NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
69
I arrived here on the evening of 24th January to join my appointment, and com-
menced vaccination next day. Lymph was brought from Ahmedabad, and was used
successfully till August, when I got some fresh lymph from the Municipal Vaccinator
working here, who has been Vaccinator for nearly three years, and who vaccinates
three times a week. The total number vaccinated by me in the Dispensary during
the year 1868 was 122, of these 71 were male, and 51 female children; 61 under one
year, and 61 above that age. The successful cases have been 106, or 86.8 per cent.
on the total number vaccinated.
The lymph and vesicles were good. No case of small-pox came under my obser-
vation-
DHURRUMGAUM.
Operations performed by Mr. Apothecary W. WAITE, Khandeish Bheel Corps.
Population
No cost.
Years.
1867
1868
Total Vacci-
nated.
....
108
Compared with the pre-
ceding year.
Increase.
....
108
Decrease.
....
....
Successfully
Vaccinated.
....
92
Percentage of
Success.
....
85.4
Vaccination has been carried on as usual, and with much better success, than
during the previous year; 108 children were vaccinated. Of these 99 were of the
Bheels, and 9 of followers. 92 cases proved successful, and 10 unsuccessful; the latter
being re-vaccinated until the operation succeeded. The number of unsuccessful cases
to successful appears great; being 14.6 per cent., and yet it is not so great as in
the preceding year. It has been frequently observed that the vaccination of one batch
of children will prove successful in almost every instance, while nearly half the cases
in another batch operated upon at a different time, will fail without any visible cause,
the same person having vaccinated both times, and the same care having been taken.
There are, no doubt, some states of the atmosphere more favourable to vaccination than
others. Should small-pox be prevalent in the village or in the districts (as was the
case last year) but few failures appear in the children vaccinated, and the pocks are
perfectly satisfactory ; while if small-pox is not heard of, vaccination is not generally
so successful. That state of the atmosphere then most favourable to the prevalence of
variola, seems equally propitious to the operations of the Vaccinators.
The lymph supplied by the Native Vaccinator has generally been good and
healthy.
70
Three cases of variola appeared during the month of May. All bore distinct
marks of previous vaccination. The cases were mild, and recovered. They were
children of one family ; their father is Subedar Major of the Khandeish Bheel Corps.
During this month small-pox was rather prevalent at Dhurrumgaum and in the districts,
where several cases are reported to have proved fatal.
DAKORE.
Operations performed by PURUSRAM NAGESH, General No. 721, Hospital
Assistant, in charge of Dispensary.
Population, 7,072. No cost.
Years.
1867
1868
Total Vacci-
nated.
....
60
Compared with the
preceding year.
Increase.
....
60
Decrease.
....
....
Successfully
Vaccinated.
....
53
Percentage of
Success.
....
88.3
The population of the town is 7,072. There is no Vaccinator, and no expenditure
for vaccination. The inhabitants of the town were unacquainted with the benefit of
vaccination, and I found much difficulty in getting children for vaccination up to
November last, although they were informed of the good effects of it; and there was
great want of readiness among the inhabitants to submit their children to vaccination,
and the unwillingness appeared among all castes up to November.
The lymph in use has been of good quality.
KURRACHEE.
One Government Vaccinator, under the Civil Surgeon, Assistant Surgeon
E. MORTON, (Acting).
Population, 75,000. Average cost of each Vaccination, 1 Anna 2 Pies.
Years.
1867
1868
Total
Vaccination.
3,411
3,035
Compared with the
preceding year.
Increase.
......
......
Decrease.
......
376
Successfully
Vaccinated.
3,265
2,886
Percentage of
Success.
95.4
95.0
72
It is worthy of note that the ignorant and destitute Mekranees, so far removed
from all civilizing influences, exhibit in the most marked manner their estimate of the
value of vaccination. At certain seasons of the year they come flocking into Kurrachee
seeking employment, and eagerly resort to the Civil Hospital, seeking to be operated
on,—young, old, and middle-aged alike present themselves. Very different appear to
be the views of Parsee residents on the subject. They have a decided repugnance
to infantile vaccination. Under no circumstances will they permit their children to
be operated on until they are two years of age, and even then it is a matter of
persuasion with them.
The vaccine lymph in use throughout the year was of the best quality and
description, and the vesicles were well-formed and distinctive.
I have to remark, in conclusion, there was no epidemic of small-pox, and not a
single instance of inoculation was brought to my notice.
HYDRABAD.
One Government Vaccinator, under the Civil Surgeon, Assistant Surgeon T.
HOLMESTED (Acting).
Population, 40,000. Total cost, Rs. 180, of which one-third was paid by the
Municipality. Average cost of each Vaccination, 1 Anna and 6 Pies.
Years.
1867
1868
Total
Vaccinated.
1,702
1,847
Compared with the
preceding year.
Increase.
......
145
Decrease.
......
......
Succcssfulty
Vaccinated.
1,615
1,827
Percentage of
Success.
94.9
98.8
During the last year 1,847 vaccinations were performed. This shows an increase
of 145 over the preceding year. The lymph has been good the whole year. The
Vaccinator tells me that Assistant Surgeon Ffolliott, once, at the beginning of the year,
procured a fresh supply.
There were a few small-pox cases in Hydrabad in the early part of the year, but
since August, the time of my taking charge of the civil duties, not a case has been seen.
The Vaccinator reports that the Moonshee class of people object to have their
children vaccinated ; about a hundred of their children are now unprotected; as most of
them arc in Government employ, I think it should be made compulsory.
73
SHIKARPOOR.
One Government Vaccinator, under the Civil Surgeon, Assistant Surgeon J. F.
KEITH, M.B. (Acting).
Population, 45,000. Total cost, Rs. 297, of which a portion was paid by the
Municipality. Average cost of each Vaccination, 3 Annas 10 Pies.
Years.
1867
1868
Total Vacci-
nated.
1,490
1,240
Compared with the
preceding year.
Increase.
....
....
Decrease.
....
250
Successfully
Vaccinated.
1,434
1,188
Percentage of
Success.
96.2
95.8
In the Civil Hospital last year there were four cases of small-pox of a mild character.
In the Dispensary vaccination seems very successful. I have visited the Dispensary,
for the purpose of seeing how it was done, and I believe it to be most successful. In
the city there were 15 cases of small-pox, and one death.
KOTREE.
One Municipal Vaccinator, under the Civil Surgeon, Assistant Surgeon J. WIL¬
-----, M.D. (Acting).
Population, 20,626. Total cost, Rs. 268. Average cost of each Vaccination,
3 Annas 9 Pies.
Years.
1867
1868
Total Vacci-
nated.
893
1,150
Compared with the
preceding year.
Increase.
....
257
Decrease.
....
....
Successfully
Vaccinated.
810
1,089
Percentage of
Success.
90.7
94.7
In the column of successful vaccinations there is an increase of 279, as compared
with the preceding year 1867 ; this is due chiefly to vaccination being carried on in the
villages around Kotree. The greater percentage of success is owing probably to su-
perior lymph supplied me by Dr. Pinkerton in tubes in the month of February. Since
using this lymph the vesicles are found well and fully developed. There has been
but little small-pox in the neighbourhood of Kotree during the past year ; a few cases
10 c
74
have been traced to inoculation, and reported to the District Magistrate. In Kotree
town there were 508 cases vaccinated, against 420 in 1867; and in the district 642,
against 473.
I have asked for the number of births that occur within this talooka, or even town,
but it appears no such return is made ; until something like an accurate registration of
births is kept, it will be impossible to carry on vaccination efficiently.
The Vaccinator, Majlis Rai, has worked hard and zealously ; he has been rewarded
by the Municipality by an increase of salary.
SEHWAN.
Operations performed by Mr. Apothecary POLLARD, in Medical charge of Dis-
pensary.
Population, 4,800. No cost.
Years.
1867
1868
Total Vacci-
nated.
163
133
Compared with the
preceding year.
Increase.
....
....
Decrease.
....
30
Successfully
Vaccinated.
148
110
Percentage of
Success.
90.8
82.7
The number of children vaccinated during the year 1868 has been 133, of which
number 110 have been successful operations. Last year there were 163 vaccinated, of
which 148 were successful; the year 1868, therefore, shows a decrease in successful oper-
ations of 38. The population, and particularly the Hindoo portion, are still averse
to the operation being performed on their children, and as no coercive measures are
allowed, great difficulty is experienced in procuring subjects. On the arrival of the
Collector, Colonel Lambert, in the district, about the middle of December 1868, I made
known to him the difficulties I experienced, and the small amount of assistance rendered
by the officials and influential men of the town in carrying out vaccination, and he
kindly directed the Mooktyarkar and Mookee of the town to use more exertion in the
matter, and to report to him weekly the progress made.
Since this time I have been able, through their assistance, to procure more chil-
dren, and I hope to be able to carry out vaccination more successfully for the future
The lymph used in the early part of the year was continued from the previous year, and
was originally supplied in capillary tubes by the Superintendent of Vaccination, and
found to be very good ; latterly, lymph has been received from the District Native Vac-
cinator, which is also good: this, I am informed, was also established from capillary
tubes, supplied by the Superintendent of Vaccination.
75
JACOBABAD.
Operations performed by the Dispensary establishment under the Civil Surgeon,
Assistant Surgeon H. R. L. MCDOUGALL, M.D.
Population, 15,000. No cost.
Years.
1867
1868
Total
Vaccinated.
11
46
Compared with the
preceding year.
Increase.
......
35
Decrease.
......
......
Successfully
Vaccinated.
4
16
Percentage of
success.
36.4
34.8
I regret that I am unable to furnish any report on the subject of vaccination
generally, and more particularly on the points noted in the Deputy Inspector General
of Hospitals', Sind Division Circular, as I have no data at all on which to found
such a report. Since the establishment of a District Vaccinator, who is in no way
under my control, the number of applicants at the Dispensary has been very small, and
of that small number the greater part came from a distance and not from the town.
For instance, the 11 cases in December came from a distance of about 10 miles; they
were the children of a few families of Jats, who had come from the Khelat territory
for the cold weather.
SUKKUR.
Operations performed by the Apprentice, under Mr. Apothecary A. WILSON, in
Medical charge Charitable Dispensary.
Population, 12,000. Total cost, Rs. 60. Average cost of each Vaccination, 1
Anna and 2 Pies.
Years.
1867
1868
Total Vacci-
nated.
677
717
Compared with the
preceding year.
Increase.
....
40
Decrease.
....
....
Successfully
Vaccinated.
641
669
Percentage of
Success.
94.7
93.3
717 persons were vaccinated during the year 1868 ; of these, there were 1 Chris-
tian, 373 Mussulmans, 337 Hindoos, and 6 other castes. 669 were successful, 20 un-
successful, and 19 doubtful. During the month of November 10 adult convicts, of
76
the Bukkur Jail, were vaccinated at the Charitable Dispensary, and included in the
return. Vaccination is performed weekly by the Dispensary establishment, viz.: the
Medical Apprentice and Goorgah, and the only cost attending the vaccination carried on
in both towns of Sukkur is that of a Peon, at Rs. 5 per mensem, or Rs. 60 per
annum, who is attached to the Dispensary, for the purpose of bringing the children
for vaccination.
BOOLA KHAN'S TANDA.
Operations performed by SYPHOON MULLICK. (General No. 215), Hospital As-
sistant, in charge of Dispensary.
Population, 754. No cost.
Years.
1867
1868
Total Vacci-
nated.
88
88
Compared with the
preceding year.
Increase.
....
....
Decrease.
....
....
Successfully
Vaccinated.
67
82
Percentage of
Success.
76.1
93.2
88 cases of vaccination were performed during the past year, out of which 82
were successful, 3 doubtful, and 3 unsuccessful, also. The lymph used for vaccination
was good. Having no Peon or Police Sepoy to render me assistance, I experience great
difficulty in collecting the children, the people not being willing, in many instances,
to bring them without a little persuasion. I think if this matter were laid before the
Commissioner in Sind, or the Superintendent of Police, they might be induced to give
orders for a Peon or Police Sepoy to render assistance when it is needful.
TATTA.
Operations performed by Sub-Assistant Surgeon GONSALVES, L. M., in charge
Charitable Dispensary.
Population, 7,000. No cost.
Year.
1867
1868
Total Vacci-
nated.
20
265
Compared with the
preceding year.
Increase.
....
245
Decrease.
....
....
Successfully
Vaccinated.
20
251
Percentage of
Success.
100.0
94.7
77
Vaccination was commenced in the town of Tatta by the Medical Officer in charge
of the Tatta Charitable Dispensary in December 1867, and during that month 20
persons were vaccinated. Before the Dispensary was established (which took place in
November 1866) it was carried on by one of the Government itinerant Vaccinators,
but it appears that between that time and December 1867 no vaccination was carried
on in this town. During the year 1868, 265 persons were vaccinated in the town of
Tatta, being on an average of 22 per month.
In every hundred of population 3.78 were vaccinated. Of 265 vaccinated, 251
were successful, 8 doubtful, and 6 unsuccessful. Throughout the year fresh lymph was
employed, except during the month of December 1868, when the result having proved
unfatisfactory, fresh lymph was obtained from the Superintendent of Vaccination, Sind
Circle. Vaccination was generally carried on in the town, and not at the Dispensary.
Small-pox prevailed in the town during the months of November and December,
and it still continues, but to what extent I have not been able to ascertain.
Having been in charge of the Dispensary only four and twenty days, I regret
my inability to make any further remarks.
KULLADGHEE.
One Municipal Vaccinator, under Civil Surgeon, Assist. Surgeon J. SIMPSON, M.B.
Population, 9,362. Total cost, Rs. 54-15-0. Average cost of each Vaccination,
3 Annas and 6 Pies.
Years.
1867
1868
Total Vacci-
nated.
....
628
Compared with the pre-
ceding year.
Increase.
....
628
Decrease.
....
....
Successfully
Vaccinated.
....
628
Percentage of
Success.
....
100
The above result dates from 1st February 1868, as previous to this date no vaccina-
tion records were kept in this Hospital, owing to the fewness of the vaccinations.
During the year under report, viz : from 1st February 1868, 378 persons were vacci-
nated in the Civil Hospital by the 1st and 2nd Hospital Assistants, and from 1st July
1868 (on which date a Vaccinator was appointed by the Municipality) 250 were
vaccinated by the Municipality's Vaccinator. Total number vaccinated during the
year under report was 628. Great assistance was given by the Magistrate of this
district in carrying on the operations, but the Fouzdar is very indifferent and inattentive
in assisting the Vaccinator.
78
The number vaccinated did not increase so much as it was expected it would do.
Most of the classes of Hindoos, such as Brahmins, Marathas and low castes, were
generally willing to have their children vaccinated, but, I regret to say, that owing
to caste prejudices, and ignorance of the benefit derived from the operation, the Maho¬
medans and Lingayets at this station, and the villages within reach, required much
persuasion to have their children brought for vaccination.
No case of small-pox was observed during the year under report.
The lymph and vesicles were good, up to a short time ago, and a fresh supply is
now desirable.
BAGULKOTE.
Operations performed by AMROOTA TATTIA (General No. 460), Hospital Assist-
ant, in Medical charge of Dispensary.
Population, 12,247. No cost.
Years.
1867
1868
Total
Vaccinated.
....
113
Compared with the
preceding year.
Increase.
....
113
Decrease.
....
...
Successfully
Vaccinated.
....
102
Percentage of
Success.
....
90.2
In conformity with the instructions contained in Notification dated 2 7th Novem-
ber 1867, the Charitable Dispensary was established at Bagulkote, but the necessary
arrangements for the immediate opening of the institution not having been completed,
I was obliged to use my utmost endcavours to put them in readiness for the completion
of the work. In the absence of any definite instructions, vaccine operations were not
at first commenced in this institution, but subsequently vaccination was commenced,
on the receipt of Circular No. 2,990, dated 2nd August 1868, from the Inspector
General Indian Medical Department. The number vaccinated of males was 65,
and females 48.
The lymph now in use is of superior quality, it having never failed. The lymph
was received from the Assistant Vaccinator of this talooka. Small-pox prevailed in the
town and surrounding villages mostly to the north side in the months of March, April,
and May ; about thirty children were attacked in this town, and by the end of May the
epidemic had disappeared.
79
BHOOJ.
Three Native States' Vaccinators, under Mr. Dorabjee Hormusjee, G.G.M.C.,
in charge His Highness the Rao of Kutch's Dispensary and Hospital.
Population, 18,606 . Total cost, 807-1-7. Average cost of each Vaccination,
Rs. 1-4-8.
Years.
1867
1868
Total Vacci¬
nated.
705
624
Compared with the
preceding year.
Increase.
....
....
Decrease.
....
81
Successfully
Vaccinated.
592
565
Percentage of
Success.
83.1
90.5
During the year 1868 there were 624 vaccinations performed at the Dispensary,
and the principal towns of Kutch, viz.: Mandavee, Moondra, and Anjar, being 81
less than in 1867. I am sorry to observe that I was again obliged to carry on vaccina¬
tion last year on a limited scale, in consequence of some disputes pending between His
Highness the Rao and his Bhyats ; the authority of the former was not recognised by
the latter, hence, when the Vaccinators went round the towns belonging to the latter,
they not only received no assistance from them, but great opposition was experienced
from the leading members ; it was therefore necessary to confine vaccination to a limited
space, viz.: to the towns belonging to His Highness alone, and hence the necessity
of locating the Vaccinators at Mandavee, Moondra, and Anjar. Unless some arrangement
be adopted, by which Bhyats can be made to allow the Vaccinators to vaccinate in
their towns, I am sure vaccination will continue stationary.
ADEN.
One Government Vaccinator, under the Civil Surgeon, Surgeon R. W. JAMES,M.D.
Population, 25,000. Total cost, Rs. 180. Average cost of each Vaccination,
3 Annas 11 Pies.
Years.
1867
1868
Total
Vaccinated.
628
725
Compared with the
preceding year.
Increase.
....
97
Decrease.
....
....
Successfully
Vaccinated.
416
563
Percentage of
Success.
66.2
77.6
80
There has been an increase of 97 in the number vaccinated this year, as compared
with 1867, but this is due to H. M's. Steamer Star bringing 120 captured slaves to
this station during the early part of December.
The supply of lymph was ample and constant during the year, and I was able to
comply with the demands of the Medical Officers of the 2nd Queen's Royals and
7th Regiment Native Infantry.
The quality of the lymph has been good, the vesicles being large and well de-
veloped. Aden was free from small-pox from February to November, but 20 cases
were admitted during December, the result of direct importation of the disease from
Lahaj and by the Star.
APPENDIX.
11 v
ii
TABLE
VACCINATION UNDER SUPERIN
Table showing the Number and Names of the Circles and their Superintendents; the
with those of last year; the Total Number arranged according to Sex, Caste
Number of Operations performed by
Number.
1
2
3
4
5
6
7
8
CIRCLES.
CENTRAL ............
SOUTHERN ..........
NORTHERN
WESTERN ............
SIND ................
KATTIAWAR ................
REWA KANTA ..........
PRESIDENCY ..........
Names of the
MEDICAL OFFICERS,
Superintendents of Vaccination.
Assistant Surgeon Turnbull, M.D
„
Langley.B. A. (Acting)
Surgeon T. Miller, M.D. (Acting)
Assistant Surrgeon J.
Raby............
Surgeon H. Day, M.D. (Acting)
...........
Surgeon Major H. Pitman (Acting)
......
Dr. Muncherjee B. Colah
(Acting)......
Assistant Surgeon T. Cody
(Acting)......
Surgeon J. Pinkerton,
M.D.
................
Assistant Surgeon J. Ffolliott
..........
Surgeon Major J. Gilbert (Acting)
......
„
M. Style (Acting)
Surgeon E. R. Butler,
M.D.
............
Assistant Surgeon J. T. Welsh, M.D. ..........
Sub-Assistant Surgeon Anunta Chandroba.
Total......
Number of Native Vaccina¬
tors attached.
1868
29
12*
22
9*
33
2*
14
2*
17
13†
8
5
6
172
1867
29
9*
22
9*
33
2*
14
...
17
13†
8
5
6
167
Total Number Vaccinated.
52,957
5,953
23,962
9,463
71,203
2,175
32,342
410
38,859
23,612
10,523
7,507
10,757
289,723
Compared with last year.
1867.
52,462
4,120
20,979
6,941
68,282
1,253
37,121
......
33,821
21,854
7,829
7,967
10,985
273,614
Increase.
495
1,833
2,983
2,522
2,921
922
......
410
5,038
1,758
2,694
......
......
16,109
Decrease.
......
......
....
......
......
4,79
.....
....
.....
.....
460
228
* Municipal Vaccinatio
iii
No. I.
TENDENTS IN BRITISH TERRITORY.
Number of Vaccinators employed ; the Total Vaccinations performed, and compared
Age, and Result; the Ratio of Successful to Total Vaccinated ; and the Average
each Vaccinator, for the year 1868.
Total Number Vaccinated, arranged according to
Sex.
Males.
27,753
3,250
13,055
5,275
38,073
1,201
17,145
243
21,269
12,930
5,663
3,874
5,727
155,458
Females.
25,204
2,703
10,907
4,188
33,130
974
15,197
167
17,590
10,682
4,860
3,633
5,030
134,265
Caste.
Hindoos.
47,015
5,204
21,164
8,522
60,427
1,703
28,957
369
4,565
2,885
9,014
7,030
7,170
204,025
Mussulmans.
2,264
537
1,578
690
5,810
381
1,352
29
31,759
18,648
1,342
391
1,456
66,237
Christians.
16
11
230
21
6
...
443
11
...
...
...
...
962
1,700
Parsees.
......
1
......
.....
168
......
26
......
......
2
......
......
949
1,146
Other Castes.
3,662
200
990
230
4,792
91
1,564
1
2,535
2,077
167
86
220
16,615
Age.
Under one
Year.
19,633
2,581
5,131
3,374
46,872
1,443
7,065
121
14,285
7,740
4,914
3,159
4,793
121,111
Above one
Year.
33,324
3,372
18,831
6,089
24,331
732
25,277
289
24,574
15,872
5,609
4,848
5,964
168,612
Result.
Successful.
51,001
5,241
22,744
9,095
65,403
1,999
31,422
391
38,053
22,966
9,905
7,094
8,149
273,363
Unsuccessful.
931
348
575
255
2 202
119
501
17
247
303
264
239
1,033
7,044
Doubtful.
1,025
364
643
113
3,598
57
419
2
559
343
354
174
1,575
9,316
Ratio per cent. of Successful
to Number Vaccinated.
96.3
88.0
94.8
96.1
91.8
91.9
97.1
95.4
97.9
97.2
94.1
94.5
75.7
94.3
Average Number of Persons
Vaccinated by each Vacci-
nator.
1,826
496
1,089
1,051
2,158
1,087
2,310
205
2,286
1,816
1,315
1,501
1,793
1,683
† Local Vaccination.