16
assistant superintendents speak also the same language. The vesicles and
cicatrices were good and perfect in type as a rule, exceptionally some cicatrices
were seen to be less marked than desirable. The English lymph was success-
ful and was distributed here and there.
Lymph in Southern
circle.
3rd. In the Southern circle the lymph seen by Dr. Raby was excellent,
" producing large and well-defined vesicles for the
most part," and his assistants generally reported it
good. English lymph succeeded and was distributed.
Lymph deteriorated in Kolhápur and was replaced by English lymph.
Lymph in Western
circle.
4th. In the Western circle Dr. Cody says :—" The lymph used was
" from arm-to-arm, and was in an active state
" throughout the year, as is shown by the success
" attained, viz., 95.5." He further adds that had
bad lymph existed any where he and his assistants must have seen it, as they
tested nearly 60 per cent. of the entire work. The English lymph failed.
Lymph in
Eastern
Gujarath circle.
5th. In the Eastern Gujarath circle Dr. Cola says:—"During the
" greater part of the year the lymph remained good
" and active though the vesicles were not large, and
" the resulting cicatrices are foveolated, but medium
" in size. During the monsoon months the lymph of several vaccinators was
" spoiled and great difficulty was experienced in replacing it. This deteriora-
" tion is not peculiar to this circle but happens in other parts of Gujarath."
A special report was called for on this deterioration of lymph in the Eastern
Gujarath circle in the rainy season, and before submitting it Dr. Cola
asked his assistants and vaccinators for their opinions. The causes alleged
for the deterioration in the monsoon are : 1st, sudden changes of weather;
2nd, withdrawal of some of the larger towns from the vaccinators where there
is a dispensary—the meaning of this is that in very rainy weather the vacci-
nators could keep up good lymph in such towns and without travelling
out in the rain to the outlying villages previous to the time that dispensary
officers were ordered to vaccinate in the towns in which their charges are ;
3rd, inability to work in time on a rainy day ; 4th, the flies break and injure
the vesicles ; and 5th, unhealthiness of the monsoon season, especially as re-
gards skin diseases. There can be no doubt about these circumstances existing,
and they may fairly be considered deteriorating influences. But the first and
second are common to the whole Presidency; the third is in the power of the
vaccinators, and certainly should not be accepted as a good reason for allow-
ing lymph to deteriorate; the 4th cause may be more active in Gujárath
than elsewhere, though I do not know positively that it is so. I am of
opinion that with due precautions the vaccine virus may be maintained in all
its pristine integrity in Gujarath at any season of the year provided the
vaccinators take a little more care in the rainy season, which appears to be
the only one in which there is a tendency for the lymph to go bad.
Lymph in Western Gu-
jarath circle.
6th. In the Western Gujarath circle Dr. Blomfield says :—" The
" lymph was reported bad in many districts at the
" end of the rains, which ceased very suddenly, the
" weather becoming unusually hot. The deterioration
"is caused by the premature ripening of the vesicle, pusforming on the 5th or
" 6th day, the result being a superficial cicatrix. At the same season I have
" found that surgical operations do so badly from suppuration and sloughing
" that I avoid them as much as possible. English lymph was received from
" the superintendent general in December and January and taking well
" was distributed throughout the circle."