( 22 )
96.92 as compared with 9679, being an increase of 0.13. The number of
re-vaccinations was 159 against 5 of previous year. The number successfully-
vaccinated per mille of population was 36.36 against 32.99 in the preceding
year; increase 3.37. The aggregate cost amounted to Rs. 1,603 as compared
with Rs. 1,706, a decrease of Rs. 103, and each successful case cost Re. 0-2-9,
decrease Re. 0-0-6.
Four thousand four hundred and eighty-nine primary vaccinations were
inspected by the Civil Surgeon (Mr. R. Crossley), of which 4,447 were found
to be successful, the ratio of success being 99.06 per cent.
As early in October as possible, i.e., as soon as a supply of lymph was
received, work was begun, and as soon as a sufficient supply of fresh lymph was
collected from the arms of the most healthy children the operators were distri-
buted for the work. The 6 vaccinators divided into two parties, and beginning
at the head-quarters of the district went through the three tahsíls in rotation.
By the end of October the 1st-class vaccinator was separated from the rest
of the staff and began inspections. The Civil Surgeon began his inspections in
November. The three tahsíls with over 600 villages were gone through during
the year, 9,818 operations having been performed. The work has been, so far as
Mr. Crossley has seen it, remarkably well done, fully 75 per cent. having 6 good
marks, 23 per cent. 4 and 5 marks, and the rest 2 and 3 only. 0.54 per
cent. only proved unsuccessful. The Civil Surgeon inspected 197 villages during
the year in which 2,905 children were vaccinated. The 1st-class vaccinator
recorded 2,762 as successful, 11 unsuccessful, and 132 unknown of the above.
The municipal towns of Ellenabad and Sirsa were also inspected by him,
and 450 were found registered as vaccinated.
Of this number 432 were
reported as successful and 18 as unknown. The arms of 381 children were
examined and every one was found to be successfully vaccinated. The Civil
Surgeon obtained monthly supplies of fresh lymph from the Association for supply
of pure vaccine lymph established in London (the same plan adopted by him last
year), and to it he attributes mainly the success which has attended operations
in this district. A monthly supply of a dozen tubes at a time enabled him to
keep up a healthy flow of good lymph in a much wider area, and thus saved
much of the trouble that used to be experienced before, and reduced to a mini-
mum the necessity for taking children from their own houses to any other village
for vaccination. This was done only where a village with 3 or 4 children hap-
pened to be within easy distance of a larger one where the operators were at work.
In conclusion the Civil Surgeon observes " that nearly every surviving
child born in the district during the previous twelve months bad been vaccinated."
UMBALLA.
The vaccination establishment entertained, and the annual cost thereof,
during the years 1882-83 and 1883-84 are as below :—
Establishment
Native supervisor ... ... ...
1st class vaccinator ... ... ...
2nd „
„ ... ... ...
3rd „
„
...
...
...
Total ...
1882-83
Number
1
1
4
8
14
Annual
cost
Rs.
480
180
576
960
2,196
1883-84
Number
1
1
4
8
14
Annual
cost
Rs.
480
180
576
960
2,196