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themselves to overcome the various obstacles in the way of vaccinating.
Civil
Surgeons should strictly and carefully supervise the vaccinators in their respec-
tive districts, noting the work done by them, and directing especial attention at
the same time to securing accuracy in the returns. The Lieutenant-Governor
hopes this matter will receive the attention it deserves.
6. There appears to have been a large decrease in the numbers vaccinated
in the districts of Hoshiarpur, Lahore, Shahpur and Bannu. In Lahore the
decrease is attributed by the Civil Surgeon, Dr. Center, in his report to "changes
of the Assistant Surgeons (in charge of the Rural Vaccine Establishment) and
to the illness and death of the former Native Supervisor." The prevalence of
small-pox also apparently had to do with the decrease in Lahore, as well as in the
Shahpur and Bannu Districts.
7. Of the total number of vaccinations (550,806) performed by the
district staff, 62,201 were inspected by the Civil Surgeons. The system of check-
ing returns by comparing the vaccinated children with the copy of the vaccina-
tion registers left in the villages continues to work satisfactorily in the Jhang
District.
8. In the districts of Jhelum, Kangra, Dera Ismail Khan, Peshawar and
Umballa, the inspection by Civil Surgeons seems to have been seriously neglected.
It is hopeless to expect any system of vaccination, however elaborately developed,
to succeed, unless the subordinate agency is thoroughly supervised, and Civil
Surgeons, who most carefully watch the work in their districts, bear the strongest
testimony to this. The importance of Civil Surgeons personally inspecting the
working of the vaccinators in their districts cannot be too strongly urged, and
it is to be hoped similar complaints of neglect will not appear in future Reports.
Good work in the way of inspection was done by Dr. Quinnell, at Gujranwala;
Assistant Surgeon Chetan Shah, at Jhang; Mr. Baron, at Ferozepore;
Mr. Crossley, at Hoshiarpur; Assistant Surgeon Bhagwan Das, at Ludhiana;
and Assistant Surgeon Jaswant Rai, at Rohtak.
9. In the towns of Rohtak, Bahadurgarh, Mahim and Jhajjar, in the
Rohtak District; Mahetpur, Shahkot and Nur Mahal, in the Jullundur District ;
and in the principal towns of the Shahpur District, the Civil Surgeons report
that the members of the Municipal Committees give little or no assistance to
the vaccinators. This is discreditable to the members of these Municipalities, and
Deputy Commissioners should bring the matter to their notice.
10. The experiment of vaccinating from the calf direct, tried by
Dr. Center in Lahore, is interesting, and appears to have been successful. In this
way one of the chief difficulties in the way of arm-to-arm vaccination (the objection
parents have to lymph being taken from their children) may be got rid of, and a
fresh and good supply of lymph secured. The experiment is deserving of the
attention of all Civil Surgeons, who have not already made it in their own
districts.
11. It is satisfactory to find that vaccination is making progress in the
Native States of Patiala, Kapurthala, Nabha, Jind and Faridkot. The figures given
by the Sanitary Commissioner show that much work, especially in the first named
State, was done during the year under report.
- 12. In paragraph 7 of the Review on the Vaccination Report for the year
1884-85, the Lieutenant-Governor observed that no reason had been assigned for
the falling-off in vaccination in the Dera Ismail Khan District ; and in paragraph
16 of the same review it was noted that in the hope of encouraging vaccination
in that district local vaccinators were to be entertained in place of the regular
staff of vaccinators. It has been explained by the Sanitary Commissioner that
the falling-off in vaccination noticed by His Honor was due to the reduction of
two vaccinators as a first step towards the introduction of the new scheme.
Subsequent experience has shown that the scheme is not likely to be so
successful as was anticipated by the local authorities. It is not impossible that
the system of vaccination by the Regular District Staff may have to be re-intro-
duced.