xii
Changes in the Special
Staff.
6. The only changes which have taken place in the Special Staff have been
(1) Lál Chand (2nd class Vaccinator) returned from one year's fur-
lough which caused Khushál Singh to revert to 3rd class, and
Officiating Vaccinator Khazán Singh to be discharged; (2) Ghulám
Rasúl went on three months' leave without pay, an Officiating Vaccinator Núr Alam was
temporarily entertained in his place. In neither of these cases was the Government put
to extra expense.
Punishments.
7. The following punishments have been inflicted during the
year :—
(1). Fined for false returns.— Muhammad Sharíf, Rs. 2; Udho Rám, Rs. 1-4-0 ;
Mának Chand, Re. 1 ; and Hari Rám, As. 8.
(2). Fined for had work. -Anant Rám II, Re. 1-10-0; Shah Muhammad and
Ghulám Rasúl, each Re. 1 ; Partáp Singh, As. 10; Udho Rám,Rndar Dat,
Muhammad Ján and Mának Chand, each As. 8 ; and Khazán Singh, As. 4;
Hari Ram's fines during the year have amounted to Rs. 5.
(3). For negligence and insubordination.—Muhammad
Ján, Rs. 2-4-0.
(4). For misconduct and for being absent without leave.—Anant Rám I, Madhra-
nand and Tulsi Rám were each fined one month's pay (by the Sanitary
Commissioner).
Localities in which the
Special Staff have worked.
8. The Special Staff have worked in the following 28 localities during the year : —
Gohána town and tahsíl ; Zaffarwál, Pasrúr, Dipálpur, Mánsehra,
Abbottabad, Murree, Ráwalpindi, Gujar Khan, Attock, Jagádhri,
Hánsi, Fázilka, Wazírabad, Samrála, Ghakwál Hashinagar and.
Sawábi tahsíls, Chamba, Mandi, Suket, Sirmoor, Baghát, Baláspur, Mahlog, and
Nalagath States; Amritsar and Kálka towns.
REPORT ON Dr. BAMBER'S VASELINE LYMPH.
Vaselme lymph.
9. In the beginning of November last, I was ordered by the Sanitary Commis-
sioner to go to Ráwalpindi and see the vaseline lymph made by
Surgeon-Major Bamber, and to assist him in some experiments
which he was then carrying out. From what I saw I was convinced that the preparation
was not only very effective, but from the ease with which it can be sent by post and by
the length of time it can be kept without losing its efficacy, it would supply a long felt
want in this Province. Dr. Bamber has submitted a full report of the experiments
carried out, and the manner in which the vaccine is prepared. I need not therefore go
over the same ground again. But in order to make the following remarks intelligible, I
may briefly state that the process of preparation is as follows .—
A buffalo calf is vaccinated on the abdomen and on the inner side of the thighs,
scratches from 4 to 6 inches in length are made. On the 5th to 6th day the vesicles ripen,
and are removed whole, after being softened with warm water. The epithelium as well
as the lymph is removed, but all scabs, hairs, &c., are discarded. The material removed is
weighed and then ground down in a glass mortar and pure white vaseline to the extent of
five times the weight of the vosicles removed is gradually added. The mixing is continued
till the whole forms a homogeneous white paste in which the particles of the vesicles can
scarcely be seen with the naked eye. Finally, the vaccine is placed in sterilized glass
phials which hold from 5 to 20 grams and corked, labelled and numbered. The whole
process requires the utmost care to prevent dirt. extraneous matter or septic material
from getting into the vaccine. The calf's abdomen is washed with soap and water, and
finally rinsed with sterilized water, both after shaving and again when the vesicles are
about to be removed. All instruments, tubes, glass dishes, &c., which are used are
sterilized by heat, and the grinding of the paste is done under a glass case.
At first sight one would imagine that diluting the vaccine with five times its weight
of vaseline would make it much weaker than fresh lymph. But this has been found not
to be the case. In fact the mixture seems to act better than fresh lymph (see Table No. I.)
I have examined a very large number of both primary and re-vaccinations performed with
this lymph and have found that the vesicles in almost every case are larger and better de-
veloped than with fresh lymph. I do not attempt to explain this apparent anomaly. I can
only state a fact which several medical officers have already confirmed. Dr. Bamber
has had half the Ráwalpindi district vaccinated with the new material. I have inspected
some of the vaccinations, and was surprised to see such good results. Some of the Special
Staff Vaccinators were also supplied with vaseline lymph, and with it they performed 2,179
primary and 1,571 re-vaccinations. Of these 98.93 per cent. of the former and 81.23 per
cent. of the latter were successful. The lymph was used in the following localities: Hánsi,
Fázilka„ Pasrúr, Wazira bad, Murree, Attock, Gohána, Chakwál, Samrála, Kálka, Mahlog and
Nálagarh. This shows that the vaccine can be used in all parts of the Province. It is parti-
cularly acceptable to the Hindu population as it does away with the sight of a buffalo
being " cut " in their presence, and also vaseline being a mineral substance, they have no
caste prejudices against it. The lymph can also be kept several months without losing its
power. This is also a great advantage. From it other calves, as well as children can be
vaccinated, and the vesicles are always good.