( 3 )
district might not do in another. I therefore merely commend Dr. O'Neill's
suggestion, and leave the practical point to the discretion of the Civil Surgeons
to act upon it as far as they think feasible.
Examination and super-
vision of vaccination oper-
ations.
6. The work of examining the vaccinations performed by the vaccinators
is carried out by the Deputy Sanitary Commissioners, the
Civil Surgeons and native supervisors; but it should also be
noted that in many districts the native supervisor is unable
to inspect all the vaccinations, so that part of the work of recording results has
to be left to some of the vaccinators themselves, for, besides inspecting the work
of the vaccinators, he has many other things to do, especially when vaccination
is carried out with difficulty. In every case, however, the greater number of
operations are inspected by the native supervisor, and this along with inspections
by Civil Surgeons and Assistant Surgeons gives a considerable amount of check
over the returns. In January 1884 I issued a circular to all Civil Surgeons to
note particularly in their annual reports the number of vaccination operations,
with primary and re-vaccinations, personally examined, and the number found
successful in each case. The following statement shows the number of vaccin-
ations actually inspected by the Civil Surgeons, Assistant Surgeons and
native supervisors, and the number of those found successful and, unsuccessful
during the year 1883-84 :—
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
26
26
27
28
29
30
31
32
DISTRICTS
Delhi ...
Gurgaon.
...
Karnál ...
Hissar ...
Rohtak ...
Sirsa ...
Umballa ...
Ludhiána ...
Simla ...
Jullundur ...
Hoshiárpur ...
Kángra ...
Amritsar ...
Gurdáspur ...
Siálkot ...
Lahore ...
Gujránwála ...
Ferorepore ...
Rawalpindi
Jhelum ...
Gujrat
...
Shahpur ...
Mooltan ...
Jhang ...
Montgomery ...
Muzaffargarh ...
Dera Ismail Khan ...
Dera Gházi Khan
...
Bannu ...
Pesháwar ...
Hazára
Kohát ...
Total ...
Number of vacci-
nations inspected
By Civil Surgeons and
Assistant Surgeons
5,000
1,163
913
1,569
10,814
4,489
557
4,294
... 3,617
3,811
100
1,091
2,336
2,136
8,992
3,918
5,669
922
8,881
5,431
247
1,255
1,880
433
1,738
35
460
...
500
269
16
82,536
By Native Supervisors
of vaccination
15,468
14,997
2,776
7,123
...
9,587
996
16,476
...
21,036
4,852
15,844
21,549
16,765
12,320
17,842
14,290
15,720
17,898
15,755
22,026
3,666
22,121
6,048
10,326
5,091
4,670
10,225
7,515
3,178
12,768
2,015
350,943
Number of vacci¬
nations found
successful
By Civil Surgeons and
Assistant Surgeons
4,800
1,133
913
1,531
10,658
4,447
529
4,276
... 3,597
3,793
100
1,052
2,299
2,119
8,700
3,886
5,323
904
6,718
5,133
242
1,250
1,829
433
1,647
30
467
...
500
242
16
78,557
By Native Supervisors
of vaccination
15,198
14,521
2,235
6,902
...
9,218
967
16,307
...
20,752
4.823
15,769
21,329
16,566
12,227
17,005
14,275
15,516
17,491
14,629
21,786
3,522
21,879
6,011
10,185
5,009
4,043
9,330
7,446
2,679
12,687
1,931
342,238
Number of vacci-
nations found
unsuccessful
By Civil Surgeons and
Assistant Surgeons
200
30
...
38
156
42
28
18
... 20
18
...
39
37
17
292
32
346
18
2,163
298
5
5
51
...
91
5
3
...
...
27
...
3,979
By Native Supervisors
of vaccination
270
476
541
221
...
369
29
169
...
284
29
75
220
199
93
837
15
204
407
1,126
240
144
242
37
141
82
627
895
69
499
81
84
8,705
Percentage of suc-
cessful cases actu-
ally verified by
inspection
By Civil Surgeons and
Assistant Surgeons
96.00
97.42
100.00
97.58
98.56
99.06
94.97
99.58
...
99.45
99.52
100.00
96.42
98.41
99.20
96.75
99.18
93.90
98.05
75.64
94.51
97.97
99.60
97.28
100.00
94.76
85.71
99.35
...
99.80
89.96
100.00
95.18
By Native Supervisors
of vaccination
98.25
96.82
80.51
96.88
...
96.05
97.08
98.97
...
98.65
99.40
99.52
98.97
98.81
99.24
95.39
99.88
98.70
97.73
92.85
98.91
96.07
98.90
99.36
98.63
98.31
86.57
91.24
99.08
84.29
99.52
95.83
97.52
To facilitate supervision Dr. O'Neill suggests " that it would be well
to insist on the native supervisor furnishing the lambardár of each village with a
list of the children vaccinated, as is done in some districts." " When this list did
not exist," Dr. O'Neill observes, " I have been unable to determine what propor-
tion of the children vaccinated was brought forward for inspection, nor could I
say whether the number of children stated by the vaccinator in his register to
have been operated on was correct, unless I had his register with me in the village."
I have now issued instructions by a circular to all Civil Surgeons direct-
ing them to adopt this plan, as far as possible, in their respective districts.