 1.3
per cent. lower than in the preceding year. The Vaccinator formerly received assistance
in collecting children for vaccination either from a Police Peon, or one supplied by the
Municipality, but since 1867, all such aid has been withdrawn, and to this he attributes
the decrease in the number of his operations. In paragraph 3 of Resolution of Govern-
ment in the General Department, No. 895, dated the 13th May 1868, regarding revised
subordinate Hospital Establishments, 3 Peons are stated to have been recommended by
Mr. Peile for Hospitals which have a Vaccinator attached to them, and two for those
without a Vaccinator, which Government considers to be a reasonable allotment; so,
as but two Peons are at present allowed on the establishment of the Sassoon Hospital,
a third, chiefly with the view of giving assistance to the Vaccinator, would probably be
sanctioned if the matter were departmentally represented. The lymph has been kept
in good condition by the Vaccinator, and his operations on European and other fair-
skinned children have been very successful.
There was a good deal of small-pox in and about Poona in the earlier months of
the past year, which led to a correspondence originating with the Cantonment authori-
ties as to the necessity for a small-pox hospital, which, so far as I am aware, was not
attended with any decided result towards establishing so desirable an institution.
This year we have had a few cases of the disease; in fact, seldom a cold season passes
at Poona without its making its appearance in the City or Cantonment. It is thus
especially desirable that vaccination should be encouraged, and I therefore hope the
moderate aid of a Peon to the Vaccinator as above suggested, will not be denied.
It may add slightly to expense, but the average rate at present is not high, being
for the year under report between 1 Anna and 7 Pies, and 1 Anna 8 Pies for each opera-
tion performed, or not quite 2½d. English money.
56
The total cost of vaccination for the year was Rupees 168. There is but one
Vaccinator under the Civil Surgeon, on a salary of 14 Rupees per mensem. There are
no data from which to estimate the population in the Vaccinator's charge, which con-
sists of—1st, residents within civil limits, of whom no census has been taken; 2nd,
applicants at the hospital, who are vaccinated irrespective of place of residence; 3rd,
families of persons in civil employ many of whom reside within the Cantonment; and
4 th, a portion, equal to about the third, of the inhabitants of the city of Poona, the
population of which is estimated at 82,000.
If therefore we take a third of the latter sum, and add to it even the most moder-
ate estimate of the population of the civil limits, including railway station and buildings
around, we may say that the Civil Vaccinator's charge at Poona comprises over 30,000
individuals.
DAPOOLEE.
Operations performed by Sub-Assistant Surgeon M. HEARN, in charge Civil
Hospital.
Population, 6,000. No cost.
Years.
1867
1868
Total
Vaccinated.
123
252
Compared with the
preceding year.
Increase.
......
129
Decrease.
......
......
Successfully
Vaccinated.
123
228
Percentage of
Success.
100.
90.5
There has been an increase of 129 children vaccinated above the number returned
in 1867 ; 127 were males, and 125 females ; 2 were Christians, 236 Hindoos, and 14
Mussulmans; 29 were under 1 one year, and 223 above that age.
The Hindoos as usual preponderate.
The lymph was very good, and the cases that have proved unsuccessful and doubtful
are, I am of opinion, owing to some peculiarity of constitution, and not in the least to
the character of the lymph ; for example, in the two European children that were vacci-
nated, I never saw better vesicles, and, generally speaking, they were very good ; the
pustules are not so large, and the areolæ are not so well-defined in the Hindoo children
as they are in the flesh-eating Christians and Mussulmans.
The most favourable period for vaccination is from November to April.
I vaccinate the children in the villages immediately around Dapoolee, and all
children that may come in from the districts to be vaccinated.
57
No cases of small-pox occurred in the camp at Dapoolee during the period
embraced in this Report.
The number of the population among whom vaccination is carried on is about
5,949.
There is no separate establishment for vaccination at Dapoolee.
AHMEDNUGGUR.
Two Vaccinators, one Government, and one Municipal, under the Civil Surgeon,
Assistant Surgeon H. T. DANN, B.A.
Population, 39,000. Total cost, Rs. 242-8-0. Average cost of each Vaccination,
3 Annas 7 Pies.
Establishment.
Government ....
Municipal ......
Years.
1867
1868
1867
1868
Total Vac-
cinated.
993
1,010
735
808
Compared with the
preceding year.
Increase.
....
17
....
73
Decrease.
....
....
....
....
Successfully
Vaccinated.
908
914
669
713
Percentage
of Success.
91.4
90.5
91.0
88.2
I have much pleasure in being able again to report an increase of ninety in the
number of vaccinations during the past year. The percentage of successful, however,
is slightly less. The Municipality's Vaccinator has effected an increased number of
vaccinations this year, as compared with the year 1867, viz. 808, as compared with 735
during the year preceding. The number of operations returned by the Civil Surgeon's
Vaccinator is 903 in the city, being an increase of 112 over last year's return,
and, although there has been a slight decrease in the number of vaccinations
effected,within cantonment, yet the operations exceed by seventeen the return for the
year 1867.
The annual return of persons vaccinated at the Civil Hospital Ahmednuggur, shows
a slight increase over last year, viz. 130 to 126 of the year preceding. No cases of
small-pox were admitted into the Civil Hospital during the year.
There were only 25 persons vaccinated in the Police Hospital during the year, as
contrasted with 63 of the year preceding, but not a single case of small-pox occurred
8 v