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unanimous resolution, requested that the Vaccination Act might be extended to
that Municipality, and this measure has been carried out since the conclusion of
the year. It may be hoped that the neighbouring municipal towns will in time
come to appreciate the example set by Umballa, and show more interest in the
matter. The ratio of successful vaccinations per thousand of the population
of the Province as a whole during the year 1889-90 was 40.13, which may be
considered satisfactory, and in paragraph 16 of his Report the Sanitary Com-
missioner adduces figures which clearly show that the gradual extension of
vaccination in the Punjab has resulted in a corresponding decrease of mortality
from small-pox.
10. In paragraphs 17 to 22 of his Report Dr. Stephen gives a brief
sketch of the progress made in the use of animal lymph in the Punjab since
the year 1885-86, when it was first tried by Dr. Center, Civil Surgeon of Lahore,
and Dr. Mulroney, Civil Surgeon of Gujrát. In that year 2,289 children were
vaccinated from animal lymph. In the year under review (1889-90) 246,105
persons were so vaccinated. This clearly demonstrates that the use of animal
lymph is growing in favour with the people of the Punjab, and, considering the
obvious advantages of the system and the difficulties experienced in maintaining
a proper supply of human lymph, the success which has followed the introduction
of animal lymph is in His Honor's opinion most gratifying, and he believes that
the results attained will no less commend themselves to the Government of
India with special reference to its letter No. 3—202, dated the 29th of June
1889, which desired that the work of animal vaccination in India should be
vigorously encouraged.
11. Inspection work seems to have been fairly well carried out on the
whole. The Sanitary Commissioner inspected 4,510 cases himself ; Civil
Surgeons inspected 82,006 cases, or 5,915 cases less than last year; but the
inspections by Native Supervisors are said to have increased by 117,938.
Dr. Stephen, however, is unable to place much reliance on this very large
figure in the absence of check by Civil Surgeons, and he takes the opportunity
to represent that the restriction placed on the district tours of these officers
makes efficient supervision impossible, as at present Civil Surgeons cannot be
absent from head-quarters for more than 72 hours without formally giving
over charge to some other officers and thereby losing their jail allowance.
The Lieutenant-Governor can understand that the Sanitary Commissioner
should attach much importance to the tours of Civil Surgeons, who are the
only officers ordinarily available to exercise a thorough control over the vac-
cination establishments; but a Civil Surgeon who arranges his short excur-
sions into the district properly can maintain a fair control over the Native
Supervisors, and it-must be remembered that the Civil Surgeons concerned
are also Superintendents of Jails, in addition to having other duties requiring
their presence at the head-quarters of the district, and that their protracted
absence on tour would cause much risk as well as inconvenience. The lower
jail officials in the Province are at present notoriously unreliable: and it is
not safe to leave the control of jails in their hands except for very short
periods. Hereafter when our prison establishments have been placed on a more
satisfactory basis, and the jailors are a better class of officer, it may be possible
for Civil Surgeons to devote more time to sanitary inspections.
12. The practice of inoculation as a remedy for small-pox which at
one time prevailed to a great extent in the Punjab is gradually but surely
dying out. In a memorandum dated the 20th December 1887, Sir James
Lyall suggested that inoculators should be instructed in the practice of
vaccination, and apparently the suggestion has been followed with good
results.
13. Vaccination in the Native States which have their own vaccin-
ation establishments continues to receive attention. There was a substantial
increase in the amount of work done in Baháwalpur. There was a falling-off
in Patiála. Re-vaccination received attention in Kapurthala.