x
for a Vaccinator, and when he arrived, found there was no work for him, and sent him
back without his having done a single operation. I should therefore like to ask Medical
Officers in future to be careful not to send for men unless they are really required. When
a Vaccinator is moved from one district to another it makes a break of nearly a week in his
work, as each time he has to prepare a fresh stock of lymph from capillary tubes or
glass slides. Three Vaccinators were either absent without leave or under suspension from
28th October to 16th December, a time when their services were most needed. They
have since been severely punished by the Sanitary Commissioner. (See paragraph 7
of this Report).
These are the chief reasons which have caused a decrease in the number of vac-
cinations performed during the year.
TABLE No. I.
Statement showing the different kinds of lymph with which vaccination operations were performed during
1895-96 by the Vaccinators of the Special Staff, Punjab, as well as percentages of success of each kind.
Kind of lymph
used.
Buffalo calf ...
Vaseline ...
Donkey ....
Goat (kid) ...
Human ...
Total ...
PRIMARY.
Successful.
53,512
2,016
94
...
96
55,718
Unsuccessful.
1,394
22
4
2
6
1,428
Unknown.
4,320
141
17
...
84
4,562
Total.
59,226
2,179
115
2
186
61,708
SECONDARY.
Successful.
7,706
1,164
...
...
143
9,013
Unsuccessful.
3,604
269
...
...
57
3,930
Unknown.
4,293
138
...
...
223
4,654
Total.
15,603
1,571
...
...
423
17,597
PERCENTAGES OF
SUCCESS exclud-
ing unknown
cases IN
Primary.
97.46
98.93
95.92
00
94.11
97.50
Secondary.
68.13
81.23
...
...
71.50
69.64
REMARKS.
This includes vase-
line lymph supplied
both by Dr. Bamber
and also from Amrit-
sar Depôt.
Kinds of lymph used.
3. Table No. I gives the details of the work done with the various kinds of
lymph, together with the percentages of successes. I have excluded
from the latter the results which are " unknown" as I found
that when these were added they made the percentages absurdly low. For instance,
more than half the results of the human lymph are unknown. This would therefore
make the percentage of primary successful vaccinations only 51.61 which is obviously-
much below the actual amount. I have therefore only taken the percentage of known cases.
Buffalo calf lymph.
The greater part of the work has been done with buffalo calf lymph which gives
very fair results, 97.46 primary and 68.13 re-vaccinations being
successful.
Vasseline lymph paste.
Three thousand seven hundred and fifty vaccinations have been performed with
vaseline lymph paste, which was introduced by Doctor Bamber
with 98.93 per cent. primary and 81.23 per cent. re-vaccinations
successful. This is a wonderfully high average of successes. I shall refer to this lymph
again in paragraph 9.
Donkey lymph.
One hundred and fifteen vaccinations have been performed with donkey lymph
chiefly in the Fázilka tahsíl. The results have been 95.92 per
cent. successful. This year only primary vaccinations have been
carried out with this lymph. It will be seen that the results are not quite as good as with
buffalo calf and vaseline lymph, but better than with human lymph. But the number is
too small for definite conclusions, and as only one Vaccinator (Anant Ram II) used donkey
lymph, too much depends on the individual efficiency of the Vaccinator for purposes of
comparison. However I saw some of the results and was quite satisfied that, should this
kind of lymph be required as a substitute for other kinds, it could always be used, but I am
not prepared at present to state whether it is better or worse than buffalo calf lymph.
Kid (goat) lymph.
Dr. Dyson submitted a report on his experiments on kid lymph. The results
are not at all encouraging. Only 3 out of 5 goats " took" after
vaccination and 2 children vaccinated from these were unsuccess-
ful. In 1890, seven people are stated to have been vaccinated with " goat or sheep " lymph
(see Vaccination Report of that year). But no details are given. I presume, as the practice